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Ph~stolog~ & Behavior Vol 31, pp 851-855 Pergamon Press Ltd, 1983 Prmted m the U S A

Differential Effects of Medium-


and Long-Chain Triglycerides on Food
Intake of Normal and Diabetic Rats
MARK I FRIEDMAN, NEILE K EDENS AND ISRAEL RAMIREZ

M o n e l l C h e m i c a l S e n s e s C e n t e r , 3500 M a r k e t S t r e e t , P h d a d e l p h t a , P A 19104

Received 6 J u n e 1983

FRIEDMAN, M I , N K EDENS AND I RAMIREZ Differential effetts of medium- and long-tham trtglwertdes on
fi~od mtal, e of normal and d:abette rats PHYSIOL BEHAV 31(6) 851-855, 1983 --Three experiments were performed to
examine the effect of lngesUon of medmm- (MCT) and long-chain (LCT) tnglycerlde ods at the beglnmng of the normal
feeding period on subsequent food retake of normal and diabetic rats In the first experiment, dmbetlc rats reduced food
retake more than normal ammals m the first 6 hr after mgesUon of 2 0 ml of MCT or LCT oll In the second expenment,
diabetic rats reduced food retake to a slmdar extent by 6 hr after mgestlon of 1 5 ml of MCT or LCT od, but the Ume course
of this effect depended on the oll ingested Ingestion of MCT oll produced a decrease m food intake within 2 hr, whereas
ingestion of LCT oll reduced food retake 2-4 hr later In the third experiment, a direct comparison was made of the
differential time course of food retake suppression by MCT or LCT oil m both normal and diabetic rats Diabetic rats
decreased food retake after ingestion of 1 5 ml MCT or LCT oil, whereas normal rats did not Again, m diabetic rats,
ingestion of MCT oll produced a more rapid reduction m food retake than ingestion of LCT oll It is proposed that the more
pronounced reduction m food intake of diabetic rats after oil ingestion Is due to a greater degree of hepatic oxldaUon of
ingested fat, whereas the differential effect of MCT and LCT oil ingestion m diabetic rats is due to a differential rate of
dehvery of the ingested lipid substrate to the hver

Food intake Diabetes Medium-chain tnglycendes Long-chain tnglycendes

P R E V I O U S studies h a v e s h o w n t h a t rats with e x p e r i m e n t a l effect o f fat ingestion, o n e m a y e x p e c t to o b s e r v e d i f f e r e n c e s


