Specific physiological indicators mark the transition into keto-adaptation
Specific physiological indicators, including significant elevations in circulating ketone bodies and alterations in metabolic biomarkers, mark the metabolic shift and transition into keto-adaptation.
The retrieved papers provide strong biochemical and physiological evidence demonstrating that distinct indicators such as ketone bodies (e.g., beta-hydroxybutyrate), shifts in insulin, and metabolic pathway changes mark the transition into a state of ketosis or keto-adaptation.
Bråtveit M, Strømland PP, Laupsa-Borge J, Skumsnes L, Dagsland VH, Kvistad S, Vogt EC, McCann A, Thorsen HL, Diamantopoulos AP, Nedrebø BG, Mellgren G, Dankel SN. A Very-low-energy Fast Involves Increased Adipose Inflammatory Gene Expression: A 6-day Feeding Trial (FASTOMICS-6).. 2026. https://doi.org/10.1210/clinem/dgaf570
Demonstrates that a very-low-energy fast induces marked changes in ketone bodies, circulating serum markers, and metabolic pathways characteristic of early adaptation.
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Siri M, Hosseini EM, Mazhari SA, Jalali P, Soltaninejad K, Raji MA, Yazdekhasti N, Naseri E, Mohammadi A, Maleki MH. The science of ketogenic supplements for athletes: boosting endurance, efficiency, and energy metabolism.. 2025. https://doi.org/10.1186/s12986-025-01067-z
Examines physiological alterations, molecular processes, and metabolic shifts from carbohydrates to fats during ketosis and keto-adaptation.
Mondal M, Suan TK, Gore PL, Khandelwal L, Sharma R, Karunakaran M, Mohamed Youssef HS, Chakraborty S, Akourki A. Endocrine-metabolic regulation during the transition period in dairy cows: mechanisms, biomarkers, and emerging diagnostics for subclinical ketosis.. 2026. https://doi.org/10.3389/fendo.2026.1799702
Highlights specific endocrine and metabolic biomarkers such as non-esterified fatty acids and beta-hydroxybutyrate that mark metabolic transitions.
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