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Important Safety Considerations: Immediate medical attention is needed for severe symptoms such as persistent vomiting, stomach pain, or severe dizziness [3] Staying hydrated is crucial, especially if experiencing digestive side effects Over-the-counter medications may help manage symptoms when recommended by healthcare providers Understanding the timing and progression of side effects may help patients better manage their treatment journey

For example, experimental models of postoperative ileus have investigated how ghrelin-mimetic peptides such as Ipamorelin affect gastric emptying and intestinal motility

Additionally, BHB enhances the production of anti-inflammatory cytokines like IL-10 and supports the shift of macrophage polarization toward the M2 phenotype, contributing to reduced inflammation and enhanced tissue repair ( In summary, the KD addresses the metabolic disturbances associated with ALD and early cirrhosis by shifting liver metabolism toward enhanced fatty acid oxidation and ketone production

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