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Talei's doctors tried tube feeding and other methods to ensure that she was getting enough food in her system before resorting to total parenteral nutrition (TPN) in July 2025, which goes through a central vein that stops near her heart

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With safety in mind, given the unknown impact of KD on patients with FH and the many potentially conflicting indirect data that may determine that impact, familial hypercholesterolaemia should be considered a relative contraindication to KD until these questions are resolved