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Pathways of Thyroid Regulation Under the Ketogenic Diet The KD induces a significant metabolic shift by significantly reducing carbohydrate intake and increasing fat consumption, which leads to ketosis

Therefore, a combination of transcellular and paracellular routes for crossing the nasopharyngeal barrier is also possible if the meningococci crossing via the transcellular route induce a sufficient level of inflammation to alter epithelial permeability, allowing other bacteria to follow the paracellular route