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Although a certain level of stability emerges with the establishment of the gut microbiota and its diversity in healthy adults, the microbiome remains a dynamic system throughout life, continuously shaped by diet, medication use, lifestyle and other environmental factors (137139)

Levocarnitine (usually at a dose of 100200 mg/kg/day) is a standard treatment regimen

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Using data from the USDA database [16], Lpine et al

insulin, glucagon-like peptide 1 (GLP-1) receptor agonists, sodium-glucose cotransporter 2 (SGLT2) inhibitors and sulphonylureas but NOT metformin or GLP-1 agonists [178] should be particularly cautious when considering the ketogenic diet

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