Therefore, further in-depth investigations into the intrinsic therapeutic mechanisms of the KD in different diseases are needed, as it will not only provide insights into disease pathogenesis from new perspectives, but also lead to the identification of key intermediate biochemical pathways, molecules, and/or other factors, such as gut microbes, that govern the KD treatment-related effects, and these can be utilized as promising targets for drug design or the development of novel customized interventional strategies to mirror the effects of KD
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The anabolic signal is real (IGF-1 receptor activation drives satellite cell proliferation and protein synthesis), but the cosmetic fullness in week one is predominantly glycogen and extracellular fluid, not contractile tissue