WO2023212319A1 - Administration d'un mélange de sels de r-bêta-hydroxybutyrate et de composés apparentés chez l'homme - Google Patents

Administration d'un mélange de sels de r-bêta-hydroxybutyrate et de composés apparentés chez l'homme Download PDF

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WO2023212319A1
WO2023212319A1 PCT/US2023/020407 US2023020407W WO2023212319A1 WO 2023212319 A1 WO2023212319 A1 WO 2023212319A1 US 2023020407 W US2023020407 W US 2023020407W WO 2023212319 A1 WO2023212319 A1 WO 2023212319A1
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beta
hydroxybutyrate
approximately
administration
implementations
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Ryan LOWERY
Jacob Wilson
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Axcess Global Sciences LLC
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Axcess Global Sciences LLC
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/185—Acids; Anhydrides, halides or salts thereof, e.g. sulfur acids, imidic, hydrazonic or hydroximic acids
    • A61K31/19—Carboxylic acids, e.g. valproic acid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06—Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca

Definitions

  • the present invention relates to administration of one or more betahydroxybutyrates to humans.
  • Ketone salts are comprised of beta-hydroxy butyrate bound to various minerals such as calcium, magnesium, potassium, and sodium.
  • a typical formulation blend balances the ratio of each of these salts, as it is commonly believed that a balance blend is likely ideal and there is not believed to be an advantage to altering the balanced blend.
  • a pharmaceutically effective amount of an R-beta- hydroxybutyrate salt blend may be administered.
  • the R-beta-hydroxybutyrate salt blend may include butyrate, beta-hydroxybutyrate(s), related compounds, and/or one or more other compounds may be administered to an individual.
  • the pharmaceutically effective amount of the R-beta-hydroxybutyrate salt blend may be administered to cause weight loss, weight maintenance, elevate blood ketone levels, maintain blood ketone levels, reduce blood glucose levels, maintain blood glucose levels, improve focus, energy, cognitive function, traumatic brain injury, diabetes, neurological disorders, cancer, inflammatory conditions, suppressing appetite, anti-aging, anti-glycation, epilepsy, depression, performance, strength, muscle mass, fat loss, body composition, increase joint health, decrease inflammation, and/or use as a medicament etc.
  • the pharmaceutically effective amount of the R-beta-hydroxybutyrate salt blend thereof may be administered to healthy individuals and/or not healthy individuals (e.g., with diseases and/or disorders).
  • the R-beta-hydroxybutyrate salt blend may be a composition that includes sodium R-beta-hydroxybutyrate salts; potassium R-beta- hydroxybutyrate; and one or more other salts of R-beta-hydroxybutyrate.
  • the ratio of the weight of both sodium R-beta-hydroxybutyrate and potassium R-beta-hydroxybutyrate to the weight of other types of R-beta-hydroxybutyrate in the composition may be approximately 2.0 to approximately 5.
  • Providing a salt blend in this formulation may provide unexpected results in, for example, increasing and/or maintaining ketosis, increasing and/or maintaining weight loss, increasing performance, increasing metal acuity, increasing cognitive ability (e.g., focus), etc.
  • oral administration of the R-beta-hydroxybutyrate salt blend composition may increase at least one of weight loss, metabolism, fat loss, fat oxidation, joint health, motor function, muscle mass, mental acuity, cognitive functioning, mood, energy, alertness, focus, and/or performance.
  • the oral administration of the composition may maintain ketosis or induce ketosis.
  • the oral administration of the composition may maintain weight loss.
  • Figure 1 illustrates table with glucose levels for subjects after administration of an example administration protocol.
  • Figure 2 illustrates a table of subject responsiveness to an example administration protocol.
  • Figure 3 illustrates a table with blood ketone levels for subjects after administration of an example administration protocol.
  • Figure 4 a table with blood ketone levels for subjects after administration of an example administration protocol.
  • Figure 5 illustrates a table of blood ketone levels over time for 4 subj ects for an implementation of an example administration of D,L-beta-hydroxybutyrate and R/D-beta- hydroxybutyrate.
  • Figure 6 illustrates a table of blood ketone levels over time for an implementation of an example administration of the microencapsulated butyrate compared to traditional sodium butyrate.
  • Figure 7 illustrates a chart including lifespan of rats subject to an implementation of an administration of R-beta-hydroxybutyrate.
  • Figure 8 illustrates a chart illustrating the results of motor skill testing following an implementation of an example administration protocol.
  • Figure 9A illustrates a chart illustrating fat loss results following an implementation of an example administration protocol.
  • Figure 9B illustrates a chart illustrating fat mass and lean mass results following an implementation of an example administration protocol.
  • Figure 10 illustrates a chart illustrating LPL levels in rats following an implementation of an example administration protocol.
  • Figure 11 illustrates a chart illustrating blood ketone levels following an implementation of an example administration protocol.
  • Figure 12 illustrates a chart illustrating improvement over a placebo following an implementation of an example administration protocol.
  • Figure 13 illustrates a chart illustrating perceived exertion following an implementation of an example administration protocol.
  • Figure 14 illustrates a chart illustrating blood ketone levels following an implementation of an example administration protocol.
  • Figure 15 illustrates a chart illustrating blood ketone levels following an implementation of an example administration protocol.
  • Figure 16A illustrates a chart illustrating RER levels following an implementation of an example administration protocol.
  • Figure 16B illustrates a chart illustrating RER levels following an implementation of an example administration protocol.
  • Figure 17A illustrates a chart illustrating perceived hunger following an implementation of an example administration protocol.
  • Figure 17B illustrates a chart illustrating perceived satiety following an implementation of an example administration protocol.
  • Figure 1 7C illustrates a chart illustrating perceived energy following an implementation of an example administration protocol.
  • Figure 18A illustrates a chart illustrating strength test results following an implementation of an example administration protocol.
  • Figure 18B illustrates a chart illustrating strength test results following an implementation of an example administration protocol.
  • Figure 18C illustrates a chart illustrating power results following an implementation of an example administration protocol.
  • Figure 19 illustrates a chart illustrating blood ketone levels following an implementation of an example administration protocol.
  • Figure 20 illustrates a chart illustrating blood ketone levels following an implementation of an example administration protocol.
  • Figure 22A illustrates a table of blood ketone levels over time for a subject for an implementation of an example administration of a balanced blend of R-beta- hydroxybutyrate and an implementation of the R-beta-hydroxybutyrate salt blend composition.
  • Figure 22B illustrates a table of blood ketone levels over time for a subject for an implementation of an example administration of a balanced blend of R-beta- hydroxybutyrate and an implementation of the R-beta-hydroxybutyrate salt blend composition.
  • Figure 23 A illustrates a table of blood ketone levels over time for a subject for an implementation of an example administration of a balanced blend of R-beta- hydroxybutyrate and an implementation of the R-beta-hydroxybutyrate salt blend composition.
  • Figure 23B illustrates a table of blood ketone levels over time for a subject for an implementation of an example administration of a balanced blend of R-beta- hydroxybutyrate and an implementation of the R-beta-hydroxybutyrate salt blend composition.
  • compounds such as butyrate, beta-hydroxybutyrate and/or related compounds (e.g., derivatives, esters, polymers, etc.) can be administered alone or in combination with one or more other compounds. Administration of a pharmaceutically effective amount of these compound(s) may promote and/or maintain weight loss and/or ketosis. In some implementations, blood ketone levels and/or blood glucose levels may be reduced and/or maintained within a predetermined range when a pharmaceutically effective amount of one or more compounds are administered.
  • a health of an individual may be improved and/or maintained by administration of a compound that includes butyrate, beta-hydroxybutyrate and/or related compounds (e.g., derivatives, esters, polymers, etc.).
  • a compound that includes butyrate, beta-hydroxybutyrate and/or related compounds e.g., derivatives, esters, polymers, etc.
  • administration of a pharmaceutically effective amount of berberine metabolites may be administered to humans to manage blood glucose levels (e.g., reduce fasting blood glucose, improve glucose tolerance, etc.).
  • administration of pharmaceutically effective amount of berberine metabolite(s) may maintain and/or increase ketone levels (e.g., blood and/or urine ketone concentration).
  • administration of a pharmaceutically effective amount of berberine metabolite(s) may be therapeutic to humans with diabetes, glucose intolerance, metabolic syndrome, dyslipidemia, and/or obesity/overweight.
  • administration of berberine metabolites may have ergogenic (e.g., performance enhancing) and/or body composition benefits for some individuals (e.g., generally healthy; athletic; etc.) via glucose disposal, insulin sensitivity and ketone sensitivity.
  • administration of a pharmaceutically effective amount of berberine metabolite(s) may lower glycation (e.g., measured by HAlc levels) which may provide anti-aging properties.
  • the amount of berberine metabolite (e.g., dihydroberberine) administered to achieve a predetermined effect may be less than the amount of berberine that would be required to achieve the same predetermined effect.
  • one or more other compounds may be administered with the pharmaceutically effective amount of berberine metabolite, such as a ketone sensitizer (e.g., a compound that is capable of reducing and/or maintaining blood ketone levels independently, such as beta-hydroxybutyrate, short chain fatty acids, medium chain fatty acids, and/or long chain fatty acids).
  • a ketone sensitizer e.g., a compound that is capable of reducing and/or maintaining blood ketone levels independently, such as beta-hydroxybutyrate, short chain fatty acids, medium chain fatty acids, and/or long chain fatty acids.
  • R-beta-hydroxybutyrate salt blend compositions may be administered to individuals.
  • the R-beta-hydroxybutyrate salt blend may include R- beta-hydroxybutyrate and optionally compounds such as butyrate, L-beta- hydroxybutyrate, related compounds (e.g., derivatives, esters, polymers, etc.), and/or one or more other compounds.
  • Administration of a pharmaceutically effective amount of the R-beta-hydroxybutyrate salt blend composition may promote and/or maintain weight loss and/or ketosis.
  • blood ketone levels and/or blood glucose levels may be increased and/or maintained within a predetermined range when a pharmaceutically effective amount of the R-beta-hydroxybutyrate salt blend is administered.
  • the health of an individual e.g., strength, symptoms of disease, mental acuity, fasting glucose levels, etc.
  • compounds such as butyrate, beta-hydroxybutyrate and/or related compounds (e.g., derivatives, esters, polymers, etc.) can be administered alone or in combination with one or more other compounds. Administration of a pharmaceutically effective amount of these compound(s) may promote and/or maintain weight loss and/or ketosis. In some implementations, blood ketone levels and/or blood glucose levels may be reduced and/or maintained within a predetermined range when a pharmaceutically effective amount of one or more compounds are administered.
  • a health of an individual may be improved and/or maintained by administration of a compound that includes butyrate, beta-hydroxybutyrate and/or related compounds (e.g., derivatives, esters, polymers, etc.).
  • a compound that includes butyrate, beta-hydroxybutyrate and/or related compounds e.g., derivatives, esters, polymers, etc.
  • Beta-hydroxybutyrate e.g., R-beta- hydroxybutyrate, L-beta-hydroxybutyrate, and/or D,L-beta-hydroxybutyrate
  • beta-hydroxybutyrate salts e.g., beta-hydroxybutyrate salts and/or beta-hydroxybutyrate esters.
  • beta-hydroxybutyrate may include beta-hydroxybutyrate bound to another compound (e.g., amino acids) and/or polymers of beta-hydroxybutyrate.
  • beta-hydroxybutyrate may include beta-hydroxybutyrate salts, beta-hydroxybutyrate esters, beta- hydroxybutyrate sodium salt (e.g., sodium beta-hydroxybutyrate), beta- hydroxy butyrate potassium salt (e.g., potassium beta-hydroxybutyrate), beta- hydroxybutyrate calcium salt (e.g., calcium beta-hydroxybutyrate), beta-hydroxybutyrate magnesium salt (e.g., magnesium beta-hydroxybutyrate), beta-hydroxybutyrate lithium salt (e.g., lithium beta- hydroxybutyrate), sodium beta-hydroxybutyrate, arginine beta-hydroxybutyrate, lysine beta-hydroxybutyrate, histidine beta-hydroxybutyrate, ornithine beta-hydroxybutyrate, creatine beta-hydroxybutyrate, agmatine beta-
  • the beta- hydroxybutyrate may include beta-hydroxybutyrate salts including (calcium, sodium, magnesium, potassium, zinc, selenium, chromium, other appropriate minerals, and/or combinations thereof.
  • the beta-hydroxybutyrate may be complexed and/or coupled to another compound (e.g., amino acid and/or berberine) and a beta-hydroxybutyrate salt may include a complex (e.g., chelate) that includes a mineral (e.g., calcium, zinc, etc.) and the beta- hydroxybutyrate compound coupled to another compound.
  • the beta-hydroxybutyrate may include single isomer beta-hydroxybutyrate and/or polymer beta-hydroxybutyrate.
  • R-beta-hydroxybutyrate may include single isomer R-beta-hydroxybutyrate and/or polymer R-beta-hydroxybutyrate.
  • beta-hydroxybutyrate may be administered with 1,3 -butanediol, ethyl acetoacetate, ethyl beta-hydroxybutyrate.
  • the beta-hydroxybutyrate may include racemic mixtures and/or individual isomers of beta-hydroxybutyrate. In some implementations, one or more specific chiralities of beta- hydroxybutyrate may be utilized.
  • R-beta- hydroxybutyrate also referred to as D-beta-hydroxybutyrate
  • S-beta-hydroxybutyrate also referred to as L-beta- hydroxybutyrate
  • mixtures e.g., racemic mixtures
  • R-beta-hydroxybutyrate may be included in the composition (e.g., a more purified form of R-beta-hydroxybutyrate rather than D,L-beta-hydroxybutyrate).
  • R-beta-hydroxybutyrate may include less than approximately 10 percent, less than approximately 5 percent, or less than approximately I percent L-beta-hydroxybutyrate.
  • R-beta-hydroxybutyrate may have a greater bioavailability than other chiralities of beta- hydroxybutyrate.
  • R-beta- hydroxybutyrate may have a greater impact on a health of an individual (e.g., due to decreased side effects; increase ketone levels, weight loss, mental acuity, fat loss, etc.) than L-beta-hydroxybutyrate and/or D, L-beta-hydroxybutyrate.
  • R-beta-hydroxybutyrate may cause improvements in health not capable by L-beta-hydroxybutyrate and/or D, L-beta-hydroxybutyrate.
  • R-beta- hydroxybutyrate may have less impurities due to manufacturing, such as less crotonic acid (e.g., which can be harmful to individuals), than other forms of beta-hydroxybutyrate (e.g., L-beta- hydroxybutyrate and/or D, L-beta-hydroxybutyrate).
  • R- beta- hydroxybutyrate may be more capable of binding with other compounds (e.g., purine, lysine, potassium, and/or other amino acids; dihydroberberine; etc.) to deliver the beta- hydroxybutyrate to a human.
  • R-beta-hydroxybutyrate e.g., greater than 90 percent purity of R-beta-hydroxybutyrate and less than 10 percent L-beta-hydroxybutyrate
  • mixtures with R-beta-hydroxybutyrate may be administered to humans.
  • a smaller amount of R-beta-hydroxybutyrate may be as pharmaceutically effective (e.g., in increasing and/or maintaining weight loss; in increasing and/or maintaining elevated ketone levels, etc.) or more pharmaceutically effective as D,L- beta-hydroxybutyrate (e.g., racemic mixture of D- and L-beta- hydroxybutyrate).
  • R-beta-hydroxybutyrate may be administered to achieve approximately the same efficacy as D, L-beta-hydroxybutyrate and/or L-beta- hydroxybutyrate.
  • the R-beta-hydroxybutyrate may be more bioavailable than other chiralities of beta-hydroxy butyrate and thus allow a smaller effective amount than other chiralities.
  • the administration amount of beta- hydroxybutyrate to be reduced (e.g., when compared to the administration amount of D,L- beta-hydroxybutyrate) while providing a pharmaceutically effective amount, such as (e.g., for weight loss and/or maintenance; for elevating and/or maintaining blood ketone levels).
  • a pharmaceutically effective amount such as (e.g., for weight loss and/or maintenance; for elevating and/or maintaining blood ketone levels).
  • Reducing the amount of beta-hydroxybutyrate, when the beta-hydroxybutyrate is provided in salt form may reduce a user's intake of the cation of the salt (e.g., sodium, potassium, etc.).
  • beta-hydroxybutyrate salts such as sodium, potassium, magnesium, and calcium
  • reducing the amount of beta-hydroxybutyrate salt by using R-beta- hydroxybutyrate may inhibit side effects and/or health problems associated salts combined with beta-hydroxybutyrate administration in users.
