- pregnancy and breastfeeding. - bmi ≥35 kg/m2 - severe and critical covid-19 pneumonia (covid-19 severity score > 5) - patient connected to the ventilator - sao2 less than 80% - having liver failure, chronic hepatitis, cirrhosis, and cholestatic liver diseases - any severe medical condition with a prognosis of < 6 months - alcohol and drug abuse (during the last 30 days) - history of known allergy to peanuts

- pregnancy and breastfeeding. - bmi ≥35 kg/m2 - severe and critical covid-19 pneumonia (covid-19 severity score > 5) - patient connected to the ventilator - sao2 less than 80% - having liver failure, chronic hepatitis, cirrhosis, and cholestatic liver diseases - any severe medical condition with a prognosis of < 6 months - alcohol and drug abuse (during the last 30 days) - history of known allergy to peanuts