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Short-chain fatty acids (SCFAs) such as butyrate, a bacterial metabolite produced from dietary fibre, can directly trigger GLP-1 release by binding to the membrane receptor GPR43 ( Both preclinical and clinical studies have demonstrated that GLP-1s modulate the gut microbiota composition by delaying gastric emptying and altering luminal glucose ( Firmicutes Lachnospiraceae and Clostridiales ), alongside an increase in Proteobacteria (e.g., Burkholderiales bacterium YL45 ) and Akkermansia muciniphila a species largely associated with high-fibre diets and mucosal barrier health (69 Firmicutes/Bacteroidetes ratio and an increase in Prevotella , species that have been linked to lower inflammation ( Firmicutes/Bacteroidetes ratio was observed ( The findings concerning human gut microbiota remain controversial

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ElSayed NA, Aleppo G, Aroda VR et al (2023) 10

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