d i a b e t e s a l t e r food i n t a k e m o r e d r a m a t i c a l l y t h a n n o r m a l rats in the effect o f t h e s e t r l g l y c e n d e s o n food i n t a k e In the
in r e s p o n s e to c h a n g e s in the c o n t e n t o f d i e t a r y fat [3] Re- e x p e r i m e n t s r e p o r t e d b e l o w , we find a differential effect of
d u c t i o n s in the c o n t e n t o f fats in a high-fat diet leads to oll ingestion o n food i n t a k e of n o r m a l a n d diabetic rats and,
p r e d i c t a b l e i n c r e a s e s in f o o d intake in d i a b e t i c rats w h i c h in d i a b e t i c a n i m a l s , a differential effect o f M C T a n d L C T oils
m a y be t w i c e t h a t o f n o r m a l a n i m a l s [3,4] C o n v e r s e l y , add- as well
ing fat to a low-fat diet r e d u c e s d i a b e t i c h y p e r p h a g l a , b u t
p r o d u c e s n o c h a n g e in caloric i n t a k e s o f n o r m a l rats [3, 5,
GENERAL METHOD
14] T o e x a m i n e this satiating effect o f fat i n g e s t i o n o n food
i n t a k e , e x p e r i m e n t s w e r e p e r f o r m e d in w h i c h d i a b e t i c a n d Subjects
n o r m a l rats w e r e fed a small a m o u n t o f p u r e fat at the begin-
Male C D C h a r l e s R i v e r rats ( W i l m i n g t o n , M A ) weighing
nlng o f t h e i r n o r m a l n o c t u r n a l feeding p e n o d a n d s u b s e q u e n t
250-300 g at t h e time o f s t r e p t o z o t o c m i n j e c t i o n were u s e d
food i n t a k e s were m o n i t o r e d In c o n t r a s t to d i e t a r y m a n i p u -
Rats were h o u s e d individually m s t a n d a r d h a n g i n g cages at
lations, this p r o c e d u r e allows for a m o r e direct a s s e s s m e n t of
a p p r o x i m a t e l y 23°C a n d a d a p t e d to a r e v e r s e d 12/12 h r
the effect o f fat c o n s u m p t i o n o n food intake as well as t h e
d a y / n i g h t lighting s c h e d u l e (lights o u t at 0900 hr) for at least 3
time c o u r s e o f this effect Also, this p r o c e d u r e a v o i d s t h e
w e e k s p r i o r to testing P u n n a L a b o r a t o r y C h o w a n d tap
p o t e n t i a l l y c o n f o u n d i n g i n f l u e n c e of c h a n g e s in diet palata-
w a t e r were available ad lib e x c e p t w h e n n o t e d o t h e r w i s e
b l h t y a s s o c i a t e d with a l t e r a t i o n s in food c o n s u m p t i o n
In a d d i t i o n to c o m p a r i n g the effects o f fat i n g e s t i o n o n
food intake in n o r m a l a n d d i a b e t i c rats, the e x p e r i m e n t s de-
Experimental Diabetes
s c r i b e d b e l o w also c o m p a r e d the effects o f feeding m e d m m - Rats w e r e r a n d o m l y a s s i g n e d to d i a b e t i c o r n o r m a l
( M C T ) a n d long-chain ( L C T ) t n g l y c e n d e oils in o r d e r to ob- g r o u p s D i a b e t e s was i n d u c e d b y Injection o f s t r e p t o z o t o c m
tain insight into t h e m e c h a n i s m b y w h i c h fats r e d u c e food (60 mg/kg, IP m a p H 4 8 citrate buffer) I n j e c t i o n s w e r e
Intake D i f f e r e n c e s in the digestion, t r a n s p o r t a n d m e t a b o - r e p e a t e d if rats did not s h o w p l a s m a glucose levels g r e a t e r
h s m o f M C T s a n d L C T s h a v e b e e n w e l l - c h a r a c t e r i z e d [1] t h a n 22 m M t h r e e d a y s a f t e r InJection T e s t i n g b e g a n 2 - 4
T h e r e f o r e , if a n y o f t h e s e f a c t o r s are i n v o l v e d in the satiating weeks after induction of diabetes

~Thls research was supported by NIH grants AM-31634 and AM-31632

C o p y r i g h t " 1983 P e r g a m o n P r e s s Ltd--0031-9384/83/120851-05503 00


852 FRIEDMAN, EDENS AND RAMIREZ

40 2 0 ml of s o y b e a n oil ( L C T S i g m a C h e m i c a l Co ), 2 0 ml o f
Normal M C T oil ( M e a d J o h n s o n ) , or n o oll (control) Five m m later
food was r e t u r n e d and i n t a k e s m e a s u r e d 6 and 24 hr later
control T r e a t m e n t s w e r e given m a c o u n t e r b a l a n c e d o r d e r and e a c h
30 ~ LCT oil rat was t e s t e d four t i m e s m e a c h c o n d i t i o n Results pre-
s e n t e d b e l o w r e p r e s e n t the m e a n of the four tests
J MCT o,I
Results

