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Although it appears clear that the FD&C Act is a federal law that trumps inconsistent state standards, such legal jargon provides no help to practitioners who are attempting to meet compelling health needs and rising levels of obesity in this country

Differential utilization of ketone bodies by neurons and glioma cell lines: a rationale for ketogenic diet as experimental glioma therapy

The most sensible answer is: if you have known diabetic retinopathy, recent visual symptoms, or no recent retinal exam, then yesan updated eye evaluation is wise