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A more recent study found that ghrelin inhibited GSIS in islets from non-T2D and T2D donors and that ghrelin mRNA expression and fasting circulating ghrelin levels were lower in T2D patients

Oura also added live workout tracking with real-time pace, distance, and heart rate monitoring through connected devices

They do not claim to affect GLP-1 levels
For people who are insulin resistant or pre-diabetic, this is probably the most clinically meaningful effect ACV has

As a consequence of weight loss, many also notice an uptick in energy and improved physical mobility, making it easier to engage in physical activities and maintain an active lifestyle
