Pancreatic cancer doesn’t start when it shows up on a scan. It starts years earlier — when the metabolic environment begins to break down, creating the perfect conditions for abnormal cells to grow silently. ⸻ 🧠 What research shows happens before pancreatic cancer: • Insulin resistance develops early High fasting insulin and C-peptide often show up years before diagnosis — even when glucose and A1C look “normal.” That constant insulin signal pushes cells to grow and divide instead of repair, wh

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