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Realtone Keto Reviews: Before and after the, participants visited an imaging center for measurement of IHTG content and liver stiffness and underwent metabolic studies at the Clinical Research Unit . Participants wore portable accelerometers between days 0 and 7 for determination of physical activity and recorded 3-d food intake starting at days -3 and 4 for determination of dietary composition and compliance. During metabolic study visits, 180-min tracer infusions of lactate, and glucose were given for determination of rates of substrate fluxes.