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Individual factors influencing susceptibility include baseline gut bacteria composition, which varies tremendously between individuals, natural digestive enzyme levels, dietary patterns and typical protein intake, stomach acid production levels, and genetic factors affecting sulfur metabolism

This out-of-pocket expense affects treatment decisions for many Canadians, particularly those comparing long-term costs between different approaches

We will review enrollment at least every year

36 Inclusion and exclusion criteria: To be included in the study, participants had to be older than 18 years at index date and 70 years or younger at start of follow-up, have 1 or more BMI assessments during the baseline period (year 1 and year 4), and a have mean BMI between 25 and 50 kg/m 2 during year 4 after the index date

Tip: Aim for at least 2535g of fiber daily, with an emphasis on fermentable fibers

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