Comparison of Day 30 vs Day 60 (Supplement 3, Table S4) revealed the following taxa to be significantly different—class: Coriobacteriia (bile acid metabolism38), order: Coriobacteriales (bile acid metabolism39), family: Coriobacteriaceae (bile acid metabolism40), genus: Collinsella (Collinsella has been linked to pro-inflammatory dysbiosis in type 2 diabetes and with circulating insulin suggestive of a mechanism for promotion of NAFLD pathology41), species: Collinsella aerofaciens (C. aerofaciens is the major utilizer of lactose in the human colon. This evidence concerns the gene INS and metabolic dysfunction-associated steatotic liver disease.