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The technique is contraindicated in pregnancy and breastfeeding, in active acne or skin infection, within 6 months of oral isotretinoin, in patients with keloid scarring history, and on anticoagulant therapy without physician clearance

Though they are typically identified on abdominal imaging they may be encountered initially during colonoscopy as in our case

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Du, K., Murakami, S., Sun, Y., Kilpatrick, C

Mechanisms of action for the medium-chain triglyceride ketogenic diet in neurological and metabolic disorders

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