For many people it's B12 depletion and dehydration
Deficiency is rarely seen, but when it does occur (usually in conjunction with other B vitamin deficiencies), it may present with dermatitis, hair loss, and GI upset
Keto is a very low-carb, high-fat diet that was originally designed to treat epilepsy in children
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Machado MMF, Bassani TB, Cppola-Segovia V, Moura ELR, Zanata SM, Andreatini R, Vital MABF (2019) PPAR- agonist pioglitazone reduces microglial proliferation and NF-B activation in the substantia nigra in the 6-hydroxydopamine model of Parkinsons disease