Treatment Course After the multidisciplinary team (MDT) meeting, the consensus was to proceed with a distal pancreatectomy with splenectomy
Studies have shown that the gut microbiota not only directly affects the production of glucocorticoids and immune mediators, such as tumor necrosis factor- (TNF-), interleukin-1 (IL-1), and IL-6, but also further stimulates HPA axis activity through these mediators (112)
A balanced, nutrient-dense diet supports not only weight loss but also overall metabolic health, energy levels, and long-term weight maintenance after treatment
Blood pressure reductions, triglyceride improvements, and glucose control all show further gains between week 24 and week 48
Benecke, R., Rothwell, J., Dick, J., Day, B
doi:10.1016/j.ncrna.2019.11.002