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Individuals on ketogenic diet should be provided bicarbonate or buffering agents for metabolic acidosis secondary to ketosis and should have scheduled thyroid function, iron, total iron binding capacity and ferritin, vitamins (including vitamin D 25-hydroxy battery), zinc, selenium, and free and total plasma carnitine concentrations evaluated and supplemented as needed for best outcomes

All the water used in the work was RNase-free

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F., Buwalda, B

X-rays often only show non-specific soft tissue swelling unless the patient has advanced gout, which can manifest as a bony erosion (Image 1)