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Education about the limitations of surgical diagnosis and the appropriateness of clinical diagnosis requires time and skill that many providers lack (Culley et al., 2017)

10.1016/s0016-5085(97)70240-3PubMed Abstract | CrossRef Full Text | Google Scholar 32

In murine models of cachexia, ketogenic feeding preserved lean mass and extended survival, an outcome attributed to reduced systemic IL-6 and TNF- as well as direct effects of ketone bodies (primarily -hydroxybutyrate) on muscle proteolysis 376,377,378