  • a pharmaceutically effective amount of R-beta- hydroxybutyrate may be administered in an individual to promote and/or maintain ketosis, cause weight loss and/or manage weight, and/or increase blood ketone levels.
  • approximately 0.1 g to approximately 50 g of R-beta-hydroxybutyrate may be administered to an individual.
  • approximately 0.1 g to approximately 15 g of R-beta-hydroxybutyrate may be administered to an individual.
  • approximately 1 g to approximately 10 g of beta-hydroxybutyrate may be administered, for example, once a day to 5 times a day (e.g., to administer up to 50 g of beta- hydroxybutyrate).
  • the administration may cause weight loss and/or maintenance; elevated beta-hydroxybutyrate levels in the blood; elevated, reduced, and/or maintenance of blood ketone levels; induction and/or maintenance of ketosis; and/or reduction; improve mental acuity; improve focus; improve energy; improve cognitive function; reduce traumatic brain injury; improve diabetes; improve glucose tolerance; decrease blood glucose levels; reduce neurological disorders and/or symptoms thereof; improve cancer and/or symptoms thereof; improve inflammatory conditions; suppressing appetite; improve symptoms associated with aging; provide anti-glycation affects; improve epilepsy and/or symptoms thereof; improve depression and/or symptoms thereof; improve performance; improve strength; increase muscle mass; increase fat loss; improve body composition; improve energy; improve focus; improve cognitive function; improve mood and/or well-being; and/or combinations thereof.
  • the beta- hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • the beta-hydroxybutyrate such as R-beta- hydroxybutyrate
  • a compound such as an amino acid.
  • beta-hydroxybutyrate may be coupled to (e.g., chemically bonded to) amino acids, such as leucine, lysine, arginine, histidine, ornithine, creatine, agmatine, citrulline and/or combinations thereof.
  • R-beta- hydroxybutyrate may be utilized rather than other chiralities since R-beta- hydroxybutyrate may be more easily bound to leucine, purine, lysine, and/or other amino acids.
  • beta-hydroxybutyrate that is coupled to an amino acid may reduce the intake of cations associated with beta-hydroxybutyrate salts (e.g., which may inhibit side effects associated with administration) and/or allow administration of another compound that has health benefits (e.g., administration of some amino acid may promote smooth muscle growth and/or cell repair).
  • approximately 0.5 g to approximately 10 g of amino acid may be administered with a beta-hydroxybutyrate.
  • less than approximately 50 g of R-beta-hydroxybutyrate and less than approximately 60 mg of an amino acid, such as leucine, may be administered daily.
  • approximately 0.5 g to approximately 2 g of an amino acid, such as leucine may be administered with a beta-hydroxybutyrate.
  • approximately the composition administered may include approximately 0.1 to approximately 7 g R-beta- hydroxybutyrate and approximately 1-3 g of leucine.
  • the R- beta-hydroxybutyrate and the leucine may be a mixture; administered separately and proximate in timing; a complex, and/or administered in any other appropriate manner.
  • the composition may include R-beta-hydroxybutyrate salt and beta-hydroxy butyrate - amino acid complex (e.g., beta-hydroxybutyrate bound to amino acid, such as R-beta-hydroxybutyrate - leucine complex).
  • R-beta-hydroxybutyrate salt and beta-hydroxy butyrate - amino acid complex e.g., beta-hydroxybutyrate bound to amino acid, such as R-beta-hydroxybutyrate - leucine complex.
  • an individual may be administered a first weight amount of sodium beta-hydroxybutyrate and a second weight amount of beta-hydroxybutyrate amino-acid complex. The first amount and the second amount may be different or the same.
  • the beta-hydroxybutyrate composition may include beta- hydroxybutyrate salt and beta-hydroxybutyrate esters.
  • an individual may be administered a first weight amount of sodium beta-hydroxybutyrate and a second weight amount of beta-hydroxybutyrate ester. The first amount and the second amount may be different or the same.
  • the beta-hydroxybutyrate salt and the beta- hydroxybutyrate ester may be a bound complex, a mixture of compounds, and/or separately administered approximately concurrently.
  • the beta- hydroxybutyrate ester may be in powdered form (e.g., plated beta-hydroxybutyrate ester), liquid and/or gel form.
  • beta-hydroxybutyrate salt and beta- hydroxybutyrate ester during administration may allow less salt to be utilized while producing a result (e.g., weight maintenance and/or loss; enhanced and/or maintained ketosis; elevated blood ketone levels; blood glucose reduction and/or maintenance; increase in energy; increase in mood; increase in performance; and/or increase in cognitive function).
  • elevated ketone levels e.g., elevated blood ketone levels
  • the administration of the first amount of beta-hydroxybutyrate salt may cause a first level of blood ketone level, which may be maintained by processing of the second amount of the beta-hydroxybutyrate ester (e.g., as the body of the individual processes the beta-hydroxybutyrate ester the level of beta-hydroxybutyrate in the blood, and thus blood ketone level, may also increase over time to enhance and/or maintain the initial elevation caused by of the administered beta- hydroxybutyrate salt.).
  • a ratio of beta-hydroxy butyrate to beta-hydroxy butyrate ester may be approximately 1 beta-hydroxybutyrate salt: approximately 1 beta- hydroxybutyrate ester to approximately 1 beta-hydroxybutyrate salt: approximately 20 beta-hydroxybutyrate ester.
  • the ratio of beta-hydroxybutyrate to beta-hydroxybutyrate ester may be approximately 20 beta-hydroxybutyrate salt: approximately 1 beta- hydroxybutyrate ester to approximately 1 beta-hydroxybutyrate salt: approximately 20 beta-hydroxybutyrate ester.
  • a ratio of beta-hydroxy butyrate to beta-hydroxy butyrate ester may be approximately 1 beta-hydroxybutyrate salt: approximately 1 beta-hydroxybutyrate ester to approximately 1 beta-hydroxybutyrate salt: approximately 5 beta-hydroxybutyrate ester.
  • beta-hydroxybutyrate esters derived from alcohols, such as altrose, arabinose, dextrose, erythrose, fructose, galactose, glucose, glycerol, gulose, idose, lactose, lyxose, mannose, ribitol, ribose, ribulose, sucrose, talose, threose, xylitol, xylose, galactosamine, glucosamine, mannosamine, N-acetyl glucosamine, mannitol, sorbitol, threitol, (S)-l,2- propanediol and/or (R)- 1,3 -
  • a derivative of the beta- hydroxybutyrate may include structures of (R)-3 -hydroxybutyric acid and an exemplary ester thereof (a glycerol monoester).
  • the R chirality of the derivatives may be selected for inclusion in the composition in some implementations (e.g., to deliver R- beta- hydroxybutyrate with the administration of the compound).
  • butyrate, beta-hydroxybutyrate (e.g., R-beta- hydroxybutyrate), related compounds, and/or combinations thereof may be administered along with one or more additional compounds.
  • the additional compounds may or may not be capable of independently increasing ketone levels, maintaining ketone levels, inducing ketosis, and/or maintaining ketosis.
  • additional compounds capable of independently increasing blood ketone levels may include short chain fatty acids (e.g., fatty acid with between 2 carbons than 6 carbons), short chain triglycerides (e.g., triglycerides with less than 6 carbons), medium chain fatty acids (e.g., fatty acid with 6-12 carbons), medium chain triglycerides (e.g., triglycerides with 7-12 carbons), long chain fatty acids (e.g., fatty acids with more than 12 carbons), long chain triglycerides (e.g., triglycerides with more than 12 carbons), and/or combinations thereof.
  • short chain fatty acids e.g., fatty acid with between 2 carbons than 6 carbons
  • short chain triglycerides e.g., triglycerides with less than 6 carbons
  • medium chain fatty acids e.g., fatty acid with 6-12 carbons
  • medium chain triglycerides e.g.,
  • short chain fatty acids and/or triglycerides may include acetate, propionate, and/or butyrate.
  • Medium chain fatty acids and/or triglycerides may include lauric acid and/or coconut oil, coconut milk powder, fractionated coconut oil, isolated hexanoic acid, isolated octanoic acid, isolated decanoic acid, ethoxylated triglyceride, triglyceride derivatives thereof, aldehyde triglyceride derivatives thereof, monoglyceride derivatives thereof, diglyceride derivatives thereof, triglyceride derivatives thereof, and/or alkyl esters thereof.
  • Long chain fatty acids and/or triglycerides may include dairy products and/or palm oil.
  • a composition including R-beta- hydroxybutyrate and an additional compound that is independently capable of increasing ketone levels may increase ketone levels greater than merely the capability of each component individually (e.g., greater than an additive increase).
  • the composition may include R-beta-hydroxybutyrate and an additional compound independently capable of increasing ketone levels such as caffeine.
  • the composition may include approximately 0.5 mg to approximately 50 g of R-beta-hydroxybutyrate and caffeine.
  • the composition may include approximately 0.5 mg to approximately 15 g of R-beta- hydroxybutyrate and less than approximately 500 mg of caffeine.
  • the composition may include approximately 0.5 mg to approximately 15 g of R-beta-hydroxybutyrate and approximately 5 mg to approximately 500 mg of caffeine. In some implementations, the composition may include approximately 0.5 mg to approximately 15 g of R-beta- hydroxybutyrate and approximately 10 mg to approximately 150 mg of caffeine. In some implementations, the composition may include approximately 0.5 mg to approximately 15 g of R-beta-hydroxybutyrate and approximately 10 mg to approximately 50 mg of caffeine.
  • the composition with R-beta-hydroxybutyrate (e.g., R- beta-hydroxybutyrate including at least one R-beta-hydroxybutyrate salt) and caffeine may increase and or maintain ketosis, weight loss, fat loss, and/or mental acuity.
  • the composition with R-beta-hydroxybutyrate may increase mental processes (e.g., acuity including cognitive functioning, mood, energy, alertness, focus, performance, effects of aging, etc.); improve and/or maintain body composition; function as a therapeutic for one or more of the described conditions or disorders (e.g., treat neurological disorders); and/or combinations thereof.
  • mental processes e.g., acuity including cognitive functioning, mood, energy, alertness, focus, performance, effects of aging, etc.
  • improve and/or maintain body composition function as a therapeutic for one or more of the described conditions or disorders (e.g., treat neurological disorders); and/or combinations thereof.
  • the composition may include R-beta-hydroxybutyrate and an additional compound independently capable of increasing ketone levels, such as 1, 3,7,9- Tetramethyluric acid (commercially available as theacrine; and/or commercially available as TeaCrine® from Compound Solutions, California, USA).
  • the composition may include approximately 0.5 mg to approximately 15 g of R-beta- hydroxybutyrate and less than approximately 500 mg of 1,3,7,9-Tetramethyluric acid.
  • the composition may include approximately 5 mg to approximately 15 g of R-beta-hydroxybutyrate and less than approximately 500 mg of 1,3,7,9- Tetramethyluric acid.
  • a pharmaceutically effective amount of one or more short chain fatty acids and/or one or more short chain triglycerides may be administered with a pharmaceutically effective amount of beta-hydroxybutyrate.
  • approximately 1 g to approximately 10 g of beta- hydroxybutyrate and approximately 0.1 g to approximately 50 g of short chain fatty acid and/or triglyceride may be administered from once a day to approximately 5 times a day.
  • approximately 1g to approximately 3 g of beta- hydroxybutyrate and approximately 1 g of short chain fatty acid and/or triglyceride may be administered from once a day to approximately 5 times a day.
  • the short chain fatty acid and/or triglyceride may include butyrate or derivatives of butyrate.
  • Butyrate and/or derivatives of butyrate may be administered with and/or without beta-hydroxybutyrate to manage metabolic conditions, such as ketosis, and/or for other appropriate therapeutic purposes.
  • Administered butyrate may be converted to beta-hydroxybutyrate in humans, and thus may increase the amount of beta- hydroxybutyrate delivered to the user.
  • administration of butyrate and beta-hydroxybutyrate may promote hGH synthesis, improve basal and GHRH-induced hGH- secretion, increase muscle fiber cross- sectional area, inhibit intramuscular fat accumulation; reduce fat mass in a user; improve glucose metabolism; increase markers of mitochondrial biogenesis in skeletal muscle and/or whole-body oxygen consumption; reduced markers of oxidative stress and apoptosis and altered antioxidant enzyme activity; cause butyrate enhanced intracellular free cytosolic calcium levels (e.g., by acting through GPR41 and 43); increase betahydroxybutyrate levels; and/or support barrier function(s) in the gut and/or reduce inflammation associated with ulcerative colitis.
  • beta-hydroxybutyrate Since butyrate is processed by the body to provide beta- hydroxybutyrate, the delivery of beta-hydroxy butyrate via the butyrate may supplement the directly administered beta-hydroxybutyrate to maintain a level of betahydroxybutyrate in the blood (e.g., to promote ketosis, weight loss and/or management, etc.).
  • butyrate and/or butyric acid may not be palatable to individuals (e.g., since the odor and taste are often compared to vomit).
  • butyrate and/or beta-hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • the butyrate and/or beta-hydroxybutyrate may be encapsulated, microemulsion, liposomes, agglomeration, masking/flavoring technologies, and/or otherwise processed as appropriate to reduce organoleptic reactions from individuals administered the described composition(s).
  • microencapsulated butyrate, beta-hydroxybutyrate, and/or butyric acid may be utilized (e.g., in combination with beta- hydroxybutyrate).
  • Using microencapsulated butyrate, beta-hydroxy butyrate, and/or butyric acid may increase individual satisfaction and/or compliance with an administration schedule since odor from the butyrate and/or butyric acid may be reduced and/or removed.
  • the microencapsulated butyrate, beta- hydroxybutyrate, and/or butyric acid may be a free-flowing granular powder; dispersible in water; stable in acidic water solution for 30 minutes; allow controlled release in stomach and/or small intestines; inhibit glucose response (e.g., to any added materials); and/or allow delivery of a high butyrate content (e.g., around 70%).
  • a pharmaceutically effective amount of butyrate may be administered via triglyceride tributyrin (e.g., glyceryl tributyrate or tributyrin).
  • the butyrate via triglyceride tributyrin may be administered separately and/or in conjunction with one or more of the other described compounds (e.g., beta-hydroxybutyrate, fatty acids and/or esters, etc.).
  • the other described compounds e.g., beta-hydroxybutyrate, fatty acids and/or esters, etc.
  • up to approximately 200 mg/kg of the individual may be administered (e.g., up to 3 times daily).
  • Administration of the tributyrin may allow a delayed release of butyrate to the body as the tributyrin is processed by the body of the individual.
  • the tributyrin may be unencapsulated and/or encapsulated (e.g., mi croencap sul ated) .
  • administration of beta-hydroxybutyrate and a short chain compound may unexpectedly increase beta-hydroxybutyrate concentrations in the blood more than the administration of similar amounts of beta-hydroxybutyrate and medium chain compounds (e.g., short chain fatty acid and/or short chain triglyceride) and/or may increase beta- hydroxybutyrate concentrations in the blood more than each component individually.
  • a short chain compound e.g., short chain fatty acid and/or short chain triglyceride
  • medium chain compounds e.g., short chain fatty acid and/or short chain triglyceride
  • a pharmaceutically effective amount of beta- hydroxybutyrate may be administered with a pharmaceutically effective amount of long chain fatty acid and/or triglyceride.
  • 0.1-50 g of beta-hydroxybutyrate and 0.1 to 50 g of long chain fatty acid may be administered to an individual between 1-5 times a day.
  • approximately 1 g to approximately 3 g of beta- hydroxybutyrate and approximately 1 g of long chain fatty acid and/or triglyceride may be administered from once a day to approximately 5 times a day.
  • beta-hydroxybutyrate, short chain compound(s) e.g., fatty acids and/or triglycerides, butyrate
  • medium chain compound(s) e.g., fatty acids and/or triglycerides
  • beta-hydroxybutyrate, short chain compound(s) e.g., fatty acids and/or triglycerides, butyrate
  • medium chain compound(s) e.g., fatty acids and/or triglycerides
  • approximately 0. 1 g to approximately 50 g beta-hydroxybutyrate, approximately 0. 1 g to approximately 50 g short chain triglyceride, and approximately 0. 1 g to approximately 50 g medium chain fatty acid such as lauric acid and/or coconut oil may be administered between 1-5 times a day.
  • approximately 1 g to approximately 3 g of beta-hydroxybutyrate and approximately 1 g of short chain fatty acid and/or triglyceride and/or approximately 1 g of medium chain fatty acid and/or triglyceride may be administered from once a day to approximately 5 times a day.
  • approximately 0.1 g to approximately 20 g beta- hydroxybutyrate e.g., salts, esters, isomers, and/or other appropriate forms
  • approximately 0.1 g to approximately 20g butyrate may be administered in humans.
