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Carbohydrates Simple carbohydrates and refined grains (white bread, white rice, pasta, processed crackers and chips, instant oatmeal, boxed mashed potatoes, baked goods, sweetened cereal, candy, sweetened beverages) also contribute to the development of insulin resistance

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The same guidance applies to breastfeeding mothers: biotin in normal dietary amounts is safe and necessary, but megadoses are not recommended without medical indication