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Switching to the KD well in advance of pregnancy would be much safer, as this timing would not expose mother or the developing baby to the stress of the keto-adaptation period

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L-acetylcarnitine in the treatment of patients with peripheral neuropathies: a short term, double-blind clinical study of 426 patients

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In healthy males only around 8% of ALA is converted to EPA and there is no appreciable conversion to DHA