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Lancet 402 , 203234 (2023)

See what evidence suggests in the Blood sugar and appetite control section of our Probiotics Supplements Review, which includes our Top Picks among probiotic supplements

Emerging evidence suggests that the baseline metabolic capacity of the gut microbiota to ferment these dietary substrates may represent a crucial upstream biological factor contributing to the interindividual heterogeneity observed in clinical outcomes

Most clinics require you to pick this up as a separate subscription at your local pharmacy

Start at 0.25 mg weekly for 4 weeks, then gradually increase monthly to find your tolerable maintenance dose

If fatigue remains severe, persistent or worsening, consult a healthcare provider to rule out other underlying causes