I am so sorry to hear about the difficult journey your daughter has had. Unfortunately, we cannot offer any specific medical advice via this forum and, with your daughter’s complex medical history, it would be imperative for her to have medical supervision if attempting ketosis. There are specialists that work with the ketogenic diet as an adjunctive therapy for cancer treatment, so that may be a place for you to start searching. Good luck to your daughter and your family.
At each meal, focus on building a healthy plate that includes quality, lean protein, like poultry and fish, a moderate amount of healthy fats, like avocado and olive oil, and foods that have naturally occurring fiber, like green, leafy vegetables and whole grains. Aim for foods that have 3 grams of fiber or more per serving. “All of that helps slow down the rate at which your body breaks down [carbs] and uses it for energy,” Lemond explains. “Focus on what to put on your plate instead of what to leave off your plate.”
And recently, a six-year study involving 18,000 people with heart disease affirmed that for reducing LDL levels, the lower, the better. The study was reported at the annual meeting of the American Heart Association.3 Half the subjects lowered their LDL, on average, to 69; the other half reduced LDL to 54. Both groups were rewarded with few heart events over the six-year period, but the group with the lower LDL, 54, ended up the winner. It had 6.4% fewer events – heart attacks, heart disease deaths, strokes, bypass surgeries, stent procedures, and hospitalizations for severe chest pains – than the group with the higher LDL.
Your metabolic rate determines the amount of energy—or calories—your body burns through each day. And everyone’s is different. Having a slower metabolic rate might mean that you gain weight more easily or that you have to work harder to slim down. And if you have a faster metabolic rate, you might have an easy time keeping excess weight off—or even struggle to put weight on.
There are enticing anecdotes of supplemental ketones being used to boost human physical performance in competitive events, notably among elite cyclists. Given that BOHB can deliver more energy per unit of oxygen consumed than either glucose or fatty acids (Sato 1995, Cox 2016, Murray 2016), this makes sense. But what we do not know is if there is any required period of adaptation to the use of exogenous ketones, and thus how to employ them in training. It is clear that exogenous ketones decrease adipose tissue lipolysis and availability of fatty acids, the exact opposite to what happens on a well formulated ketogenic diet. This distinction between exogenous ketones and ketogenic diets on adipose tissue physiology and human energy balance underscores an important reason why these two ketone-boosting strategies should not be conflated.
Dyslipoproteinemia is a cardinal feature of central obesity and the metabolic syndrome (1). It is characterized by elevated plasma concentrations of apolipoprotein (apo)B-100, reflecting the accumulation of LDLs, and decreased plasma concentrations of apoA-I, reflecting low concentrations of HDLs. Both elevated LDL cholesterol and low HDL cholesterol are major predictors of cardiovascular events in subjects with the metabolic syndrome. The plasma ratio of apoB-100 to apoA-I is also positively associated with cardiovascular events across populations (2). Dyslipoproteinemia results from hepatic oversecretion of VLDL apoB-100, decreased catabolism of LDL apoB-100, and accelerated catabolism of HDL apoA-I (3). Weight regulation remains the cornerstone of treatment.
So if this is all true, and research seems to suggest it is, how will it change? It might take quite a lot of work to shift our psychology around food, especially since advertising is so saturated with the message that carbohydrates are good for us. The celebrity endorsements might need to be tweaked, the authors say, and certainly the way foods are advertised and, perhaps, created, need to be shifted. The public should be repeatedly hit with the message that whole, natural foods, where possible and affordable is the best way to go. If you're trying to lose weight, reduce your calories (especially sugars) – don't think exercise alone will cut it. And even if you're normal weight, you can't subside solely on junk and stay healthy.
Symptoms of cirrhosis of the liver include easy bruising may occur due to decreased production of clotting factors; bile salts can deposit in the skin causing itching; gynecomastia or enlarged breasts in men may occur because of an imbalance in sex hormones; specifically an increase in estradiol; impotence (erectile dysfunction, ED), poor sex drive and shrinking testicles are due to decrease in function of sex hormones; confusion and lethargy may occur if ammonia levels rise in the blood stream (ammonia is a waste product formed from protein metabolism and requires normal liver cells to remove it), ascites (fluid accumulation within the abdominal cavity) occurs because of decreased protein production; and muscle wasting may occur because of reduced protein production. Additionally, there is increased pressure within the cirrhotic liver affecting blood flow through the liver. Increased pressure in the portal vein causes blood flow to the liver to slow down and blood vessels to swell. Swollen veins (varices) form around the stomach and esophagus and are at risk for bleeding.
Carbohydrate: Most of what determines how ketogenic a diet is will depend on how much carbohydrate is eaten, as well the individual's metabolism and activity level. A diet of less than 50 or 60 grams of net (effective) carbohydrate per day is generally ketogenic. Some sources say to consume no more than 20 grams of carbohydrates per day, while others cite up to 50 grams, and many recommend no more than 5 percent of calories from carbs. However, athletes and people with healthy metabolisms may be able to eat 100 or more grams of net carbohydrate in a day and maintain a desired level of ketosis. At the same time, an older sedentary person with Type 2 diabetes may have to eat less than 30 net grams to achieve the same level.

