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This is a 5.4% increase in effectiveness, which, statistically speaking, isnt a lot

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In an uncontrolled inpatient study of patients with severe, treatment-resistant mental illnesses (major depression, bipolar disorder, and schizoaffective disorder), significant and substantial improvements in symptoms of depression and psychosis were observed within three weeks of adopting a whole-food ketogenic diet, and most patients lost weight despite the fact that most were taking antipsychotic medications known to make weight loss extremely difficult [188]

[PubMed] [Google Scholar] 40.Torii T., Miyamoto Y., Yamauchi J

In severe cases, surgical removal of the gallbladder, known as cholecystectomy, may be necessary