Innovating BHB: NNB Nutrition and the Brains Behind Ketone Supplements

Throughout the past decade, a topic that’s been impossible to avoid in the world of nutrition is the keto diet. As its popularity has surged, its use has successfully rescued many dieters from metabolic distress and dysfunction.

Throughout this time, keto diet supplements have also gained popularity, led by exogenous ketone salts. These supplements provide users with a powerful alternative to carbohydrates, a new fuel source for the body.

BHB Supplements: NNB Nutrition

This article clears up the confusion in the keto diet supplement space. All along behind the scenes, NNB Nutrition has been innovating the BHB salt manufacturing process, and is the sole producer of goBHB, licensed by Axcess Global for their company Real Ketones

As with any new technology, the ketone supplement landscape has been confusing, even to industry insiders. There are numerous researchers, companies, brands, trademarks, and patents involved, and the industry is extremely fluid.

NNB Nutrition: The Brains Behind goBHB Manufacturing

At the heart of it all, however, is one company that’s been manufacturing the vast majority of ketone ingredients: NNB Nutrition. Over the years, NNB has innovated their ketone supplement production process numerous times and are the sole manufacturer of the popular ingredients in goBHB.

This article serves to clear up the confusion in the keto supplement industry. We delve into the backstory of keto diets and keto supplements and describe NNB Nutrition’s innovative improvements. Finally, we discuss related patents and the popular goBHB trademark, which is actually owned by the company behind the brand Real Ketones.

Before we get started, though, be sure to sign up for our goBHB and NNB Nutrition news updates so that you can receive notifications when we cover new research on these fascinating ketone supplements:

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What Are Ketones?

Under normal circumstances in Western society, people following a high-carbohydrate “standard American diet” are largely dependent upon glucose for metabolic energy. This is especially true for the brain, which represents just ~2% of our body weight but consumes 20 to 25% of the body’s glucose-derived energy.[1,2]

Human diets weren’t always like this, and before the advent of modern agricultural practices, carbohydrates weren’t abundant year-round in most geographic areas. Without the easy availability of carbohydrates (or sometimes any food in general), the metabolism was forced to adapt to another energy source: fat (often the individual’s own body fat).

When “burning” body fat in a process known as beta-oxidation, the body generates an alternative energy source known as ketone bodies.[3] These energy sources can be used by every cell in the body to satisfy its energy needs — including the brain.[4]

Beta Oxidation Ketogenesis D-BHB

Beta Oxidation of fatty acids leading to Ketogenesis, generating the three main ketone bodies (highlighted). D-BHB is the primary ketone made that the body can use as an energy substrate. We can add more D-BHB for various reasons, since this fat burning process is slower and you may wish to have some BHB available immediately for more energy.

There are three types of ketone bodies:

  1. Beta-hydroxybutyrate
  2. Acetoacetate
  3. Acetone

These molecules are primarily produced in the liver mitochondria[5] and used by the body in times of prolonged fasting, extreme exercise that depletes glycogen stores, and/or very low carbohydrate consumption.[6-8] This is known as entering a state of nutritional ketosis — and the fat that gets beta-oxidized into ketone bodies can either come from dietary sources or body fat.

The keto diet: burning fat and producing ketones endogenously

The keto diet — short for ketogenic diet — takes advantage of this mechanism of generating ketone bodies from fat through extreme restriction of dietary carbohydrates (and often employing fasting). It exploded in popularity in the 2010s, and has been very successfully used for weight loss,[9-11] normalization of blood sugar and insulin,[12,13] improvements to metabolic and lipid markers,[14-16] improvements to liver disease,[17] and far more.[18-21]

For instance, a study published in 2008 showed that a phenomenal 95% of dieters with type 2 diabetes were able to reduce or discontinue their medication within six months of ketogenic dieting.[22] The famous two-year long Virta Health study produced similarly impressive results.[23-25]

Over time, ketogenic dieters have greater energy expenditure than their “sugar-burning” counterparts,[26,27] and the diet also reduces more visceral fat,[28] a type of body fat surrounding organs that is harmful in excess.

While this may have seemed like a “new” strategy circa year 2000, fasting and ketogenic diets have actually been practiced for millennia.[29] The diet was widely used in the 1920s for some medical conditions until it was suppressed in the 1970s.

Is it the elevation of ketones or the reduction of glucose and insulin?

