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Safety of every-other-day fasting in the treatment of spinal cord injury: a randomized controlled trial

Toxic effects are also associated with the inhibition of key enzymatic activities, including -amylase, peptidase, malate dehydrogenase, protease, and pyruvate kinase, all of which are essential for starch hydrolysis, energy metabolism, and protein mobilization

This often involves a comprehensive medical evaluation, including a discussion of current symptoms, a medical history review, and exploration of potential benefits and limitations