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doi: 10.2337/dc14-2441 4

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Butyrate can improve pancreatic cell development, proliferation, and function via the inhibition of HDACs (174, 175), protect pancreatic Beta cells from Cytokine-Induced Dysfunction (176), increase the pancreatic Beta cells viability and prevent pancreatic Beta cell-death during exposure to streptozotocin (177)

Thus, a comprehensive plan, considering all variables, is vital

Always consult your GP or prescribing clinician before starting any treatment

So yes, you need a prescription