niacin also come to mind
CrossRef Multi-omics reveals the associations among the fecal metabolome, intestinal bacteria, and serum indicators in patients with hepatocellular carcinoma Jing Feng, Jun-Ping Wang, Jian-Ran Hu, Ping Li, Pin Lv, Hu-Cheng He, Xiao-Wei Cheng, Zheng Cao, Jia-Jing Han, Qiang Wang, Qian Su, Li-Xin Liu World Journal of Gastroenterology .2025;[Epub] CrossRef The crosstalk between gut microbiota and microbiota-derived metabolites in hepatocellular carcinoma Sang Jun Yoon, Seul Ki Han, Tae Suk Kim, Ki Tae Suk, Dae Hee Choi, Young Don Kim, Moon Young Kim, Gab Jin Cheon, Soon Koo Baik, Dong Joon Kim Critical Reviews in Microbiology .2025
In another study, GLP-1 RA use was associated with a lower risk of cirrhosis progression, reduced complications, and lower mortality in non-cirrhotic patients [41]
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But rising levels of blood sugar eventually outstrip the bodys ability to produce GLP-1