What do you mean by "we"? You and your partner both think the same way 100% of the time? Are you allowed to have different opinions? This "we" thing weirds me out a bit.
ADA recommendation....does not prove anything
You're correct, the ADA recommendation does not prove anything, but you know what does? The p .00000001 value in RI! Hence the ADA recommendation.
What evidence do you have of malabsorption in these patients. Would that have not lead to safety concerns? What type of weight loss and other malabsorption issues was seen in the placebo group? Don't you think if the patient had malabsorptions issues the y would have been taken out of the study? Do you really think people would have stayed in the placebo group and that these symptoms would have gone unnoticed? Do you really think physicians monitoring these patients would have allowed them to stay in the study?
Malabsorption causes abdominal discomfort, including gas and bloating.
Other symptoms you may have:
Frequent diarrhea Bad-smelling and loose stool Stools that are light in color or bulky Stools that are hard to flush away because they float or stick to the toilet bowl Weight loss Scaly skin rashes