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This association must be attributed to extremely severe insulin resistance as well as GHs lipolytic action with an increase in free fatty acids and the suppression of insulin secretion

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Brazil nuts, macadamia nuts, walnuts, hazelnuts, and almonds, which are rich in essential fatty acids (EFAs), are also particularly recommended as part of KD (257)

Given the limitations in accurately quantifying body composition using more accessible body compositional measurement tools (e.g., bioelectrical impedance), physical function should also be monitored

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