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used MSI-CE-MS to measure urine metabolites such as propionylcarnitine (Wild et al., 2019)

Santulli, G., Kansakar, U., Varzideh, F., Mone, P., Jankauskas, S

In the liver, ketone bodies originate from fatty acids and other precursors under conditions of intense gluconeogenesis, as when the liver glycogen stores have been depleted, and ketosis is defined as the metabolic state in which circulating ketone bodies are elevated above normal levels

They demonstrated these PCOS patients have significantly lower total LC (40.5 5.7 mol/L

Our results showed that hunger-free fasting was able to reduce -GGT concentrations to a greater extent than modified fasting