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In addition, it is believed that KD, fasting, untreated diabetes, anorexia nervosa, and bariatric surgery may also induce PP, resulting from increased production of ketone bodies in the liver (236, 237)

54 Tucci P, Morgese MG, Colaianna M, Zotti M, Schiavone S, Cuomo V, et al

It can also activate the MAPK signaling pathway to combat apoptosis and oxidative stress, can affect the homeostasis of stem cells in skeletal muscle (121125), combat pathological changes such as insulin resistance and fat accumulation (126), and coordinate skeletal muscle synthesis and catabolism to delay the disuse of muscle atrophy (127)