Reducing the amount of sugar in your diet may make you eat less food overall, promoting weight loss. When you eat simple carbohydrates, such as candy, soda or doughnuts, your pancreas creates insulin, a hormone that processes the food into blood sugar and moves it to your body's cells for energy use. If you eat these foods excessively, your pancreas must produce a large amount of insulin at once, prompting your body to start storing fat. The insulin surge then causes your blood sugar levels to drop quickly, leaving you feeling tired and hungry again.
Whether you're whipping up cookies or oatmeal, sprinkling some cinnamon on sugar-laden foods can help keep food comas and subsequent snacking at bay, says Mass. What’s more, a study published in the Journal of Medicinal Food concluded that eating cinnamon on any type of food, including sugary ones, helps lower the amount of sugar in your blood after you haven't eaten in a while. And that can help you lose weight because because you'll fend off insulin resistance, which can make you put on extra pounds. 
Are you one of the nearly 40% of Americans classified as obese or are you overweight and inexorably headed towards obesity? Has your physician ever suggested you lose weight or have you made a New Year’s resolution to go on a diet? Do you need any more motivation to lose weight? If you do, here’s one: losing weight can reverse fatty liver disease and keep your liver healthy. And the good news is you don’t have to lose all that much weight to see a major improvement.
Sure, food labels will list “sugar” on an ingredient label, but sugar also comes in a number of other forms: glucose, fructose, sucrose, corn syrup, honey, dextrose, to name a few. And often times, food companies will incorporate multiple types of sugars into their products. So read your labels and keep an eye out for all the different types and avoid the highly-processed forms such as high fructose corn syrup. Confused what groceries to choose? Check out our guide to Eat This, Not That!: Foods with Added Sugar.

Eliminate soda from your diet. These sugary beverages keep your sweet tooth alive, and it is possible to consume much soda in a short amount of time. If you are a soda drinker, cutting out these beverages will make a big change in your sugar consumption. Good substitutions include flavored sparkling water or seltzer water with lemon or lime. A report in the August 2013 issue of "Obesity Reviews" states that reducing your intake of sugar-sweetened beverages will reduce your risk of obesity and obesity-related diseases, such as type 2 diabetes.


