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Other factors, including patient age, gender, body mass index (BMI), and hepatitis C infection, further exacerbate the risk of PTDM. Current management of PTDM remains a challenge, often requiring adjustment immunosuppressant regimens and promoting lifestyle changes

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This is achieved through a ketogenic diet, in which up to 80-90% of calories come from fat rather than protein and carbohydrates [97]

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Experimental results confirm a linear relationship between input and output forces, although discrepancies due to friction and material deformation highlight areas for improvement