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welcome back to diet doctor news on youtube im your host dr brett sher and today i want to talk about ketones for decompensated heart failure one of the worst and hardest to treat conditions actually looks like it improves by adding ketone and this is potentially groundbreaking its very early we still need a lot more studies to come but just seeing this published in a journal is pretty amazing so lets talk about this its called acute hemodynamic effect of ketone bodies in patients with decompensated heart failure and was published in the european heart journal acute cardiovascular care lets talk about some terms here first acute decompensated heart failure so this is patients who whose hearts are not pumping well at all normal ejection fraction or the percentage of blood that each heart pumps is about 50 55 60 um these patients were at like 19 which is really low plus they were decompensated meaning they were in the intensive care unit on medications to help their hearts pump bet