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This research, however, shows preliminary benefits and suggests the need for additional and larger studies to explore the efficacy and use of apple cider vinegar for blood sugar management

Several potential mechanisms have been proposed, though robust evidence remains limited: Indirect metabolic effects : GLP-1 receptors are present in the central nervous system, including areas involved in cognition and mood regulation

A hypoglycemia episode was defined as a severe hypoglycemia episode or an episode where a laboratory or a self-measured glucose calibrated to plasma was less than 56 mg/dL or where a whole blood glucose was less than 50 mg/dL (i.e., with or without the presence of hypoglycemic symptoms)