The reason these gasses matter for metabolism is simple, Chen said. We get fuel in the form of calories — from carbohydrates, fat, and protein. But to unlock those calories, the body needs oxygen. When we breathe in, oxygen interacts with the food we’ve consumed, breaking down (or oxidizing) chemical bonds where the calories are stored and releasing them for use by our cells. The product of the process is CO2.
Catherine Saxelby knows nutrition! She is an accredited nutritionist, food commentator, blogger and award-winning author. Her latest book Catherine Saxelby's Food and Nutrition Companion answers all those tricky questions on healthy eating, diets and supplements. It draws together a lifetime of advice and gives you all you need to know to eat right! It's a complete A to Z. A handy desk go-to reference.
Fat: Most of the calories in a ketogenic diet come from fat, which is used for energy. The exact amount of fat a person needs to eat will depend on carbohydrate and protein intake, how many calories they use during the day, and whether they are losing weight (using their body fat for energy). Depending on these factors, somewhere in the range of 60 to 80 percent of calories will come from fats on a ketogenic diet (even up to 90 percent on, for example, the Ketogenic Diet for Epilepsy). People tend not to overeat on diets this high in fat, so calorie counting is rarely necessary.
A meal high in carbohydrate and calories significantly decreased peak d-βHB by ~ 1 mM (Figure ​(Figure4A)4A) and reduced the d-βHB AUC by 27% (p < 0.001, Figure ​Figure4B).4B). There were no significant changes in d-βHB Tmax (fed = 73 ± 6 min vs. fasted 66 ± 4 min). Despite the differences in d-βHB kinetics after the meal, there were no effects of food on urinary ketone excretion (Figure ​(Figure4C),4C), plasma AcAc (Figure ​(Figure4D)4D) or breath acetone (Figure ​(Figure4E)4E) following KE ingestion. Plasma AcAc kinetics followed a similar time course to d-βHB, with the ratio of blood d-βHB: AcAc being 6:1 when KE drinks were consumed whilst fasted, and 4:1 following the meal. As observed in Study 1, breath acetone concentrations rose more slowly than blood ketone concentrations, reaching a plateau at 150 min and remaining elevated for at least 4 h (Figure ​(Figure4E4E).
Most of the research done on Exogenous Ketones has been done in the context of disease research, I.E. the effect taking them has on Alzheimer's, Epilepsy, Cancer, Diabetes, and Heart Disease.  Some research has been done on using Exogenous Ketones for athletic performance, and within those studies the focus was on whether they provide an extra source of fuel for the body when pushed to it's limits.
This site is for informational purposes only and is not intended as a substitute for advice from your physician. Foods and supplements discussed on this site are not intended to diagnose, treat, cure, or prevent any disease. You should consult with a physician before starting any diet, exercise or supplementation program, or if you have or suspect you might have a disease.
Interestingly, the effects of exogenous ketones on blood substrate concentrations were preserved with the metabolic stimulus of a mixed meal. Following KE drinks, FFA and glucose fell and remained low in both fed and fasted subjects, despite higher insulin throughout the fed arm, suggesting that there was no synergistic effect of insulin and βHB to further lower blood glucose or FFA. In agreement with previous work, the threshold for the effects of βHB on glucose and lipids appears to be low (<1 mM), as there was no significant dose-response relationship between increasing blood βHB and the small changes in plasma FFA, TG or glucose across all of the study drinks (Mikkelsen et al., 2015).
If you are one of those people carrying around extra weight, get started losing weight now. It doesn’t take much weight loss to improve your liver health. There are many approaches to losing weight, which you should discuss with your healthcare provider. And don’t forget to combine your weight loss program with exercise, which has also been shown to improve liver health. I’ll see you at the salad bar.
In the Type 2 Diabetes Reversal program, we correct the insulin resistance which is the root cause of type 2 diabetes. Our patients are able to get off the oral diabetes medications and insulin injections. Our patient are able to get their blood sugar level under control, reversing the course the disease and get off their oral diabetes medications and insulin injection.

I've never been able to do that before in my life. and for once in my life, I truly believe in myself. I don't know that I ever did before, at least not without someone else to reassure me of it. I'm happy to say that my outlook on life has changed drastically. Every day it seems to get a little easier to stay positive and to love and live for myself. I'm down just over 12lbs in 2 weeks, following this weight loss program: http://the2weekdietnow.com/lose-weight

Another factor to consider is that in nutritional ketosis the liver makes a steady supply of ketones and continuously releases them into the circulation. In contrast, most ketone supplement protocols involve bolus intakes that don’t mimic the endogenous release pattern. The extent to which this impacts metabolic and signaling responses across different tissues remains unclear.
You hear stories of people cutting out sugar (or some other “bad” thing), and their skin glows or their hair becomes silky. This did not happen to me. In fact, I broke out in chin acne. To be fair, I’ve been struggling with acne on and off for a while, so my dietary change may not actually have been the cause, but it happened within a week of cutting out most sugar so I’m noting it here.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
For the past few million years, the only way for humans to make use of ketones for fuel was to restrict carbohydrates low enough and long enough to induce the liver to make them. This is admittedly hard for many people to do in a world that still believes that dietary carbs are good and fats are bad. An emerging alternative is to consume ketones as a dietary supplement. The research into how these function in the body and what benefits they can confer remains early stage, but there are already a number of such products available for sale. In this section, we will discuss how exogenous ketones affect blood ketone levels, and how they may influence health and disease compared to ketones produced within the body.

