Ketone Body Infusion Abrogates Growth Hormone–Induced Lipolysis and Insulin Resistance

J Clin Endocrinol MetabPublished Randomised crossover trial

Authors' conclusion

Our data unravel an insulin-sensitizing effect of βOHB, which we suggest is mediated by concomitant suppression of lipolysis.

Study context

Population
Healthy men; Growth hormone (GH) infusion to induce lipolysiscrossover
Participants
8 men
Comparison
βOHB infusion vs saline during GH infusion
  • βOHBn = 8
  • Salinen = 8reference
Primary endpoint
Insulin sensitivity (hyperinsulinemic-euglycemic clamp with glucose tracer)
Methodological detailssingle-blinded, Each study day: basal period and hyperinsulinemic-euglycemic clamp with glucose tracer, adipose tissue and skeletal muscle biopsies
  • Single-blinded
  • Each study day: basal period and hyperinsulinemic-euglycemic clamp with glucose tracer, adipose tissue and skeletal muscle biopsies

Primary result

As reported in the abstract

  • βOHB profoundly suppressed free fatty acid (FFA) levels
  • Significant increase in glucose disposal with βOHB
  • Significant increase in energy expenditure with βOHB

Further findings

Many-fold increase in skeletal muscle content of βOHB and acetoacetate

Original publication

Ketone Body Infusion Abrogates Growth Hormone–Induced Lipolysis and Insulin Resistance. J Clin Endocrinol Metab. Published 14 October 2022. doi:10.1210/clinem/dgac595

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