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What the Study Does Not Show This is a cross-sectional survey, not a clinical outcomes study, and its limits should be stated plainly rather than buried

Best picks and what to limit If you want a simple shortlist to lean on, the keto-friendly options are straightforward: classic diet or Zero Sugar colas, unsweetened seltzer and club soda, stevia- or monk-fruit-sweetened sodas at 0g carbs, unsweetened iced tea, black coffee (or coffee with a measured splash of cream), and electrolyte waters or zero-carb mixes, which are genuinely useful on keto for reasons well get to

Fat can accumulate again with weight gain, potentially requiring additional treatments

If a patient is not tolerating the medication well, not seeing expected progress, or struggling with energy and protein intake, the plan can be refined rather than abandoned

PMID 11708953