Inclusion Criteria:

• * Signed and dated informed consent form and medical release prior to any trial-specific procedures are performed
• * Females and males aged 18 years or older
• * Able to speak and read English
• * HbA1c between 6.5-8.9% (inclusive), tested within the past 30 days
• * Willing and able to visit a Quest Diagnostic Patient Service Center (PSC)
• * Willing and able to follow the trial instructions and Viome's Precision Nutrition Program
• * Willing and able to use a smartphone and Viome app.

Exclusion Criteria:

• * Antibiotic use within one month of the GI test
• * Gestation within previous 6 month
• * Current (or previous) use of medications that increase insulin (sulfonylureas, such as glimepiride, glipizide, glyburide, etc.)
• * Current (or previous) use of exogenous insulin (such as Tresiba, Lantus, Toujeo, Levemir, Humalog, Novolog, Apidra, Fiasp, etc.)
• * On a specific diet, such as ketogenic, for the purpose of reducing HbA1c and/or weight within the previous month
• * Taking diet pills
• * Allergy to an ingredient in the MH capsule or stick pack
• * Currently on an investigational product
• * Significant surgery or medical procedure planned
• * Diet or lifestyle change during the trial period, besides those appropriate for trial arm Has followed Viome nutritional recommendations (foods and/or supplements)