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Doctors, however, remain sceptical about the repercussions of oscillating between a traditionally high-carb Indian diet to a low-carb ketogenic routine. Hyderabad-based V. Mohan, who co-authored the IJMR paper with Joshi, finds that though many of his patients have tried the diet, the issue of sustainability renders it both ineffectual and potentially harmful. Mohan is a diabetologist, chairman and chief of diabetology at Dr Mohan’s Diabetes Specialities Centre, a WHO Collaborating Centre for Noncommunicable Diseases Prevention and Control. This, he found, helped reduce seizures, until medication eventually replaced or supplemented it.

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