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However, in vitro studies have demonstrated that its metabolite, GLP-1(936), has protective effects in neuronal and microglial cell lines [41]
Efficacy and safety of ketone supplementation or ketogenic diets for Alzheimers disease: a mini review

They may return for a few days if you increase your dose, but will then fade away again

Lee CJ, Mao H, Thieu VT, Land LF, Thomas MK

However, if its less than 48 hours until your next scheduled dose, skip the missed dose and continue your routine