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-Butyrobetaine (-BB) -BB, formed by the oxidation of TMABA, is the immediate precursor to L-carnitine

Ketogenic diet metabolites reduce firing in central neurons by opening K(ATP) channels

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To increase energy uptake, additional alternative metabolic fuels for the CNS and muscle also appear warranted and could include ketones and medium chain fats, but also metabolic intermediates, such as pyruvate, lactate, -ketoglutarate and others

doi: 10.1016/s0197-0186(01)00013-4 423 HeZZhaoYZhuYWangWLiuXLuF

Chronic proximal spinal muscular atrophy of childhood and adolescence: problems of classification and genetic counselling