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In fact, in clinical practice, we have often observed that, despite a striking reduction in subjective symptoms, such as after a period of diet or halfway through decongestive treatment, clinically evoked lipoalgia remains markedly evocable [56]

This includes patients with acute muscle strains, tendon irritation, ligament sprains, plantar fascia irritation, Achilles tendinopathy, patellar tendinopathy, rotator cuff irritation, tennis elbow, golfers elbow, or localized joint-adjacent soft-tissue pain

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Nausea, vomiting, and constipation are most frequent during dose escalation and typically resolve within 12 weeks

This will prevent the development of any nutrient deficiencies that may cause or exacerbate the keto rash