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Acknowledgments The authors wish to thank The Scientific Bureau of the University of Catania, Italy, for language support

(It has been suggested that the auricular deformities may not be linked to the KD.) The authors concluded that non-pharmacological therapies for epilepsy such as the KD and the modified Atkins diet (MAD) may be effective during pregnancy, but that their safety in pregnancy still needs to be determined [231]

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First, it can impair the transport of long-chain fatty acids into the mitochondrial matrix, with subsequent decrease in -oxidation, acetyl-CoA and ATP production