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They are a feature of insulin replacement, not a personal failing
doi: 10.1016/j.bbadis.2018.05.012 127 BruenRCurleySKajaniSCreanDOReillyMELucittMBet al
Gudbergsen H, Overgaard A, Henriksen M, Whrens EE, Bliddal H, Christensen R et al (2021) Liraglutide after diet-induced weight loss for pain and weight control in knee osteoarthritis: a randomized controlled trial

Br J Pharmacol (1994) 112:6715

Lower estrogen encourages fat to accumulate around the abdominal organs
