Exact(2)
A ketogenic diet is extremely difficult to adhere to (and so is a calorie restriction diet severe enough to raise ketone body levels significantly). Hence, caprylic triglyceride might be something worth considering.
The practical problems involved in preparing and storing the infant formula makes it an option that is extremely difficult to adhere to exclusively: "Preparing formula is time-consuming, especially without refrigeration, running water, or an adequate supply of fuel for boiling water.
Similar(58)
It is extremely difficult to check whether this ratio is being adhered to (the weight of the carcass varies depending on whether it has been gutted or not), especially when fins and carcasses are landed in different ports.
It is extremely difficult to manufacture.
It is extremely difficult to tell.
I found that extremely difficult to overcome".
Unfortunately, parallaxes are extremely difficult to measure.
Description: English glosses extremely difficult to hear.
But you see, it's extremely, extremely difficult to stop.
While extremely beautiful, they are also extremely difficult to read.
He'll be extremely difficult to contain.
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