Keto Diet Body Mass Index Meta Analysis

Very low carb and ketogenic diets have been phenomenal for the reduction of body mass index.[9]

A question that often arises is whether the ketogenic’s incredible successes are due to the therapeutic nature of ketones or the reduction of the damaging effects of hyperglycemia and hyperinsulinemia. The most likely answer is quite a bit of both.

So naturally, dieters and scientists began to wonder what would happen if we were to give more ketones to the body.

The Use of Exogenous Ketones

While the keto diet was gaining popularity in the 2010s, new categories of keto diet supplements were brought to the market. The most prominent of these involved using exogenous ketones to elevate blood ketone levels. These supplements generally employed various beta-hydroxybutyrate salts, with the BHB molecule bound to a mineral, such as sodium, calcium, magnesium, or potassium.

These exogenous ketones were generally marketed by supplement brands — some more responsibly than others — to support various functions:

  • Increase energy
  • Easy transition into nutritional ketosis
  • Improve cognition
  • Painless weight loss
  • Reduce appetite
  • Greater athletic performance and endurance
  • Improve electrolyte balance
  • Elevate ketone levels

MCT oil, made of medium-chain triglycerides, was also marketed for similar purposes.

BHB Supplement Benefits, courtesy NNB Nutrition

However, at the time, not all of the above claims were supported by scientific evidence in humans. With that said, many dieters could anecdotally feel incredible effects from the use of exogenous ketones.

Behind the scenes, researchers have been exploring the use of exogenous ketones in both humans and animals, and the effects are extraordinarily exciting.

Promisingly, exogenous ketones have been shown to be beneficial to both ketogenic dieters and higher-carbohydrate dieters. Although they were originally marketed to low-carb/keto dieters, we’re beginning to see that this was severely limiting their potential user base and use cases.

Benefits of Exogenous Ketones

Early animal research in the 1990s showed that exogenous ketone bodies could spare glucose, improve fueling during exercise, reduce lactate production, and improve overall performance.[30] Adding ketones provides an alternative fuel source, especially when glycogen runs out.

This is the starting point in the line of thinking that ketones can be used for greater athletic performance, especially for endurance. However, as we’ll see, research in non-athletic health outcomes is even more promising.

  • Ketones and athletics

    A handful of studies have been conducted testing the athletic use of exogenous ketones. In general, they don’t generally improve anaerobic performance (such as in sprints),[31,32] but do show great promise for endurance sports,[33] lowering lactate levels[34] and improving cognitive performance after exhaustion.[32]

    More research is needed, but endurance athletes who are already keto-adapted seem to fare best with exogenous ketones, while high-carbohydrate athletes can improve cognitive parameters when co-ingesting ketones with their standard carbohydrate regimen.

    Need double rocket fuel? “Combined provision of nutritional ketosis with CHO ingestion to fuel exercise altered fuel metabolism, and increased bicycle time-trial performance after 1 hr of fatiguing exercise”[33]

  • Reduced appetite

    One study showed that exogenous ketones lowered appetite, insulin, and “hunger hormones” ghrelin, GLP-1, and PYY.[35] The researchers confirmed what many ketone supplement users have anecdotally claimed for years — they seem to reduce the desire to eat. This is especially useful during times of stress (more on this below) or toward the end of a fast.

  • Weight loss effects?

    MCT Oil

    Fans of BBH salts will also want to learn about MCT Oil, or Medium Chain Triglycerides

    In terms of weight loss, the research is in preclinical state, but overweight mice that had been on a high-fat diet for 10 weeks had increased energy expenditure and reduced body fat when given exogenous ketones for an additional 12 weeks.[36]

    For quite some time, we’ve predicted that we’d see successful research demonstrating weight loss from BHB supplements, and we’re confident that this will be the case. Stay tuned for more information as it comes.

  • Cognition and potential effects against anxiety

    Above, we suggest the potential role of supplementing ketones to avoid stress eating. Reason being, two different preclinical studies have shown that exogenous ketones are anxiolytic. In these studies, they reduced anxiety-related behavior in animals.[37,38] One of these studies also showed improved cognitive performance in impaired animals.[37]

    Anyone who’s ever felt the “carnivore calm” can attest to the reduction of anxiety once they’ve put an end to the blood-sugar rollercoaster — something ketones can support as well.

    Similar to weight loss, we believe that this is a promising field, and will keep a close eye on upcoming research in humans.

