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The timeline for maximum benefit can extend to 8-10 weeks, particularly for patients with long-standing fibromyalgia or significant inflammatory burden

VLEKT is characterized by a very low total energy intake (650800 kcal per day), carbohydrate restriction to less than 30 g/day, fat intake of around 20 g/day with a preference for sources of unsaturated fats such as extra-virgin olive oil, and protein intake of 0.81.2 g/kg of reference body weight (i.e., calculated based on the patient's height) ( MAD was developed in 2003 as an alternative to the conventional KD, particularly in the context of treating drug-resistant epilepsy (56)

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[4] Thus, the therapeutic effect of pyridoxine HCl Injection arises from normalization of vitamin B coenzyme activity in tissues, enabling proper neuronal function, red blood cell formation, and metabolic homeostasis