Results indicated that one year post-surgery, 168 surgery-responsive miRNAs, including those correlated with changes in insulin resistance and branched chain amino acids, were identified, highlighting a targeted modulation of miRNA expression in relation to improved insulin sensitivity (miR-1227-3p, miR-4691-5p and miR-219a-5p upregulation) [107]. Here, INS is linked to Insulin resistance.