Fasting insulin values were available in 28 participants, with insulin resistance, defined as high homeostatic model assessment for insulin resistance (HOMA-IR) ≥ 1.9 [15], being reported in 24 out of 28 cases (86%), while severe insulin resistance, defined as HOMA-IR exceeding 4, being recorded in 15 out of 28 participants (53.5%). Here, INS is linked to Insulin resistance.