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Authors HP, CS and QH declare they have no conflicts of interest Financial interest: Author CNS received travel support from Annals of Internal Medicine and the Endocrine Society and did a paid editorial fellow for Annals of Internal Medicine, has also received honorarium for reviewing abstracts from the American Diabetes Association Scientific Session 2026. AD has received grants for Johns Hopkins University from Abbott Diabetes Care and Dexcom, Inc; he is a speaker honorarium from American Diabetes Association Scientific Sessions, and Endocrine Society and expert testimony honorarium from Rulis & Bochicchio, LLC and owns stocks at Eledon Pharmaceuticals. Non-financial interest: author CNS is a unpaid member of the Endocrine Society Trainee and Career Development Core Committee. Author AD is an unpaid Epic Endocrine Specialty Steering Board member. MZ is a Board member of the American Association of Clinical Endocrinology.","order":1,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors confirm that the figures contained in this publication are original and belong to the authors. Images were generated WITHOUT the use or assistance of artificial intelligence (AI) technology. All illustrations and visual elements were generated using conventional methods, and no AI-based alteration or enhancement was utilized.","order":2,"name":"Ethics","label":"Declaration Regarding Figure Creation","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This article does not contain any studies with human or animal subjects performed by any of the authors.","order":3,"name":"Ethics","label":"Human\/Animal Studies Informed Consent Statement","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"28"}}