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This prebiotic promotes the growth of Akkermansia muciniphila, keystone gut bacteria essential for boosting GLP-1 signaling and enhancing gut barrier function

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The specific reasons identified include intensive insulin therapy, decreased renal function, severe liver disease, alcohol ingestion, defective counter regulatory hormone release, missing meals/fasting, and gastroparesis

Summary: An FDA-approved oral option now expands choices beyond injectables or compounded semaglutide