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A larger decrease in proinsulin suggests that the ketogenic diet reduced this stress and allowed beta-cells to work more efficiently, as evidenced by the improvements in beta-cell function. What might it be about the keto diet that would allow it to help improve beta-cell function

(Nature, 2004) reported that T4 improves cardiomyocyte survival and post-infarction cardiac function in murine models, with an anti-fibrotic effect

Dehydration from gastrointestinal side effects may also play a role

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