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Commonly reported adverse effects are mild and gastrointestinal in nature-such as nausea, abdominal cramping, and diarrhea-particularly at higher salt‑based BHB loads. Lower doses often produce a measurable rise in plasma ketones without gastrointestinal discomfort, while higher doses may cause nausea or bloating due to the sodium or calcium salts used for BHB stabilization. A 2023 randomized crossover trial reported lowered ghrelin (the "hunger hormone") and increased peptide YY (a satiety signal) after a single dose of 15 g BHB in participants following a standard diet. When BHB is ingested, it is absorbed in the small intestine and enters the bloodstream, raising plasma ketone concentrations within 30–60 minutes. They typically contain exogenous ketone precursors such as beta‑hydroxybutyrate (BHB) salts, medium‑chain triglycerides (MCTs), and sometimes natural extracts like green tea catechins. 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