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Despite the potential benefits of KD for skin health, randomized clinical trials are needed to evaluate its efficacy and long-term effects, as well as the exact mechanisms by which it affects the skin

The theoretical mechanism for concern exists

On the other hand, gastrointestinal commensal bacteria, such as Bacteroides, Lactobacillus, and Bifidobacterium, can facilitate the development of Treg cells and, by this, increase the osteoblast activity (162)

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It's like dipping your toe in the water before jumping in