  • beta- hydroxybutyrate such as berberine and/or associated metabolites (e.g., dihydroberberine and/or tetrahydroberberine).
  • berberine and/or associated metabolites e.g., dihydroberberine and/or tetrahydroberberine.
  • U.S. Patent No. 10,278,961 entitled “Administration Of Dihydroberberine” to Lowery et al describes dihydroberberine administration with ketone sensitizers such as beta- hydroxybutyrate, and is hereby fully incorporated herein.
  • one or more beta-hydroxybutyrates and/or other compounds described herein may be utilized as a ketone sensitizer with the dihydroberberine.
  • directly administering beta-hydroxybutyrate plus another compound that is processed to deliver beta-hydroxybutyrate may allow a first level of beta- hydroxybutyrate in the blood to be maintained over a period of time.
  • beta-hydroxybutyrate may elevate blood beta-hydroxybutyrate levels to a first concentration and this concentration may be approximately maintained over a period of time by providing additional beta-hydroxybutyrate via another compound administered approximately concurrently (e.g., short chain fatty acid and/or triglyceride, beta- hydroxybutyrate ester, beta-hydroxybutyrate polymer, beta- hydroxybutyrate amino acid complex, etc.).
  • another compound administered approximately concurrently e.g., short chain fatty acid and/or triglyceride, beta- hydroxybutyrate ester, beta-hydroxybutyrate polymer, beta- hydroxybutyrate amino acid complex, etc.
  • one or more other compounds may be administered (e.g., included in the composition and/or separately administered) with the butyrate (e.g., microencapsulated butyrate), beta-hydroxybutyrate (e.g., R-beta-hydroxybutyrate) and/or fatty acids or esters, such as short chain fatty acids.
  • the butyrate e.g., microencapsulated butyrate
  • beta-hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • fatty acids or esters such as short chain fatty acids.
  • compositions may include, but are not limited to amino acids, amino acid metabolites, vitamins, minerals, coconut milk powder, flavorings, colorings, binders, electrolytes, tetrahydrobiopeterin, nucleic acids, alpha-ketoglutaric acid, alpha lipoic acid, nutritional co-factors, beta-methyl-beta- hydroxybutyrate, arginine alpha-ketoglutarate, R-alpha lipoic acid, thiamine, NAD+, NADH, riboflavin, FAD+, FADH, riboflavin-5-phosphate, niacin, nicotinic acid, niacinamide, inositol hexanicotinate, pyridoxine, pyridoxal, pyridoxamine, ascorbic acid and ascorbate salts, citric acid, malic acid, sodium benzoate, Pyridoxal-5-Phosphate, methylcobalamin, cyanocobalamin,
  • administration of a composition that includes beta- hydroxybutyrate may improve the health of an individual.
  • R-beta-hydroxybutyrate may be capable of providing a greater impact on the health of an individual than D,L-beta- hydroxybutyrate and/or L-beta-hydroxybutyrate.
  • L-beta- hydroxybutyrate may decrease the effectiveness of R-beta-hydroxybutyrate with respect to at least a portion of the impact on health. With respect to some impacts on health, L- betahydroxybutyrate may have no impact on health.
  • even double the amount of D,L-beta-hydroxybutyrate may not achieve some of the same results (e.g., in health improvement) as R-beta-hydroxybutyrate.
  • unexpectedly administration of D,L-beta-hydroxybutyrate rather than R-beta-hydroxybutyrate may not have the same impact on health and/or have less of an impact on health of an individual.
  • administration of a composition that includes R-beta-hydroxybutyrate e.g., and/or other compounds
  • R-beta-hydroxybutyrate as described may increase lifespan in individuals following a dietary plan (e.g., standard American low-fat, ketogenic, Paleo, Mediterranean, etc.) and/or not following a dietary plan. For example, approximately 10 g of R-beta-hydroxybutyrate to approximately 30 g R-beta-hydroxybutyrate may be administered to increase lifespan. In some implementations, other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • a dietary plan e.g., standard American low-fat, ketogenic, Paleo, Mediterranean, etc.
  • administering may treat and/or lesson the impact of symptoms of disease(s) and/or disorders, such as diseases that impact cognitive function.
  • Administration of R-beta-hydroxybutyrate may increase motor function in individuals with Parkinson's disease. For example, approximately 5 g of R- beta-hydroxybutyrate to approximately 15 g R-beta-hydroxybutyrate may be administered to increase motor function.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • R-beta-hydroxybutyrate may increase fat loss. Unlike with conventional diets, in which weight loss often comes from decreases in water retention and/or muscle mass, administration of R-beta-hydroxybutyrate may cause decreases in fat loss (see for example, Figure SB). In addition, administration of R-beta-hydroxybutyrate may decrease levels of LPL in the body, and thus reduce or inhibit fat storage and/or encourage existing fat storage utilization by the body. For example, approximately 1 g of R-beta-hydroxybutyrate to approximately 20 g R-beta-hydroxybutyrate may be administered to cause fat loss and/or reduce fat storage. In some implementations, other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition. Administration of R-beta-hydroxybutyrate may allow fat loss greater than 5 kg while maintaining lean mass. In some implementations, the administration of R-beta- hydroxybutyrate increases the amount of fat used as fuel.
  • administration of R-beta-hydroxybutyrate may improve and/or maintain health markers such as C-reactive protein and/or fasting glucose.
  • Administration of R-beta-hydroxybutyrate may decrease inflammation (e.g., as shown by C-reactive protein levels).
  • Administration of R-beta-hydroxybutyrate may decrease fasting glucose.
  • approximately 3 g of R-beta-hydroxybutyrate to approximately 20 g R-beta-hydroxybutyrate may be administered to cause a reduction in and/or maintain a low fasting glucose.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • R-beta- hydroxybutyrate may be administered with one or more other compounds to decrease glucose levels and/or sensitivity.
  • administration of a composition of R-beta- hydroxybutyrate and a berberine, such as dihydroberberine may cause reduce and/or maintain low fasting glucose.
  • Administration of a composition of R- beta-hydroxybutyrate and a berberine, such as dihydroberberine may cause reduce and/or maintain low glucose levels.
  • less than approximately 15 g of R-beta-hydroxybutyrate may be administered with less than approximately 600 mg of dihydroberberine.
  • R-beta-hydroxybutyrate may decrease ketone levels (see e.g., Figures 11 A and 1 IB). Decreasing blood ketone levels may increase weight loss, maintain weight loss, improve performance, increase mental acuity, and/or have other health improvement and health maintenance features. For example, even at levels less than 10 g (e.g., approximately 5 g), administration of R-beta-hydroxybutyrate may decrease ketone levels while L-R-beta-hydroxybutyrate does not, and D,L-beta- hydroxybutyrate does not to the same extent.
  • R-beta-hydroxybutyrate may increase blood ketone levels 5 times as much as similar administration amounts of D,L-beta- hydroxybutyrate.
  • an amount of R-beta-hydroxybutyrate e.g., when compared with administering D,L-beta-hydroxybutyrate
  • a decrease in an amount cation e.g., sodium, potassium, etc. may also be administered.
  • R-beta- hydroxybutyrate may allow administration to more people, increase user satisfaction, and/or decrease side effects (e.g., associated with additional consumption of these cations).
  • approximately 0.1 g of R-beta-hydroxybutyrate to approximately 10 g R-beta-hydroxybutyrate may be administered to increase blood ketone levels.
  • approximately 0.5 g of R-beta- hydroxybutyrate to approximately 3 g R- beta-hydroxybutyrate may be administered to maintain blood ketone levels.
  • R-beta-hydroxybutyrate may be included in the composition.
  • Administration of R-beta-hydroxybutyrate may increase performance and decrease perceived exertion (e.g., as opposed to when administered D,L-beta- hydroxybutyrate). For example, approximately 3 g of R-beta-hydroxybutyrate to approximately 15 g R-beta- hydroxybutyrate may be administered to increase performance and/or decrease perceived exertion.
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • oral administration of R-beta-hydroxybutyrate may increase muscle protein synthesis while D,L-beta-hydroxybutyrate does not increase muscle protein synthesis.
  • approximately 10 g of R-beta-hydroxybutyrate to approximately 30 g R-beta-hydroxybutyrate may be administered to increase muscle protein synthesis.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • the administration of R-beta-hydroxybutyrate may decrease perceived hunger and/or increase satiety) which may inhibit overeating and thus promote weight loss (see e.g., Figures 13 A and 13B).
  • the administration of R-beta-hydroxybutyrate, unlike D,L-beta- hydroxybutyrate may increase perceived energy (see e.g., Figures 13C).
  • administering increased mental acuity.
  • approximately 0.1 g of R-beta-hydroxybutyrate to approximately 10 g R-beta-hydroxybutyrate may be administered to increase mental acuity.
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • R-beta-hydroxybutyrate may be supplemented with other forms of beta-hydroxybutyrate, butyric acid, and/or butyrate.
  • the composition administered may include R-beta- hydroxybutyrate.
  • the amount of R-beta-hydroxybutyrate included in the composition may be selected to obtain a result (e.g., induce ketosis; maintain ketosis; increase ketone levels, mental acuity, strength, etc.) upon administration (e.g., a pharmaceutically effective amount may be administered at a dosage and/or over a predetermined time period).
  • the dosage and/or frequency of dosage may vary over time (e.g., initial vs a lower dosage for maintenance, vary based on time of day, vary based on whether taken with or without a meal, etc.).
  • the R-beta-hydroxybutyrate in the composition may include any appropriate and/or appropriate number of forms, such as salts, derivatives (e.g., esters), polymers, and/or complexes with other compounds.
  • the composition may include R- beta-hydroxybutyrate salt (e.g., sodium R-beta-hydroxybutyrate, magnesium R-beta- hydroxybutyrate, and/or potassium R-beta-hydroxybutyrate) and/or another form of R- beta-hydroxybutyrate (e.g., ester, polymer, complex, etc.).
  • the composition may include an ester of R-beta-hydroxybutyrate.
  • the composition may include an amino acid (e.g., separate and/or complexed with R-beta-hydroxybutyrate), such as leucine.
  • an amino acid e.g., separate and/or complexed with R-beta-hydroxybutyrate
  • leucine an amino acid
  • the use of non-salt base R-beta-hydroxybutyrate may increase user satisfaction (e.g., by reducing the cation, such as sodium and/or potassium, load due to ingestion of the composition; by decreasing side effects; etc.), increase the applicability of the administration (e.g., since users sensitive to the cations of the R-beta- hydroxybutyrate salts may be less sensitive to the non-salt and/or lower salt plus non-salt forms of the composition).
  • the administration of the composition may increase blood ketone levels, induce ketosis, maintain blood ketone levels, maintain ketosis, increase health, increase strength, increase mental acuity, etc.
  • a first composition that includes R-beta-hydroxybutyrate salt may be administered to cause a first impact (e.g., induce ketosis, quickly increase mental acuity, quickly increase strength, etc.) and a second composition that includes non-salts R-beta-hydroxybutyrate (e.g., esters, polymers, complexes, etc.) and/or lower levels of R-beta-hydroxybutyrate salt may be utilized to cause a second impact (e.g., maintain ketosis, maintain mental acuity, maintain increased strength, etc.).
  • the form(s) of R-beta-hydroxybutyrate included in the composition may be selected based on the delivery form.
  • the composition may include R-beta-hydroxybutyrate polymer (e.g., due to taste since increased cations like sodium may decrease palatability; due to nutrition since increased cations such as sodium may decrease nutrition; due to mixability, etc.).
  • the composition may include R-beta-hydroxybutyrate salts or other forms (e.g., microencapsulated) to provide quick-dissolve powders.
  • a composition may include R-beta-hydroxybutyrate.
  • the R-beta-hydroxybutyrate may be in any appropriate form (e.g., salt, ester, polymer, complex, derivatives thereof, and/or combinations thereof).
  • the composition may include one or more additional compositions. Additional composition(s) may be capable of independently increasing blood ketone levels (e.g., fatty acids or esters, berberine or berberine metabolites such as dihydroberberine, etc.). Additional composition(s) may be capable of independently decreasing blood glucose levels (e.g., berberine or berberine metabolites such as dihydroberberine).
  • additional compounds may not be capable of independently increasing blood ketone levels and/or decreasing blood glucose levels (e.g., additives, flavorings, colorings, minerals, vitamins, binders, anti-caking agents, etc.).
  • the composition may be administered in an effective amount to cause a predetermined health impact (e.g., predetermined level of ketosis, blood ketone level, mental acuity, strength increase, perceived energy, fat loss, weight loss, etc.).
  • the composition may be administered to an individual in a predetermined amount and/or different amounts over an administration schedule.
  • a first criteria e.g., period of time, number of doses, predetermined health impact
  • the dosage amount may be altered.
  • first dose(s) of the composition may be administered to cause a predetermined health impact and additional lower dose(s) of the composition may be administered to maintain the predetermined health impact (e.g., caused in part by the first doses).
  • the composition may be administered in any appropriate delivery form (e.g., tablet; capsule; food products such as powdered products that can be mixed into food, mixed into beverages, and/or consumed directly; beverage product; etc.).
  • the composition may be administered according to any appropriate schedule (e.g., periodic dosages, dosages as user desires, etc.).
  • the administration schedule may inhibit administration that elevates blood ketone levels too high, decreases blood glucose levels too low, and/or causes an individual to consume a dosage that substantially elevates the risk of adverse and/or side effects, in some implementations.
  • the composition may include a long acting component and/or be long-acting.
  • the delivery of R-beta- hydroxybutyrate may be slower than a digestion of a beta-hydroxybutyrate salt (e.g., R- betahydroxybutyrate salt).
  • the composition may include a R- beta- hydroxybutyrate and a long-acting R-beta-hydroxybutyrate form (e.g., polymer, ester, coated and/or processed form to provide slow release).
  • a first dose(s) may include at least one non-long-acting form of beta-hydroxybutyrate and a second dose(s) may include at least one long-acting form of beta-hydroxybutyrate.
  • the first dose(s) may be administered to cause a predetermined health impact and the second dose(s) may be administered to maintain the caused predetermined health impact.
  • users may select the appropriate dose based on user preference and/or properties (e.g., a user on a ketogenic diet may chose the second dose since the user may already be in ketosis).
  • the R-beta-hydroxybutyrate salt blend may include a first mixture of R-beta-hydroxybutyrate and one or more other second R-beta- hydroxybutyrate salts (e.g., non-sodium R-beta-hydroxybutyrate salt and non-potassium R-beta-hydroxybutyrate salt).
  • the ratio of the weight of the first mixture to the total weight of the beta-hydroxybutyrate compounds in the composition may be approximately 2 to approximately 5.
  • the ratio of the weight of the first mixture to weight of other types of beta-hydroxybutyrate in the composition may be approximately 2.5 to approximately 5.
  • This specified R-beta-hydroxybutyrate salt blend may provide greater efficacy when compared with other delivery methods of R-beta-hydroxybutyrate, such as delivery via a single salt of R-beta-hydroxybutyrate salt and/or a balanced blend of R-beta- hydroxybutyrate salt (e.g., R-beta-hydroxybutyrate provided in approximately equal amounts of each salt in the R-beta-hydroxybutyrate salt blend composition).
  • R-beta-hydroxybutyrate salt blend may be utilized in the R-beta- hydroxybutyrate salt blend to provide similar effects to a single salt of R-beta- hydroxybutyrate salt blend and/or a balanced blend of R-beta-hydroxybutyrate salt.
  • less cations associated with the salts may be administered, which may increase tolerance by some individuals).
  • an approximately equal weight of the described R-beta-hydroxybutyrate salt blend may provide greater efficacy as a balanced blend of R-beta-hydroxybutyrate.
  • the administration of the R-beta-hydroxybutyrate salt blend may allow easier induction of ketosis, weight loss, maintenance of ketosis, maintenance of weight loss, etc., when compared with efficacy of a single salt of R-beta-hydroxybutyrate salt and/or a balanced blend of R-beta- hydroxybutyrate salt.
  • the R-beta-hydroxybutyrate salt blend may increase blood ketone levels in the body rapidly (e.g., when compared with single salt R-beta-hydroxybutyrate and/or balanced blend R-beta-hydroxybutyrate) such that ketosis is more easily induced in an individual.
  • the first mixture of R-beta-hydroxybutyrate in the R-beta-hydroxybutyrate salt blend includes sodium R-beta-hydroxybutyrate and potassium R-beta-hydroxybutyrate.
  • the sodium R-beta-hydroxybutyrate may be provided as sodium R-beta-hydroxybutyrate or any other appropriate R-beta-hydroxybutyrate sodium salt.
