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Additionally, the restriction of carbohydrates leads to reduced insulin levels and increased fat oxidation

However, a personalised approach is appropriate when: Symptoms arise Weight loss is substantial Baseline nutritional status is uncertain High-risk groups are present Oversight should be proportional, not automatic

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Folate is also critical to the synthesis of choline, a gene-regulating compound that is required to make phospholipids (cell membrane fats) and the neurotransmitter acetylcholine