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mention in the description of their protocol for initiation of KD in children with epilepsy that they observe patients for signs of hyperketosis such as rapid panting, increases heart rate, facial flushing, irritability, vomiting and unexpected lethargy ( 3.2.6 Changes in urine pH, calcium and phosphate As stated previously, kidney stones do not typically arise under keto-induction, but metabolic alterations that predispose individuals to kidney stones do occur

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Clinical studies have also investigated the effect of topical L-carnitine on sebum production