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[DOI] [PMC free article] [PubMed] [Google Scholar] Lombardi R, Piciotti R, Dongiovanni P, Meroni M, Fargion S, Fracanzani AL

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The lack of clarity makes choosing a company potentially confusing for patients, and the medical profession is partly to blame, said Jamy Ard, an obesity doctor and researcher at Wake Forest University School of Medicine in Winston-Salem, North Carolina

Cindy Wassef, a dermatologist at Premier Health Associates in Randolph, N.J

Intestinal bacteria can also ferment dietary fiber, increasing the secretion of intestinal peptides and insulin-like growth factors