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This does not mean keto is off-limits, but a modified approach with at least 50 grams of carbohydrates per day and close monitoring of thyroid labs is strongly recommended before making any significant dietary changes

3.1.5 Chronic rhinosinusitis without nasal polyps Chronic rhinosinusitis (CRS), defined by chronic inflammation of the paranasal sinuses, is a common comorbidity in individuals with chronic lower respiratory conditions, such as COPD, bronchiectasis, CF, and asthma (65, 66)

Causes of Slow Recovery: Overtraining, inadequate sleep, poor nutrition, age-related decline in growth hormone, and underlying micro-injuries that never fully heal

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