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& Hageman, M

The consequences of histone lysine -hydroxybutyrylation are changes in expression of numerous genes such as the gene for the transcriptional co-activator, PGC-1 (encoded by the PPARGC1B gene) which is itself involved in the regulation of expression of numerous genes involved in energy homeostasis, the insulin receptor substrate 2 (IRS2) gene whose encoded protein is involved in insulin signaling, and the carnitine palmitoyltransferase 1A (CPT1) gene whose encoded protein regulates the ability of the mitochondria to oxidize fatty acids

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Reviewed June 2024

So they meet that BMI criteria of 35 or higher