“…The metabolite content of the human body, and its ability to alter drug response, is dependent on the individual's genome, immune system, microbiome, diet, lifestyle, and external environment. 19,23,24 Hence, to accurately predict drug response, it has become increasingly important to shift from scattered individual observations to an integrative, systematic approach that considers multiple co variates from different fields. Although very few studies have used this integrative approach for drug response predictions, a report in a healthy, pre diabetic Israeli cohort showed that glycemic response can be accurately predicted for different realmeals using subject-associated variables, including blood hemoglobin a1c levels, diet, lifestyle, physical activity, and feces-associated microbial metagenomics data, 25,26 which will also be discussed in detail below.…”