KD have been used since the 1920s for the treatment of intractable epilepsy and have proven efficacious in controlled trials in children (7–9) and adults (10–12). The mechanisms of action of Fast Fit Keto in epilepsy remain unknown, but may include a direct anti-epileptic effect of ketones, in particular acetone . The search criteria identified 75 online forums, 32 were excluded [diet not ketogenic , diabetes , not online forum , URL defunct , not English , anabolic steroid use ]. Hence, 43 online forums each with a thread starter on the topic of keto flu/induction/adaptation were included in the analysis.
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