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A systematic review published in 2023 analyzed multiple dietary interventions for fibromyalgia and found that plant-based, Mediterranean, and specific elimination diets yielded the most consistent and statistically significant reductions in pain scores

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(69) demonstrated that 14-day exposure to a eucaloric very-low-carbohydrate ketogenic diet as adjuvant treatment to first-generation somatostatin receptor ligands decreased IGF-I without increasing GH levels in acromegaly patients

To understand how, lets review the physiology of the CAR and discuss how the treatment approach to chronic fatigue can be tailored based on the CAR