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This is the challenge of the ketogenic diet

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Liquid chromatography-tandem mass spectrometry was employed to quantify plasma TMAO, choline and their related metabolites, encompassing TMA, l-carnitine, betaine and dimethylglycine (DMG), which are betaine-related metabolites (Reference Wiedeman, Barr and Green14)

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366 Stem cells and stem cell-derived exosomes have shown immunomodulatory effects on DKD, diabetic cardiomyopathy, DR, and DFU, involving the regulation of macrophage polarization, the inflammatory balance, and Tregs (Table S2)

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