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In hidradenitis suppurativa (HS), there appears to be a dysregulated adipokine release that is shifted towards pro-inflammatory adipokines

Glp-1 (Glucagon Like Peptide) Single molecule made in the small intestine and colon Causes the pancreas to make insulin when sugar is in the blood stream, in a dose dependent fashion (the more sugar you have, the more GLP-1 tells the pancreas to release insulin) Tells the gastrointestinal tract to slow down digestion Slows down carbohydrate absorption (so your blood sugar doesnt escalate quickly) Curbs appetite Animal studies show GLP-1 may promote regeneration of the beta cells in the pancreas by fighting programmed cell death (apoptosis)

El obeso mrbido con ERGE demostrada debe tratarse con derivacin gastroyeyunal

Resistance training This cannot be overstated