Targeted Nutritional Ketosis is a highly controlled dietary regimen designed to induce a metabolic state where the body preferentially utilizes ketone bodies, derived from fat breakdown, as its primary fuel source instead of glucose. Unlike a standard ketogenic diet, “targeted” refers to the strategic timing of carbohydrate re-feeding around periods of intense physical activity to replenish muscle glycogen without exiting the metabolic state for prolonged periods. This regimen is clinically employed for enhancing metabolic flexibility, promoting fat oxidation, and potentially improving neurocognitive function.
Origin
This term combines the metabolic state of “ketosis,” derived from the physiological process of ketogenesis, with the strategic planning inherent in a “targeted nutritional” approach. It is an evolution of the traditional ketogenic diet used in clinical settings for conditions like epilepsy.
Mechanism
The mechanism is initiated by severe carbohydrate restriction, which depletes liver glycogen stores and lowers circulating insulin levels, thereby signaling the liver to increase fatty acid oxidation. This process produces ketone bodies—beta-hydroxybutyrate (BHB), acetoacetate, and acetone—which the brain and muscles can efficiently use for energy. The targeted re-feeding strategy leverages insulin’s temporary anabolic signal to drive glucose into muscle tissue while maintaining the underlying metabolic machinery for ketone production.
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