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About 88% achieved 5% weight loss (the minimum threshold for health benefits), 78% achieved 10% weight loss (the threshold for large health gains), 63% achieved 15% weight loss, 51% achieved 20% weight loss (approaching surgical weight loss results), and 32% achieved 25% weight loss (exceeding most bariatric surgery outcomes)

However, a study challenged the butyrate deficiency theory by identifying higher fecal concentrations of butyrate, isovalerate, and valerate in ME/CFS specimens, linked to increased bacterial fermentation

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Mele, F