Reproductive endocrinology

Ketone supplementation acutely lowers androgen and glucose levels in women with polycystic ovary syndrome: a randomized clinical trial

Eur J EndocrinolPublished Randomised controlled trial

Authors' conclusion

Ketone supplementation acutely lowers androgen and glucose levels in women with PCOS. These findings highlight the potential for ketone-based therapies as a novel treatment for PCOS and suggest the need for long-term clinical trials to further explore these effects.

Study context

Population
Women diagnosed with polycystic ovary syndrome (PCOS)crossover
Participants
20 women
Comparison
Ketone supplement vs taste-matched placebo
Primary endpoint
Circulating androgen and glucose levels
Follow-up
Fasting, after 10 h intervention
Methodological detailsplacebo-controlled, crossover
  • Placebo-controlled
  • Crossover

Primary result

As reported in the abstract

Androgens
Each group vs placeboEstimate (95% CI)P value
BHB
mean reduction, testosterone −13%(−27 to 1)
P = 0.067
BHB
mean reduction, free testosterone −21%(−43% to 1%)
P = 0.057
BHB
mean reduction, androstenedione −14%(−29 to 0)
P = 0.050
BHB
mean reduction, 11-ketotestosterone −21%(−38 to −4)
P = 0.020

Further findings

FPG

mean −10% (−5% to −15%) · P < 0.001

Blood D-β-hydroxybutyrate

P < 0.001

Original publication

Ketone supplementation acutely lowers androgen and glucose levels in women with polycystic ovary syndrome: a randomized clinical trial. Eur J Endocrinol. Published 20 May 2025. doi:10.1093/ejendo/lvaf106

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