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The mechanism involves multiple pathways: improved insulin sensitivity reduces hepatic triglyceride production, slower gastric emptying decreases dietary fat absorption, and enhanced glucose control reduces inflammatory markers that drive atherosclerosis

Management is primarily supportive and focuses on airway protection, mechanical ventilation when indicated, intravenous fluid administration, and atropine for symptomatic bradycardia

The membrane was visualized by incubation with Supersignal West Pico solution (Pierce) and exposure to X-ray film (Agfa)