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To reflect the therapeutic intent and the need for standardised macronutrient targets, the term very-lowcalorie ketogenic diet has been recently revised and replaced with very-lowenergy ketogenic therapy (VLEKT), as proposed by the KetoNut expert panel of the Italian Society of Nutraceuticals (SINut) and the Italian Association of Dietetics and Clinical Nutrition (ADI) [106]

and 1 with 100 macrovascular complications, including ischemic heart disease, myocardial infarction (first and subsequent), stroke (first and subsequent) and congestive heart failure (Figure 1)

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