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There have been several methods suggested to reduce symptoms of keto-induction and to reduce the time taken to achieve NK, including the ketogenic amino acid leucine, short chain fatty acids, medium chain fatty acids, and exogenous ketones. Adaptation to a VLCKD, or ‘keto-induction’, and the achievement of NK, when transitioning from a standard, higher carbohydrate diet, can cause various unpleasant effects (Hartman & Vining, 2007). Given their variable sleep and dailyroutines, an examination into the impact of variable dosing and timing may alsobe helpful. Given the limited sample size, subgroup analyses could not beadequately undertaken to examine the effect of shift work on measured outcomes.However, there is research confirming the adverse effects of shift work ongeneral well-being, morbidity, and hormonal concentrations such as cortisol andtestosterone. 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