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The reliance on fat as a primary energy source in Arctic populations, living in environments with limited access to carbohydrates, resembles the macronutrient profile of a ketogenic diet, though physiological ketosis may be modulated by other dietary and genetic factors, unlike a ketogenic diet, which implies a deliberate dietary regime to induce ketosis

160 Further genome-centric and guild-based approaches revealed a core microbiome cluster characterized by high butyrate production and reduced endotoxin synthesis, which was associated with the alleviation of DSPN

T.et al (2019a)

Methods Ethics approval and consent to participate The study obtained ethical approval from the National Research Ethics Service Committee (NRES), South-Central Oxford B (reference number 19/SC/0603)

Conversely, carnitine may be helpful in cases of hyperthyroidism [7][70]

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