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1,3-Butanediol is a four-carbon di-alcohol and metabolic precursor primarily utilized to induce exogenous nutritional ketosis (TargetMol, 2024). Upon ingestion, it is rapidly converted by hepatic alcohol and aldehyde dehydrogenases into beta-hydroxybutyrate (BHB), the body's primary ketone body used as an alternative energy source for the brain and heart (Frontiers, 2023; PubChem, 2024). It is widely investigated for its therapeutic potential in metabolic and neurodegenerative diseases, where it serves as a glucose-sparing fuel and a signaling molecule that reduces oxidative stress and inflammation (NIH, 2025). BHB produced from 1,3-butanediol functions as a ligand for the hydroxycarboxylic acid receptor 2 (HCAR2) and an inhibitor of histone deacetylases (HDACs), thereby modulating gene expression and systemic metabolic pathways (MDPI, 2023; NIH, 2023). While it is utilized in clinical research and as a nutritional supplement to support brain function and physical performance, suprapharmacological doses are associated with risks such as metabolic acidosis, dehydration, and potential hepatic sinusoidal dilation (PubMed, 2021).
Metabolic conversion into beta-hydroxybutyrate (BHB), which serves as an alternative oxidative fuel and a signaling molecule that activates HCAR2 and inhibits histone deacetylases (HDACs).
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