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Prurigo pigmentosa following ketogenic diet and bariatric surgery: a growing association

Similarly, Mn overexposure has been associated with liver damage, impaired liver function, histopathological changes, oxidative stress, and mitochondrial dysfunction (Gandhi et al., 2022)

The GI tolerability challenge (65% nausea) will need to be addressed through optimized dose escalation

Strangely, this benefit did not extend to HbA1c reduction [8]