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Its crucial for researchers to differentiate this temporary, regenerative response from a true adverse reaction or comedogenic effect

VLEKT is characterized by a very low total energy intake (650800 kcal per day), carbohydrate restriction to less than 30 g/day, fat intake of around 20 g/day with a preference for sources of unsaturated fats such as extra-virgin olive oil, and protein intake of 0.81.2 g/kg of reference body weight (i.e., calculated based on the patient's height) (54)

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Vegetarians and vegans: As B12 is primarily found in animal products, strict plant-based diets can increase the risk of deficiency