  • Cardiovascular benefits: Improved blood pressure and lipid levels

    Another study published in 2017 showed that prolonged use of oral BHB salt supplements led to improved blood lipid profiles and reduced visceral fat mass in rats.[41] Note that we always focus on increases to HDL and decreases to triglyceride levels, a biomarker combination that’s far more impactful to cardiovascular outcomes than LDL cholesterol. In that respect, this study was also successful — higher HDL, lower triglycerides, and lower LDL.[41]

    BHB Salts Systolic Blood Pressure

    BHB Salts have been shown to reduce systolic blood pressure![40]

    A study published in 2017 showed that various forms of ketone supplements acutely lowered blood glucose, free fatty acid, and triglyceride concentrations.[39] Additional research showed that six weeks of ketone salt supplementation reduced blood pressure in subjects 18 to 35 years old.[40]

    Again, this is something we’re confident will be demonstrated in humans as well.

    Testing a theory that exogenous ketones may help with cardiovascular and renal disease, a team of researchers published a study in 2020 showing that D-BHB is “rapidly metabolized, mostly by the heart and the kidneys.”[42]

    They concluded the following:

    “Beyond brain energy rescue, this opens additional opportunities for therapeutic exploration of D-BHB supplements as a “super fuel” in cardiac and chronic kidney diseases.”[42]

However, as we’ll see, not all ketone supplements are the same. The study cited above that utilized D-BHB gives us a hint, showing us where ketone technology is going.

This is where scientific innovation — coupled with NNB Nutrition’s manufacturing ingenuity — has taken exogenous ketone supplements to new heights.

NNB Nutrition: The Innovation of Ketone Supplements

While ketone research and supplement sales picked up steam over the past decade, there were two major business storylines happening behind the scenes:

  1. Manufacturing, production, and quality control of BHB supplements
  2. Intellectual property (patents and trademarks)

Someone had to be producing the raw materials for these supplements, after all! And when you have a new ingredient you’d like to bring to market, who better to call than NNB Nutrition?

A novel ingredient manufacturing powerhouse

NNB Nutrition is the world’s premier novel dietary supplement ingredient developer and manufacturer. We’ve covered many of their ingredients over the years, which you can see on our NNB Nutrition news page. A few key ingredients are:

Mitochondria

The mitochondria are the powerhouses of our cells. But how do they work, how is our food supply damaging them so badly, and what can we do to fix the issue? Prepare to meet the Power of Mito, presented by NNB Nutrition.

  • MitoBurn L-BAIBA – an exercise signaling molecule that promotes greater exercise-based benefits.
  • GlucoVantage Dihydroberberine (DHB) – a premier form of berberine to promote glucose disposal and improve insulin sensitivity.
  • C8Vantage MCT powder – A highly pure C8 MCT-oil powder that’s often used for purposes similar to ketone supplements.

There are others like BioNMN, MitoPrime (L-ergothioneine), and RhodioPrime (high-salidroside Rhodiola extract). The prevailing trend is that NNB Nutrition is focused on applications for clean metabolic energy. Their strategies are discussed in our articles, The Power of “Mito”: Optimizing the Mitochondria to Unlock Clean Energy and The NNB Nutrition Story: Supplement Ingredient Solutions for the New Decade.

We’ve also discussed a program NNB calls “Ingredientology” — if you have a novel ingredient idea, they’ll work with you to bring it to life. That’s exactly what happened in the mid-2010s when researchers and scientists were looking for a better way to produce ketone supplements.

NNB Nutrition: The brains behind ketone supply

NNB Nutrition

NNB Nutrition is an innovative ingredient development company with an elite team of over 100 scientists from over 10 countries.

As the ketogenic diet was gaining popularity into 2015, researchers needed quality exogenous ketone supplements to test many of their theories. After approaching several manufacturers, it was clear that NNB Nutrition — led by industrial chemist Kylin Liao — was the company that could most reliably produce ketone salts that would remain shelf-stable and pass lab tests.

Most consumers don’t know this, but since then, NNB Nutrition has innovated and improved 10 versions of BHB salts. Although we can’t show every iteration (some are still yet to enter the market), the general timeline is:

  • 2015 – DL-BHB Salts

    In response to researchers’ needs, NNB created the most trusted form of ketones in the market, originally calling it KetoVantage. This class of BHB salts was also licensed as goBHB, which we’ll get into below.

    These DL-BHB salts were racemic, meaning they contained both “left-handed” and “right-handed” stereoisomers of the BHB molecules. These were produced through chemical synthesis and bound to minerals such as sodium, calcium, magnesium, and potassium.

