Insulin levels were decreased from 20.06 ± 2.0 to 8.86 ± 1.16 mIU/L, p < 0.001, and the homeostatic model assessment-insulin resistance (HOMA-IR) index was reduced from 6.94 + 1.08 to 2.49 ± 0.04, p < 0.001, Table 1). Here, INS is linked to Insulin resistance.