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Fiber is a particular concern given that the keto diet restricts many fiber-rich foods such as whole grains, fruits, vegetables, and beans

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Concurrently, TGR5 enhances thyroid hormone production in brown adipose tissue and muscle, thereby increasing the metabolic rate, while also exhibiting hepatoprotective effects that benefit liver health [67]

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Regular hormone panels, semen analyses, and symptom logs let clinicians adjust doses or swap agents to target true synergy rather than additive side effects

46 , 47 PAD4 has been implicated in the pathogenesis of a range of autoimmune and inflammatory diseases