Hi, my name is Kate and I would like to share my story. A few years ago, my body was full of cellulite. I used to be disgusted at how much cellulite I had. But, with patience and determination (and a lot of research!), I managed to almost eliminate it. All it took, was the right exercise program and a way to manipulate estrogen metabolism. Read my story here ==>... http://bit.ly/cellulitecured
Healthy weight is so important for overall heart health, in fact, that the American Heart Association and American College of Cardiology released a new report calling for physicians to create customized weight loss plans and recommend counseling with a dietitian or certified weight loss professional for at least six months. Doctors should also offer bariatric surgery as a potential option for some patients with high body mass index, the report said.
As if weight gain and cavities weren't enough, high sugar intake has also been linked to diabetes, heart disease, and breast cancer-it's enough to scare anyone into taking a closer look at their diet. I consider myself a healthy eater. I know to add protein or fiber to every meal, avoid processed foods, and eat my fruits and veggies. I don't have a candy or two-a-day soda addiction to kick to the curb, but a big part of my diet is flavored yogurts, pre-made sauces and dressings, and grains. Spoiler alert: Those all contain sugar. So after reading about the USDA's new rules, I decided to challenge myself to go 10 days without sugar-including limiting my intake of honey, pure maple syrup, and other natural sweeteners. (Check out these 8 Healthy Foods with Crazy-High Sugar Counts.)
You can blame genetics for this. "Many factors have an impact on metabolism including age, sex, genetics, body composition and weight," says Allison Knott, M.S., R.D.N., a registered dietitian based in Brooklyn, New York. While genetics largely determine how many calories you burn doing various activities, you do have some control over your metabolic rate.

As you continue on the diet, you become more adapted or accustomed to making and burning ketones. More ketones are reabsorbed and used for energy, and fewer ketones overflow into the urine.15 After several weeks, as ketone levels rise, evidence suggests your muscles shift to burning fatty acids directly while burning fewer ketones. In this way, ketones are spared for use by other tissues, particularly the brain (which does not burn fatty acids for fuel).16,17
People talk about metabolism like it’s some genie in a bottle waiting for you to find the magic lamp. It’s not. Your metabolism is simply your body’s process of using a certain amount of energy it needs to live. It represents the number of calories you burn to keep your heart beating, your neurons firing, and to perform the countless other functions you do without thought to support the body you have.

As you continue on the diet, you become more adapted or accustomed to making and burning ketones. More ketones are reabsorbed and used for energy, and fewer ketones overflow into the urine.15 After several weeks, as ketone levels rise, evidence suggests your muscles shift to burning fatty acids directly while burning fewer ketones. In this way, ketones are spared for use by other tissues, particularly the brain (which does not burn fatty acids for fuel).16,17

