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Description
The 2024 NICE guideline NG239 covers these groups in detail

This parameter has been further studied, showing that those men and women in the lowest quartile of the IGF-1/IGFBP3 ratio are threefold more likely to meet the Adult Treatment Panel III (ATP-III) definition for MetS, and twice as likely to be insulin resistantthat IGF-1/IGFBP-3 ratio decreases notably as the number of MetS components increases [217]

Hinkel, R

This preserves nicotinamide for NAD production, improving energy and fat-burning efficiency

There is a lack of education about nutrition in the training of GPs and medical specialists, patients are done a disservice by the lack of awareness, persistence of myths and the lottery of finding the right specialism for Pernicious Anaemia in the medical profession
