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The International Recommendations for the Management of Adults Treated With Ketogenic Diet Therapies noted that the majority of adult clinics check carnitine levels at baseline and at 1 year ( Interestingly, we did not see an association between BHB levels with % seizure reduction

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Further studies are needed to determine if regulated expression of p21, CASP-2, CASP-9, SOD-1 and HO-1, components of the anti-oxidant glutathione metabolic pathway GP-1 and GR-1, and the DNA damage marker GADD45 are necessary to complete differentiation in specialised keratinocyte layers