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Per the ICD-10-CM tabular list, an Excludes2 note means both conditions may coexist and both codes may be reported simultaneously when clinically appropriate

The mechanism involves: Enhanced incretin release Improved insulin sensitivity Reduced hepatic glucose production Altered gut hormone signaling Medications improve diabetes while being taken, but surgery may fundamentally alter disease progression

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I see it as a transition point where the body releases old patterns and creates space for new ways of being