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First Principle: Proportionality A defining feature of chronic energy flux constriction is that gradual shifts in substrate availability may reduce ATP/NADH generation efficiency and redox buffering reserve without exceeding conventional diagnostic thresholds

(PubMed) Ashor AW, Werner AD, Lara J, Willis ND, Mathers JC, Siervo M

It also inhibits gut motility and secretion and regulates food intake

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The higher the concentration of ketone bodies in the blood, the more pungent the smell is likely to be