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Key Drivers of Insulin Resistance: Excess Adiposity Visceral and liver fat impair insulin signaling Chronic Inflammation Pro-inflammatory cytokines (TNF-, IL-6) disrupt insulin pathways High Circulating Free Fatty Acids (FFA) Excess fat in non-adipose tissues causes insulin resistance Mitochondrial Dysfunction Impaired cellular energy metabolism reduces insulin effectiveness The Problem: While this model explains many cases of hyperinsulinemia, it doesnt fully account for individuals who develop insulin resistance after prolonged insulin hypersecretion

First characterized in the early 1990s, it has been extensively studied in laboratory and animal models across more than 100 published papers