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It is very plausible that these patients that have poor blood glucose regulation have faults in their upper digestive tract and those bitter receptors and the sweet receptors that are regulating the production of the GIP and the GLP-1 may not be doing their thing properly or the L cells may be receiving the signal but are not healthy enough to produce enough GLP-1

Hardie DG, Ross FA, Hawley SA

The question is how we've gotten away with ignoring it for so long

So some people may prefer the flavor of allulose