Feb 1, 2025

Feb 1, 2025

Feb 1, 2025

Effect of β-Hydroxybutyrate Monoester on Markers of Iron Metabolism in New-Onset Prediabetes: Findings from a Randomised Placebo-Controlled Trial

Effect of β-Hydroxybutyrate Monoester on Markers of Iron Metabolism in New-Onset Prediabetes: Findings from a Randomised Placebo-Controlled Trial

Effect of β-Hydroxybutyrate Monoester on Markers of Iron Metabolism in New-Onset Prediabetes: Findings from a Randomised Placebo-Controlled Trial

This randomized, placebo-controlled human trial investigated the effects of exogenous β-hydroxybutyrate monoester (BHB) on iron metabolism in people with newly diagnosed prediabetes. Over a 4-week period, daily BHB supplementation significantly reduced serum ferritin and increased total antioxidant capacity. These shifts suggest that BHB may help regulate iron homeostasis and lower oxidative stress—factors strongly linked to metabolic dysfunction. This adds a new dimension to ketone-based therapies beyond glucose management.

This randomized, placebo-controlled human trial investigated the effects of exogenous β-hydroxybutyrate monoester (BHB) on iron metabolism in people with newly diagnosed prediabetes. Over a 4-week period, daily BHB supplementation significantly reduced serum ferritin and increased total antioxidant capacity. These shifts suggest that BHB may help regulate iron homeostasis and lower oxidative stress—factors strongly linked to metabolic dysfunction. This adds a new dimension to ketone-based therapies beyond glucose management.

Summary of

Effect of β-Hydroxybutyrate Monoester on Markers of Iron Metabolism in New-Onset Prediabetes: Findings from a Randomised Placebo-Controlled Trial

By

Xavier Piñeiro-Hermida

Xavier Piñeiro-Hermida

, et al.

, et al.

Purpose

To determine whether BHB monoester supplementation affects markers of iron metabolism and oxidative stress in individuals with new-onset prediabetes.

Methods

In this double-blind, placebo-controlled trial, 18 prediabetic adults were randomized to receive either 25g of BHB monoester or placebo daily for 4 weeks. Blood samples were analyzed for iron metabolism markers (ferritin, hepcidin) and antioxidant status.

Results

The BHB group showed a significant reduction in serum ferritin (a marker of iron stores and inflammation) and an increase in total antioxidant capacity. No significant changes were observed in serum hepcidin or C-reactive protein. These results suggest that BHB may modulate iron regulation independently of traditional inflammatory markers.

Conclusion

Daily BHB monoester intake can improve iron-related biomarkers and enhance antioxidant defenses in individuals with prediabetes, supporting its role in metabolic health and inflammation reduction.

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