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Stephen Provencher, Oakville, ON, CA) on a short echo time single-voxel 1H MRS in parieto/occipital grey matter and parietal white matter on a 3 Tesla General Electric magnet prior to starting the ketogenic diet and at 6 months

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The decision should integrate patient preferences, comorbidity burden, previous treatment responses, and specific contraindications to create a personalized, safe weight management strategy