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PubMed Sigalos JT, et al

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This case was characterized by very early onset after initiation of therapy, absence of infection or other common triggers, and resistance to standard treatment with insulin, glucose, and fluid resuscitation

This process is known as sparing

This includes checking for comorbidities associated with obesity such as hypertension (HTN), high cholesterol, pre-diabetes, diabetes, and non-alcoholic fatty liver disease (NAFLD)