  • the potassium R-beta-hydroxybutyrate may be provided as potassium R-beta- hydroxybutyrate or any other appropriate beta-hydroxybutyrate potassium salt.
  • the amount of sodium R- beta-hydroxybutyrate to potassium R-beta-hydroxybutyrate in the first composition may be the same or different.
  • the R-beta-hydroxybutyrate salt blend may include approximately 0.5 g to 20 g of the first mixture. In some implementations, the R-beta- hydroxybutyrate salt blend may include approximately 0.5 to approximately 12 g of the first mixture. The first mixture may include approximately 5 to approximately 8 g R-beta- hydroxybutyrate. The first mixture may include approximately 0.5 g to approximately 1.5 g R-beta-hydroxybutyrate.
  • the one or more second R-beta-hydroxybutyrate salts may include any other appropriate salt (e.g., not sodium R-beta-hydroxybutyrate, not potassium R-beta- hydroxybutyrate).
  • the one or more second R-beta-hydroxybutyrate salts may include beta-hydroxybutyrate calcium salt (e.g., calcium beta-hydroxybutyrate), beta- hydroxybutyrate magnesium salt (e.g., magnesium beta-hydroxybutyrate), beta- hydroxybutyrate lithium salt (e.g., lithium beta-hydroxybutyrate), sodium beta- hydroxybutyrate, arginine beta-hydroxybutyrate, lysine beta-hydroxybutyrate, histidine beta-hydroxybutyrate, ornithine beta-hydroxybutyrate, creatine beta-hydroxybutyrate, agmatine beta-hydroxybutyrate, or citrulline beta-hydroxybutyrate, other appropriate organic salts that include beta-hydroxybutyrate, and/or combinations thereof.
  • the R-beta-hydroxybutyrate salt blend may include sodium R-beta- hydroxybutyrate, potassium R-beta-hydroxybutyrate, and calcium R-beta- hydroxybutyrate. Other forms of R-beta-hydroxybutyrate may or may not be included.
  • the R-beta-hydroxybutyrate may include sodium R-beta- hydroxybutyrate, potassium R-beta-hydroxybutyrate, calcium R-beta-hydroxybutyrate, and one or more other forms of R-beta-hydroxybutyrates.
  • the R-beta-hydroxybutyrate included in the composition may be a more purified form of R-beta-hydroxybutyrate (e.g., rather than D,L-beta- hydroxybutyrate).
  • R-beta-hydroxybutyrate may include less than approximately 10 percent, less than approximately 5 percent, or less than approximately 1 percent L-beta-hydroxybutyrate.
  • R-beta- hydroxybutyrate may include less than approximately 1 g of L-beta-hydroxybutyrate.
  • R- beta-hydroxybutyrate may have a greater bioavailability than other chiralities of beta- hydroxybutyrate.
  • R-beta-hydroxybutyrate may have a greater impact on a health of an individual (e.g., due to decreased side effects; increase ketone levels, weight loss, mental acuity, fat loss, joint heath, decrease inflammation, etc.) than L-beta-hydroxybutyrate and/or D, L-beta-hydroxybutyrate.
  • R-beta-hydroxybutyrate may cause improvements in health not capable by L-beta-hydroxybutyrate and/or D, L-beta- hydroxybutyrate.
  • R-beta-hydroxybutyrate may have less impurities due to manufacturing, such as less crotonic acid (e.g., which can be harmful to individuals), than other forms of beta-hydroxybutyrate (e.g., L-beta-hydroxybutyrate and/or D, L-beta-hydroxybutyrate).
  • R-beta-hydroxybutyrate may be more capable of binding with other compounds (e.g., purine, lysine, potassium, and/or other amino acids; dihydroberberine; etc.) to deliver the beta-hydroxybutyrate to a human.
  • R-beta- hydroxybutyrate e.g., greater than 90 percent purity of R-beta- hydroxybutyrate and less than 10 percent L-beta-hydroxybutyrate
  • mixtures with R-beta-hydroxybutyrate may be administered to humans.
  • a smaller amount of R-beta-hydroxybutyrate may be as pharmaceutically effective (e.g., in increasing and/or maintaining weight loss; in increasing and/or maintaining elevated ketone levels, etc.) or more pharmaceutically effective as D, L-beta-hydroxybutyrate (e.g., racemic mixture of D- and L-beta-hydroxybutyrate).
  • R-beta- hydroxybutyrate may be administered to achieve the approximately the same efficacy as D, L-beta-hydroxybutyrate and/or L-beta-hydroxybutyrate.
  • the R-beta-hydroxybutyrate may be more bioavailable than other chiralities of beta-hydroxybutyrate and thus allow a smaller effective amount than other chiralities.
  • the administration amount of beta- hydroxybutyrate to be reduced (e.g., when compared to the administration amount of D, L-beta-hydroxybutyrate) while providing a pharmaceutically effective amount, such as (e.g., for weight loss and/or maintenance; for elevating and/or maintaining blood ketone levels).
  • a pharmaceutically effective amount such as (e.g., for weight loss and/or maintenance; for elevating and/or maintaining blood ketone levels).
  • the greater efficacy of R-beta- hydroxybutyrate is further increased by the use of the described specific ratio of sodium R- beta-hydroxybutyrate and potassium R- beta-hydroxybutyrate to other types of R-beta- hydroxybutyrate salts.
  • Reducing the amount of beta-hydroxybutyrate, when the beta-hydroxybutyrate is provided in R-beta-hydroxybutyrate blended salt, may reduce a user's intake of the cation of the salt (e.g., sodium, potassium, etc.).
  • the salt e.g., sodium, potassium, etc.
  • beta- hydroxybutyrate salts such as sodium, potassium, magnesium, and calcium
  • intake of some of these cations in beta- hydroxybutyrate salts, such as sodium, potassium, magnesium, and calcium in amounts greater than a predetermined recommended amount may cause health problems (e.g., organ damage, gastrointestinal problems, etc.)
  • reducing the amount cations by using the R-beta- hydroxybutyrate salt blend e.g., since it has greater efficacy when compared to single salt R-beta-hydroxybutyrate and/or balanced blends of R-beta-hydroxybutyrate
  • a pharmaceutically effective amount of the R-beta- hydroxybutyrate salt blend may be administered in an individual to promote and/or maintain ketosis, cause weight loss and/or manage weight, and/or increase blood ketone levels.
  • the administration may cause weight loss and/or maintenance; elevated beta- hydroxybutyrate levels in the blood; elevated, reduced, and/or maintenance of blood ketone levels; induction and/or maintenance of ketosis; and/or reduction; improve mental acuity; improve focus; improve energy; improve cognitive function; reduce traumatic brain injury; improve diabetes; improve glucose tolerance; decrease blood glucose levels; reduce neurological disorders and/or symptoms thereof; improve cancer and/or symptoms thereof; improve inflammatory conditions; suppressing appetite; improve symptoms associated with aging; provide anti-glycation affects; improve epilepsy and/or symptoms thereof; improve depression and/or symptoms thereof; improve performance; improve strength; increase muscle mass; increase fat loss; increase joint health; decrease inflammation; improve body composition; improve energy; improve focus; improve cognitive function; improve mood and/or well-being; and/or combinations thereof.
  • the beta-hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • the beta-hydroxybutyrate may be administered in healthy and not healthy individuals (e.g., individuals with diseases and
  • the R-beta-hydroxybutyrate salt blend composition may include one or more additional components.
  • the R-beta-hydroxybutyrate salt blend may include butyrate, other forms of beta-hydroxybutyrate (e.g., other than those provided in the first R-beta-hydroxybutyrate mixture and one or more second R-beta-hydroxybutyrate salts) and/or related compounds.
  • the other forms of beta-hydroxybutyrate may include D,L-beta- hydroxybutyrate salts and/or beta-hydroxybutyrate esters.
  • beta- hydroxybutyrate may include beta-hydroxybutyrate bound to another compound (e.g., amino acids) and/or polymers of beta-hydroxybutyrate.
  • the beta- hydroxybutyrate may be complexed and/or coupled to another compound (e.g., amino acid and/or berberine) and a beta-hydroxybutyrate salt may include a complex (e.g., chelate) that includes a mineral (e.g., calcium, zinc, etc.) and the beta- hydroxybutyrate compound coupled to another compound.
  • the beta-hydroxybutyrate may include single isomer beta- hydroxybutyrate and/or polymer beta-hydroxybutyrate (e.g., D,L-beta-hydroxybutyrate, R-beta-hydroxybutyrate, and/or L-beta-hydroxybutyrate).
  • the beta- hydroxybutyrate may include polymer R-beta-hydroxybutyrate.
  • beta-hydroxybutyrate may be administered with 1,3 -butanediol, ethyl acetoacetate, ethyl b eta-hy droxybuty rate .
  • the R-beta-hydroxybutyrate salt blend composition may include one or more amino acids.
  • the amino acid may be included in the composition and/or coupled to (e.g., chemically bonded to) a beta-hydroxybutyrate.
  • Amino acids included in the R-beta-hydroxybutyrate salt blend may include for example, leucine, lysine, taurine, arginine, histidine, ornithine, creatine, agmatine, citrulline and/or combinations thereof.
  • the R-beta-hydroxybutyrate salt blend may include an R-beta-hydroxybutyrate amino acid complex.
  • R-beta- hydroxybutyrate may be bound to leucine, taurine, purine, lysine, and/or other amino acids.
  • the amino acid may increase efficacy of the R-beta-hydroxybutyrate salt blend.
  • Administration of beta-hydroxy butyrate that is coupled to an amino acid in the salt blend and/or of administration of an amino acid in and/or with the R-beta-hydroxybutyrate salt blend may reduce the intake of cations associated with beta-hydroxybutyrate salts (e.g., which may inhibit side effects associated with administration) and/or allow administration of another compound that has health benefits (e.g., administration of some amino acid may promote smooth muscle growth and/or cell repair).
  • approximately 0.5 g to approximately 10 g of one or more amino acids may be administered with and/or in the R-beta-hydroxybutyrate salt blend.
  • the compound may include approximately 0.5 g to approximately 20 g of the R-beta-hydroxybutyrate compositions (e.g., sodium, potassium and/or other R- beta-hydroxybutyrates) and approximately 0.5 g to approximately 60 mg of one or more amino acids, such as leucine and/or taurine.
  • the compound may be administered one or more times daily.
  • approximately 0.5 g to approximately 2 g of an amino acid, such as leucine may be administered with and/or in the R-beta-hydroxybutyrate salt blend.
  • approximately the R-beta-hydroxybutyrate salt blend composition administered may include approximately 0.1 g to approximately 10 g R-beta- hydroxybutyrate compositions (e.g., sodium, potassium and/or other R-beta- hydroxybutyrates) and approximately 0.5 g to approximately 3 g of leucine.
  • the R-beta- hydroxybutyrate and the leucine may be a mixture; administered separately and proximate in timing; a complex, and/or administered in any other appropriate manner.
  • approximately 0.5 g to approximately 2 g of an amino acid, such as taurine may be administered with and/or in the R-beta-hydroxybutyrate salt blend.
  • approximately the R-beta-hydroxybutyrate salt blend composition administered may include approximately 0.1 g to approximately 10 g R-beta- hydroxybutyrate compounds (e.g., sodium, potassium and/or other R-beta- hydroxybutyrates) and approximately 0.5 g to approximately 3 g of taurine.
  • the R-beta- hydroxybutyrate and the taurine may be a mixture; administered separately and proximate in timing; a complex, and/or administered in any other appropriate manner.
  • approximately 0.5 g to approximately 6 g of one or more amino acids may be administered with and/or in the R-beta-hydroxybutyrate salt blend.
  • approximately the R-beta-hydroxybutyrate salt blend composition administered may include approximately 0.1 g to approximately 10 g R-beta-hydroxybutyrate compositions (e.g., sodium, potassium and/or other R-beta-hydroxybutyrates), approximately 0.5 to approximately 3 g of leucine, and approximately 0.5 g to approximately 3 g of taurine.
  • the R-beta-hydroxybutyrate, leucine, and taurine may be a mixture; administered separately and proximate in timing; a complex, and/or administered in any other appropriate manner.
  • the R-beta-hydroxybutyrate salt blend composition may include R-beta-hydroxybutyrate salt and beta-hydroxybutyrate - amino acid complex (e.g., beta-hydroxybutyrate bound to amino acid, such as R-beta-hydroxybutyrate - leucine complex).
  • the R-beta-hydroxybutyrate salt blend may include sodium R-beta- hydroxybutyrate, potassium R-beta-hydroxybutyrate, one or more other types of R-beta- hydroxybutyrate, and an amount of beta-hydroxybutyrate amino-acid complex.
  • the R-beta-hydroxybutyrate salt blend (e.g., first mixture and/or other types of R-beta-hydroxybutyrate) may include beta-hydroxybutyrate esters.
  • a portion of the beta-hydroxybutyrate salt (e.g., R-beta- hydroxybutyrate or other forms of beta-hydroxybutyrate) of the R-beta-hydroxybutyrate salt blend and the beta-hydroxybutyrate ester may be a bound complex, a mixture of compounds, and/or separately administered approximately concurrently.
  • the beta-hydroxybutyrate ester may be in powdered form (e.g., plated beta-hydroxybutyrate ester), liquid and/or gel form.
  • the combination of the R-beta- hydroxybutyrate from the R-beta-hydroxybutyrate salt blend and the beta- hydroxybutyrate ester of the R-beta-hydroxybutyrate salt blend during administration may allow less salt to be utilized while producing a result (e.g., weight maintenance and/or loss; enhanced and/or maintained ketosis; elevated blood ketone levels; blood glucose reduction and/or maintenance; increase in energy; increase in mood; increase in performance; and/or increase in cognitive function).
  • a result e.g., weight maintenance and/or loss; enhanced and/or maintained ketosis; elevated blood ketone levels; blood glucose reduction and/or maintenance; increase in energy; increase in mood; increase in performance; and/or increase in cognitive function.
  • elevated ketone levels may increase energy, mood, performance, and/or cognitive function in users.
  • the administration of the beta-hydroxybutyrate salt in the R-beta-hydroxybutyrate salt blend may cause a first level of blood ketone level, which may be maintained by processing of the second amount of the beta-hydroxybutyrate ester (e.g., as the body of the individual processes the beta- hydroxybutyrate ester the level of betahydroxy butyrate in the blood, and thus blood ketone level, may also increase over time to enhance and/or maintain the initial elevation caused by of the administered beta- hydroxybutyrate salt.).
  • a ratio of beta-hydroxybutyrate salt in the R-beta- hydroxybutyrate salt blend to beta-hydroxybutyrate ester may be approximately 1 beta- hydroxybutyrate salt: approximately 1 beta- hydroxybutyrate ester to approximately 1 beta- hydroxybutyrate salt: approximately 20 beta-hydroxybutyrate ester.
  • the ratio of beta- hydroxybutyrate in the R-beta- hydroxybutyrate salt blend to beta-hydroxybutyrate ester may be approximately 20 beta-hydroxybutyrate salt: approximately I beta-hydroxybutyrate ester to approximately Ibeta-hydroxybutyrate salt: approximately 20 beta-hydroxybutyrate ester.
  • a ratio of beta-hydroxybutyrate in the R-beta- hydroxybutyrate salt blend to beta-hydroxybutyrate ester may be approximately 1 beta- hydroxybutyrate salt: approximately 1 beta-hydroxybutyrate ester to approximately 1 beta- hydroxybutyrate salt: approximately 5 beta-hydroxybutyrate ester.
  • the R-beta-hydroxybutyrate salt blend may include derivatives of beta-hydroxybutyrate, include esters of (R)-3 -hydroxybutyrate and oligomers of (R)-3 -hydroxybutyrate.
  • beta-hydroxybutyrate esters derived from alcohols, such as altrose, arabinose, dextrose, erythrose, fructose, galactose, glucose, glycerol, gulose, idose, lactose, lyxose, mannose, ribitol, ribose, ribulose, sucrose, talose, threose, xylitol, xylose, galactosamine, glucosamine, mannosamine, N- acetylglucosamine, mannitol, sorbitol, threitol, (S)-l,2-propanediol and/or (R)-l,3-butanediol.
  • alcohols such as altrose, arabinose, dextrose, erythrose, fructose, galactose, glucose, glycerol, gulose, idose, lactose,
  • a derivative of the beta-hydroxybutyrate may include structures of (R)- 3 -hydroxybutyric acid and an exemplary ester thereof (a glycerol monoester).
  • the R chirality of the derivatives may be selected for inclusion in the composition in some implementations (e.g., to deliver R-beta-hydroxybutyrate with the administration of the compound).
