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A very-low-carbohydrate ketogenic diet (VLCKD) is usually referred to as a standard ketogenic diet
consider avoiding in poorly controlled epilepsy Thyroid Hormones: Interaction: ALC may inhibit thyroid hormone uptake into cells[22] Affected drugs: Levothyroxine, liothyronine Clinical significance: Theoretical

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This is a destructive act that shears peptide chains
It can be chronic (repeated, tiny trauma) or acute (after a single large trauma)
