Eliminate agave nectar
Berg stresses that agave's marketing as a healthy, low-GI sweetener conceals its extreme fructose content—higher than that of high-fructose corn syrup (55%). He cites the Glycemic Research Institute's 5-year human trials that ended with a permanent ban on agave from their certified products, and notes the American Diabetes Association's silence. He also points out that agave is highly processed and contains more calories than table sugar, debunking any 'natural' perception.
Fructose is almost exclusively metabolized by the liver, where it is converted to triglycerides and uric acid, driving de novo lipogenesis, hepatic insulin resistance, and fatty liver. Elevated uric acid precipitates gout. The process parallels alcohol metabolism but without the CNS depressant effects.
Even though it's low on the glycemic index, it is mostly fructose, 80 to 90% fructose. ... Your liver treats fructose very similar to alcohol.