What we know to be true is much simpler: "Sugar calories promote fat storage and hunger," the write. "Fat calories induce fullness or satiation." For every additional 150 calories in sugar (i.e., a can of soda) a person consumes per day, the risk for diabetes rises 11-fold, regardless of how much or little we exercise. The single most effective thing people can do for their weight, they write, is to restrict calories – and even more, restrict carbohydrates.
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Over the years I’ve learned that depriving yourself of certain foods or food groups is the worst thing you can do to your mind and body. I used to cut out carbs. I couldn’t maintain a healthy weight. I was miserable. Once I started eating everything in moderation, my weight stabilized; I was happier; and I stopped feeling like I was missing out on things.
In addition to decreasing serum ALT levels, weight reduction significantly decreased fasting insulin levels, and subsequent weight maintenance resulted in a sustained improvement (p = 0.03) (fig 3). In patients who regained weight, there was no significant change in fasting insulin levels between t = 0 and t = 15 months (p = 0.75) irrespective of the amount of exercise reported during the intervention. The amount of weight loss correlated with the reduction in fasting serum insulin levels (r = 0.46, p = 0.035) but not with the change in HOMA score (p = 0.72). Despite similar changes in weight, patients with HCV had a significantly greater decrease in fasting insulin during the initial three month period compared with non-HCV patients (p = 0.01) but there was no difference between groups at 15 months (p = 0.61).
The walnut-rich diet had the most impact on cholesterol levels by decreasing low-density lipoprotein (LDL), or bad cholesterol, and increasing beneficial high-density lipoprotein (HDL). The high-fat, low-carb group, which consumed monounsaturated fats, did not experience the same beneficial effects as the walnut-rich diet, which featured polyunsaturated fatty acids.
It’s only with daily physical activity and healthy lifestyle choices that you can, for example, lose 20 pounds in 30 days. The interest in raspberry ketones is out there, and there has been an increase in scientific research. Hopefully more evidence involving human experiments will clear up this controversial topic, but for now the results are unclear.
Other medications that may cause liver inflammation, most of which will resolve when the medication is stopped. These include antibiotics such as nitrofurantoin (Macrodantin, Furadantin, Macrobid), amoxicillin and clavulanic acid (Augmentin, Augmentin XR), tetracycline (Sumycin), and isoniazid (INH, Nydrazid, Laniazid). Methotrexate (Rheumatrex, Trexall), a drug used to treat autoimmune disorders and cancers, has a variety of side effects including liver inflammation that can lead to cirrhosis. Disulfiram (Antabuse) is used to treat alcoholics and can cause liver inflammation.
Fatty liver disease occurs when some of those fat molecules accumulate inside liver cells. The presence of those fattened cells can then lead to inflammation in the liver and damage to surrounding liver tissue. Once that happens, if excess alcohol is not involved, the condition is called nonalcoholic steatohepatitis (steato- for fat and –hepatitis because the liver is inflamed). Fortunately, that unwieldy name boils down to a handier acronym, NASH. Estimates vary quite a bit, but it seems that 5% to 10% of people with fatty liver disease go on to develop NASH.
Over five visits, participants (n = 16) consumed either 4.4 mmol.kg−1 of βHB (2.2 mmol.kg−1 or 395 mg/kg of KE; 1 mole of KE delivered 2 moles of d-βHB equivalents): twice whilst fasted, and twice following a standardized meal, or an isocaloric dextrose drink without a meal. To improve palatability, drinks were diluted to 500 ml with a commercially available, citrus flavored drink containing 65 kCal (5 g of carbohydrate) (Glaceau, UK). The dextrose drink was taste-matched using a bitterness additive (Symrise, Holzminden, Germany). The standard meal consisted of porridge oats (54 g), semi-skimmed milk (360 ml) and banana (120 g), giving 600 kCal per person, with a macronutrient ratio of Carbohydrate: Protein: Fat of 2:1:1.
The raspberry ketone is actually one of the most expensive products used in the food industry — the natural compound can cost as much as $20,000 per kilogram. Plus, extraction of pure raspberry ketone requires an insane amount of raspberries. Extraction occurs through hydrogenation and takes about a kilogram of raspberries (over 2 pounds) to make 1.4 milligrams of raspberry ketones. Considering a standard supplemental dose for humans is around 100–200 milligrams, that’s a lot of raspberries! This is exactly why some supplement companies use synthetic raspberry ketone, which is much cheaper. (1)
But monitoring ketone levels in urine is especially important for people with diabetes when they are ill, stressed, or have persistently high blood glucose levels. A positive test result for urine ketones in people with diabetes may be a warning sign for ketoacidosis – a serious complication of diabetes (primarily type 1) associated with extremely high levels of ketones in the blood. If left untreated, diabetic ketoacidosis can lead to coma and death.
Her clients have had similar success. One woman, for instance, has gone from around 170 pounds to 140 pounds since April without making any initial dietary changes. She’s started to gravitate towards more keto foods over time, but still eats her favorite high-carb treats. As for exercise? Her routine consists of a couple of walks each week, Heverly says.
The next thought was that lowering dietary fat, especially saturated fats, may help lower cholesterol. While untrue, there are still many who believe it. In the 1960’s the Framingham Diet Study was set up to specifically look for a connection between dietary fat and cholesterol. This was the same Framingham as the famous Heart Studies, but references to the Framingham Diet study are virtually non-existent. Why haven’t you heard of it, before? Well, the findings of this study showed no correlation between dietary fat and cholesterol whatsoever. Because these results clashed with the prevailing ‘wisdom’ of the time, they were suppressed and never published in a journal. Results were tabulated and put away in a dusty corner. Dr. Michael Eades was able to track down a copy of this forgotten gem and wrote about it’s eerily prescient findings here.
The American Heart Association recommends no more than six teaspoons (25 grams) of added sugar a day for women and nine teaspoons (36) grams for men. "Added sugars contribute zero nutrients but many added calories that can lead to extra pounds or even obesity, thereby reducing heart health," the AHA wrote on its website. And the World Health Organization (WHO) recommends only 10 percent of your diet come from added sugar, noting that "a further reduction to below five percent or roughly 25 grams (6 teaspoons) per day would provide additional health benefits."

