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A decrease in the enzyme activities occur when enzymes were consumed to counteract the increased in ROS production in response to stress or were inactivated due to severe cell damage 40

animal and investigational data only, no approved indication

2022 May;34(5):e14264

An increasing body of evidence suggests that the KD, owing to its metabolic and biochemical properties, may have therapeutic potential in a range of neurological disorders beyond its established applications [8]

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You might even have a diagnosis like Hashimotos or Rheumatoid Arthritis