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Although the exact mechanisms by which ketogenic diets exert their effects are not fully known, it is believed that these effects are partially mediated through interactions with the gut microbiome [109,110,111]

Takano H, Cancel G, Ikeuchi T et al (1998) Close associations between prevalences of dominantly inherited spinocerebellar ataxias with CAG-repeat expansions and frequencies of large normal CAG alleles in Japanese and Caucasian populations