Riders at the 8-day Cape Epic drank Ketone IQ twice a day and hit about 1 mM blood ketones, yet their fatigue, heart rate, reaction time and recovery looked the same as placebo riders. The double-blind trial tested R-1,3-butanediol in real racing conditions rather than a lab. The authors say the modest ketosis was not effective, and that butanediol should not be confused with ketone esters. With only 18 riders, the study has real limits, but it is a sobering data point for anyone considering a pricey ketone drink for recovery.
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