While exogenous ketones can temporarily raise blood ketone levels, they do not replicate the metabolic state of true ketosis
This higher viscosity was associated with increased levels of satiety-related hormones (GLP-1, PYY, CCK) and reduced ghrelin levels, leading to a measurable decrease in hunger and food intake at the following meal
That's what happened in the case of new weight-loss drugs, known as GLP-1 agonists, that have exploded in popularity in the past couple of years
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Campbell in Nutrition Reviews shows that calorie restriction can lead to reductions in lean body mass unless sufficient protein intake and resistance training are maintained