So last year I was wondering if my insulin was working due to a illness called melanosis coli which I have because of smoking basically it speeds up how fast food travels through my body and it was hard because i assumed food didn't stay in my body long enough for anything to be absorbed
It is said that the gut biome is directly linked in an as yet unclear way to insulin resistance.
If nutrients were not being absorbed in your gut at all you would not have lasted this long. There are a few lectures on youtube given by experts researching the gut and its role in 'chronic' diseases, uptake and manufacture of vitamins and inflammatory bowel problems, interesting stuff but sometimes leaves more questions than answers.