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It is not yet approved for general medical use and remains in Phase 3 clinical trials, where researchers are assessing long-term safety, durability of weight loss, and broader metabolic benefits
However, exercise intensity may need to be adjusted during the first two to four weeks of keto adaptation, as energy levels can fluctuate before the body becomes efficient at using ketones for fuel
Third, don't shake the vial
So use in patients with cardiovascular disease or a family history of sudden death and heart rhythm problems should be avoided
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