In mitochondria, enzymes including L-bifunctional protein (EHHADH) and thiolase mediate their conversion [166,167,168]
Jackson MJPS, Bolaos J, Bruckdorfer R, Carlssen H, Elliot RM, Flier J, Griffiths HR, Heales S, Holst B, Lorusso M, Lund E, Moskaug JO, Moser U, Di Paola M, Polidori MC, Signorile A, Stahl W, Via-Ribes J, Astley SB: Antioxidants, reactive oxygen and nitrogen species, gene induction and mitochondrial function
Nausea and Headache: Mild nausea, headache, or dizziness may occur during or after the IV drip session, but these side effects are usually temporary and resolve on their own
Satellite cell activation: Skeletal muscle has a population of stem-like satellite cells that, when activated, differentiate into myoblasts and fuse with existing muscle fibers literally adding new nuclei and increasing muscle fiber density
Sayed-Ahmed MM et al
The answer is biochemical, not commercial