My child was reading this, so there are places where circles have been drawn with a pencil and areas that look like they were drawn like a photo. There are also small scratches and folds. This book explains basic information about ketone bodies and dietary methods. - Title: The Ketogenic Diet That Transforms Your Body - Author: Takuji Shirasawa - Publisher: Mikasa Shobo - Price: 1300 yen - Contents: Explains basic information about ketone bodies and dietary methods. Thank you for viewing. Since my child used this, there may be folds and small scratches. Please understand that this is a used item before purchasing.