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The total daily energy required for weight-maintenance was derived from Harris-Benedict basal metabolic rate multiplied by physical activity level (PAL) (32). Ideal body weight was calculated based on the Metropolitan Life Tables for medium frame populations to establish a 1.5 g protein/kg of ideal body weight for each participant (31). After completing this primary objective, we decided it would be valuable to compare these KD group responses to a matched group of obese adults fed a hypocaloric low-fat diet. Lastly, common methods of assessing body composition, such as hydro-densitometry and dual-energy x-ray absorptiometry (DXA), detect water loss as a decrease in lean tissue, but this does not reflect a change in whole-body intracellular protein. Several factors may explain the discrepant results on the composition of weight loss to KDs. Based on evidence from these prior studies, we hypothesized that augmenting ketosis by oral ingestion of BHB-salts might lead to preservation of muscle during a hypocaloric KD intervention in humans. Oral ingestion of ketone salts consisting of beta-hydroxybutyrate (BHB) and minerals is a safe and effective method of transiently increasing circulating ketones as we (7) and others (8) have shown. Irrespective of whether KDs promote greater weight loss than non-KDs, an important unresolved question is how KDs impact the tissue composition and distribution of weight loss, especially when matched for calories. Some authors have suggested that low-carbohydrate diets may facilitate a metabolic advantage by increasing energy expenditure (5), but others have argued against such an effect (6). Exogenous ketones, such as ketone salts (KS), also elevate BHB concentrations with the potential to protect against muscle loss during caloric restriction. Highly recommend it for weight loss. 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