  • the salt blend may include additional compounds that may or may not be capable of independently increasing ketone levels, maintaining ketone levels, inducing ketosis, and/or maintaining ketosis.
  • additional compounds capable of independently increasing blood ketone levels may include short chain fatty acids (e.g., fatty acid with between 2 carbons than 6 carbons), short chain triglycerides (e.g., triglycerides with less than 6 carbons), medium chain fatty acids (e.g., fatty acid with 6-12 carbons), medium chain triglycerides (e.g., triglycerides with 7-12 carbons), long chain fatty acids (e.g., fatty acids with more than 12 carbons), long chain triglycerides (e.g., triglycerides with more than 12 carbons), and/or combinations thereof.
  • short chain fatty acids e.g., fatty acid with between 2 carbons than 6 carbons
  • short chain triglycerides e.g., triglycerides with less than 6 carbons
  • medium chain fatty acids e.g., fatty acid with 6-12 carbons
  • medium chain triglycerides e.g.,
  • short chain fatty acids and/or triglycerides may include acetate, propionate, and/or butyrate.
  • Medium chain fatty acids and/or triglycerides may include lauric acid and/or coconut oil, coconut milk powder, fractionated coconut oil, isolated hexanoic acid, isolated octanoic acid, isolated decanoic acid, ethoxylated triglyceride, triglyceride derivatives thereof, aldehyde triglyceride derivatives thereof, monoglyceride derivatives thereof, diglyceride derivatives thereof, triglyceride derivatives thereof, and/or alkyl esters thereof.
  • Long chain fatty acids and/or triglycerides may include dairy products and/or palm oil.
  • a composition including R-beta-hydroxybutyrate and an additional compound that is independently capable of increasing ketone levels may increase ketone levels greater than merely the capability of each component individually (e.g., greater than an additive increase).
  • a pharmaceutically effective amount of one or more short chain fatty acids and/or one or more short chain triglycerides may be administered with a pharmaceutically effective amount of beta-hydroxybutyrate in the R-beta-hydroxybutyrate salt blend.
  • approximately 1 g to approximately 10 g of R-beta-hydroxybutyrate compounds e.g., sodium, potassium and/or other R-beta-hydroxybutyrates
  • approximately 0.1 g to approximately 50 g of short chain fatty acid and/or triglyceride may be administered in the R-beta- hydroxybutyrate salt blend from once a day to approximately 5 times a day.
  • approximately 1 g to approximately 3 g of R-beta-hydroxybutyrate compounds e.g., sodium, potassium and/or other R-beta-hydroxybutyrates
  • approximately 1 g of short chain fatty acid and/or triglyceride may be administered via the R-beta-hydroxybutyrate salt blend from once a day to approximately 5 times a day.
  • the short chain fatty acid and/or triglyceride may include butyrate or derivatives of butyrate.
  • Butyrate and/or derivatives of butyrate may be administered with and/or without beta-hydroxybutyrate to manage metabolic conditions, such as ketosis, and/or for other appropriate therapeutic purposes.
  • Administered butyrate may be converted to beta-hydroxybutyrate in humans, and thus may increase the amount of beta-hydroxy butyrate delivered to the user.
  • administration of butyrate and beta-hydroxybutyrate may promote hGH synthesis, improve basal and GHRH-induced hGH-secretion, increase muscle fiber cross- sectional area, inhibit intramuscular fat accumulation; reduce fat mass in a user; improve glucose metabolism; increase markers of mitochondrial biogenesis in skeletal muscle and/or whole-body oxygen consumption; reduced markers of oxidative stress and apoptosis and altered antioxidant enzyme activity; cause butyrate enhanced intracellular free cytosolic calcium levels (e.g., by acting through GPR41 and 43); increase beta- hydroxybutyrate levels; and/or support barrier function(s) in the gut and/or reduce inflammation associated with ulcerative colitis.
  • beta-hydroxybutyrate Since butyrate is processed by the body to provide beta-hydroxybutyrate, the delivery of beta-hydroxy butyrate via the butyrate may supplement the directly administered beta- hydroxybutyrate via the R-beta- hydroxybutyrate salt blend to maintain a level of beta- hydroxybutyrate in the blood (e.g., to promote ketosis, weight loss and/or management, etc.).
  • beta-hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • beta- hydroxybutyrate e.g., R-beta-hydroxybutyrate
  • the butyrate and/or beta-hydroxybutyrate may be encapsulated, microemulsion, liposomes, agglomeration, masking/flavoring technologies, and/or otherwise processed as appropriate to reduce organoleptic reactions from individuals administered the described composition(s).
  • microencapsulated butyrate, beta-hydroxybutyrate, and/or butyric acid may be utilized (e.g., in combination with beta-hydroxybutyrate).
  • microencapsulated butyrate, beta-hydroxybutyrate, and/or butyric acid may increase individual satisfaction and/or compliance with an administration schedule since odor from the butyrate and/or butyric acid may be reduced and/or removed.
  • the microencapsulated butyrate, beta- hydroxybutyrate, and/or butyric acid may be a free-flowing granular powder; dispersible in water; stable in acidic water solution for 30 minutes; allow controlled release in stomach and/or small intestines; inhibit glucose response (e.g., to any added materials); and/or allow delivery of a high butyrate content (e.g., around 70%).
  • the R-beta-hydroxybutyrate salt blend composition may an additional compound independently capable of increasing ketone levels, such as caffeine.
  • the R-beta-hydroxybutyrate salt blend composition may include approximately 0.5 mg to approximately 50 g of R-beta-hydroxybutyrate compounds (e.g., provided through the first mixture, one or more second R-beta- hydroxybutyrate salts, and other components of the R-beta-hydroxybutyrate salt blend) and caffeine.
  • the composition may include approximately 0.5 mg to approximately 15 g of R-beta-hydroxybutyrate compounds (e.g., sodium, potassium and/or other R-beta-hydroxybutyrates) and less than approximately 500 mg of caffeine.
  • the R-beta-hydroxybutyrate salt blend composition may include approximately 0.5 mg to approximately 15 g of R-beta-hydroxybutyrate compounds (e.g., sodium, potassium and/or other R-beta-hydroxybutyrates) and approximately 5 mg to approximately 500 mg of caffeine.
  • the R-beta-hydroxybutyrate salt blend composition may include approximately 0.5 mg to approximately 15 g of R-beta- hydroxybutyrate compounds (e.g., sodium, potassium and/or other R-beta- hydroxybutyrates) and approximately 10 mg to approximately 150 mg of caffeine. In some implementations, the R-beta-hydroxybutyrate salt blend composition may include approximately 0.5 mg to approximately 15 g of R-beta- hydroxybutyrate (e.g., sodium, potassium and/or other R-beta-hydroxybutyrates) and approximately 10 mg to approximately 50 mg of caffeine.
  • R-beta-hydroxybutyrate compounds e.g., sodium, potassium and/or other R-beta- hydroxybutyrates
  • the R-beta-hydroxybutyrate salt blend composition with caffeine may increase and or maintain ketosis, weight loss, fat loss, and/or mental acuity.
  • the R-beta-hydroxybutyrate salt blend composition with caffeine may increase mental processes (e.g., acuity including cognitive functioning, mood, energy, alertness, focus, performance, effects of aging, etc.); improve and/or maintain body composition; function as a therapeutic for one or more of the described conditions or disorders (e.g., treat neurological disorders); and/or combinations thereof.
  • the R-beta-hydroxybutyrate salt blend composition may include an additional compound independently capable of increasing ketone levels, such as 1,3,7,9-Tetramethyluric acid (commercially available as theacrine; and/or commercially available as TeaCrine® from Compound Solutions, California, USA).
  • the R-beta-hydroxybutyrate salt blend composition may include approximately 0.5 mg to approximately 15 g of R-beta-hydroxybutyrate and less than approximately 500 mg of 1,3,7,9-Tetramethyluric acid.
  • the R- beta-hydroxybutyrate salt blend composition may include approximately 5 mg to approximately 15 g of R-beta-hydroxybutyrate and less than approximately 500 mg of 1,3,7,9-Tetramethyluric acid.
  • the R-beta-hydroxybutyrate salt blend composition may include an additional compound such as an herb or an extract of an herb.
  • an extract of the herb Uncaria Tomentosa (cat's claw) may be included in the R-beta- hydroxybutyrate salt blend.
  • the extract of the herb Uncaria Tomentosa may be provided via commercially available products such as C-MED 100 and/or AC-11.
  • the R-beta-hydroxybutyrate composition and/or R-beta- hydroxybutyrate composition may include cannabidiol (CBD).
  • CBD cannabidiol
  • the R-beta-hydroxybutyrate salt blend may include a pharmaceutically effective amount of butyrate, administered via triglyceride tributyrin (e.g., glyceryl tributyrate or tributyrin).
  • tributyrin e.g., glyceryl tributyrate or tributyrin
  • up to approximately 200 mg/kg of triglyceride tributyrin may be administered (e.g., up to 3 times daily).
  • Administration of the tributyrin may allow a delayed release of butyrate to the body as the tributyrin is processed by the body of the individual.
  • the tributyrin may be unencapsulated and/or encapsulated (e.g., microencapsulated).
  • administration R-beta-hydroxybutyrate salt blend that includes a short chain compound may unexpectedly increase beta-hydroxybutyrate concentrations in the blood more than the administration of similar amounts of beta-hydroxy butyrate and medium chain compounds (e.g., short chain fatty acid and/or short chain triglyceride) and/or may increase beta-hydroxybutyrate concentrations in the blood more than each component individually.
  • a short chain compound e.g., short chain fatty acid and/or short chain triglyceride
  • medium chain compounds e.g., short chain fatty acid and/or short chain triglyceride
  • the R-beta-hydroxybutyrate salt blend may include a pharmaceutically effective amount of long chain fatty acid and/or triglyceride.
  • the R-beta-hydroxybutyrate salt blend may include 0.1-50 g of beta- hydroxybutyrate (e.g., R-beta-hydroxybutyrate and/or L-beta-hydroxybutyrate provided via sodium, potassium and/or other beta-hydroxybutyrates) and 0.1 g to 50 g of long chain fatty acid. This may be administered to an individual between 1-5 times a day.
  • the R-beta-hydroxybutyrate salt blend composition may include approximately 1 g to approximately 3 g of beta-hydroxybutyrate and approximately 1 g of long chain fatty acid and/or triglyceride. This composition may be administered from once a day to approximately 5 times a day.
  • beta-hydroxybutyrate, short chain compound(s) e.g., fatty acids and/or triglycerides, butyrate
  • medium chain compound(s) e.g., fatty acids and/or triglycerides
  • the beta-hydroxybutyrate of the R-beta- hydroxybutyrate salt blend may be administered with and/or include approximately 0.1 g to approximately 50 g short chain triglyceride and/or approximately 0.1 g to approximately 50 g medium chain fatty acid (e.g., lauric acid and/or coconut oil). This may be administered between 1-5 times a day.
  • approximately 1 g to approximately 3 g of beta-hydroxybutyrate (e.g., via the R-beta-hydroxybutyrate salt blend) and approximately 1 g of short chain fatty acid and/or triglyceride and/or approximately 1 g of medium chain fatty acid and/or triglyceride may be administered from once a day to approximately 5 times a day.
  • directly administering beta-hydroxybutyrate plus another compound that is processed to deliver beta-hydroxybutyrate may allow a first level of beta- hydroxybutyrate in the blood to be maintained over a period of time.
  • beta-hydroxybutyrate ester e.g., beta-hydroxybutyrate ester, beta-hydroxybutyrate polymer, butyrate, other appropriate compounds, and/or combinations thereof
  • beta-hydroxybutyrate may elevate blood beta-hydroxybutyrate levels to a first concentration and this concentration may be approximately maintained over a period of time by providing additional beta-hydroxybutyrate via another compound administered approximately concurrently (e.g., short chain fatty acid and/or triglyceride, beta- hydroxybutyrate ester, beta-hydroxybutyrate polymer, beta- hydroxybutyrate amino acid complex, etc.).
  • another compound administered approximately concurrently e.g., short chain fatty acid and/or triglyceride, beta- hydroxybutyrate ester, beta-hydroxybutyrate polymer, beta- hydroxybutyrate amino acid complex, etc.
  • the R-beta-hydroxybutyrate salt blend may include or be administered with one or more other compounds such as, but not limited to, amino acids, amino acid metabolites, proteins (e.g., dairy proteins such as whey and/or casein; vegan proteins such as pea protein and/or pumpkin protein; egg protein; meat derived proteins; any other appropriate protein; and/or combinations thereof), vitamins, minerals, herbs and/or extracts of herbs, coconut milk (e.g., powder), flavorings, colorings, binders, electrolytes, tetrahydrobiopeterin, nucleic acids, alpha-ketoglutaric acid, alpha lipoic acid, nutritional co-factors, beta-methyl-beta-hydroxybutyrate, arginine alpha- ketoglutarate, R- alpha lipoic acid, thiamine, NAD+, NADH, riboflavin, FAD+, FADH, riboflavin-5- phosphate, niacin, nico
  • proteins e.g
  • the R-beta-hydroxybutyrate salt blend may include and/or be administered in a bone broth (e.g., powdered and/or in fluid form).
  • a bone broth e.g., powdered and/or in fluid form.
  • the inclusion of bone broth may increase satiety and/or palatability.
  • the bone broth and R- betahydroxybutyrate via the salt R-beta-hydroxybutyrate salt blend may increase and/or facilitate maintenance of ketosis.
  • R-beta-hydroxybutyrate salt blend may include approximately 0.5 to approximately 20 g of R-beta-hydroxybutyrate compounds (e.g., first mixture and/or other types of R-beta-hydroxybutyrate, such as calcium and/or magnesium R-beta-hydroxybutyrate) and approximately 1 g to approximately 50 g of bone broth.
  • R-beta-hydroxybutyrate salt blend may include approximately 0.5 to approximately 20 g of R-beta-hydroxybutyrate compounds (e.g., first mixture and/or other types of R-beta-hydroxybutyrate, such as calcium and/or magnesium R-beta-hydroxybutyrate) and approximately 1 g to approximately 30 g of bone broth.
  • R-beta-hydroxybutyrate salt blend may include approximately 0.5 to approximately 20 g of R-beta-hydroxybutyrate compounds (e.g., first mixture and/or other types of R-beta-hydroxybutyrate, such as calcium and/or magnesium R-beta-hydroxybutyrate) and approximately 1 g to approximately 10 g of bone broth.
  • R-beta-hydroxybutyrate salt blend that includes bone broth may include additional compounds such as caffeine, vitamins, collagen peptides, etc.
  • the R-beta- hydroxybutyrate salt blend that includes bone broth may cause greater user satisfaction when compared with conventional bone broths (e.g., due to the pleasant saltiness provided by the R-beta- hydroxybutyrate salts, ability to increase ketone delivery without increasing fat intake, etc.). Since bone broth may be provided as a low-fat bone broth, the R-beta- hydroxybutyrate salt blend bone broth may provide users that are unable to tolerate a high fat diet, benefits of the R-beta-hydroxybutyrate salt blend and satiety without a high fat intake.
  • the R-beta-hydroxybutyrate salt blend that includes bone broth may be provided in a packet (powdered and/or fluid) and water may be added to the contents of the packet prior to consumption by the individual.
  • the inclusion of bone broth may increase satiety, maintain ketosis, and/or increase mood and thus may increase compliance with an administration schedule and user satisfaction.
  • administration of the R-beta-hydroxybutyrate salt blend may improve the health of an individual.
  • R-beta-hydroxybutyrate may be capable of providing a greater impact on the health of an individual than D,L-beta-hydroxybutyrate and/or L-beta-hydroxybutyrate, as described in US 15/491,924, which is incorporated to the extent its teachings do not conflict with the teachings herein.
  • Administration of the R- beta-hydroxybutyrate salt blend as described may increase lifespan in individuals following a dietary plan (e.g., standard American low-fat, ketogenic, Paleo, Mediterranean, etc.) and/or not following a dietary plan.
  • a dietary plan e.g., standard American low-fat, ketogenic, Paleo, Mediterranean, etc.
  • administration of at least 0.5 to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts may increase life span.
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • administration of R-beta-hydroxybutyrate salt blend may treat and/or lessen the impact of symptoms of disease(s) and/or disorders, such as diseases that impact cognitive function.
  • Administration of R-beta-hydroxybutyrate salt blend may increase motor function in individuals with Parkinson's disease.
