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. 2021 May 4;7(5):646–656. doi: 10.1002/osp4.516

TABLE 1.

Ketone body (BOHB in mM or BrAce in ppm) concentration ranges observed in health, for disease states and for therapeutic benefit (minimum concentration thresholds)

Ketosis Condition Range or threshold References
BOHB (mM) BrAce (ppm)
Health Balanced macronutrient diet 0.1 1 19
Nutritional ketosis 0.5 9 19, 22
Disease Heart failure >0.2 2–20 23, 24, 25, 26
Ketoacidosis >3.0 >75 9, 13, 14, 19, 27, 28
Genetic disorders See text
Therapy Brain function: Alzheimer’s 0.5 9a 29, 30
Brain function: Parkinson’s 1.0 31
Brain function: Dementia 0.5 9a 32
Brain function: Migraine 4.0 See text
Cancer 0.5 9a 33, 34
Type 2 diabetes 0.5 9a 35, 36
Epilepsy 4.0 37, 38, 39, 40
Weight loss 2 11
Bariatric surgery Ketoacidosis >3.0 >75 See text and references above
Weight loss 2

Abbreviations: BOHB, β‐hydroxybutyrate; BrAce, breath acetone.

a

Nutritional ketosis. BrAce ≥ 9 ppm when BOHB = 0.5 mM.19, 22