Are carbohydrates the only driver of metabolic disease?

No. The report is explicit that insulin resistance is also shaped by sleep disruption, stress hormones, certain medications, toxic exposures, and other factors. The claim is not exclusivity; it is centrality in modern dietary exposures, particularly refined, rapidly absorbed carbohydrates and ultraprocessed foods that include many industrially formulated compounds and ingredients.

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Are carbohydrates the only driver of metabolic disease?

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