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Metabolism of the seven-carbon fatty acids in triheptanoin also results in increased production of ketones (-ketopentanoate and -hydroxypentanoate) which easily cross the blood-brain barrier (BBB) and are utilized by neural tissues.

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The variable effects on different parts of the digestive system explain why some patients experience diarrhoea whilst others develop constipation

However, like all medications, it does have potential side effects