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Technically there are other ketone esters such as acetoacetate bound to D/L 1,3-butanediol (racemic). This diester has been tested more with deep sea divers. It is not commercially available. [10] Another ketone ester is also referred to as a ketone di-ester which is a bond of C6 and R 1,3 butanediol or C8 and R 1,3 butanediol.
Ketosis is a metabolic state characterized by elevated levels of ketone bodies in the blood or urine. Physiological ketosis is a normal response to low glucose availability. . In physiological ketosis, ketones in the blood are elevated above baseline levels, but the body's acid–base homeostasis is maintain
It is seen in conditions in which the body produces excess ketones as an indication that it is using an alternative source of energy. It is seen during starvation or more commonly in type 1 diabetes mellitus. Production of ketone bodies is a normal response to a shortage of glucose, meant to provide an alternate source of fuel from fatty acids.