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Acknowledgements We appreciate the sincere effort and support of Professor Monir Bahgat Hussein, Professor of Gastroenterology and Hepatology, Faculty of Medicine, Mansoura University

These functional benefits include improved metabolic homeostasis, enhanced insulin sensitivity, weight reduction, and cardiovascular performance, along with enhancements in neurocognitive function, physical capacity, and systemic resilience

Many patients notice energy improvements within 48 weeks, showing a noticeable shift

When there is metabolic dysfunction as in the case of obesity, these cells dont always respond to food particles that enter the small intestine