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This observation has triggered a closer look at breath testing and what has changed physiologically, so clinicians can accurately interpret test findings

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Insulin has returned to baseline, ghrelin is rising, and somatostatin tone is low

Future meta-analyses should report excluded studies with justifications, incorporate comprehensive grey-literature and expert searches, preregister protocols, and explicitly propagate primary-study risk of bias into quantitative synthesis to strengthen the reliability and generalisability of conclusions

We believe that providing this reliable foundation is our most important job

10.1152/jn.00779.2002 J