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Furthermore, dietary involving polysaccharide, flavonoid, and polyphenols can modulate gut microbiota, potentially affecting cardiovascular health (Feng et al., 2022)

Those eating a walnut supplemented diet for 16 weeks experienced decreased anxiety symptoms, mood disturbance, eating disorders, and body image dissatisfaction compared with those consuming a standard Mediterranean diet

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In summary, nutritional ketosis may serve as a cardioprotective alternative energy supply in the failing heart and reduce pathological ventricular remodeling and could serve as a supportive, non-pharmacologic treatment in people with heart failure along current treatments, such as SGLT2 inhibitors (103, 104)