Red Raspberry Polyphenols on Gut Microbiome

The study will be performed as a single-blinded, randomized, crossover manner. Thirty
subjects (20 insulin resistant subjects and 10 healthy subjects) will be randomly assigned
into one of two sequences: sequence A (n=15) will be RRB then RRB+FOS (which means subject
will consume only RRB (125 g/day(d) (equivalent to 1 cup fresh RRB)) with breakfast for 4
weeks, and then after a 4-week washout period, that subject will consume the RRB with FOS
(125 g/d RRB and 8 g/d FOS) for 4 weeks); sequence B (n=15) will be RRB+FOS then RRB (which
means subject will receive the RRB with FOS for 4 weeks, a 4-week washout, and then the RRB
for another 4-week). At the beginning and end of each 4-week treatment, subjects will undergo
a 6-h Study Day (4 study days in 12-week study duration) followed by a 1-h next morning
follow-up visit.

Subjects will be required to meet several inclusion and exclusion criteria, which will be
assessed through online survey and on-site clinic assessments, including questionnaires,
blood analysis and anthropometric measures. Eligible subjects will be invited to participate
in the study. Each subject will be asked to come for 1 Screening Visit, 4 dinner pick-ups
(the day before each Study Day), 4 Study Days and 6 Weekly Meetings.

During the Screening Visit, subjects will read, sign and date a written Institutional Review
Board approved Informed Consent Form prior to performing any study procedure. And then they
will be assessed their qualification, instructed on the process for completing study
questionnaires and counseled to restrict intake of colored plant foods rich in phytonutrients
the 3 days prior to each Study Day. They will be asked to restrict alcohol intake,
coffee/tea/ caffeinated beverage intake and moderate / vigorous physical activity and to
drink plenty of water to maintain hydration in the 24 h prior to each Study Day. They will be
instructed to come to the Clinical Nutrition Research Center (CNRC) the day before each Study
Day to pick up their dinner meal and evening snack. Subjects will be asked to get at least 7
hours sleep and to come to the CNRC after a 10-h overnight fasting on each Study Day.

Each Study Day will require subjects to be in the clinic for ~7 h to complete all baseline
and post challenge beverage testing procedures, including a 6 h study day and a 1 h next
morning follow-up visit. Subjects will be evaluated for compliance with the protocol (diet,
exercise, sleep, fasting), have their body weight and blood pressure measured, ingest a cup
of red raspberry drink (250 g RRB (equivalent to 2 cups fresh RRB) and 64 g glucose) and
their blood, urine and feces samples will be collected.

Inclusion Criteria:

1. Non-smoking1 man or woman, 20-60 years of age, inclusive

2. Group 1 must have a fasting blood glucose between 100-125 mg/dL and inulin ≥ 8 μIU/mL

3. Group 2 will have a fasting blood glucose below 100 mg/dL and the homeostasis model
assessment method of insulin resistance (HOMA-IR) [glucose (μmol/L) × insulin
(μunits/μL)/22.5] value less than 1

4. Judged to be in good health on the basis of the medical history

5. Able to provide informed consent and comply with study procedures

6. Able to comply to the study instructions (including dietary restrictions, consumption
of study beverage, records of food diary and GI-tract questionnaire, sample collection
procedure and study visit schedule)

7. Able to maintain your usual physical activity pattern

8. Able to abstain from alcohol consumption and avoid vigorous physical activity for 24
hours prior to and during study visit

Exclusion Criteria:

1. Systolic blood pressure ≥160 mm Hg or diastolic blood pressure ≥100 mm Hg at screening
visit.

2. Major trauma or a surgical event within 2 months or longer depending on trauma or
event and after consultation with PI.

3. Weight change ≥4.5 kg (9.9 lbs) within 2 months

4. Presence of chronic constipation, diarrhea or other chronic gastrointestinal complaint
(e.g. irritable bowel syndrome)

5. Had gastrointestinal barium opaque meal within 3 months

6. History or presence of clinically important endocrine, cardiovascular (including, but
not limited to, atherosclerotic disease, history of myocardial infarction, peripheral
arterial disease, stroke), pulmonary, or biliary that, in the opinion of the
investigator, could interfere with the interpretation of the study results

7. History or presence of cancer in the prior 2 years, except for non-melanoma skin
cancer

8. History of extreme dietary habits, as judged by the investigator (e.g., Atkins diet,
etc.)

9. History of an eating disorder (e.g., anorexia nervosa, bulimia nervosa, or binge
eating) diagnosed by a health professional

10. Vegan or other extreme dietary regimens as judged by the investigator.

11. Has a known intolerance or sensitivity to any ingredients in the study products

12. Has used antibiotics within the previous 2 months

13. Has used prebiotics, probiotics, or drugs active on gastrointestinal motility, or a
laxative of any class within 1 month

14. Has used medications known to influence carbohydrate metabolism, including, but not
limited to adrenergic blockers, diuretics, hypoglycemic medications, and systemic
corticosteroids within 2 weeks

15. Female, who is pregnant, lactating or planning pregnancy during the study period

16. Has participated in prebiotics or laxative trial within 3 months prior to enrollment
or any other clinical trial within 1 month

17. Donated blood within last 3 months

18. Working overnight (e.g. 3rd shift)

19. Excessive coffee and tea consumption (> 4 cups/day)

20. Men and women who do excessive exercise regularly or athlete

21. Men and women whom investigator is uncertain about subject's capability or willingness
to comply with protocol requirement