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While inconsistent, some studies have found an increase in the ketogenic group. It's possible that some of the effect may be due to increased meat consumption, in a similar way that supplementation creatine increases levels, though more research is needed. Two studies have found an increase, which makes sense given the greater liberation of fatty acids from triglycerides for energy. Studies generally find no difference or a decrease in the ketogenic group. The decrease may have to do with either greater calorie restriction, more water loss, or increase utilization of amino acids for glucose.

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