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On the other hand, there was no significant difference regarding antral length in the patients who only received KD upon follow up (P-value 0.925)
Guirguis says combination treatments such as this could offer additive or synergistic effects meaning that patients have a better chance of responding to at least one of the mechanisms and could experience fewer GI side effects as a result of the dual approach
The use of high doses of vitamins should be considered only after vitamin-level test results are correlated with clinical signs and symptoms to create a catered treatment plan
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