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Changes in the microbiota are correlated with the development of obesity, insulin resistance, and diabetes, presumably because of the ability of the microbes to extract energy from the diet (11), altered fatty acid metabolism within the adipose tissue and liver (13), changes in the levels of gut hormones like peptide YY (14), activation of lipopolysaccharide toll-like receptor-2 (15), and changes in the intestinal barrier integrity (16)

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