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Chu et al (2024) found that 38% of adults with intractable epilepsy using the modified Atkins diet experienced low free carnitine at some point during diet therapy

A high blood level does not automatically mean that your body has actually absorbed or stored too much vitamin B12

Potential risks include: Enhanced gastrointestinal side effects (nausea, vomiting, diarrhea, constipation) Increased risk of nutritional deficiencies and protein malnutrition Potential worsening of gastroesophageal reflux symptoms Dehydration risk and acute kidney injury, particularly during dose escalation Increased risk of gallbladder disease and complications Risk of intestinal obstruction or ileus Diabetic retinopathy progression in patients with diabetes, particularly with rapid glycemic improvement Hypoglycemia risk, particularly in patients on insulin or sulfonylureas Cost considerations and insurance coverage challenges Rare but serious risks including pancreatitis and thyroid C-cell tumors (boxed warning) Clinicians must engage in shared decision-making with patients, carefully weighing these potential benefits against risks in the context of individual patient circumstances, surgical outcomes, comorbidities, and treatment goals

Propensity score (PS) matching was used to control for confounding variables

When administered by medical professionals like the team at InCare, peptide injections are considered very safe and have low risk for side effects