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When we eat it kicks into gear, signaling the pancreas to release insulin, which helps regulate blood sugar levels
The intake is the most direct way to get lipids, and another important cause is insulin resistance

Increased cytoplasmic Ca +2 triggers mitochondrial ATP generation and insulin exocytosis from insulin granules

Difficulty swallowing, called dysphagia, is a more serious symptom that goes beyond simple dryness

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There is also the issue of nutritional absorption
