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therefore, to achieve health benefits, the patient's individual needs must be considered ( According to IKDSG guidelines, KD use is strictly contraindicated in patients with a deficiency of carnitine (primary), carnitine palmitoyltransferase (CPT) 1 or 2, carnitine translocase, pyruvate carboxylase, medium-chain acyl-coenzyme A (CoA) dehydrogenase (MCAD), long-chain acyl-CoA dehydrogenase (LCAD), short-chain acyl-CoA dehydrogenase (SCAD), and disorders of fatty acid -oxidation and porphyria

However, this does not mean vaping is safe for the gums

Evidence from New Zealand suggests that half of all smokers who quit while in a smoke-free facility leave prison intending to remain non-smokers

I now have a moist, firm (not hard) smoke that is the way it should be

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Establish protocols for addressing smoking incidents upon receiving alerts