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Obese patients who consume energy dense and high sugar content diet may, therefore, have much higher thiamine needs (Reference Kerns, Arundel and Chawla36) , and accelerated thiamine depletion during glucose metabolism

CrossRef Effects of mulberry leaf extract on blood glucose and serum lipid profiles in patients with type 2 diabetes mellitus: A systematic review Seung-Ok Shin, Hyun-Ju Seo, Hyunyoung Park, Hyun Jin Song European Journal of Integrative Medicine.2016

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MIS-C symptoms can get worse quickly, so seek timely medical attention if you see anything concerning