  • 2016 – D-BHB Salts

    As research continued, it became evident that the D-BHB (“right handed”) ketone molecules were the ones that were biologically active.[42] Researchers found that L-BHB isn’t significantly metabolized into energy and is instead slowly excreted in the urine.[43,44]

    D-BHB vs. MCT vs. L-BHB

    D-BHB vs. MCT vs. L-BHB. In the late 2010s, it became clear that D/R-BHB was far superior to L-BHB or mixed racemic D/L-BHB.[42]

    In response, NNB found a way to produce only D-BHB salts, allowing for twice the potency (or half the dosage) of the DL-BHB salt counterpart. Similarly, these were produced through chemical synthesis.

  • 2017 – D-BHB Salts produced through biosynthesis

    Many of NNB Nutrition’s best ingredients are enzymatically synthesized, which is a more organic and natural process. The above two versions of BHB salts were chemically synthesized, but NNB is always working to make these compounds in a more natural way.

    They upgraded their D-BHB salt manufacturing with a biosynthesis process, which can involve ATP, enzymes, coenzymes, and cofactors as made naturally in the body. This leads to lower risk of unnatural trace components and waste, improving the bioavailability and purity of the resulting ingredient.

    NNB Nutrition BHB Features

    NNB Nutrition BHB Features. Image courtesy NNB Nutrition

  • 2018 – D-BHB Free Acid

    Some customers didn’t want mineral salts attached to all of their BHB, so companies requested BHB-free acids, without the mineral configuration. While these are still quite acidic, they can be combined with a base (such as a BHB salt) to provide a high amount of BHB with a lower mineral load.[45]

    NNB Nutrition not only makes the salts, but manufactures the BHB-free acid as well – and in a biosynthesized process as described above.

  • 2022 – BHB Gummies and more

    NNB is looking at other form factors for ketone supplements as well. Soon you’ll be able to use BHB gummies, which is a more ketogenic take on the popular, candy-like form factor. We’ve recently seen a serious gummy supplement trend and believe BHB could make a great application to offset the carbohydrate load inside.

There are other versions that can’t yet be shared, but when it comes to manufacturing ketones, NNB Nutrition has been the brains producing BHB behind the scenes.

goBHB: The premier name in ketones

goBHB Logo (Axcess Global)

goBHB is a registered trademark of Axcess Global

While NNB Nutrition originally named their ketones KetoVantage, they actually spent most of their time manufacturing the popular BHB supplement ingredient, goBHB. This is a name that nearly all keto dieters and supplement industry followers know, since it is the officially licensed name in BHB salts.

NNB made KetoVantage exclusive to goBHB, which is why you’ve likely heard of goBHB but not KetoVantage. In terms of manufacturing, however, it was NNB at work all this time.

Real ketones: The licensee of goBHB

The goBHB trademark is now licensed to a company named Axcess Global Sciences.[46] However, you may better recognize their subsidiary company, Real Ketones. Through Axcess Global, Real Ketones is the officially-licensed brand that sells goBHB supplements, with the BHB raw materials manufactured by NNB Nutrition.

Real Ketones has several products, most of which utilize D-BHB salts described above. A few of their key products are:

Real Ketones Prime Shift

Real Ketones Prime Shift provides 5 grams of highly bioactive D-BHB for quick access to ketones and their benefits

  • Keto Lean for Life Prime – A patented combination of C8 MCT and D-BHB salts sold in convenient stick packs.
  • Prime Shift – D-BHB ketone powder stick packs that use a blend of magnesium, calcium, sodium, and potassium D-BHB forms.
  • Keto Clean Energy – Keto Energy Shots that combine a potassium-heavier D-BHB blend with 150 milligrams of caffeine and Dynamine for energy alongside VASO6 for blood flow and huperzine A for longer-lasting focus.
  • Ketone Charged – D-BHB ketones combined with naturally-sourced caffeine in capsule form factor.

There are many other products — and research studies — that we hope to cover over time. Axcess Global has also patented (or licensed patents of) several innovations related to exogenous ketones and dieting, some of which were invented by famed researchers like Dominic D’Agostino and Patrick Arnold.[47-58]

To defend these innovations, Axcess Global is supporting more human-based research — and it’s not just for keto dieters — which we plan to cover over time.

Conclusion: The Future of BHB is Bright

NNB Nutrition Ingredientology

Have an ingredient idea? Team NNB will co-develop it with you! The process is known as Ingredientology.

Even to industry insiders like ourselves, the ketone supplement landscape has been a bit confusing. This is to be expected with any new technology booming with new research every year. We hope this article helped clarify the backstory of these supplements while also illustrating their benefits.

