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Despite its benefits, a long-term KD may lead to several adverse effects, such as impaired glycaemic control (including reduced glucose tolerance), an adverse atherogenic lipoprotein shift (e.g., elevated apolipoprotein B levels), increased systemic inflammatory burden (e.g., higher C-reactive protein levels), and persistent restructuring of the gut microbiome (altered diversity) 199

Most of these interventions are also highly debated

Ask them about their support system for managing side effects, counselling for diet, protein intake, and muscle preservation