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Acknowledgements The authors acknowledge the efforts of Prof Omnia ElRashidy one of the founders of the Pediatric Ketoclinic and Prof Ehab Khairy Emam the Head of the Pediatric Gastroenterology, Hepatology and Clinical Nutrition Unit, at the children`s Hospital, Faculty of Medicine, Ain shams University, for their support

Downregulation of OCTN2 by cytokines plays an important role in the progression of inflammatory bowel disease

dose spacing or serum-level monitoring may be necessary

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This dysbiotic state may compromise gut barrier integrity, creating a pro-inflammatory state