As this decade continues on, we’re highly confident that new research will illuminate more benefits of D-BHB in humans — and they won’t just be for low-carb dieters.

We believe that many of the research trials that were performed using acidic (and gut-wrenching) ketone esters — or less-bioavailable racemic BHB salts — should also be reconsidered. Only this time, the researchers should use what we now know to be the superior form in goBHB D-BHB salts, in appropriate potassium/sodium ratios.

This is a fascinating area of research, and the products provide support for an exit from a world of metabolic distress caused by the industrialized food supply. Modern problems require modern solutions, and with ingredients like MitoBurn, GlucoVantage, and goBHB, NNB Nutrition is on the front lines of the fight for our metabolic lives.

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About the Author: Mike Roberto

Mike Roberto

Mike Roberto is a research scientist and water sports athlete who founded PricePlow. He is an n=1 diet experimenter with extensive experience in supplementation and dietary modification, whose personal expertise stems from several experiments done on himself while sharing lab tests.

Mike's goal is to bridge the gap between nutritional research scientists and non-academics who seek to better their health in a system that has catastrophically failed the public.

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References

  1. Mergenthaler, Philipp, et al. “Sugar for the Brain: The Role of Glucose in Physiological and Pathological Brain Function.” Trends in Neurosciences, vol. 36, no. 10, Oct. 2013, pp. 587–597, 10.1016/j.tins.2013.07.001; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3900881/
  2. Erbsloh, F., et al. “[the Glucose Consumption of the Brain & Its Dependence on the Liver].” Archiv Fur Psychiatrie Und Nervenkrankheiten, Vereinigt Mit Zeitschrift Fur Die Gesamte Neurologie Und Psychiatrie, vol. 196, no. 6, 1958, pp. 611–626, 10.1007/BF00344388; https://pubmed.ncbi.nlm.nih.gov/13534602/
  3. Paoli, Antonio. “Ketogenic Diet for Obesity: Friend or Foe?” International Journal of Environmental Research and Public Health, vol. 11, no. 2, 19 Feb. 2014, pp. 2092–2107, 10.3390/ijerph110202092; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3945587/
  4. Hartman, Adam L., et al. “The Neuropharmacology of the Ketogenic Diet.” Pediatric Neurology, vol. 36, no. 5, May 2007, pp. 281–292, 10.1016/j.pediatrneurol.2007.02.008; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1940242/
  5. Fukao, Toshiyuki, et al. “Pathways and Control of Ketone Body Metabolism: On the Fringe of Lipid Biochemistry.” Prostaglandins, Leukotrienes and Essential Fatty Acids, vol. 70, no. 3, Mar. 2004, pp. 243–251, 10.1016/j.plefa.2003.11.001; https://pubmed.ncbi.nlm.nih.gov/14769483/
  6. Felig, Philip, et al. “Amino Acid Metabolism during Prolonged Starvation.” Journal of Clinical Investigation, vol. 48, no. 3, 1 Mar. 1969, pp. 584–594; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC535724/
  7. Owen, Oliver E. “Ketone Bodies as a Fuel for the Brain during Starvation.” Biochemistry and Molecular Biology Education, vol. 33, no. 4, July 2005, pp. 246–251, 10.1002/bmb.2005.49403304246; https://iubmb.onlinelibrary.wiley.com/doi/10.1002/bmb.2005.49403304246
  8. Owen, Oliver E., et al. “Liver and Kidney Metabolism during Prolonged Starvation.” Journal of Clinical Investigation, vol. 48, no. 3, 1 Mar. 1969, pp. 574–583; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC535723/
  9. Castellana, Marco, et al. “Efficacy and Safety of Very Low Calorie Ketogenic Diet (VLCKD) in Patients with Overweight and Obesity: A Systematic Review and Meta-Analysis.” Reviews in Endocrine and Metabolic Disorders, 9 Nov. 2019, 10.1007/s11154-019-09514-y; https://pubmed.ncbi.nlm.nih.gov/31705259/
  10. Choi, Yeo Jin, et al. “Impact of a Ketogenic Diet on Metabolic Parameters in Patients with Obesity or Overweight and with or without Type 2 Diabetes: A Meta-Analysis of Randomized Controlled Trials.” Nutrients, vol. 12, no. 7, 6 July 2020, p. 2005, 10.3390/nu12072005; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7400909/
