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The ketogenic diet is listed as an absolute contraindication, which again is a precaution based on a risk-benefit analysis [68,100]

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Taxonomically, there is a frequent decrease in the Firmicutes/Bacteroidetes ratio, a reduction in beneficial SCFA-producing genera such as Akkermansia , Lactobacillus , Clostridiaceae , and Muribaculaceae , and a concomitant increase in pro-inflammatory taxa including Prevotellaceae , Proteobacteria , and pathobionts like Mucispirillum schaedleri (Dong et al., 2022