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This article is part of the Topical Collection on Skeletal Development Rights and permissions About this article Cite this article Racine, H.L., Serrat, M.A

In ME/CFS, anti-inflammatory bacterial species such as Faecalibacterium (191, 194) and Bifidobacterium (191) are decreased, resulting in a decreased production of anti-inflammatory butyrate (191, 194)

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Although MCT oil is not necessary to achieve ketosis, many people use it as a convenient way to support ketone production while following a ketogenic diet