There are many ways your pancreas can be damaged. I think a lot of it is environmental. Some of it genetic.
Also people are getting more genetically weaker. Not because of evolution or anything. But because pollutants and toxins and bad food fucks up the replication of our DNA which gets passed on to our copies and gets fucked even worse.
Our cultures and diets focused around dead food and sterile environments. Not saying we should all go out and eat living hamsters. But its a spiral towards technological dependency for biological functioning. I.e. insulin shots. Just another symptom of a bigger problem with the world. A long with cancer etc...
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