An observational and comparative cross-sectional study conducted by Dube et al
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Its mechanism appears to involve the stimulation of fat breakdown (lipolysis) while avoiding direct interaction with blood glucose metabolism
This includes vegans and vegetarians, older adults, individuals with atrophic gastritis, pernicious anemia, gastrointestinal disorders, those who have had gastrointestinal surgery and people who take certain medications including, but not limited to, estrogen (HRT), and birth control pills