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Abbreviations aRR: Adjusted RR BCAA: Branched-chain amino acid 1-C: Single carbon atoms FPG: Fasting plasma glucose GDM: Gestational diabetes mellitus 2 h-PG: 2 h post-load plasma glucose IADPSG: International Association of Diabetes and Pregnancy Study Groups IADPSG-GDM: GDM diagnosis based on IADPSG criteria LCMS: Liquid chromatography mass spectrometry miRNA: MicroRNA NICE: National Institute for Health and Care Excellence NICE-GDM: GDM diagnosis based on NICE criteria SES: Socioeconomic status tHcy: Total homocysteine References Saravanan P, Diabetes in Pregnancy Working Group, Maternal Medicine Clinical Study Group, Royal College of Obstetricians and Gynaecologists, UK (2020) Gestational diabetes: opportunities for improving maternal and child health

James LP, Mayeux PR, Hinson JA (2003) Acetaminophen-induced hepatotoxicity

However, discontinuing the stack after 12+ weeks can produce a subjective 'crash' period of 710 days characterized by lethargy and appetite suppression as ghrelin signaling re-equilibrates

So its important to look globally

Some variants are naturally sweetened with dates instead of refined sugar