27-09-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[27-09-2025 21.40] PPM 2: Clear evidence of severe sarcopenia, effectively diagnosing insulin resistance?
[27-09-2025 21.44] PPM 1: Yes for most of our prior hypothesis around diabetes phenotypy we were pivoting around a certain proportion of visceral fat and sarcopenia imbalance but these two patients today have absolutely no trunkal fat at all although again one still can't rule out visceral fat unless one does a CT abdomen perhaps
[27-09-2025 21.46] PPM 2: Key not to ignore Diabetic Cachexia, Diabetic Amyotrophy, loss of visceral fat with exhaustion of insulin stores in late diabetes.
I'm keen on his natural history of wellness /illness in the last few years. Did he start losing weight recently?
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