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If your cycles are getting irregular, your daytime hot flashes are increasing, or symptoms are showing up at random times of the month, menopause or perimenopause may be entering the picture too

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Proceedings of the National Academy of Sciences of the United States of America, 120 (15)

Despite potential clinical benefits, the ketogenic diet is difficult to implement in routine practice, and adherence often declines over time because of its restrictive macronutrient targets and substantial planning demands