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The researchers used a method called propensity score matching to make sure both groups were similar in age, health conditions (like diabetes, high blood pressure, sleep apnea and arthritis), and medication use

The bigger risk is that carbohydrate intake triggers cravings that make returning to keto difficult, particularly if appetite suppression from the medication is not strong enough to override the carbohydrate-driven hunger signal

doi: 10.1358/dof.2011.36.9.1665562 46 BiniszewskaOJacenikDTarasiukAFichnaJ

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2021), Europe, such as Cyprus and Greece (Doymaz, 2005