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As mentioned before, due to the 1‐month duration of this study, it was not possible to explore potential longer‐term glycaemic benefits from inducing sustained exogenous ketosis, such as a reduction in micro‐ and macrovascular complications. Extrapolating these data to 3 months, the magnitude of the effect of KE would be comparable to the decrease in HbA1c achieved by most currently prescribed oral hypoglycaemic medications for T2D,21 but is lower than what has been observed in studies involving ketogenic diets in T2D.2 Safety was assessed weekly by measuring peak βHB blood levels and acid‐base balance. The KE is available as a sports supplement16 and carries benefits over other ketogenic supplements. Given the metabolic and physiological peculiarities of this disease, and the potential benefits of exogenous ketosis on glycaemic control, we aimed to study the safety and tolerability of the KE in patients with T2D. 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