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BIR can include low levels of brain insulin as well as resistance at the receptor level and therefore would be better described as a deficiency in brain insulin action (Rhea et al

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In the liver, heptanoate can form the C5 ketones, -ketopentanoate and -hydroxypentanoate, which are released into the blood and can be taken up by neuronal and other cells through monocarboxylate transporters

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