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I could always rely on a good hair day, no matter what my complexion, waistline, or mood delivered that morning

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But the weight still came, and the irony stung: The very drugs saving my life were also reshaping my body in ways that heightened my long-term risk

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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

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