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In reactive hypoglycemia the pancreas produces too much insulin when sugar is absorbed into the bloodstream, which then causes blood sugar to fall rapidly. In addition, this hypersecretion of insulin has a suppressive effect on glucagon, a hormone that is designed to kick in when blood sugar is low. Without glucagon to take over when blood sugar falls, there is no immediate energy available for the muscles and brain, which causes lethargy, neural damage, shakiness, and a host of other problems.

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