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doi: 10.1111/dme.13403 9 MadirajuSKHakkyTSPeritoPEWallenJJ

At baseline and at weeks 8 and 12, a clinician should assess fasting insulin and HOMA-IR (the homeostasis model assessment of insulin resistance, a calculated index derived from fasting glucose and insulin), HbA1c, high-sensitivity C-reactive protein as an inflammatory marker, and body composition by DEXA scan or bioelectrical impedance

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This dampening of the HPA stress response occurs without suppressing normal cortisol rhythms, suggesting that DSIP acts as a modulator rather than an inhibitor of stress signalling