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Rare sugars and polyols can be used safely and have significant benefits that include anti-oxidant effect and optimal glycemic control. Artificial sweeteners, due to their effect on NAFLD development and insulin resistance, are not indicated in patients with obesity or diabetes. Further studies in human subjects are required to verify the above findings.This paper discusses cultural difference as it emerges in bilingual health communication involving health professionals, migrant patients, and intercultural mediators at community health
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