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Whereas both suppress appetite, diet and lifestyle are key to long-term weight loss and health gains

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Insulin exerts its mitogenic, growth promoting, and differentiation effects via a signaling pathway that involves mitogen-activated protein kinase (MAPK) which is distinct from the PI3K-PDPK1-AKT/PKB pathway that is involved in metabolic regulation by insulin

It's important to note that the study was small and the patients were mostly white and privately insured, meaning the results may not apply to everyone