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Additionally, redox imbalance and NADPH depletion impair the biosynthesis of cortisol, a vital metabolic stress regulator in the adrenal glands, causing relative adrenal insufficiency and metabolic maladaptation in ketogenic diet-fed mice

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Once B12 deficiency has been identified and treatment commenced, it is important to allow sufficient time for red blood cell populations to normalise before repeating HbA1c testing

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