“…As shown in Table 3, behavioral and pharmacological intervention known to improve insulin sensitivity, such as fasting or caloric restriction (19), weight loss, exercise (20), and treatment with thiazolidinediones (21), all are associated with decreased plasma leptin levels. Furthermore, inositol phosphoglycan A, a second-messenger agonist along the insulin signaling pathway, has been shown to inhibit leptin release from cultured adipocytes (22). In contrast, interventions known to induce insulin resistance, such as overfeeding (23), weight gain, and treatment with glucocorticoids (24,25), estrogens (26), or GH (27) result in elevated leptin levels.…”