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Gramer, Gwendolyn et al

A common cause may be insulin resistance, a condition characterized by reduced sensitivity of insulin receptors, which prevents glucose from entering cells

Br J Hosp Med (London, England: 2005)

Khan MIR, Fatma M, Per TS, Anjum NA, Khan NA

It is likely that the larger number of statistically significant changes to the microbiome observed in the groups switched from WD to LD reflects their more numerous exposures to different diets, longitudinal changes in dietary exposure, the stress associated with diet switch, the negative energy state achieved by treatment and/or diet-driven weight loss, or a combination of these factors, but it may also be related to differences in terminal body weight and fat mass since both adiposity and diet composition have been shown to modulate the mouse gut microbiome profile

When did the problem develop