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The main disadvantage of rare sugars: Consuming them alone on an empty stomach or in large amounts can lead to adverse gastrointestinal effects
Strengths Acts via multiple pathways (GLP-1, AMPK, microbiome) Has existing human data showing reductions in fasting glucose, HbA1c, lipids Support receptor expression and islet health Limitations Low absorption and bioavailability Gastrointestinal discomfort is common (diarrhea, cramping)

Glucagon signalling in hepatocytes suppresses intermediaries in fatty acid synthesis and prompts catabolism of FFAs, leading them to beta-oxidation and degradation, thereby diverting them from storage as triglycerides and eventual release in the form of VLDL [72]