  • administration of at least 0.5 to 12 g of the first mixture of R-beta- hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta- hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of weight of the first mixture to weight of the other beta-hydroxybutyrate compounds
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • R-beta-hydroxybutyrate salt blend may increase fat loss. Unlike with conventional diets, in which weight loss often comes from decreases in water retention and/or muscle mass, administration of R-beta-hydroxybutyrate may cause decreases in fat loss. In addition, administration of R-beta-hydroxybutyrate may decrease levels of LPL in the body, and thus reduce or inhibit fat storage and/or encourage existing fat storage utilization by the body.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts may cause fat loss and/or reduce fat storage.
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • Administration of the R-beta- hydroxybutyrate salt blend may allow fat loss greater than 5 kg while maintaining lean mass.
  • the administration of R-beta-hydroxybutyrate salt blend may increase the amount of fat used as fuel.
  • R-beta-hydroxybutyrate salt blend may increase joint health.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta- hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta- hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of other beta-hydroxybutyrate compounds
  • the R-beta-hydroxybutyrate salt blend with bone broth may further increase joint health.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • R-beta-hydroxybutyrate salt blend may decrease inflammation.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta- hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta- hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of other beta-hydroxybutyrate compounds
  • the R-beta-hydroxybutyrate salt blend with bone broth may further decrease inflammation.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • administration of the R-beta-hydroxybutyrate salt blend may improve and/or maintain health markers such as C-reactive protein and/or fasting glucose.
  • Administration of the R-beta-hydroxybutyrate salt blend may decrease inflammation (e.g., as shown by C-reactive protein levels).
  • Administration of R-beta- hydroxybutyrate salt blend may decrease fasting glucose.
  • administration of at least 0.5 to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts may cause a reduction in and/or maintain a low fasting glucose.
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • the R- beta-hydroxybutyrate salt blend may include and/or be administered with one or more other compounds to decrease glucose levels and/or sensitivity.
  • a berberine such as dihydroberberine
  • a berberine may cause reduce and/or maintain low fasting glucose.
  • Administration of the R-beta-hydroxybutyrate salt blend with a berberine, such as dihydroberberine may cause reduce and/or maintain low glucose levels.
  • less than approximately 15 g of R-beta-hydroxybutyrate via the R-beta-hydroxybutyrate salt blend may be administered with less than approximately 600 mg of dihydroberberine.
  • R-beta-hydroxybutyrate salt blend may increase blood ketone levels (see e.g., Figures 23 A and 23B). Increasing blood ketone levels may increase weight loss, maintain weight loss, improve performance, increase mental acuity, and/or have other health improvement and health maintenance features. For example, even at levels less than 10 g (e.g., approximately 6 g) of R-beta-hydroxybutyrate via the R-beta- hydroxybutyrate salt blend may decrease ketone levels while L-beta-hydroxybutyrate does not, and D,L- beta-hydroxybutyrate does not to the same extent.
  • 10 g e.g., approximately 6 g
  • R-beta- hydroxybutyrate may increase blood ketone levels 5 times as much as similar administration amounts of D, L-beta- hydroxybutyrate.
  • an amount of R-beta-hydroxybutyrate administered by using the R-beta-hydroxybutyrate salt blend e.g., when compared with administering D, L-beta-hydroxybutyrate
  • an amount cation administered e.g., sodium, potassium, etc.
  • R-beta- hydroxybutyrate salt blend may allow administration to more people, increase user satisfaction, and/or decrease side effects (e.g., associated with additional consumption of these cations).
  • approximately 0.1 g of R-beta-hydroxybutyrate to approximately 20 g R-beta- hydroxybutyrate may be administered via the R-beta-hydroxybutyrate salt blend to increase blood ketone levels.
  • R-beta-hydroxybutyrate Approximately 0.5 g of R-beta-hydroxybutyrate to approximately 2 g R-beta-hydroxybutyrate via the R- beta-hydroxybutyrate salt blend may be administered to maintain blood ketone levels. In some implementations, other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • R-beta-hydroxybutyrate salt blend may increase performance and decrease perceived exertion (e.g., as opposed to when administered D, L-beta- hydroxybutyrate).
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta- hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of the other R-beta-hydroxybutyrate compounds
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • oral administration of the R-beta-hydroxybutyrate salt blend may increase muscle protein synthesis while D,L-beta-hydroxybutyrate does not increase muscle protein synthesis.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of the other R-beta- hydroxybutyrate compounds
  • other appropriate amounts of R-beta-hydroxybutyrate may be included in the composition.
  • the administration of R-beta-hydroxybutyrate via the salt blend may decrease perceived hunger and/or increase satiety) which may inhibit overeating and thus promote weight loss.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta- hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta- hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of the other R-beta-hydroxybutyrate compounds
  • the use of bone broth with the salt blend may further increase the efficacy beyond that provided individually by bone broth and the salt blend.
  • the administration of R-beta-hydroxybutyrate unlike D,L-beta- hydroxybutyrate may increase perceived energy.
  • administration of at least 0.5 to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of the other R-beta- hydroxybutyrate compounds) may increase perceived energy.
  • administration of R-beta-hydroxybutyrate salt blend may increase mental acuity.
  • administration of at least 0.5 g to 12 g of the first mixture of R-beta-hydroxybutyrate and 0.1 g to approximately 4.8 g of one or more other R-beta-hydroxybutyrate salts e.g., in a ratio of approximately 2.5 to approximately 5 of the weight of the first mixture to the weight of the R-beta-hydroxybutyrate
  • other appropriate amounts of R-beta- hydroxybutyrate may be included in the composition.
  • the amount of R-beta-hydroxybutyrate included in the R-beta-hydroxybutyrate salt blend composition may be selected to obtain a result (e.g., induce ketosis; maintain ketosis; increase ketone levels, mental acuity, strength, etc.) upon administration (e.g., a pharmaceutically effective amount may be administered at a dosage and/or over a predetermined time period).
  • a pharmaceutically effective amount may be administered at a dosage and/or over a predetermined time period.
  • the dosage and/or frequency of dosage may vary over time (e.g., initial vs a lower dosage for maintenance, vary based on time of day, vary based on whether taken with or without a meal, etc.).
  • the R-beta-hydroxybutyrate in the R-beta-hydroxybutyrate salt blend composition may include any appropriate and/or appropriate number of forms.
  • non-salt base beta-hydroxy butyrate e.g., polymers, esters, complexes
  • R-beta-hydroxybutyrate salts in the R-beta-hydroxybutyrate salt blend may increase user satisfaction (e.g., by reducing the cation, such as sodium and/or potassium, load due to ingestion of the composition; by decreasing side effects; etc.), increase the applicability of the administration (e.g., since users sensitive to the cations of the betahydroxybutyrate salts may be less sensitive to the non-salt and/or lower salt plus non-salt forms of the composition).
  • the administration of the composition may increase blood ketone levels, induce ketosis, maintain blood ketone levels, maintain ketosis, increase health, increase strength, increase mental acuity, etc.
  • the R- betahydroxybutyrate salt may cause a first impact (e.g., induce ketosis, quickly increase mental acuity, quickly increase strength, etc.) and the non-salt beta-hydroxybutyrate in the R-beta- hydroxybutyrate salt blend may be utilized to cause a second impact (e.g., maintain ketosis, maintain mental acuity, maintain increased strength, etc.).
  • the form(s) of R-beta-hydroxybutyrate included may be selected based on the delivery form.
  • a R-beta-hydroxybutyrate salt blend composition may be in any appropriate form.
  • the R-beta-hydroxybutyrate salt blend composition may include sodium R-beta-hydroxybutyrate, potassium R-beta-hydroxybutyrate, and other forms of R-beta-hydroxybutyrate(s).
  • the R-beta-hydroxybutyrate salt blend may have a specified ratio of R-beta-hydroxybutyrate provided in the first mixture of sodium and potassium R-beta-hydroxybutyrate to the amount of other R-beta-hydroxybutyrate salt compounds in the R-beta-hydroxybutyrate salt blend. The ratio may be approximately 2 to 5. The ratio may be approximately 2.5 to 5.
  • the R-beta- hydroxybutyrate salt blend composition may include one or more additional compositions.
  • Additional composition(s) may be capable of independently increasing blood ketone levels (e.g., fatty acids or esters, berberine or berberine metabolites such as dihydroberberine, etc.) and/or capable of independently decreasing blood glucose levels (e.g., berberine or berberine metabolites such as dihydroberberine).
  • additional compounds may not be capable of independently increasing blood ketone levels and/or decreasing blood glucose levels (e.g., additives, flavorings, colorings, minerals, vitamins, binders, anti-caking agents, etc.).
  • the R-beta-hydroxybutyrate salt blend composition may be administered in an effective amount to cause a predetermined health impact (e.g., predetermined level of ketosis, blood ketone level, mental acuity, strength increase, perceived energy, fat loss, weight loss, etc.).
  • the composition may be administered to an individual in a predetermined amount and/or different amounts over an administration schedule.
  • a first criteria e.g., period of time, number of doses, predetermined health impact
  • the dosage amount may be altered.
  • first dose(s) of the composition may be administered to cause a predetermined health impact and additional lower dose(s) of the composition may be administered to maintain the predetermined health impact (e.g., caused in part by the first doses).
  • the R-beta-hydroxybutyrate salt blend composition may be administered in any appropriate delivery form (e.g., tablet; capsule; food products such as powdered products that can be mixed into food, mixed into beverages, and/or consumed directly; beverage product; etc.).
  • the R-beta-hydroxybutyrate salt blend composition may be administered according to any appropriate schedule (e.g., periodic dosages, dosages as user desires, etc.).
  • the R-beta-hydroxybutyrate salt blend administration schedule may inhibit administration that elevates blood ketone levels too high, decreases blood glucose levels too low, and/or causes an individual to consume a dosage that substantially elevates the risk of adverse and/or side effects, in some implementations.
  • the R-beta-hydroxybutyrate salt blend composition may include a long-acting component and/or be long-acting.
  • the delivery of R-beta-hydroxybutyrate may be slower than a digestion of a beta- hydroxybutyrate salt (e.g., R-beta-hydroxybutyrate salt).
  • the composition may include a R-beta-hydroxybutyrate and a long-acting R-beta- hydroxybutyrate form (e.g., polymer, ester, coated and/or processed form to provide slow release).
  • a first dose(s) may include at least one non-long- acting form of beta-hydroxybutyrate and a second dose(s) may include at least one long- acting form of beta-hydroxybutyrate.
  • the first dose(s) may be administered to cause a predetermined health impact and the second dose(s) may be administered to maintain the caused predetermined health impact.
  • users may select the appropriate dose based on user preference and/or properties (e.g., a user on a ketogenic diet may chose the second dose since the user may already be in ketosis).
  • the R-beta-hydroxybutyrate salt blend may include a first mixture of R-beta-hydroxybutyrate and one or more other second R-beta- hydroxybutyrate compounds (e.g., non-sodium R-beta-hydroxybutyrate salt and nonpotassium R-beta-hydroxybutyrate salt).
  • the other second R- beta-hydroxybutyrate may include free beta-hydroxybutyrate (e.g., monomer betahydroxybutyrate, monomer R-beta-hydroxybutyrate, etc.).
  • the ratio of the weight of the first mixture to the weight of the other R-beta-hydroxybutyrate compounds in the composition may be approximately 2.0 to approximately 5.
  • the ratio of the weight of the first mixture to the weight of the other R-beta-hydroxybutyrate compounds in the composition may be approximately 2.5 to approximately 5.
  • the R-beta-hydroxybutyrate salt blend may include 0.5 g to 12 g of a first mixture of sodium R-beta-hydroxybutyrate and potassium R-beta- hydroxybutyrate.
  • the amount of R-beta-hydroxybutyrate provided by the sodium salt and the potassium salt may be the same or different.
  • the R-beta-hydroxybutyrate salt blend may also include approximately 0.1 g to approximately 5 g of other R-beta- hydroxybutyrate salts (e.g., not sodium R-beta-hydroxybutyrate and potassium R-beta- hydroxybutyrate).
  • the R-beta-hydroxybutyrate salt blend may also include approximately 0.1 g to approximately 4.8 g of other R-beta-hydroxybutyrate salts (e.g., not sodium R- beta-hydroxybutyrate and potassium R-beta-hydroxybutyrate).
  • the ratio of weight of the first mixture to the weight of the other R-beta-hydroxybutyrate compounds may be approximately 2 to approximately 5.
  • the R-beta-hydroxybutyrate salt blend may include one or more amino acids (e.g., leucine), caffeine, flavors, vitamins, minerals, herb extracts (e.g., extract of Uncaria tomentosa), and/or pharmaceutically acceptable binders (e.g., fluid and/or solid binders).
  • the R-beta-hydroxybutyrate salt blend may include bone broth.
  • the R-beta-hydroxybutyrate may include fatty acids, esters, or triglycerides (e.g., short chain, long chain, and/or medium chain).
  • the R-beta-hydroxybutyrate salt blend may include 0.5 g to 2 g of R-beta- hydroxybutyrate compounds (e.g., R-beta-hydroxybutyrate provided via sodium R-beta- hydroxybutyrate, potassium R-beta-hydroxybutyrate, and one or more other R- beta- hydroxybutyrate compounds), caffeine, and/or fatty acids, esters, and/or triglycerides (e.g., medium, short, and/or long chain).
  • R-beta- hydroxybutyrate compounds e.g., R-beta-hydroxybutyrate provided via sodium R-beta- hydroxybutyrate, potassium R-beta-hydroxybutyrate, and one or more other R- beta- hydroxybutyrate compounds
  • caffeine e.g., fatty acids, esters, and/or triglycerides (e.g., medium, short, and/or long chain).
  • the R- beta-hydroxybutyrate salt blend may include 0.5 g to 15 g of R-beta-hydroxybutyrate compounds and 4 g of fatty acids, esters, or triglycerides (e.g., medium chain fatty acids, medium chain triglycerides, short chain fatty acids, etc.).
  • fatty acids, esters, or triglycerides e.g., medium chain fatty acids, medium chain triglycerides, short chain fatty acids, etc.
  • the R-beta-hydroxybutyrate salt blend may include less magnesium R-beta-hydroxybutyrate than other beta-hydroxybutyrate compounds (e.g., sodium R-beta-hydroxybutyrate, potassium R-beta-hydroxybutyrate, calcium R-beta- hydroxybutyrate, etc.).
  • the use of a low magnesium R-beta-hydroxybutyrate salt blend may increase user satisfaction (e.g., by decreasing GI discomfort such as caused by constipation, increasing energy, decreasing sleepiness, etc.).
  • method of maintaining or increasing weight loss in an individual may include orally administering a composition.
  • the composition may include approximately 0.5 to approximately 12 g of a first mixture of R-beta-hydroxybutyrate salt, wherein the first mixture of R-beta-hydroxybutyrate salt comprises sodium R-beta- hydroxybutyrate and potassium R-beta-hydroxybutyrate; and approximately 0.1 g to approximately 4.8 g of at least one second R-beta-hydroxybutyrate salt, wherein the at least one second R-beta-hydroxybutyrate salt is not sodium R-beta-hydroxybutyrate, and wherein the at least one second R-beta-hydroxybutyrate salt is not potassium R-beta- hydroxybutyrate; and wherein a ratio of a weight of the first mixture of R-beta- hydroxybutyrate to a weight of the at least one second R-beta-hydroxybutyrate salt is approximately 2.5 to approximately 5.
  • At least one second R-beta-hydroxybutyrate may include at least one of magnesium R-beta- hydroxybutyrate or calcium R-beta-hydroxybutyrate salt.
  • the administration of the composition increases at least one of mental acuity, metabolism, fat loss, fat oxidation, motor function, or muscle mass.
  • the composition may be administered up to 5 times daily.
  • the composition may include at least one amino acid.
  • the amount of L-beta- hydroxybutyrate in the first mixture of R-beta-hydroxybutyrate salt may include less than approximately 10% L-beta-hydroxybutyrate relative to the amount of the total betahydroxy-butyrate in the first mixture of R-beta-hydroxybutyrate salt.
  • the amount of L- beta-hydroxybutyrate in the one or more second R-beta-hydroxybutyrate salt comprises less than approximately 10% L-beta-hydroxybutyrate relative to the amount of the total beta-hydroxy -butyrate in the at least one second R-beta-hydroxybutyrate salt.
  • a method of maintaining or inducing ketosis in an individual may include orally administering a composition.
  • the composition may include approximately 0.5 g to approximately 12 g of a first mixture of R-beta-hydroxybutyrate salt, wherein the first mixture of R-beta-hydroxybutyrate salt comprises sodium R-beta- hydroxybutyrate and potassium R-beta-hydroxybutyrate; and approximately 0.1 g to approximately 4.8 g of at least one second R-beta-hydroxybutyrate salt, wherein the at least one second R-beta-hydroxybutyrate salt is not sodium R-beta- hydroxybutyrate, and wherein the at least one second R-beta-hydroxybutyrate salt is not potassium R-beta- hydroxybutyrate; wherein a ratio of a weight of the first mixture of R-beta-hydroxybutyrate to a weight of the at least one second R-beta-hydroxybutyrate salt may be approximately 2.5 to
  • Implementations may include one or more of the following features.
