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Multicenter studies have confirmed its efficacy in treating painful forms of DPN [123]

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In neurological conditions, ketogenic interventions have been explored for potential cognitive and neuroprotective effects: a recent systematic review of ten randomised controlled trials reported improvements in cognitive function and brain energy metabolism in Alzheimers disease, and another review suggested possible benefits of both ketogenic diets and exogenous ketone supplementation [68, 73]

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