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Brianna J. Stubbs, Pete J. Cox, Tom Kirk, Rhys D. Evans and Kieran Clarke

–e) Schematic showing protocol for all studies. KME = ketone monoester; KS = ketone salt; βHB = beta-hydroxybutyrate. Using ketone drinks to achieve “fed ketosis” may improve athletic performance and recovery. Early studies indicate that a ketone monoester (KME; R -3-hydroxybutyl- R -1,3-hydroxybutyrate) may improve

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Hunter S. Waldman, Brandon D. Shepherd, Brendan Egan and Matthew J. McAllister

continued for ∼20 min in total. ONF = overnight fast; PLA = placebo; KS = ketone salt; V ˙ O 2 peak = peak oxygen uptake ; DSC = dual-stress challenge; HR = heart rate; RPE = rating of perceived exertion. The participants completed a total of four visits comprised of an assessment of aerobic fitness (Visit