Barely Significant
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Effect of a Very-Low-Calorie Ketogenic Diet on Circulating Myokine Levels Compared with the Effect of Bariatric Surgery or a Low-Calorie Diet in Patients with Obesity.

Nutrients · 2019 · PMC6835835 · PMID 31590286

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Moreover, although there was a slight increase in the loss of fat free mass in patients who underwent bariatric surgery, the differences with the patients who followed the VLCK diet did not reach statistical significance.

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