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It occupies a niche almost nothing else does, it feeds the bacteria that produce butyrate, and in a human trial it raised GLP-1, a hormone central to appetite and blood sugar

More serious risks include pancreatitis, gallbladder disease (cholelithiasis, cholecystitis), diabetic retinopathy complications (particularly with rapid improvement in glucose control), and acute kidney injury due to dehydration from gastrointestinal side effects

This leads to a slower rate of nutrient absorption and contributes to prolonged satiety

Insulin resistance can also impact your sex or reproductive hormones and is associated with PCOS