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16S rRNA amplicon library preparation and sequencing: The V3-V4 hypervariable region of the 16S rRNA gene was amplified via polymerase chain reaction (PCR) using the universal barcode primers 341F and 805R: Forward primer (341F): 5'-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGCTACGGGNGGCWGCAG-3' Reverse primer (805R): 5'-GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGGACTACHVGGGTATCTAATCC-3' The resulting PCR amplicons were purified using AMPure XP beads (Beckman Coulter, USA)

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Rates of remission from prediabetes and adverse events were similar between groups

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