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Patients were assessed at baseline and after 3 months of starting KD, the assessments of children included: 24-hour dietary recall, Chalfont Seizures Severity Scale, gastrointestinal symptoms score and Bristol stool chart, frequency of defecation per week, anthropometric measurements assessment, fasting serum lipid profile and measurement of the antral length by ultrasound
This creates a metabolic environment where weight loss becomes exceptionally difficult and fat storage, particularly visceral fat around the abdomen, becomes the default
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