The ketogenic diet is a very low-carb, high-fat diet that aims to put the body into a state of ketosis, where it burns fat for energy instead of carbohydrates. Ketosis is a metabolic state characterised by raised blood ketone levels and weight loss. One of the three ketone bodies produced during ketosis is beta-hydroxybutyrate (BHB). BHB is a chemical that the body produces naturally, and it can also be created in a lab and taken as a supplement. Exogenous ketone supplements, which include BHB, are marketed as a way to achieve the benefits of ketosis without strictly adhering to the ketogenic diet. While research suggests that exogenous ketone supplements can increase blood ketone levels and may have some health benefits, there is limited evidence for their effectiveness in weight loss. Furthermore, there are potential side effects and risks associated with their use.
What You'll Learn
- Ketone supplements can be used to treat Multiple Sclerosis, Rheumatoid Arthritis, Alzheimer's and Dementia
- Ketone supplements can be used to treat skin disorders
- Ketone supplements can be used to reduce appetite
- Ketone supplements can be used to treat epilepsy
- Ketone supplements can be used to improve athletic performance
Ketone supplements can be used to treat Multiple Sclerosis, Rheumatoid Arthritis, Alzheimer's and Dementia
Ketone supplements have been shown to be a promising treatment for Multiple Sclerosis, Rheumatoid Arthritis, Alzheimer's and Dementia.
Multiple Sclerosis
The ketogenic diet may help relieve inflammation experienced by people with Multiple Sclerosis (MS). The diet is high in fat, moderate in protein, and low in carbohydrates, and induces a state of ketosis. Ongoing research is examining whether a modified ketogenic regimen could benefit people with MS.
Rheumatoid Arthritis
The ketogenic diet has been shown to reduce disease activity in Rheumatoid Arthritis (RA). Fasting and calorie restriction have been associated with an improvement in RA activity, with stronger effects on subjective symptoms. The metabolic state induced by fasting is similar to that of the ketogenic diet.
Alzheimer's and Dementia
Ketone supplements have been shown to improve cognitive performance in Alzheimer's patients. In a study of 413 older participants with mild to moderate Alzheimer's, a 20g MCT supplement was taken over 6 months, resulting in significant improvements in three major cognitive functions: episodic memory, executive function and language.
Safety and Adverse Effects
Ketone supplements have been shown to be possibly safe when taken as a single dose of 380mg/kg. Side effects such as stomach upset, diarrhea, constipation and stomach pain are more likely to occur when very high doses are used.
Long-term effects of ketone supplements may lead to anemia, low bone mineral density, nephrolithiasis or cardiomyopathy.
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Ketone supplements can be used to treat skin disorders
BHB is a chemical that is made by the body and provides energy when not enough carbohydrates or sugars have been eaten. It can also be made in a lab and taken as a supplement. BHB is thought to help the brain and nerves work better, and it might also provide energy to muscles to improve exercise ability. While there is no good scientific evidence to support these uses, BHB is used for many conditions, including dry eye, athletic performance, migraine, Alzheimer's disease, and Parkinson's disease.
Ketone supplements have been shown to decrease appetite, which may aid in weight loss by reducing calorie intake. In addition, ketone supplements are claimed to put the body into ketosis without having to follow a strict keto diet. This is beneficial for those who want to transition into ketosis without making drastic dietary changes.
However, it is important to note that ketone supplements are not recommended for weight loss at this time. Ketone supplements can prevent body fat from being used as fuel and can be costly, with potential side effects such as nausea, diarrhea, and stomach discomfort.
While the long-term effects of ketone supplements are unknown, they are generally considered safe and effective for increasing ketone body concentrations. Some people take ketone supplements to treat skin disorders, as they can provide various health benefits, including improved skin elasticity and a reduction in wrinkles. Collagen, a protein found in the skin, decreases with age, causing the skin to sag and wrinkle. Ketone supplements may help increase collagen levels and improve skin health.
Before taking ketone supplements, it is important to consult a doctor to ensure they are safe alongside any other medications and to assess electrolyte balance, as ketone salts can increase the risk of electrolyte imbalances.
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Ketone supplements can be used to reduce appetite
Ketone supplements have been shown to reduce appetite, which may aid weight loss by reducing the amount of food consumed. In a study of 15 people of normal weight, those who drank a beverage containing ketone esters reported 50% less hunger after an overnight fast compared to those who drank a sugary drink. This effect was attributed to lower levels of the hunger hormone ghrelin two to four hours after consuming the ketone ester drink.
