This initial period of keto-induction is often accompanied by a cluster of transient adverse effects commonly termed the keto-flu, including brain fog, headache, lightheadedness, fatigue/lethargy, reduced exercise capacity, mood changes, gastrointestinal symptoms (e.g., constipation or diarrhoea), muscle cramps, and halitosis [74]
Healthcare providers widely prescribe both medications together in clinical practice, managing potential absorption issues through careful timing and monitoring
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The Journal of Physiology, 589 (4), 963-973
2015 Feb;52(2):822-30