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However, it is important to note that mean ALT and aspartate aminotransferase (AST) levels remained stable or even decreased by the end of the 48-week treatment period

We conducted a randomized, double-blind, placebo-controlled multiple ascending dose phase 1 study at a single center in the Republic of Korea in adults with overweight (BMI 2530 kg/m)

Additionally, elevated 3-hydroxybutyrate an important ketone bodyin EP, may indicate enhanced ketogenesis, likely serving as an alternative energy source in the context of increased energy demands or mitochondrial dysfunction 22

I dont think weve ever seen anything like this