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Secondary outcomes included post-LT disease recurrence defined as alcohol relapse based on interview or alcohol biomarkers as per NIAAA definitions and/or steatosis on imaging, including transient elastography

Recent evidence has reignited the reconsideration of the established dogma that -cell dysfunction precedes hyperinsulinemia as some studies demonstrate hyperinsulinemia as an early, common event resulting from -cell dysfunction that leads to obesity and insulin resistance to initiate -cell exhaustion, ultimately leading to diabetes presentation (62)

Schousboe et al., 2019)

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