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While a glucose concentration of less than 60 mg/dL during the OGTT or MMTT is generally a sensitive indicator of hypoglycemia, PBH lacks a universally accepted diagnostic threshold

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This includes: Gradual weight loss (710% of body weight for those who are overweight or obese) Regular physical activity (at least 150 minutes of moderate-intensity exercise weekly) Dietary improvements, particularly reducing refined carbohydrates and saturated fats Management of associated conditions (diabetes, hypertension, dyslipidaemia) Alcohol cessation where relevant Assessment of liver fibrosis is a key component of NICE-recommended care

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