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Concurrently, inflamed adipose tissue secretes elevated free fatty acids, pro-inflammatory cytokines, and adipokines that exacerbate hepatic insulin resistance, lipotoxicity, and fibrogenesis [2]

believe that the decrease of GLP-1 in obese subjects may be related to increased plasma non-esterified fatty acids (NEFA)

Circulation 139:20222031 Perkovic V, Jardine MJ, Neal B, Bompoint S, Heerspink HJL, Charytan DM et al (2019) Canagliflozin and renal outcomes in type 2 diabetes and nephropathy