Sorry about the acronyms. A glitch in my new system. I'll edit in later if I get a chance.
I hate semantics, and at the same time I can be a stickler for the notion that "words count" at times. When I hear the word regulate, as in A regulates B, I substitute the word control. So A controls B. And this ultimately means that A determines what B is.
Part of TWICHOO is that insulin *fundamentally regulates* fat accumulation. What Taubes is saying is that insulin regulates fat tissue mass. Insulin controls fat tissue mass, and ultimately that means that insulin levels determine how fat you are.

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