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A recent meta analysis showed that reductions in hemoglobin A1c achieved with carbohydrate restricted diets typically wane after a few months and that such diets are not more effective than other diets.

Blood ketone meters may also measure blood glucose in addition to blood ketones perfect if .

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The main challenge of a strict ketogenic diet is adherence.

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The key is to eat proper keto and also do muscle training to tone the body.

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