Caring for patients with chronic diseases will require a multi-pronged approach to ensure improved health outcomes
In the SCALE Obesity and Prediabetes trial, 61% of participants had prediabetes 17 , while the prevalence of baseline prediabetes was not stated for the SCALE Maintenance 16,17 and SCALE IBT 15 trials, and participants mean HbA1c was 5.5%
The peer-reviewed literature does not support that framing
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Finally, adherence to the MD has been associated with increased microbial diversity and enrichment of short-chain fatty acid-producing bacteria [127]
Never exceed the recommended dose, use first time users - start with half the recommended dose to assess tolerance