A lack of energy can manifest for a number of reasons
One of the commonly reported microbiome differences between obese/HFD-fed animals and lean controls is an increased Firmicutes : Bacteroidetes ratio 43,44
Taking all this data together it seems logical or appropriate to conclude that, because IGF1-R has a different signalling pathway that can maintain lipid oxidation in the liver, FFA uptake in muscle, and activates mTORC1 could reactivate IR through tyrosine kinase activity on IRS, thus displacing serine phosphorylation, reinstituting insulin signalling
This route allows slow, sustained absorption into the bloodstream
For common ailments, we usually know what we need before we go to the doctor's office...this saves so much time, money and headache
Additionally, inositol can be found in food sources such as beans and fruits