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Among them, -HB is the major ketone body oxidized in the heart

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Banas, M.D

doi: 10.1159/000019624

glucose is the primary fuel Early fasting : Glycogen breakdown supplies glucose Prolonged fasting or starvation : Lipid metabolism becomes dominant, with fatty acid oxidation and ketone body utilization This shift protects blood glucose levels and spares protein breakdown, highlighting the survival importance of lipid metabolism

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