  11. Bueno, Nassib Bezerra, et al. “Very-Low-Carbohydrate Ketogenic Diet v. Low-Fat Diet for Long-Term Weight Loss: A Meta-Analysis of Randomised Controlled Trials.” British Journal of Nutrition, vol. 110, no. 07, 7 May 2013, pp. 1178–1187, 10.1017/s0007114513000548; https://pubmed.ncbi.nlm.nih.gov/23651522/
  12. Yancy, W.S., Foy, M., Chalecki, A.M. et al. “A low-carbohydrate, ketogenic diet to treat type 2 diabetes”. Nutr Metab (Lond) 2, 34 (2005); https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-2-34
  13. Noakes M, Foster PR, Keogh JB, James AP, Mamo JC, Clifton PM. “Comparison of isocaloric very low carbohydrate/high saturated fat and high carbohydrate/low saturated fat diets on body composition and cardiovascular risk.” Nutr Metab (Lond). 2006 Jan 11;3:7. doi: 10.1186/1743-7075-3-7; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1368980/
  14. Wood RJ, Volek JS, Liu Y, Shachter NS, Contois JH, Fernandez ML. Carbohydrate restriction alters lipoprotein metabolism by modifying VLDL, LDL, and HDL subfraction distribution and size in overweight men. J Nutr. 2006 Feb;136(2):384-9. doi: 10.1093/jn/136.2.384; https://pubmed.ncbi.nlm.nih.gov/16424116/
  15. Foster GD, Wyatt HR, Hill JO, McGuckin BG, Brill C, Mohammed BS, Szapary PO, Rader DJ, Edman JS, Klein S. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med. 2003 May 22;348(21):2082-90. doi: 10.1056/NEJMoa022207; https://pubmed.ncbi.nlm.nih.gov/12761365/
  16. Brinkworth GD, Noakes M, Buckley JD, Keogh JB, Clifton PM. Long-term effects of a very-low-carbohydrate weight loss diet compared with an isocaloric low-fat diet after 12 mo. Am J Clin Nutr. 2009 Jul;90(1):23-32. doi: 10.3945/ajcn.2008.27326; https://pubmed.ncbi.nlm.nih.gov/19439458/
  17. Watanabe, Mikiko, et al. “Beneficial Effects of the Ketogenic Diet on Nonalcoholic Fatty Liver Disease: A Comprehensive Review of the Literature.” Obesity Reviews, 24 Mar. 2020, 10.1111/obr.13024; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7379247/
  18. Li, Jian, et al. “Ketogenic Diet in Women with Polycystic Ovary Syndrome and Liver Dysfunction Who Are Obese: A Randomized, Open‐Label, Parallel‐Group, Controlled Pilot Trial.” Journal of Obstetrics and Gynaecology Research, vol. 47, no. 3, 18 Jan. 2021, pp. 1145–1152, 10.1111/jog.14650; https://pubmed.ncbi.nlm.nih.gov/33462940/
  19. Castaldo, Giuseppe, et al. “Effect of Very-Low-Calorie Ketogenic Diet on Psoriasis Patients: A Nuclear Magnetic Resonance-Based Metabolomic Study.” Journal of Proteome Research, vol. 20, no. 3, 9 Nov. 2020, pp. 1509–1521, 10.1021/acs.jproteome.0c00646; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016365/
  20. Włodarczyk, Adam, et al. “Ketogenic Diet: A Dietary Modification as an Anxiolytic Approach?” Nutrients, vol. 12, no. 12, 14 Dec. 2020, p. 3822, 10.3390/nu12123822; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7765029/
  21. Seyfried, Thomas N., et al. “Press-Pulse: A Novel Therapeutic Strategy for the Metabolic Management of Cancer.” Nutrition & Metabolism, vol. 14, no. 1, 23 Feb. 2017, 10.1186/s12986-017-0178-2; https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/s12986-017-0178-2
  22. Westman, Eric C et al. “The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus.” Nutrition & metabolism vol. 5 36. 19 Dec. 2008, doi:10.1186/1743-7075-5-36; https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC2633336/
  23. McKenzie, Amy L, et al. “A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes.” JMIR Diabetes, vol. 2, no. 1, 7 Mar. 2017, p. e5, 10.2196/diabetes.6981; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238887/
  24. Hallberg, Sarah J., et al. “Effectiveness and Safety of a Novel Care Model for the Management of Type 2 Diabetes at 1 Year: An Open-Label, Non-Randomized, Controlled Study.” Diabetes Therapy, vol. 9, no. 2, 7 Feb. 2018, pp. 583–612, 10.1007/s13300-018-0373-9; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104272/
  25. Athinarayanan, Shaminie J., et al. “Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-Randomized Clinical Trial.” Frontiers in Endocrinology, vol. 10, 5 June 2019, 10.3389/fendo.2019.00348; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6561315/
