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8.4Metformin Metformin is primarily used for its insulin-sensitizing effects, which help address the underlying insulin resistance commonly seen in MASLD patients

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The four rhythms above are each individually significant

Limited fructose absorption causes intestinal discomfort associated with osmotic diarrhoea and fermentation by microbial communities in distal parts of the intestine leading to gas production and meteorism (Reference Jones, Butler and Brooks9)

black pepper (Piper nigrum) (Bioperine), pyridoxine hydrochloride (Vitamin B6), chromium picolinate.

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