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The citation is a pilot study testing the impact of a low-carbohydrate ketogenic diet on signs and symptoms of PCOS

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Other neurotransmitters, including glycine, D-serine, glutamate, histamine, and -aminobutyric acid (GABA), are also synthesized in reactions catalyzed by PLP-dependent enzymes (7)

Gastrointestinal side effects, including nausea, vomiting, diarrhea, and constipation, are common but typically mild to moderate and often decrease over time (Wilding et al., 2021)