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Ketone body utilization occurs in extrahepatic tissues , such as: Brain (during prolonged fasting) Heart muscle Skeletal muscle Renal cortex Ketone bodies are converted back into acetyl-CoA , which enters the TCA cycle to generate ATP

HighFiber Diet and Acetate Supplementation Change the Gut Microbiota and Prevent the Development of Hypertension and Heart Failure in Hypertensive Mice. Circulation 135: 964977