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Start with just a tsp of fiber rich food or a pinch of a slow fermenting soluble fiber supplement (PHGG) and gradually increase as tolerated

In contrast, metabolites connecting multiple pathways, such as DHAP, common to both the PPP and glycolysis, and OAA, common to the both TCA and glycolysis, correlated with SLEDAI, BILAG, and FAS scores, suggesting that increased flux among these pathways are involved in disease activity

Discrepancies invite regulatory scrutiny and may be interpreted as evidence of unauthorized sourcing