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Anyone with an existing medical condition, who is pregnant or nursing, or who takes prescription medication should talk to a healthcare provider before starting any new supplement, including this one

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The ketone bodies [acetoacetate (AcAc) and -hydroxybutyrate (HB)], produced in the liver, can be transported with blood to other organs, including the brain, where they can be converted back to acetyl-CoA and used in the TCA cycle to produce ATP (14) (Figure 1)

Bull Exp Biol Med 2002;133:6146