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Availability of data and materials This published article and its supplementary information files include all data generated or analyzed during this study

At week 4, women in the treatment group displayed improved skin elasticity (+12.7%), reduced wrinkle volume (16.5%), decreased transepidermal water loss (10.8%), increased hydration (+3.5%), and enhanced collagen density compared with baseline values (measured via specialized skin analysis instrumentation)

To confirm that, human embryonic kidney 293 (HEK293) cells were incubated with varying levels of -hydroxybutyrate for 8 h

Its often used alongside healthy diet and exercise for weight management support