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however, subsequent doses will be titrated to maintain serum -hydroxybutyrate levels between 1.5 and 2.5 mM, with protocolized monitoring of vital signs, serum pH, glucose levels, and adverse gastrointestinal effects [111]

Unfortunately, the issue goes far beyond just the IV route

Environ Exp Bot 49:6976 Mhamdi A, Hager J, Chaouch S, Queval G, Han Y, Taconnat L, Saindrenan P, Gouia H, Issakidis-Bourquet E, Renou JP, Noctor G (2010) Arabidopsis GLUTATHIONE REDUCTASE1 plays a crucial role in leaf responses to intracellular hydrogen peroxide and in ensuring appropriate gene expression through both salicylic acid and jasmonic acid signaling pathways

After four weeks, participants showed better depression scores compared to baseline, but these outcomes were not different from placebo