However, ketone supplements may not affect appetite as much if consumed after a meal. Studies have shown that ketone supplements are more effective at reducing appetite when taken in a fasted state, as the body is using fewer ketones as fuel due to the availability of glucose from food.
It is important to note that the effects of ketone supplements on appetite may only last a few hours, and additional doses throughout the day may be required to maintain their appetite-suppressing effects. Furthermore, while ketone supplements may reduce appetite, there is limited evidence to suggest that they lead to significant weight loss. More research is needed before ketone supplements can be recommended specifically for appetite control or weight loss.
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Ketone supplements can be used to treat epilepsy
Ketone supplements have been shown to be effective in treating epilepsy. Ketone bodies, such as beta-hydroxybutyrate (BHB), acetoacetate, and acetone, are produced mainly in the liver and can serve as an energy source for different tissues when glucose supply is insufficient, such as during fasting or following a ketogenic diet.
Administration of exogenous ketone supplements, such as ketone ester (KE) and ketone salt (KS), has been found to generate rapid and sustained increases in blood levels of BHB, inducing nutritional ketosis. This, in turn, can have alleviating effects on central nervous system (CNS) diseases, including epilepsy.
In a study on Wistar Albino Glaxo/Rijswijk (WAG/Rij) rats, an animal model of human absence epilepsy, it was found that KE decreased absence epileptic activity. The exogenous ketone supplement-evoked increase in BHB levels may exert its alleviating effects on the CNS by modulating the inflammatory system.
Another study on Sprague-Dawley and WAG/Rij rats found that exogenous ketone supplements reduced anxiety-related behavior. The anxiolytic effect was attributed to lower levels of the hunger hormone ghrelin.
Overall, ketone supplements have been shown to be a promising therapeutic tool in the treatment of epilepsy, with potential benefits for other CNS diseases as well.
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Ketone supplements can be used to improve athletic performance
Ketone supplements are often used by athletes to improve their performance. Ketone bodies can be produced in the body or come from synthetic sources outside the body. The two main forms of ketone supplements are ketone salts and ketone esters. Ketone salts are ketones bound to a salt, typically sodium, potassium, calcium, or magnesium, and are often found in powder form. Ketone esters are ketones linked to another compound called an ester and are usually in liquid form. Both forms of ketone supplements have been shown to increase blood ketone levels, mimicking what happens in ketosis when following a ketogenic diet.
There is a biological rationale to support the potential ergogenic effect of ketone supplementation. Ketone bodies can replace glucose as the primary energy substrate for the brain, heart, or skeletal muscle. Ketone supplementation may also promote glycogen sparing, which could benefit endurance performance. Additionally, ketone bodies may represent a more efficient energy substrate than glucose or fatty acids as they do not require ATP for activation.
However, the evidence on the effectiveness of ketone supplements in improving athletic performance is mixed. Some studies have shown a small improvement in performance, while others have found no effect or even a detrimental impact. The effects of ketone supplements may depend on the type and dose of the supplement, the test used to assess performance, and the individual characteristics of the athlete.
Ketone supplements may also have some negative impacts on performance. They can cause gastrointestinal symptoms such as nausea, abdominal cramps, and diarrhea. Additionally, ketone supplements can cause a mild acidosis, which may impair performance. Furthermore, ketone drinks may slow down the release of fat from fat tissue, limiting the available fuel for endurance exercise.
In summary, while ketone supplements have a biological rationale for improving athletic performance, the current evidence does not fully support their effectiveness. More research is needed to determine the optimal conditions for using ketone supplements and their potential benefits for specific types of athletic performance.
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Frequently asked questions
Keto BHB is short for beta-hydroxybutyrate, a chemical that is made by the body and provides energy when not enough carbohydrates or sugars have been eaten. It can also be made in a lab and taken as a supplement.
Keto BHB is one of three ketone bodies produced during ketosis (the other two are acetone and acetoacetate). These ketone bodies replace glucose as fuel and provide your brain, heart, and muscles with energy.
Keto BHB can be helpful for people who want to transition into ketosis without necessarily following a ketogenic diet. It can also be used to support a keto diet or to reap the benefits of ketosis without strict adherence to a keto diet or prolonged fasting periods. Some studies have shown that keto BHB can lower hunger hormones and act as an appetite suppressant, which can lead to weight loss.