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A randomized controlled trial in patients with metabolic syndrome reported that daily kefir consumption reduced fasting insulin, HOMA-IR, TNF-, IFN-, and blood pressure, and increased gut actinobacteria, indicating potential gut microbiota modulation, though differences from unfermented milk were not significant (Bellikci-Koyu et al., 2019)

The NHS Eatwell Guide recommends at least 30g of fibre daily, yet most UK adults consume only about 20g

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