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A summary of the relative contraindications to the use of the ketogenic diet is presented in Table 1

These metabolites also trigger immune responses by interacting with proteome arrays recognized by IgG antibodies, resulting in elevated antibody levels against protein adducts, correlating with ALD severity ( 3.2 Oxidative stress and its role in ALD Reactive oxygen species (ROS) are crucial regulators of cell signaling and stress responses (Nagy et al., 2016)

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This allows for lower, more effective doses while minimizing gastrointestinal side effects commonly associated with standard berberine