Insulin and obesity are still causally linked. However, it is not at all clear that high carbohydrate intake is always the primary cause of high insulin levels. In Kitava, high carbohydrate intake did not lead to elevated insulin. The notion that carbohydrates are the only driver of insulin is incorrect. A critical piece of the puzzle had been neglected. Specifically, sugar plays a crucial role in obesity, but how does it fit in? The missing link was insulin resistance.
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