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The intake of non-starchy vegetables also needs to be moderate to allow sufficient carbohydrate restriction and thereby ketogenesis ( 3.2.8 Prurigo pigmentosa Prurigo pigmentosa (PP) is a rare skin rash characterized by pruritic, erythematous papules and vesicles with a reticulated presentation on the back, chest and neck ( A proposed pathophysiological mechanism for the possible link between ketosis and PP is based on the passage of ketone bodies from the bloodstream into the perivascular space and induction of cytotoxicity and inflammation

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