  26. McClernon FJ, Yancy WS Jr, Eberstein JA, Atkins RC, Westman EC. The effects of a low-carbohydrate ketogenic diet and a low-fat diet on mood, hunger, and other self-reported symptoms. Obesity (Silver Spring). 2007 Jan;15(1):182-7. doi: 10.1038/oby.2007.516; https://pubmed.ncbi.nlm.nih.gov/17228046/
  27. Ludwig, David S, et al. “Do Lower-Carbohydrate Diets Increase Total Energy Expenditure? An Updated and Reanalyzed Meta-Analysis of 29 Controlled-Feeding Studies.” The Journal of Nutrition, 3 Dec. 2020, 10.1093/jn/nxaa350; https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7948201
  28. Volek J, Sharman M, Gómez A, Judelson D, Rubin M, Watson G, Sokmen B, Silvestre R, French D, Kraemer W. “Comparison of energy-restricted very low-carbohydrate and low-fat diets on weight loss and body composition in overweight men and women”; Nutr Metab (Lond). 2004 Nov 8;1(1):13. doi: 10.1186/1743-7075-1-13; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC538279/
  29. Wheless, James W. “History of the Ketogenic Diet.” Epilepsia, vol. 49 Suppl 8, no. s8, 4 Nov. 2008, pp. 3–5, 10.1111/j.1528-1167.2008.01821.x; https://pubmed.ncbi.nlm.nih.gov/19049574/
  30. Okuda, Y., et al. “Ketone Body Utilization and Its Metabolic Effect in Resting Muscles of Normal and Streptozotocin-Diabetic Rats.” Endocrinologia Japonica, vol. 38, no. 3, 1 June 1991, pp. 245–251, 10.1507/endocrj1954.38.245; https://pubmed.ncbi.nlm.nih.gov/1838977/
  31. Dearlove, David J., et al. “Nutritional Ketoacidosis during Incremental Exercise in Healthy Athletes.” Frontiers in Physiology, vol. 10, 29 Mar. 2019, 10.3389/fphys.2019.00290; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450328/
  32. Evans, Mark, and Brendan Egan. “Intermittent Running and Cognitive Performance after Ketone Ester Ingestion.” Medicine & Science in Sports & Exercise, vol. 50, no. 11, Nov. 2018, pp. 2330–2338, 10.1249/mss.0000000000001700; https://pubmed.ncbi.nlm.nih.gov/29944604/
  33. Cox, Pete J., et al. “Nutritional Ketosis Alters Fuel Preference and Thereby Endurance Performance in Athletes.” Cell Metabolism, vol. 24, no. 2, Aug. 2016, pp. 256–268, 10.1016/j.cmet.2016.07.010; https://www.cell.com/cell-metabolism/fulltext/S1550-4131(16)30355-2
  34. Scott, Benjamin E., et al. “The Effect of 1,3-Butanediol and Carbohydrate Supplementation on Running Performance.” Journal of Science and Medicine in Sport, vol. 22, no. 6, 1 June 2019, pp. 702–706, 10.1016/j.jsams.2018.11.027; https://pubmed.ncbi.nlm.nih.gov/30553764/
  35. Stubbs, Brianna J., et al. “A Ketone Ester Drink Lowers Human Ghrelin and Appetite.” Obesity, vol. 26, no. 2, 6 Nov. 2017, pp. 269–273, 10.1002/oby.22051; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5813183/
  36. Davis, Rachel A H et al. “Dietary R, S-1,3-butanediol diacetoacetate reduces body weight and adiposity in obese mice fed a high-fat diet.” FASEB journal : official publication of the Federation of American Societies for Experimental Biology vol. 33,2 (2019): 2409-2421. doi:10.1096/fj.201800821RR; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338649/
  37. Kashiwaya, Yoshihiro, et al. “A Ketone Ester Diet Exhibits Anxiolytic and Cognition-Sparing Properties, and Lessens Amyloid and Tau Pathologies in a Mouse Model of Alzheimer’s Disease.” Neurobiology of Aging, vol. 34, no. 6, June 2013, pp. 1530–1539, 10.1016/j.neurobiolaging.2012.11.023; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619192/
  38. Ari, Csilla, et al. “Exogenous Ketone Supplements Reduce Anxiety-Related Behavior in Sprague-Dawley and Wistar Albino Glaxo/Rijswijk Rats.” Frontiers in Molecular Neuroscience, vol. 9, 6 Dec. 2016, 10.3389/fnmol.2016.00137; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138218/
  39. Stubbs, Brianna J et al. “On the Metabolism of Exogenous Ketones in Humans.” Frontiers in physiology vol. 8 848. 30 Oct. 2017, doi:10.3389/fphys.2017.00848; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670148/
