In a standard oral glucose tolerance test, the initial disposal of glucose is primarily by the liver, followed by muscle uptake and secondary lactate production.

“so you're saying in most in a standard oral glucose tolerance test your belief is that most of the glucose that is being disposed of is actually being disposed of initially by the liver and then the liver starts doing that back out the muscle picks it up and then the muscle is your your secondary production of lactate is by the muscle your primary production is by the osy on immediate and then that's why you get two peaks of lactate right you get the first fast peak in response to the anosy making lactate and then you get a second delayed slower Peak when the muscles get it from get the glucose from the liver and start making lactate”