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22 Another oral supplement is Ristela, which has been available in the United States since 2019 (and has been studied for more than 7 years in Europe)

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doi: 10.2147/ndt.S58841 [DOI] [PMC free article] [PubMed] [Google Scholar] 24.Davidson GL, Cooke AC, Johnson CN, Quinn JL

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The problem is when you are on the keto diet you eat a lot more fat and less protein than the average person