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In addition, branchedchain -keto acids (BCKAs) may increase the production of 3-PG by activating pyruvate dehydrogenase kinase (PDK) to inhibit pyruvate dehydrogenase (PDH) and promote carbon flow to gluconeogenesis (12)

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Vandenberghe C, St-Pierre V, Pierotti T, Fortier M, Castellano C-A, Cunnane SC (2017) Tricaprylin alone increases plasma ketone response more than coconut oil or other medium-chain triglycerides: an acute crossover study in healthy adults

4) Quando necessario bilanciare l'aumentato consumo energetico e reintegrare i sali minerali persi con la sudorazione

Confirming autoimmune or absorption-related causes changes follow-up strategy and relapse risk discussion