The Peter Attia Drive - February 28, 2020


Qualy #120 - What is the difference between ketone salts and esters?


Episode Stats


Length

6 minutes

Words per minute

168.1048

Word count

1,078

Sentence count

86

Harmful content

Hate speech

1

sentences flagged


Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

In this bonus episode, we discuss beta-hydroxybutyrate (BHB) and ketone esters, and why they are different from BHB salts. We also talk about ketone salts, and how to get them into your body.

Transcript

Transcript generated with Whisper (turbo).
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Welcome to a special bonus episode of the Peter Atiyah Qualies, a member exclusive podcast.
00:00:16.100 The Qualies is just a shorthand slang for qualification round, which is something you
00:00:20.120 do prior to the race, just much quicker. The Qualies highlight the best of the questions,
00:00:25.320 topics, and tactics that are discussed in previous episodes of The Drive.
00:00:30.000 So if you enjoy the Qualies, you can access dozens more of them through our membership
00:00:33.520 program. Without further delay, I hope you enjoy today's Qualies.
00:00:40.540 Maybe explain for people what the difference is between a salt and an ester. So we'll leave
00:00:45.060 acetoacetate out of that for a moment. But if you talk about beta-hydroxybutyrate...
00:00:49.380 But you can have acetoacetate salt too, so I can mention that.
00:00:52.400 I didn't know that. I thought it was only a diester. So we'll definitely want to hear about that. So
00:00:56.080 on the BHB front, people are sort of inundated with ketone salts, ketone esters, and then a whole
00:01:02.020 bunch of complete weird stuff like raspberry ketones and stuff. But let's just leave the
00:01:06.440 nonsense off the table. Yeah. But if you just talk about comparing a ketone, a BHB ester to a BHB salt,
00:01:12.100 what's the chemical difference?
00:01:13.380 Yeah. So a salt is just an ionic bond, right, between the ketone molecule, beta-hydroxybutyrate,
00:01:19.840 a monovalent or a divalent cation, or an alkaline amino acid like arginine, citrulline, histidine,
00:01:27.540 lysine. So you can literally ionically bond beta-hydroxybutyrate to a number of different
00:01:33.040 things. The easiest thing to do is to bond it with sodium, potassium, calcium, and magnesium.
00:01:39.960 Now, calcium and magnesium have two positive charges.
00:01:43.080 You could put two BHBs on them.
00:01:44.980 Yeah. That's the advantage, sort of an advantage. A disadvantage, I guess, with magnesium BHB,
00:01:51.240 which is actually is very bioavailable magnesium. I measured my magnesium after taking it. It went
00:01:57.280 up quite, quite high. Disadvantage is that your GI tolerability to something like magnesium beta-hydroxybutyrate
00:02:04.240 may be only somewhere between one to three grams, you know, three grams max per dose.
00:02:11.240 Wow. Which is not that much.
00:02:12.720 One gram, three times a day, at least for me, has no issues. I could probably tolerate two or
00:02:19.760 three grams per day. So it's nice. I mean, it's something that's contributing, but ideally what
00:02:24.420 you want to do with a ketone salt is, because salt has a stigma, I call them ketone electrolyte
00:02:29.620 formulations, is to spread the beta-hydroxybutyrate out across monovalent and divalent cations. And
00:02:37.140 they're the four that have the most utility. And then an ester, of course, is a covalent bond,
00:02:42.940 not an ionic bond, right?
00:02:44.140 Yeah. So you can take one, three butane diol and you could create a monoester with
00:02:51.180 beta-hydroxybutyrate, right? And just add it, do a trans esterification reaction and combine that
00:02:57.460 beta-hydroxybutyrate to one, three butane diol or acetoacetate. You can combine with one, three butane,
00:03:03.800 or you could take glycerol. So with glycerol, you can come up with a triester of glycerol,
00:03:09.740 which we have.
00:03:10.380 Basically, you're creating a triglyceride that is, instead of three fatty acids, you put three
00:03:14.620 BHBs. 0.99
00:03:15.320 It's a pretty cool molecule, yeah. So we have some experience using that.
00:03:19.840 I told a story many, many years ago, probably four or five years ago on Tim Ferriss' podcast about how
00:03:24.900 I drank this jet fuel and almost thought I was going to go blind. Of course, what I may or may
00:03:30.820 not have omitted from that story was that you gave it to me. And so the ketones today taste a heck
00:03:36.860 of a lot better than that earlier gen stuff. And even when I told you that I just took the 50 ml
00:03:42.000 vial you sent and chugged it in one sitting, even you were sort of horrified. You're like,
00:03:46.760 wait, wait, wait. You didn't read the note I wrote you explaining how to dilute it and mix it.
00:03:51.320 I thought we had talked about it.
00:03:52.440 We had assuredly talked about it.
00:03:54.820 I know you're very enthusiastic about getting started.
00:03:57.460 Yeah, yeah. I couldn't resist.
00:03:59.240 I was too.
00:03:59.980 That stuff's unbearably bad.
00:04:02.200 Yeah.
00:04:02.380 So what, I mean, whereas the ketone salts actually don't taste bad. They're obviously
00:04:06.560 strong, but they're awesome.
00:04:08.460 Yeah. Yeah. So why does the ester, is there an obvious reason from an olfactory slash taste
00:04:14.080 perspective why they are so staggeringly horrible? Yeah. Or at least they were. And I mean, I'm told
00:04:20.260 they're better today.
00:04:21.320 Yeah. I would say the ketogenic potency is inversely proportional to taste. So it just seems like,
00:04:29.320 you know, the more, the more potent these compounds get, even the, the triester beta
00:04:34.400 hydroxybutyrate, uh, you know, is pretty nasty stuff.
00:04:38.280 Meaning that glycerol, triglycerol, that.
00:04:40.600 Yeah. It's a great molecule. I mean, it has like lots of, you know, tremendous utility.
00:04:45.720 Well, making a ketone ester with one, three butane diol is really cool because the one,
00:04:50.260 three butane diol itself gets more substrate broken down. Yeah. So that goes into another question,
00:04:55.320 the whole enantiomer. So if you use the R beta hydroxybutyrate with the R one, three butane
00:05:00.700 diol, then you can really get ketone levels up pretty high. And that would be sort of the Delta
00:05:05.940 G or the human, you know, ketone ester that's out there.
00:05:09.740 Hope you enjoyed today's special bonus episode of the quality. New episodes of the qualities are
00:05:15.060 released Tuesday through Friday each week and are published exclusively on our private member only
00:05:20.520 podcast feed. If you're interested in hearing more, as well as receiving all of the other member
00:05:24.780 exclusive benefits, you can visit peteratiamd.com forward slash subscribe. This podcast is for
00:05:31.800 general informational purposes only and does not constitute the practice of medicine, nursing,
00:05:36.280 or other professional healthcare services, including the giving of medical advice. No doctor
00:05:42.160 patient relationship is formed. The use of this information and the materials linked to this
00:05:46.860 podcast is at the user's own risk. The content on this podcast is not intended to be a substitute for
00:05:53.280 professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining
00:06:00.300 medical advice from any medical condition they have, and they should seek the assistance of their
00:06:05.460 healthcare professionals for any such conditions. Finally, I take conflicts of interest very seriously.
00:06:12.460 For all of my disclosures and the companies I invest in or advise, please visit peteratiamd.com
00:06:19.720 forward slash about where I keep an up to date and active list of such companies.