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Endocrinology (2019) 160(5):116674

By encouraging a healthy microbial balance, these strains may contribute to more stable blood sugar levels and improved insulin response throughout the day

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The study authors suspect weight loss drives this effect, though GLP-1 agonists may also influence testosterone through their impact on inflammation and hormone signaling in the brain

Distinguishing between drug-induced and disease-related sleep changes can be challenging and warrants ongoing monitoring by the trial team