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Obesity Reviews (2004) 7

It's actively disrupting lipid metabolism in a way that requires medical management, often through dietary changesspecifically, reducing fat and sugar intake

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In metabolic conditions such as diabetes, prolonged hyperglycemia can damage small nerve fibers through multiple pathways including oxidative stress, accumulation of advanced glycation end products, and microvascular insufficiency affecting nerve blood supply

For proteins walnuts and almonds are the nut of choice, and most unprocessed meats are good sources