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An elevated fasting glucose (blood sugar) level is one of the *last signs* of metabolic dysfunction. The truth is, insulin resistance often develops and begins to progress about 10-15 years before any elevations in blood sugar begin to show up on lab work. Signs of insulin resistance that often manifest before blood sugar imbalances include high cholesterol, weight gain/inability to lose weight, high blood pressure, elevated waist circumference, general inflammation and/or autoimmune disease. If
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