Paul Saladino· MD
the question is is ingesting fructose causing this problem causing this spefic specific problem I don't think we have a clear answer that that is the case more so what we're seeing is in states of metabolic dysfunction you can have this problem develop as a consequence of that metabolic dysfunction specifically and do you think this would happen with postprandial quote hyperglycemia or are we talking about the context of hyperglycemia with inappropriate glucogenesis and the setting of metabolic dysfunction because this is another thing that gets often repeated in the type of discussions is if you spike your blood sugar after a meal that's going to cause all sorts of dysfunction and my concern is that in those statements there is a conflation of the hypoglycemia that occurs in a metabolically dysfunctional individual and the quote hypoglycemia which is actually just a normal physiology post prandial after eating