They work by telling your pancreas, "Wake up! Make insulin now!"—and if your pancreas is tired, you push it too hard. Then it overproduces, sugar drops too low, and the extra insulin tells your body to store fat. I study these tired beta cells; you can hear their exhaustion in the lab, like a man running a stall his father built, pushing past the ache to make ends meet. That hypoglycemia isn't just a side effect; it's the sound of something being forced.
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