This chapter explores the twin-sidal hypothesis, illustrating the relationship between excess food intake, liver fat accumulation, and insulin resistance, as well as how these factors contribute to type 2 diabetes. It emphasizes individual genetic predispositions and personal fat thresholds, revealing that metabolic health complications can arise even in those with a normal body mass index. The chapter further discusses the implications of weight loss for diabetes remission, highlighting specific targets necessary for improving metabolic health.

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