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A 2020 systematic review found that short-term use may have benefits, but long-term use can elevate fasting TMAO.28 From a prevention standpoint in relation to a number of chronic diseases, we are already encouraging people to decrease intake of red meat, Lampe says

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On top of that, trans fat consumption also increases inflammation in blood vessels further contributing to plaque growth (Oteng and Kersten, 2020)

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Data Availability Statement Data will be made available on request.

Patients whose parents rejected or withheld consent for the proposed KD treatment were referred back to the Complex Epilepsy Committee to explore alternative non-pharmacological treatment options