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In theory, low carnitine or hypocarnitinemia should disrupt the ketone generation metabolic pathway, affecting the efficacy of this diet therapy in combatting seizures (18)

When insulin resistance improves, fat storage patterns begin to shift, and people often notice that weight management feels more achievable

While the existing studies suggest positive outcomes, there is a need for more rigorous, large-scale studies to establish standardized treatment protocols and long-term safety profiles

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Similarly, AOMs are excluded from Medicare formularies

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