  40. Holland, Angelia M., et al. “Blood and Cardiovascular Health Parameters after Supplementing with Ketone Salts for Six Weeks.” Journal of Insulin Resistance, vol. 4, no. 1, 24 Apr. 2019, 10.4102/jir.v4i1.47; https://insulinresistance.org/index.php/jir/article/view/47/172
  41. Caminhotto, Rennan de Oliveira, et al. “Oral β-Hydroxybutyrate Increases Ketonemia, Decreases Visceral Adipocyte Volume and Improves Serum Lipid Profile in Wistar Rats.” Nutrition & Metabolism, vol. 14, no. 1, 24 Apr. 2017, 10.1186/s12986-017-0184-4; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5404327/
  42. Cuenoud, Bernard, et al. “Metabolism of Exogenous D-Beta-Hydroxybutyrate, an Energy Substrate Avidly Consumed by the Heart and Kidney.” Frontiers in Nutrition, vol. 7, 19 Feb. 2020, 10.3389/fnut.2020.00013; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7042179/
  43. Stubbs, Brianna J., et al. “On the Metabolism of Exogenous Ketones in Humans.” Frontiers in Physiology, vol. 8, 30 Oct. 2017, 10.3389/fphys.2017.00848; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670148/
  44. Newman, John C., and Eric Verdin. “β-Hydroxybutyrate: A Signaling Metabolite.” Annual Review of Nutrition, vol. 37, no. 1, 21 Aug. 2017, pp. 51–76, 10.1146/annurev-nutr-071816-064916; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6640868/
  45. Borges, Frank, et al; “Partially buffered free acid and/or ketone blend for rapid onset ketosis and metabolic therapy”; United States Patent US20180057846A1; March 1, 2018; https://patents.google.com/patent/US20180057846A1/en
  46. Axcess Global Sciences, LLC; “goBHB Trademark Information”; Trademarkia; Retrieved May 31, 2022; https://trademark.trademarkia.com/gobhb-86834808.html
  47. Vlahakos, Victor; “Weight loss medication and method”; United States Patent US6613356B1; September 2, 2003; https://patents.google.com/patent/US6613356B1/en
  48. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use”; United States Patent US10245242B1; April 2, 2019; https://patents.google.com/patent/US10245242B1/en
  49. Millet, Gary; “Mixed salt compositions for maintaining or restoring electrolyte balance while producing elevated and sustained ketosis”; United States Patent US10292952B2; May 21, 2019; https://patents.google.com/patent/US10292952B2/en
  50. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use”; United States Patent US10588876B2; March 17, 2020; https://patents.google.com/patent/US10588876B2/en
  51. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use”; United States Patent US10596129B2; March 24, 2020; https://patents.google.com/patent/US10596129B2/en
  52. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use”; United States Patent US10596131B2; March 24, 2020; https://patents.google.com/patent/US10596131B2/en
  53. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the S-enantiomer and methods of use”; United States Patent US10245243B1; April 2, 2019; https://patents.google.com/patent/US10245243B1/en
  54. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the S-enantiomer and methods of use”; United States Patent US10596128B2; March 24, 2020; https://patents.google.com/patent/US10596128B2/en
  55. Millet, Gary; “Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the S-enantiomer and methods of use”; United States Patent US10596130B2; March 24, 2020; https://patents.google.com/patent/US10596130B2/en
  56. Dominic Paul D’Agostino, Patrick Arnold, and Shannon Kesl; “Compositions and methods for producing elevated and sustained ketosis”; United States Patent US10646462B2; May 12, 2020; https://patents.google.com/patent/US10646462B2/en
  57. Dominic Paul D’Agostino, Patrick Arnold, and Shannon Kesl; “Compositions and methods for producing elevated and sustained ketosis”; United States Patent US9675577B2; June 13, 2017; https://patents.google.com/patent/US9675577B2/en
  58. Dominic Paul D’Agostino, Patrick Arnold, and Shannon Kesl; “Compositions and methods for producing elevated and sustained ketosis”; United States Patent US9138420B2; February 21, 2018; https://patents.google.com/patent/US9675577B2/en; https://patents.google.com/patent/US9138420B2/en

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