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"But I always add a caveat: No ingredient replaces fundamentals diet quality, adequate protein, strength training, sleep, and overall energy balance still matter

PMID: 30829223 Acknowledgements All authors are deeply thankful to the physicians, nurses, and other allied health care workers who were responsible for the care of this patient

Diabetics should also exercise particular caution, since MCTs stimulate ketone production, which may affect glycaemic control

84 In a subsequent case series of patients with IBD and vitamin C deficiency, 16 (80%) of patients had symptoms consistent with clinical scurvy including arthralgias, rash, gingivitis, and brittle hair/nails and the majority of these patients (56%) reported fruit and vegetable avoidance