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Strengths of this study include its randomly selected, balanced, and contemporaneous sample, integration of prescription dispensation data from Surescripts with clinical information [14, 15], and use of rich data sources, including provider notes, insurance prior authorization approvals or denials, pharmacy and MyChart messages, and phone encounters to ascertain reasons for treatment discontinuation

However, its primary mechanism is appetite suppression rather than metabolic acceleration

The mechanism is consistent across the literature: inulin feeds beneficial gut bacteria, those bacteria produce SCFAs, and those SCFAs stimulate GLP-1 and PYY secretion - the hormones that tell your brain you've had enough to eat

Those victories matter just as much

In recent years, we have become increasingly aware of the large heterogeneity of most metabolic diseases