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In clinical studies of MCT supplementation, the therapeutic effect on cognition was achieved after oral administration of 38 g (26) and 20 g (27) of MCT resulting in the elevation of plasma HB levels to, correspondingly, 0.430.68 mM and 0.300.40 mM, which is an order of magnitude less than the therapeutic concentrations reported in the KD studies

[2] Medication errors with semaglutide can result in therapeutic failure or serious adverse events, including severe hypoglycemia when combined with insulin or sulfonylureas, and potentially dangerous gastrointestinal complications from overdosing

Gastrointestinal Issues Many individuals who start GLP-1 therapies report gastrointestinal symptoms