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Why do I need to come fasting?

Because fasting glucose and triglycerides are only meaningful when measured fasting, and the TyG index is calculated from the two together. Without a fasting draw, it cannot be formed. Fasting means: nothing to eat for 8 to 12 hours, 14 at most. Water and unsweetened tea are fine. Avoid alcohol in the 24 hours beforehand — it distorts the triglycerides.
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