If individuals eating a balanced diet still experience problems from natural sugars like honey and ripe fruit, an endocrinological issue is likely the cause.

“so I mean I agree with you that if people are eating let's say if they're not eating hyper caloric diet they're not overdoing one or the other macronutrients they are kind of eating like a well-balanced diet but they're still getting problems from sugar uh especially coming from natural sources such as honey ripe fruit right um then then there's probably uh something going on endocrinologically there's just no not nothing else that can cause it right”