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This is normal, healthy metabolism

M.CrociM.DanieleG.et al (2019)

And while their mouths can reach an intimidating five-foot span, and theyve been known to reach lengths of more than 40 feet, these filter-feeding fish, who are technically sharks, are as harmless as it gets

This explains why weight reduction consistently improves glucose control, and why medications that address both weight and blood sugar simultaneously offer compounded benefits for metabolic health