In a randomized crossover study, 12 men consumed 573 mg/kg of ketone monoester plus 110 g glucose (KE+CHO) or 110 g glucose alone (CHO) before and during 90 minutes of steady-state treadmill exercise while wearing a weighted vest. Glucose oxidation and turnover were measured using indirect calorimetry and stable isotopes. Exogenous glucose oxidation, plasma glucose oxidation, and metabolic clearance rate did not differ between treatments, while glucose rate of appearance and disappearance were lower with KE+CHO. Time to exhaustion was 104 s shorter and the 6.4 km time trial was 141 s slower with KE+CHO.
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