High protein diets, such as the Atkin's diet or the Paleo diet, have been popular weight-loss programs in recent years. A high-protein diet has created concern, however, because it is high in meat, animal products, and saturated fat. Numerous studies have shown that a high meat intake is associated with increased risk for heart disease, cancer of the digestive tract, overall mortality, and acceleration of chronic kidney disease, kidney stones, and osteoporosis.1


Obesity is also recognised as an independent risk factor for the progression of fibrosis in other chronic liver diseases.6 A number of studies have now demonstrated an association between increased BMI or visceral adiposity and hepatic steatosis7 and fibrosis8 in patients infected with hepatitis C virus (HCV). In overweight patients with chronic HCV, we recently demonstrated an association between increasing insulin levels and increasing hepatic fibrosis, suggesting that host metabolic factors also contribute to disease progression.9 Similarly, in patients with alcoholic liver disease, elevated BMI and fasting blood glucose were independent risk factors for hepatic fibrosis.10
Losing weight with exercise may also help lower cholesterol. A Japanese study published in the "Journal of the American Heart Association" in 2004 had female subjects engage in aerobic exercise. Their exercise regimen included an 80 minute dance workout followed by bicycle or treadmill exercises for 30 to 60 minutes twice a week. Subjects also worked out at least once a week at home in addition to the aerobic exercise. After two months, subjects experienced an average 3 to 4 percent loss in body weight. Total cholesterol was reduced by an average of 9 percent while low-density lipoprotein was reduced by approximately 9.6 percent.
The ratio of fat to muscle in the body also affects metabolic rate. Weight, or body composition, is made up of fat, muscle, bone and water. Muscle is more metabolically active than fat. In other words, it burns more calories. When you lose weight, you lose both fat and muscle, unless you are doing something to preserve the muscle mass. Losing calorie-burning lean muscle mass slows your metabolism.

But it is true that premenopausal women may have some protection from high LDL (bad) levels of cholesterol, compared to men. That’s because the female hormone estrogen is highest during the childbearing years and it tends to raise HDL (good) cholesterol levels. This may help explain why premenopausal women are usually protected from developing heart disease.


7 weeks ago I was unhappy and the heaviest I’ve ever been . Sitting around feeling sorry for myself about my injuries and operations . Today I’m half way towards my goal weight but I feel a hell of a lot better and eating and exercising every day 💪🏼 can’t wait to see where I can be at the end of the year #weightloss #optimumnutrition #happy #lifestyle#fitness#slowlybutsurely
Exogenous ketones (also known as ketone supplements) and well-formulated ketogenic diets share at least one thing in common. They both result in increased circulating concentrations of beta-hydroxybutyrate (BOHB), but ultimately are associated with very different patterns of ketosis, as well as differing metabolic and physiologic outcomes. In short, they should not be assumed to have equivalent effects simply because they achieve similar BOHB blood levels. Having said that, there are many reasons we should continue to study the various forms and potential applications of ketone supplements.
The next best metabolism measuring method, called doubly labeled water, involves drinking a sample of water that contains (or is “labeled with”) forms of the elements deuterium and oxygen-18. Since they’re not normally found in the body, researchers can determine a person’s metabolic rate by tracking how quickly they’re expelled through urine sampling. But doubly labeled water can only detect a 5 percent change in metabolic rate over seven to 10 days, which is less than half as precise as the metabolic chamber.
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