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Andrs E, Zulfiqar AA, Serraj K, et al

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87 Alternatively, hyperexcitable small fiber neurons in PDPN might be more susceptible to bioenergetic failure, increasing distal nerve fiber degeneration

282,296,297 In a dietary intervention study, 41 women with fibromyalgia were assigned to eat a very-low-carbohydrate ketogenic diet (group 1, less than 10 grams of carbohydrates per day) or a low-glycemic and insulinemic diet (group 2) for 45 days