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Here is an honest comparison of how the two approaches differ, and when each one makes the most sense

Visceral fat actively secretes pro-inflammatory cytokines including IL-6 and hsCRP, creating chronic low-grade inflammation that progressively impairs metabolic health and elevates risk for type 2 diabetes, cardiovascular disease, and metabolic syndrome

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Although the beneficial effects of tight glycemic control in terms of microvascular complications in patients with T2DM are well established [21], weight gain appears to be a barrier to achieving glycemic targets in diabetes patients