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The result is a gradual depletion of B12 stores that can take months to become clinically apparent but may cause fatigue , dizziness , and neurological symptoms long before a blood test catches the deficiency

These results indicate short-term metabolic advantages but emphasize the importance of personalized monitoring and long-term research before making firm guidelines about KD for heart health

Sun Y, Wang YY, Jiang T Journal of pediatric endocrinology & metabolism : JPEM 2017

Greater chemical stability does not automatically mean greater unchanged-drug exposure in blood or tissues

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Patients with chronic fatigue syndrome have reduced absolute cortical blood flow