  • Administration of the composition may increase at least one of mental acuity, metabolism, fat loss, fat oxidation, motor function, or muscle mass.
  • An amount of L-beta- hydroxybutyrate in the first mixture of R-beta-hydroxybutyrate salt may include less than approximately 10% L-beta-hydroxybutyrate relative to the amount of the total betahydroxy-butyrate in the first mixture of R-beta-hydroxybutyrate salt.
  • An amount of L-beta- hydroxybutyrate in the one or more second R-beta-hydroxybutyrate salt may include less than approximately 10% L-beta-hydroxybutyrate relative to the amount of the total betahydroxy-butyrate in the at least one second R-beta-hydroxybutyrate salt.
  • an orally administrable composition may include approximately 0.5 g to approximately 12 g of a first mixture of R-beta-hydroxybutyrate salt, wherein the first mixture of R-beta-hydroxybutyrate salt comprises sodium R-beta- hydroxybutyrate and potassium R-beta-hydroxybutyrate; and approximately 0.1 g to approximately 4.8 g of at least one second R-beta-hydroxybutyrate salt, wherein the at least one second R-beta-hydroxybutyrate salt is not sodium R-beta-hydroxybutyrate, and wherein the at least one second R-beta-hydroxybutyrate salt is not potassium R-beta- hydroxybutyrate.
  • a ratio of a weight of the first mixture of R-beta-hydroxybutyrate to a weight of the at least one second R-beta-hydroxybutyrate salt may be approximately 2.5 to approximately 5.
  • Oral administration of the composition may induce ketosis, maintains ketosis, maintain weight loss, and/or increase weight loss in an individual.
  • the composition may include one or more flavorings, one or more vitamins, one or more minerals, one or more binders, and/or one or more carriers.
  • the composition may include bone broth, water, milk, and/or coconut water.
  • the composition may include a polymer of beta-hydroxybutyrate.
  • the total R-beta-hydroxybutyrate weight of the first mixture of R- beta-hydroxybutyrate and the at least one second R-beta-hydroxybutyrate may be approximately 0.5 to approximately 15 g of R-beta-hydroxybutyrate.
  • At least one second R-beta-hydroxybutyrate may include magnesium R-beta-hydroxybutyrate and/or calcium R-beta-hydroxybutyrate salt.
  • the composition may include approximately 0.5 to approximately 500 mg of caffeine.
  • the composition may include at least one amino acid.
  • the composition may include a short chain fatty acid, an ester of short chain fatty acid, a medium chain fatty acid, an ester of medium chain fatty acid, a long chain fatty acid, and/or an ester of long chain fatty acid.
  • An amount of L-beta-hydroxybutyrate in the first mixture of R-beta-hydroxybutyrate salt may include less than approximately 10% L-beta- hydroxybutyrate relative to the amount of the total beta-hydroxy-butyrate in the first mixture of R-beta-hydroxybutyrate salt.
  • An amount of L-beta-hydroxybutyrate in the one or more second R-beta-hydroxybutyrate salt may include less than approximately 10% L- beta-hydroxybutyrate relative to the amount of the total beta-hydroxy-butyrate in the at least one second R-beta-hydroxybutyrate salt.
  • Example 1 As in Example 1, five subjects were subject to three separate glucose challenge tests (75g glucose) after administration of 500 mg berberine (BB), 250 mg of dihydroberberine (DHBB) or 500 dihydroberberine.
  • Figure 2 illustrates a ranking of which compositions caused the lowest blood glucose levels during a oral glucose challenge.
  • 250 mg of DHBB may control blood glucose levels better than even 500 mg of DHBB.
  • individuals e.g., individuals with moderate glucose tolerance
  • dihydroberberine administration resulted in lower blood glucose than administration of berberine in most individuals.
  • a subject was subject to a glucose challenge test (75g glucose) after administration of 250 mg dihydroberberine (DHBB) and a glucose challenge test after administration of 250 mg dihydroberberine (DHBB) along with 5 mg of beta- hydroxybutyrate (e.g., 5 mg sodium beta-hydroxybutyrate).
  • DHBB glucose challenge test
  • beta- hydroxybutyrate e.g., 5 mg sodium beta-hydroxybutyrate
  • FIG. 6 illustrates an average blood ketone concentration (mmol/L) for the subjects after administration, after 30 minutes, after 60 minutes, after 90 minutes, after 120 minutes, and after 180 minutes.
  • administering caused greater elevation of blood ketone levels than administration of a similar amount of medium chain compound (illustrated in the blue bars or first bar in each set) at least after administration, after 30, 60, 90 minutes, and 180 minutes.
  • a short chain compound illustrated in red bars or the second bar in each set
  • medium chain compound illustrated in the blue bars or first bar in each set
  • short chain compounds e.g., fatty acids and/or triglycerides
  • medium chain compounds e.g., fatty acids and/or triglycerides
  • administration of short chain compounds may unexpectedly allow a smaller weight amount, when compared to medium chain compounds, to be administered to produce the same result (e.g., blood ketone level, weight loss, weight management, etc.) and/or allow greater results (e.g., when compared with similar amount of medium chain compounds).
  • Rats Male 344 rats were studied for the effect of R-beta- hydroxybutyrate on lifespan.
  • a first grouping of eight rats were fed an equivalent to a low- fat standard American diet and a second grouping of eight rats were fed the same equivalent to a low-fat standard American diet and supplemented with R-beta- hydroxybutyrate salt (e.g., sodium R-beta-hydroxybutyrate).
  • the second grouping of rats were supplemented with the R-beta-hydroxybutyrate salt at middle age.
  • Figure 7 illustrates the average lifespans of the groupings of rats. As illustrated, at 20 months approximately half of the first grouping of rats died on the standard diet while only 12.5% of the second grouping of rats had died at 20 months.
  • the supplementation of rats diets with R-beta- hydroxybutyrate increased lifespan in at least approximately 38.5% of the rats. Since the rat study was performed as an approximation of impact in humans, the addition of R-beta- hydroxybutyrate to a standard American low-fat diet may increase lifespan.
  • Figure 8 illustrates chart illustrating the results of the motor skill testing following an example implementation of administration of R-beta-hydroxybutyrate.
  • Figure 8 illustrates average results for a similar non-Parkinson's population, the patient preadministration of R-beta-hydroxybutyrate, and the patient post-administration of R-beta- hydroxybutyrate.
  • the administration of R-beta-hydroxybutyrate increased motor function (e.g., approximately 30 minutes after administration of the R-beta- hydroxybutyrate) .
  • FIG. 9A illustrates a chart that shows the results after 3 months of administration. As illustrated, the individual experienced a greater than approximately 10% decrease in fat mass.
  • Figure 9B illustrates that the fat loss was sustained while maintaining lean mass.
  • the R-beta- hydroxybutyrate may cause weight loss through fat loss rather than lean mass (e.g., muscle mass).
  • a first grouping of 10 rats were given a standard diet
  • a second grouping of 10 rats were given a ketogenic diet
  • a third grouping of 10 rats were on the standard diet but given a first dosage of R-beta- hydroxybutyrate salt (e.g., equivalent to 5 g)
  • a fourth grouping was on the standard diet but given a second dosage of R-beta-hydroxybutyrate salt (e.g., equivalent to 10 g).
  • Figure 10 illustrates the average Lipoprotein lipase (LPL) in the rats.
  • LPL Since LPL is needed to transport fat into adipose tissue, lowering LPL levels would inhibit fat storage and encourage usage of fat storages. As illustrated, supplementation of a standard diet with even lower dosages of R-beta-hydroxybutyrate decreases LPL levels and thus inhibits fat storage.
  • FIG. 13 illustrates the perceived exertion experienced by the individuals. As illustrated, the individuals did not feel an impact in perceived exertion after administration with D,L-beta-hydroxybutyrate as compared with the perceived exertion improvement experienced after administration of R-beta-hydroxybutyrate. Thus, the R- beta-hydroxybutyrate has an unexpected impact on ketone levels and performance.
  • R-beta-hydroxybutyrate e.g. 10 g
  • SOD superoxide dismutase 2 levels
  • L-beta-hydroxybutyrate does not decrease blood ketones.
  • D,L-beta- hydroxybutyrate does not lower blood ketone levels to the same extent as R-beta-hydroxybutyrate. This indicates that L-beta- hydroxybutyrate may block some of the impact of R-beta-hydroxybutyrate, which is unexpected.
  • RER Respiratory exchange ratio
  • a ratio of 1.0 indicates that 100 % carbohydrate is used as fuel and at 0.7, 100 % fat is used as fuel.
  • R-beta-hydroxybutyrate administration reduces RER approximately 3 x more than D, L-beta-hydroxybutyrate.
  • R-beta- hydroxybutyrate is capable of achieving a result that even more D,L-beta- hydroxybutyrate is unable to (e.g., D, L-beta-hydroxybutyrate increases RER by 17 % rather than decreasing RER).
  • FIG. 17A illustrates perceived hunger
  • Figure 17B illustrates perceived satiety
  • Figure 1 7C illustrates perceived energy.
  • R-beta-hydroxybutyrate improved satiety levels 2.3x better than D,L-beta-hydroxybutyrate relative to baseline levels.
  • R-beta-hydroxybutyrate improved perceived energy from 0 to 30 minutes post consumption by double that of D,L-beta-hydroxybutyrate.
  • R-beta-hydroxybutyrate sustained elevated perceived energy levels from 0 minutes at 60, 90, and 120 minutes post consumption, as opposed to D,L-beta-hydroxybutyrate. As illustrated, R-beta-hydroxybutyrate was able to raise perceived energy by 18 % and sustain it for 2 hours post ingestion (e.g., more than 2 times greater than the peak value of increase with the DL-beta-hydroxybutyrate)
  • Figure 14C illustrates the results of the testing (e.g., averages of power measurements). As illustrated, R-beta- hydroxybutyrate administration increased minimum power by 26 %, while the D,L-beta-hydroxybutyrate administration raised power by 2 %.
  • Horizontal Tracking testing (e.g., to assess their cognitive function) was performed and administration of D,L-beta-hydroxybutyrate (e.g., 10 g) improved performance by 4.6 %, while the administration of R-beta-hydroxybutyrate (e.g., 10 g) improved performance by 13.8 %, which is approximately 3 times greater improvement.
  • Horizontal Saccades testing was performed (e.g., a saccade is one eye movement and known to become significantly slower if cognitive function declines and improve if cognitive function improves).
  • administering increased mental acuity more than a similar amount of D,L-beta-hydroxybutyrate.
  • the administration of R-beta-hydroxybutyrate increased mental acuity often by than double when compared with a similar amount of D,L-beta-hydroxybutyrate.
  • the compound for administration was prepared to include an R-beta- hydroxybutyrate amino acid complex.
  • An R-beta-hydroxybutyrate - agmatine complex was prepared and an R-beta-hydroxybutyrate Arginine complex was prepared.
  • Figure 19 illustrates the average blood ketone levels achieved with the R-beta-hydroxybutyrate amino acid complex (e.g., an average of both complexes) when compared with D,L-beta- hydroxybutyrate.
  • blood ketone levels are not only more than double the blood ketone levels achieved with the same quantity of D,L-beta-hydroxybutyrate as R- beta-hydroxybutyrate amino acid complex (e.g., 10 g), but they are more than an additive result of a similar amount of R-beta-hydroxybutyrate and amino acid.
  • Use of the R-beta-hydroxybutyrate amino acid complex may reduce the amount of cation delivered (e.g. since the complex may deliver the R-beta-hydroxybutyrate rather than a R-beta-hydroxybutyrate salt).
  • the reduction of this cation may decrease side effects (e.g., from increased sodium, potassium, and/or magnesium intake), increase user satisfaction, and/or increase the population that can tolerate the administration of R-beta- hydroxybutyrate (e.g., since some individuals may not be capable of increasing loads of these cations due to underlying diseases and/or disorder).
  • R-beta- hydroxybutyrate amino acid complex may also allow a higher yield of R-beta- hydroxybutyrate to be administered (90.8% R-beta-hydroxybutyrate, 5% amino acid) when compared with a similar weight of R-beta-hydroxybutyrate salt (e.g., average of 83% yield for BHB sodium).
  • a composition for administration may include R-beta-hydroxybutyrate and an amino acid, such as Leucine.
  • the R-beta-hydroxybutyrate and leucine maybe complexed and/or mixed together for administration.
  • the R-beta-hydroxybutyrate and leucine may be administered separately but approximately concurrently.
  • Figure 20 illustrates the blood ketone levels after administration of R-beta-hydroxybutyrate (5 g) and leucine (2 g).
  • the administration of R-beta-hydroxybutyrate and leucine causes greater elevation of blood ketone levels than the administration of R-beta-hydroxybutyrate (5 g).
  • the administration of R-beta-hydroxybutyrate and leucine causes greater elevation of blood ketone levels than merely the additive effect of similar quantities of R-beta- hydroxybutyrate and leucine administered separately.
  • R-beta-hydroxybutyrate Two subjects were administered approximately 6 g of R-beta-hydroxybutyrate as (1) a balanced blend (25% as sodium R-beta-hydroxybutyrate, 25% as potassium R- betahydroxybutyrate, 25% as magnesium R-beta-hydroxybutyrate, and 25% as calcium R-beta- hydroxybutyrate) and as (2) an implementation of the described R-beta-hydroxybutyrate salt blend.
  • Figures 22A and 22B illustrated the blood ketone levels over time after administration of the balanced blend and the described R-beta- hydroxybutyrate salt blend. As illustrated, blood ketone values were higher for both subjects when the R-beta- hydroxybutyrate salt blend was administered when compared to the balanced blend. Thus, this specially ratioed R-beta-hydroxybutyrate caused greater blood ketone levels.
  • This increased blood ketone level may allow less of the R-beta-hydroxybutyrate salt blend composition to be administered when compared with other blends, such as the balanced blend. Reducing the levels of salt may allow the R-beta-hydroxybutyrate salt blend to be more tolerated by individuals.
  • the increased blood ketone level provided by the R-beta-hydroxybutyrate salt blend may ease maintenance of ketosis in an individual.
  • the increased initial blood ketone levels provided by the administration of the R-beta-hydroxybutyrate salt blend may ease inducing ketosis in individuals.
  • EXAMPLE 22 Two subjects were administered approximately 12 g of R-beta-hydroxybutyrate as (1) a balanced blend (25% as sodium R-beta-hydroxybutyrate, 25% as potassium R- betahydroxybutyrate, 25% as magnesium R-beta-hydroxybutyrate, and 25% as calcium R-beta- hydroxybutyrate) and as (2) an implementation of the described R-beta-hydroxybutyrate salt blend.
  • Figures 23A and 23B illustrated the blood ketone levels over time after administration of the balanced blend and the described R-beta-hydroxybutyrate salt blend. As illustrated, the overall blood ketone values were higher for both subjects when the R- beta-hydroxybutyrate salt blend was administered when compared to the balanced blend. Thus, this specially ratioed R-beta-hydroxybutyrate caused greater blood ketone levels.
  • This increased blood ketone level may allow less of the R-beta-hydroxybutyrate salt blend composition to be administered when compared with other blends, such as the balanced blend. Reducing the levels of salt may allow the R-beta-hydroxybutyrate salt blend to be more tolerated by individuals.
  • the increased blood ketone level provided by the R-beta-hydroxybutyrate salt blend may ease maintenance of ketosis in an individual.
  • the increased blood ketone levels provided by the administration of the R-beta-hydroxybutyrate salt blend may ease inducing ketosis in individuals.
  • one or more additives may be included in the R-beta- hydroxybutyrate salt blend composition, such as flavorings (e.g., natural and/or artificial), vitamins, minerals, binders, pharmaceutically acceptable carriers (e.g., liquid and/or other types of carriers) and/or any other appropriate additive.
  • the additives may alter flavor, color, and/or texture.
  • the additives may increase palatability and/or facilitate inclusion in a delivery vehicle (e.g., tablet, food product, beverage product such as a drink mix, etc.).
  • the additive may be any appropriate solid and/or liquid to which the compound is added.
  • an additive may include liquid carriers, such as water, milk(s), bone broth, and/or any other appropriate drinkable liquid.
  • the R-beta- hydroxybutyrate salt blend composition may include a pharmaceutically inert liquid carrier, such as water (e.g., tap water, filtered water, distilled water, etc.).
