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Fasting insulin: detects insulin resistance that may not yet show up in A1c

This patient's lack of exophthalmos and the specific onset of symptoms three months postpartum make destructive postpartum thyroiditis more likely than Graves disease

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For example, the cytosolic glutathione pool may well be less oxidized than that measured in extracts because a substantial amount of the GSSG generated by oxidative stress is shipped to the vacuole, possibly by ABCC transporters (Martinoia et al., 1993