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A key enzyme in the anabolic utilization of ketone bodies is cytosolic acetoacetyl-CoA synthetase, which catalyses the coupling of acetoacetate to CoA in a reaction dependent on ATP with acetoacetyl-CoA as the product
Black pepper extract, standardized to 95% piperine, is included to significantly improve the absorption and bioavailability of both acetyl L-carnitine and EGCG
International Journal of Physiology, Pathophysiology and Pharmacology, 4(2), 5973
Other factors to consider include concurrent medications that are known to cause taste disturbances, and underlying conditions such as vitamin B12 deficiency
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