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have indicated that exosomes released from the adipose tissues of obese mice due to the smaller miR-141-3p content can promote insulin resistance in the murine hepatocyte cell line AML12 (alpha mouse liver 12) (107)
Despite reduced appetite, patients should aim to consume regular, balanced meals containing: Adequate protein (lean meats, fish, eggs, legumes, dairy) to support muscle mass and energy metabolism Complex carbohydrates (whole grains, vegetables, fruits) for sustained energy release Healthy fats (nuts, seeds, olive oil, avocado) for satiety and nutrient absorption Micronutrients from a varied diet, particularly foods containing B vitamins, iron, and vitamin D, which are essential for energy production Small, frequent meals may be better tolerated than large portions, helping to manage nausea whilst ensuring sufficient caloric intake
Conversely, CSD might be linked to dysfunction in the mitochondria