  • the liquid carrier may include other drinkable liquids such as coconut water, watermelon water, electrolyte water, bone broth, and/or combinations thereof.
  • the liquid carrier may include milks such as dairy milk, non-dairy milk, coconut milk, other milks, and/or combinations thereof.
  • the liquid carrier may include an electrolyte solution, in some implementations. Use of a liquid carrier, such as bone broth may facilitate maintenance of ketosis or cause ketosis while providing satiety.
  • the described R-beta-hydroxybutyrate salt blend compositions may be administered via any appropriate administration method.
  • the described compositions may be administered enterally and/or parenterally.
  • the described composition may be administered via a tablet and/or capsule.
  • the described composition may be provided in a powdered form that allows the described composition to be sprinkled on food, mixed with a liquid to provide a beverage, and/or directly administered.
  • the described composition may be provided in gel form.
  • the compounds in the composition may be mixed, coupled to each other, and/or provided separately.
  • the composition may include beta-hydroxybutyrate coupled to another compound (e.g., beta-hydroxybutyrate ester and/or amino acid).
  • the first mixture and one or more other compounds may be provided separately (e.g., in pills, packets, etc.).
  • An individual may sequentially and/or concurrently be administered (e.g., swallow pills) the beta-hydroxybutyrate and other compounds.
  • the described R-beta-hydroxybutyrate salt blend compositions may be administered on an administration protocol to cause weight loss and/or maintain a weight of an individual; elevate and/or maintain blood ketone levels; increase and/or maintain ketosis; and/or improve glucose tolerance (e.g., fasting glucose levels may be reduced and/or glucose metabolism may be improved), in some implementations.
  • the described compositions may be administered once a day, via an extended-release preparation, and/or multiple times a day (e.g., 1 to 5 times a day, 2 to 5 times a day, 3 to 5 times a day, etc.).
  • the described composition may replace other pharmaceuticals or dietary supplements taken to promote weight loss, maintain a weight, promote ketosis, elevate blood ketone levels and/or be utilized in combination with one or more other pharmaceuticals or dietary supplements, as appropriate.
  • the described composition may replace other pharmaceuticals or dietary supplements taken for improving glucose tolerance, such as metaformin, and/or be utilized in combination with one or more other pharmaceuticals or dietary supplements, as appropriate, in some implementations.
  • the described R-beta-hydroxybutyrate salt blend composition(s) may include one or more of the described components, equivalent s) of the described component(s), derivatives of the described component(s), complex(es) of the described component(s), salt(s) of the described component(s), and/or combinations thereof.
  • a pharmaceutically effective amount of one or more of the described R-beta-hydroxybutyrate salt blend composition(s) may be administered.
  • Administration of the pharmaceutically effective amount may induce and/or maintaining ketosis; maintaining and/or promoting weight loss; increase mental processes (e.g., acuity including cognitive functioning, mood, energy, alertness, focus, performance, effects of aging, etc.); improve and/or maintain body composition; function as a therapeutic for one or more of the described conditions or disorders (e.g., treat neurological disorders); and/or combinations thereof.
  • a pharmaceutically effective amount of one or more of the described R-beta-hydroxybutyrate salt blend composition(s) may be administered as a treatment for seizures and/or Alzheimer's or symptoms thereof.
  • a subject and/or an individual have been described as a human, a subject and/or individual may be a person or a group of people.
  • R-beta-hydroxybutyrate salt blend composition may be administered simultaneously and/or sequentially with one or more other compounds (e.g., short chain, medium chain, and/or long chain fatty acids).
  • R-beta- hydroxybutyrate salt blend composition and one or more other compounds may be delivered mixed in a powdered, liquid, gel, and/or other appropriate form.
  • the R-beta-hydroxybutyrate salt blend composition and one or more other compounds may be administered via pills, tablets, capsules, other oral administration forms, intravenously, nasal sprays, sublingual tabs/strips, or topical delivery, rectal, other appropriate administration forms, and/or combinations thereof.
  • beta-hydroxybutyrate is also referred to as beta-hydroxybutyrate , (R)-3- Hydroxybutyric acid, (R)-3 -Hydroxybutanoic acid, (3R)-3 -hydroxybutanoic acid, (R)-3- Hydroxybutanoate, (R)-(-)-3 -Hydroxybutyric acid, (R)-(-)-beta-Hydroxybutyric acid, 3-D- hydroxybutyrate, BHIB, BHB, 3-delta-hydroxybutyrate, delta-3 -hydroxybutyrate, 3-D- hydroxybutyric acid, D-3 -hydroxybutyric acid, 3R-hydroxy -butanoic acid, delta-beta- hydroxybutyrate, D-3 -hydroxybutyrate, D-(-)-3 -hydroxybutyrate, delta-3 -hydroxybutyric acid, (-)-3 -H
  • R-beta-hydroxybutyrate is described as included in a composition; administered in an amount, form, and/or schedule; and/or being in a particular form (e.g., complexed and/or coupled).
  • Beta-hydroxybutyrate may be utilized in the various described implementations of beta-hydroxy butyrate in the same or higher amounts as the described R-beta-hydroxybutyrate, as appropriate.
  • a pharmaceutically effective amount of butyrate, beta- hydroxybutyrate, related compounds, and/or one or more other compounds may be administered to an individual.
  • the pharmaceutically effective amount of the beta-hydroxybutyrate, related compounds, and/or one or more other compounds may be administered to cause weight loss, weight maintenance, elevate blood ketone levels, maintain blood ketone levels, reduce blood glucose levels, maintain blood glucose levels, improve focus, energy, cognitive function, traumatic brain injury, diabetes, neurological disorders, cancer, inflammatory conditions, suppressing appetite, anti-aging, antiglycation, epilepsy, depression, performance, strength, muscle mass, fat loss, body composition, and/or use as a medicament etc.
  • the pharmaceutically effective amount of butyrate, beta-hydroxybutyrate, related compounds, and/or combinations thereof may be administered to healthy individuals and/or not healthy individuals (e.g., with diseases and/or disorders).
  • the beta- hydroxybutyrate may include the racemic mixture and/or the individual isomers of beta- hydroxybutyrate, such as R-beta-hydroxybutyrate (also known as D-beta- hydroxybutyrate). Beta-hydroxybutyrate may include related compounds.
  • the beta- hydroxybutyrate may be coupled to a compound such as an amino acid.
  • the beta- hydroxybutyrate may include beta-hydroxybutyrate salt and beta-hydroxybutyrate esters, in some implementations.
  • Other compounds may include short chain fatty acids, short chain triglycerides, medium chain fatty acids, medium chain triglycerides, long chain fatty acids, long chain triglycerides, berberine, berberine metabolites, dihydroberberine, tetrahydroberberine and/or combinations thereof.
  • One or more of the other compounds may be unencapsulated and/or encapsulated.
  • a composition may be administered to induce and/or maintain ketosis.
  • the composition may include approximately 0.5 g to approximately 10 g of R-beta-hydroxybutyrate.
  • Implementations may include one or more of the following features.
  • the amount of the composition administered may include approximately 0.5 g to approximately 3 g of R-beta-hydroxybutyrate.
  • the composition may include additional composition, such as compositions that are capable of independently increasing ketone levels, inducing ketosis, and/or maintaining ketosis.
  • the composition may include additional compositions to provide other health benefits (e.g., increase mental acuity, strength, etc.).
  • the composition may include fatty acids and/or esters of fatty acids.
  • the composition may include a short chain fatty acid, an ester of short chain fatty acid, a medium chain fatty acid, an ester of medium chain fatty acid, a long chain fatty acid, or an ester of long chain fatty acid.
  • the composition may include flavoring(s), vitamin(s), mineral(s), and/or binder(s).
  • the composition may be administered up to 5 times daily. The administration of the composition may increase strength, mental acuity, metabolism, fat loss, fat oxidation, motor function, muscle mass, and/or combinations thereof.
  • the 0.5 g to 10 g of R-beta- hydroxybutyrate administered includes R-beta-hydroxybutyrate and at least one of a polymer of R-beta-hydroxybutyrate or R-beta-hydroxybutyrate-complex.
  • a composition may include approximately 0.5 g to approximately 10 g of R-beta-hydroxybutyrate and one or more additional compounds capable of maintaining ketosis independently. Administration of the composition may induce and/or maintains ketosis in an individual.
  • the R-beta- hydroxybutyrate may include R-beta-hydroxybutyrate salt, R-beta-hydroxybutyrate- amino acid complex, and/or R-beta-hydroxybutyrate polymer.
  • the additional compounds may include fatty acids and/or esters of fatty acids.
  • the fatty acids and/or esters may include natural (e.g., cream, coconut oil, macadamia oil, etc.) and/or artificial fatty acids and/or esters of fatty acids.
  • the composition may include a short chain fatty acid, an ester of short chain fatty acid, a medium chain fatty acid, an ester of medium chain fatty acid, a long chain fatty acid, or an ester of long chain fatty acid.
  • additional compound(s) may include polymer(s) of betahydroxybutyrate, D,L-beta-hydroxybutyrate, butyrate, butyric acid, and/or triglyceride tributyrin.
  • the additional compound(s) may include berberine, dihydroberberine, and/or tetrahydroberberine.
  • pharmaceutically effective amounts of R-beta- hydroxybutyrate and amino acid may be administered for inducing and/or maintaining ketosis.
  • Implementations may include one or more of the following features.
  • the amount of R-beta-hydroxybutyrate to induce and/or maintain ketosis in an individual may be less than or equal to half of the amount of D,L-beta-hydroxybutyrate to induce and/or maintain the same level of ketosis (e.g., as measured by blood ketone levels).
  • the amount of R-beta-hydroxybutyrate to induce and/or maintain ketosis in an individual may be less than the amount of D,L-beta-hydroxybutyrate or L- betahydroxybutyrate to induce and/or maintain the same level of ketosis.
  • the composition may include approximately 1 g to approximately 5 grams of R-beta- hydroxybutyrate and approximately 0.5 to 2 g of amino acid.
  • the amino acid may include Leucine.
  • the composition may include a mixture and/or complex of the R-beta- hydroxybutyrate and amino acid. At least a portion of the R-beta-hydroxybutyrate may be complexed with the amino acid, in some implementations.
  • a portion of the R-beta- hydroxybutyrate may be administered in the composition as a salt and/or polymer and another portion of the R-beta-hydroxybutyrate may be administered as a complex with an amino acid (e.g., leucine).
  • the composition may include at least one R-beta-hydroxybutyrate salt (e.g., in additional to the pharmaceutically effective amounts of R-beta-hydroxybutyrate in the composition and/or as the pharmaceutically effective amounts of R-beta-hydroxybutyrate).
  • R-beta-hydroxybutyrate salt e.g., in additional to the pharmaceutically effective amounts of R-beta-hydroxybutyrate in the composition and/or as the pharmaceutically effective amounts of R-beta-hydroxybutyrate.
  • beta-hydroxybutyrate may administered simultaneously and/or sequentially with one or more other compounds (e.g., short chain, medium chain, and/or long chain fatty acids).
  • beta-hydroxybutyrate and/or one or more other compounds may be delivered mixed in a powdered, liquid, gel, and/or other appropriate form.
  • the beta-hydroxybutyrate and/or one or more other compounds may be administered via pills, tablets, capsules, other oral administration forms, intravenously, nasal sprays, sublingual tabs/strips, or topical delivery, rectal, other appropriate administration forms, and/or combinations thereof.
  • the described compositions may be administered via any appropriate administration method.
  • the described compositions may be administered enterally and/or parenterally.
  • the described composition may be administered via a tablet and/or capsule.
  • the described composition may be administered via tablet, capsule, powdered supplement; ready-to- drink formulation; topical product including transdermals; cosmeceutical product; foods such bars, cookies, gum, candy, functional foods; toothpaste, sublingual product; injection; intravenous fluids; beverages such as shots or energy shots; inhalers; sublinguals; and/or combinations thereof.
  • the described composition may be provided in a powdered form that allows the described composition to be sprinkled on food, mixed with a liquid to provide a beverage, directly administered.
  • the described compositions may be administered on an administration protocol to improve glucose tolerance (e.g., fasting glucose levels may be reduced and/or glucose metabolism may be improved), in some implementations.
  • the described compositions may be administered on an administration protocol to increase ketone levels (e.g., blood and/or urine ketone concentrations).
  • ketone levels e.g., blood and/or urine ketone concentrations.
  • the described compositions may be administered once a day, via a time released or extended-release preparation, and/or multiple times a day.
  • the described composition may replace other pharmaceuticals taken for improving glucose tolerance, such as metformin, and/or be utilized in combination with one or more other pharmaceuticals, as appropriate.
  • an administration schedule may include administration of different berberine metabolite compositions at different periods.
  • berberine metabolite compositions may include at least a first composition and a second composition.
  • the first composition may include dihydroberberine.
  • the second composition may include dihydroberberine and a first additional compound that is capable of independently increasing blood ketone levels.
  • the first composition may be administered to an individual for a first period of time and the second composition may be administered to the same individual for a second period of time.
  • a third composition comprising dihydroberberine and a second additional compound that is different from the first additional compound may be administered.
  • the first and other compositions may be administered alternatively, sequentially, and/or in conjunction with each other (e.g., with a second and/or third composition).
  • the compound formulations e.g., dihydroberberine and/or which additional compounds are included
  • user preference e.g., taste, diseases, sensitivities
  • desired results e.g., fast induction of ketosis and/or maintenance
  • berberine metabolite such as dihydroberberine and/or tetrahydroberberine
  • other forms of dihydroberberine and/or tetrahydroberberine may be administered such as salts, complexes, and/or derivatives thereof.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
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  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
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Abstract

Dans divers modes de réalisation, une composition comprenant du R-bêta-hydroxybutyrate, des composés apparentés et/ou un ou plusieurs autres composés peut être administrée à un individu pour provoquer une perte de poids, un maintien de poids, élever les taux de cétone dans le sang, maintenir les taux de cétone dans le sang, réduire les taux de glycémie, maintenir les taux de glucose dans le sang, améliorer l'énergie, la concentration, l'humeur, la fonction cognitive, ou soulager des troubles neurologiques ou inflammatoires et/ou des combinaisons de ceux-ci. La composition peut comprendre des sels de R-bêta-hydroxybutyrate de sodium; du R-bêta-hydroxybutyrate de potassium; et un ou plusieurs autres sels de R-bêta-hydroxybutyrate.
PCT/US2023/020407 2022-04-28 2023-04-28 Administration d'un mélange de sels de r-bêta-hydroxybutyrate et de composés apparentés chez l'homme Ceased WO2023212319A1 (fr)

Applications Claiming Priority (4)

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US202263336259P 2022-04-28 2022-04-28
US17/732,453 2022-04-28
US63/336,259 2022-04-28
US17/732,453 US12521378B2 (en) 2016-04-19 2022-04-28 Administration of R-beta-hydroxybutyrate salt blend and related compounds in humans

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10245242B1 (en) * 2017-11-22 2019-04-02 Axcess Global Sciences, Llc Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use
US20200129463A1 (en) * 2018-10-29 2020-04-30 Keto Patent Group, Inc. Administration of butyrate, beta-hydroxybutyrate, cannabidiol, and related compounds in humans
US20220133673A1 (en) * 2017-11-22 2022-05-05 Axcess Global Sciences, Llc Ketone body esters of s-beta-hydroxybutyrate and/or s-1,3-butanediol for modifying metabolic function

Patent Citations (3)

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Publication number Priority date Publication date Assignee Title
US10245242B1 (en) * 2017-11-22 2019-04-02 Axcess Global Sciences, Llc Non-racemic beta-hydroxybutyrate compounds and compositions enriched with the R-enantiomer and methods of use
US20220133673A1 (en) * 2017-11-22 2022-05-05 Axcess Global Sciences, Llc Ketone body esters of s-beta-hydroxybutyrate and/or s-1,3-butanediol for modifying metabolic function
US20200129463A1 (en) * 2018-10-29 2020-04-30 Keto Patent Group, Inc. Administration of butyrate, beta-hydroxybutyrate, cannabidiol, and related compounds in humans

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STEFAN MATTHEW, SHARP MATTHEW, GHEITH RAAD, LOWERY RYAN, WILSON JACOB: "The Effects of Exogenous Beta-Hydroxybutyrate Supplementation on Metrics of Safety and Health", INTERNATIONAL JOURNAL OF NUTRITION AND FOOD SCIENCES, vol. 9, no. 6, 1 January 2020 (2020-01-01), pages 154, XP093107630, ISSN: 2327-2694, DOI: 10.11648/j.ijnfs.20200906.13 *

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