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Targeted ketogenic dieting involves consuming 15 to 30 grams of fast-digesting carbohydrates immediately before intense exercise, then returning to strict keto for all other meals

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Sustained use over several months is where the most meaningful weight loss outcomes are typically seen

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The nausea, which was the most common side effect that led patients to stop treatment, may be caused by the slowing down of the emptying of the stomach or by acid reflux, Aronne says