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The review found no evidence for or against using VLCKD in hypothyroidism but suggested that thyroid function should be monitored throughout the VLCKD regimen

doi: 10.1038/s41419-023-06045-y 46 ParkerJLDemeJCKolokourisDKuteyiGBigginPCLeaSMet al

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In particular, we found a significant reduction in sarcosine and serine concentrations in LC patients, which was inversely correlated with depression, anxiety, and cognitive dysfunction scores