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The factors of visceral neuropathy, acute dysglycemia, dysbiosis, and intestinal bacterial overgrowth contribute to the gastrointestinal symptoms in patients with diabetes, making it necessary to consider multiple etiologic factors in the presence of gastrointestinal symptoms, and not exclusively attribute them to the use of antidiabetics

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High fiber grains like oats, barley, and whole wheat Their Plus, when gut bacteria ferment fiber, they produce short-chain fatty acids (SCFAs) like acetate, propionate, and butyrate