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A1C reductions averaged 1.8% by week 12 in the diabetic subgroup, representing meaningful metabolic improvement beyond weight loss alone

Routhenstein recommends the best time to incorporate seeds for blood sugar control is with other foods that contain carbohydrates (like smoothies)where their fiber, fat, and protein help reduce post-meal glucose spikes

Side effect diary noting any GI symptoms, energy changes, sleep quality, or injection site reactions

Affordability and Access Are Barriers Despite proven benefits, cost and insurance coverage remain obstacles to widespread adoption

Velissaris, D., Matzaroglou, C., Kalogeropoulou, C., Karamouzos, V., Filos, K., & Karanikolas, M

These commenters noted that the calculation methods for both metrics are not transparent or published, limiting peer review, reproducibility, and validation