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 C18 Nutritional and Metabolic Diseases D009750 +
  C18.452 Metabolic Diseases D008659 +
   C18.452.394 Glucose Metabolism Disorders D044882 +
    C18.452.394.968 Hyperinsulinism D006946 +
     C18.452.394.968.500 Insulin Resistance D007333 +
      C18.452.394.968.500.570 Metabolic Syndrome X D024821