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Humans have the highest levels of circulating DHEAs of all the primates with levels that are generally higher in males (3,200 ng/ml) than those in females (2000 ng/ml) (Nyce, 2021)

Acetoacetic acid (acetoacetate), -hydroxybutyrate, and acetone are crucial derivatives of ketone bodies that serve the purpose of converting to acetyl CoA, thereby contributing to the production of energy [51]

This is likely why it's been touted as a nonprescription alternative to fight depression

With more prominent myositis activity, involvement of pharyngeal and esophageal striated muscles occurs, presenting as dysphagia and dysphonia