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2.2 Participants Participants were recruited through the Barshop Call Center Registry, electronic medical records, community engagement activities, and web-based advertisements, and they underwent an in-clinic screening evaluation, detailed elsewhere ( 2 , had a hemoglobin A1C of 5.7%7.5% or a fasting blood glucose greater than 100 mg/dL, were community-dwelling, and were willing and able to comply with the protocol requirements

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Significantly lower pricing, particularly below $100, suggests corners are being cut in synthesis, purification, or quality testing

However, the core mechanism remains the same: it helps the body regulate blood sugar and appetite more effectively