Nutritional Ketosis Brain Fuel refers to the utilization of ketone bodies, specifically beta-hydroxybutyrate (BHB), as a primary or supplemental energy substrate for the brain, achieved through a state of controlled nutritional ketosis. This alternative fuel source offers a metabolically cleaner and highly efficient energy supply compared to glucose, particularly beneficial for mitigating neuro-metabolic stress and enhancing cognitive function. This is a clinical strategy to improve brain energy infrastructure and resilience.
Origin
The concept originates from the physiological observation of ketogenesis during fasting or carbohydrate restriction, a process that has been clinically studied since the early 20th century, initially for epilepsy treatment. The term highlights the deliberate, nutritional achievement of this metabolic state for therapeutic and cognitive benefits.
Mechanism
When carbohydrate intake is restricted, the liver begins to break down fatty acids, producing ketone bodies as an alternative fuel source. BHB is readily transported across the blood-brain barrier via monocarboxylate transporters. Once in the brain, it is converted back to acetyl-CoA to enter the Krebs cycle, yielding ATP. This mechanism bypasses potential glucose transport or utilization impairments in the brain, providing a robust, efficient energy source.
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