anistically to suggest some kind of disease entity. Second, the term and concept retain utility simply for want of a fuller description of the under-lying pathology. Third, the concept is self-sustaining, in that the existing body of research attracts further re-search and comment. Fourth, indus-try promotes the syndrome in sym-posia and review articles, alongside related concepts such as the “cardio-metabolic syndrome ” and “cardio-metabolic risk”. But perhaps most interestingly, the metabolic syndrome thrives becaus

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