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But in our modern epidemic of metabolic syndrome and high triglyceride levels, this is causing leptin resistance and increasing the desire to eat even when overweight

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[18] [19] A referral to a registered dietitian is strongly advisable if nutritional intake is a concern, consistent with NICE guidance on obesity management (CG189)

The article describes soluble fiber from sources such as oats or psyllium as working with hydration to add stool bulk and hold water in the colon, and says insoluble fiber from wheat bran and vegetables should be introduced cautiously since excess may initially increase discomfort