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Brain Pathol 27:123137 Bahr LS, Bock M, Liebscher D, Bellmann-Strobl J, Franz L, Pr A, Schumann D, Piper SK, Kessler CS, Steckhan N (2020) Ketogenic diet and fasting diet as nutritional approaches in multiple sclerosis (NAMS): protocol of a randomized controlled study

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So this is a chronic, persistent, innate inflammatory response induced by biotoxin

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