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A vegetarian or vegan diet (B12 is found mainly in animal products) Digestive disorders like IBS or Crohns Medications (e.g

Injectable B12 is the primary management strategy for those with altered gastric acidity and/or Intrinsic Factor

Once out of the mitochondria the ketone bodies are transported into the blood via the action of the plasma membrane localized monocarboxylate transporter 1 (MCT1) or MCT2 which are encoded by the SLC16A1 and SLC16A7 genes, respectively

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