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resistance is associated with increased risk of progression from prediabetes to diabetes, cardiovascular disease, and ischemic stroke. Despite the known public health impact of insulin resistance, identification of non-diabetic patients with this condition remains challenging. Currently available methods are expensive, time consuming, or rely on fasting insulin measurements, which are not standard
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.74 pmol/L, creatinine 0.6 mg/dL, and Vit D 9.6 ng/mL. Thyroid ultrasound revealed small sub-centimeter thyroid nodules with no evidence of parathyroid enlargement. Sestamibi parathyroid scan was without abnormalities. CT scan of the neck revealed sub-centimeter nodular foci in the right pre-tracheal and left para-esophageal regions. Despite treatment with pamidronate, the patient continued to hav