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Disruption of gut homeostasis, including alterations in gut microbiota composition, impaired intestinal barrier function and increased microbial translocation, initiates a cascade of immune activation and inflammatory responses that promotes advanced liver damage

Research also shows that D-BHB ketones increase glutamate-mediated stimulation of respiration compared to glucose, and enable stronger and more sustained uncoupled respiration, basically meaning enhanced mitochondrial function at the cellular level

This can lead to fatigue, shortness of breath, dizziness, and pale skin

Both methylfolate and folinic acidnot folic acid

10.1016/j.heliyon.2024.e30630 68 KarabayA