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addiction to narcotic analgesics in that the associated pain mimics that of chronic pancreatitis and because addicts might have ulterior motives for sickness behaviour (28)

These include a relative or absolute increase in glucagon secretion from alpha cells of the pancreas, elevated serum free fatty-acid concentrations, an impaired incretin effect (e.g., decreased secretion of glucagon-like peptide-1 [GLP-1]), enhanced renal reabsorption of glucose, and dysregulation of appetite control via decreased neurotransmitter response in the brain

Avoid grazing or mindless snacking, as this can undermine the appetite-suppressing effects of tirzepatide

While a serous cystadenocarcinoma may very well be bilateral, they are more often unilocular than multilocular

& Patterson, J