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Fig 1.

Flow of participants throughout the study from recruitment to inclusion in final analysis.

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Table 1.

Characteristics of the cohort prior to starting the first dietary intervention (n = 11).

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Table 1 Expand

Table 2.

Macronutrient energy intake, blood β-hydroxybutyrate (BOHB), and respiratory exchange ratio (RER) after the habitual diets of baseline and washout, and after the ketogenic diet (KD) and high-carbohydrate low-fat (HCLF) diet, for the whole cohort (n = 11).

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Table 2 Expand

Fig 2.

The individual changes in body mass (kg) during the dietary interventions.

Solid black lines: participants who did the ketogenic diet (KD) diet first (‘ba’ intervention sequence); Grey lines: participants who did the high-carbohydrate low-fat (HCLF) diet first (‘ab’ intervention sequence); dashed line: mean for all participants.

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Table 3.

Outcome measures of change in body mass and thyroid function between the two dietary interventions (n = 11).

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Table 3 Expand

Fig 3.

The individual changes in circulating levels of thyroid stimulating hormone (TSH) (panel A), free thyroxine (T4; panel B) and triiodothyronine (T3; panel C) during the dietary interventions. Solid black lines: participants who did the ketogenic diet (KD) diet first (‘ba’ intervention sequence); Grey lines: participants who did the high-carbohydrate low-fat (HCLF) diet first (‘ab’ intervention sequence); dashed line: mean for all participants.

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Fig 3 Expand