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Individual side effect profiles vary considerably

The ketogenic group preserved fat-free mass and muscle strength significantly better than the comparison group on a standard low-calorie diet

Acta Horticulturae 2017, (1158), 209-224

Contact your GP immediately if you experience severe or persistent abdominal pain, signs of pancreatitis (intense upper abdominal pain radiating to the back with nausea), symptoms of gallbladder problems (upper right abdominal pain, jaundice, fever), persistent vomiting preventing adequate hydration, or if side effects significantly impact your quality of life despite management strategies

Several factors contribute to a plateau during weight loss: Metabolic Adaptation As you lose weight, your metabolism adjusts accordingly