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Conclusion: Acute ketosis increased skeletal muscle work capacity and ATP consumption in older but not young individuals without affecting metabolic economy or overall mitochondrial function

However, its also important to note that this is relative percentage increase the majority of people in the study did not change their marital status within 5 years of the surgery (i.e., we likely wont see a massive spike in divorce rates)

Two details from the operation matter for the retatrutide story

Roughly 18% of people with T1D and 19% with T2D had BNP 50-100 or NT-proBNP 125-300