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Understanding the Role of
Exogenous Ketones
By: Dominic D'Agostino
Understanding the Role of Exogenous Ketones
A University of South Florida assistant professor and a respected presence in the KetoNutrition
and ketone research spheres, Dominic D’Agostino, PhD, has extensively studied ketone
supplementation and ketone technologies to preserve muscle mass. One area of professional
focus for Dr. Dominic D’Agostino is on understanding exogenous ketones, and his insights were
featured in a recent blog post on the Charlie Foundation for Ketogenic Therapies website.
Understanding the Role of Exogenous Ketones
Exogenous ketones reflect a search for pathways for inducing therapeutic ketogenic states without
the need for dietary restriction. This has led to the development of ketogenic precursors that, when
ingested, mimic fasting characteristics such as elevated blood ketones and decreased blood
glucose.
Understanding the Role of Exogenous Ketones
Either naturally or synthetically derived, exogenous ketones include ketone esters that are created
through adding AcAc or BHB to a “backbone” molecule that is held together through an ester bond.
Potent and able to increase ketones to a high level for an extended period, ketone esters have
particular promise for therapeutic and anti-seizure applications. Significantly, they do not pose
issues with excess electrolyte minerals, as is the case with ketone salt formulations.

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Understanding the Role of Exogenous Ketones

  • 1. Understanding the Role of Exogenous Ketones By: Dominic D'Agostino
  • 2. Understanding the Role of Exogenous Ketones A University of South Florida assistant professor and a respected presence in the KetoNutrition and ketone research spheres, Dominic D’Agostino, PhD, has extensively studied ketone supplementation and ketone technologies to preserve muscle mass. One area of professional focus for Dr. Dominic D’Agostino is on understanding exogenous ketones, and his insights were featured in a recent blog post on the Charlie Foundation for Ketogenic Therapies website.
  • 3. Understanding the Role of Exogenous Ketones Exogenous ketones reflect a search for pathways for inducing therapeutic ketogenic states without the need for dietary restriction. This has led to the development of ketogenic precursors that, when ingested, mimic fasting characteristics such as elevated blood ketones and decreased blood glucose.
  • 4. Understanding the Role of Exogenous Ketones Either naturally or synthetically derived, exogenous ketones include ketone esters that are created through adding AcAc or BHB to a “backbone” molecule that is held together through an ester bond. Potent and able to increase ketones to a high level for an extended period, ketone esters have particular promise for therapeutic and anti-seizure applications. Significantly, they do not pose issues with excess electrolyte minerals, as is the case with ketone salt formulations.