“…The omission of breakfast has been associated with higher body mass indices, insulin resistance, hyperglycemia, and the risk for developing T2D [ 19 , 23 , 28 , 39 , 40 , 41 , 42 , 43 ]. The circadian misalignment and disrupted clock gene expression arising from fasting until noon leads to increased glycemia and appetite scores, deficient insulin and incretin responses after subsequent meals [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 27 , 38 , 44 , 45 , 46 ], and diminished energy expenditure [ 25 , 34 , 35 , 36 , 37 ]. Further, the lack of breakfast activates muscle protein breakdown to provide the liver with glucogenic amino acids for neoglucogenesis, which may result in a loss of skeletal muscle mass [ 30 , 31 , 32 , 41 , 45 , 46 , 47 ].…”