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One prominent study used 250mg daily doses, which is likely much more than you’d find in ExtenZe.10 Ketosis is a metabolic state characterized by the presence of elevated ketones in your bloodstream. For others, it has helped boost energy levels, improve cholesterol levels, and control blood sugar. One of the biggest successes of the keto diet is that it can help many people lose weight. Always consult with a qualified healthcare professional prior to beginning any diet or exercise program or taking any dietary supplement. If you know exactly what’s inside your vitamin supplement and it’s low in sugar/carbs then supplementing your food intake with vitamins and minerals can help optimize your micronutrient intake when following a keto diet. There are a number of vitamins and supplements that can help you achieve or maintain ketosis. Some multivitamins may contain ingredients that can kick you out of ketosis. 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