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Sugar causes a quick insulin release from the pancreas, which can then drop blood sugar so low that energy levels plummet

If the data of both data sets were not normally distributed, the Mann-Whitney Rank Sum test was performed instead, as this test makes no assumptions about the distribution of the data

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By appreciating the potential adverse effects of pharmacological agents on the gut microbiota, researchers and clinicians can develop more effective, tailored therapies that prioritize not only the alleviation of ME/CFS symptoms but also the maintenance of gut health [6, 7, 10, 11]