20 As s h o w n in Fig 1, diabetic rats ate more t h a n n o r m a l


a n i m a l s during b o t h the 6 and 24 hr periods Oil ingestion
r e d u c e d food intake o f b o t h n o r m a l a n d diabetic rats a f t e r 6
A
a n d 24 hr of feeding, F ( 2 , 3 6 ) = 19 2, p < 0 001, F(2,36)=45 4,
p < 0 001 Following ingestion o f oil, diabetic rats r e d u c e d
v o~ 10 food retake significantly more than n o r m a l a m m a l s by 6 hr,
F ( 2 , 3 6 ) = 5 8, p < 0 001, but not m the s u b s e q u e n t 18 hr,
¢0 F ( 2 , 3 6 ) = 0 79, 0 8 > p > 0 2 This difference m r e d u c t i o n o f
g r a m retake was also reflected m d i f f e r e n c e s m p e r c e n t re-
d u c t i o n o f intake f r o m c o n t r o l levels
"O Diabetic I n g e s t i o n of M C T or L C T oll p r o d u c e d s l m d a r r e d u c t i o n s
o 60 m food retake m diabetic rats after 6 a n d 24 h r o f f e e d m g In
o n o r m a l animals, ingestion of M C T oil did not slgmficantly
LL
d e c r e a s e food intake f r o m control levels at 6 hr, t ( 9 ) = 2 2
p < 0 05 T h e r e was a t e n d e n c y for food intake at 6 hr to
d e c r e a s e m o r e m n o r m a l rats after ingestion of L C T od than
40 M C T o11, but this effect was not statistically significant,
t ( 9 ) = 1 2, p < 0 2 By 24 hr food intake o f n o r m a l rats after
ingestion of M C T or L C T ods was r e d u c e d b y s l m d a r
a m o u n t s c o m p a r e d to c o n t r o l levels
20
EXPERIMENT 2
In the first e x p e r i m e n t diabetic rats s h o w e d a g r e a t e r
r e d u c t i o n m food intake following ingestion o f oll t h a n nor-
6 hour 24 hour mal a m m a l s In o r d e r to c h a r a c t e r i z e the effects o f o d inges-
FIG I Food retake of normal (topl and dmbet~c (bottom) rats 6 and tion o n food retake m o r e precisely, a n o t h e r e x p e r i m e n t was
24 hr after ingestion of 2 0 ml of long- (LCT) or medmm-cham p e r f o r m e d m w h i c h food retake o f d | a b e t l c rats was meas-
(MCT) tr|glycende od No od was gwen m control conditions In- ured at m o r e f r e q u e n t intervals for 6 h r a f t e r ingestion of
takes were measured starting at the beginning of the mght Values e i t h e r M C T o r L C T oil Only diabetic a n i m a l s were tested,
are means+_S E M of ten rats b e c a u s e n o r m a l rats did not s h o w a reliable d e c r e a s e m food
intake a f t e r M C T oil ingestion In addition, m this experi-
m e n t rats w e r e not g i v e n food until t h e y had c o n s u m e d oil
Pio( ('dll! C~
Method
Prior to testing, rats were trained to c o n s u m e oil (I 5 or
2 0 ml d e p e n d i n g on the e x p e r i m e n t ) that was placed in an N i n e diabetic rats were used At the b e g m n l n g o f the night
r e v e r t e d bottle cap a t t a c h e d to the b o t t o m o f t h e i r cage at the period (hghts out), rats were depraved o f food for ! hr Rats
b e g i n n i n g o f the night period Usually 2-3 e x p o s u r e s were were then given 1 5 ml o f od a n d food was r e t u r n e d 30 m m
sufficient to p r o d u c e a rapid c o n s u m p t i o n o f o d within 20-30 later All rats had c o n s u m e d t h e od by the time t h e y were
m m after p r e s e n t a t i o n During training and testing, oil was given food In the control c o n d i t i o n , rats were not given oil
given no m o r e t h a n 2-3 t i m e s p e r w e e k with at least o n e day a n d food was r e t u r n e d 1 5 hr after d e p r i v a t i o n Food intake
m w h i c h no oil was g i v e n b e t w e e n tests F o o d intake, cor- was m e a s u r e d e v e r y 2 h r for the next 6 hr after food was
rected for spillage, was m e a s u r e d to the n e a r e s t 0 1 g r e t u r n e d Rats w e r e t e s t e d first with c o r n oil (Sigma Chemi-
cal Co ) a n d t h e n with M C T oll C o n t r o l a n d oll feeding
Stattstt~ al Anal~ ~ s c o n d i t i o n s were c o u n t e r b a l a n c e d for e a c h test w~th the two
ods
D a t a were e v a l u a t e d by an analysis of v a r i a n c e W h e n
slgmficant effects were f o u n d ( p < 0 05), individual c o m p a r i - Result~
s o n s of g r o u p m e a n s were m a d e using S t u d e n t ' s t-test
T h e results o f this e x p e r i m e n t are d i s p l a y e d m Fig 2
EXPERIMENT 1 F o o d intakes for the t w o control c o n d i t i o n s were not signifi-
c a n t l y different a n d the m e a n o f t h e s e two t e s t s was u s e d
Method
for statistical analysis A s m the first e x p e r i m e n t , diabetic
T e n n o r m a l a n d 10 d i a b e t i c rats were used m this experi- rats r e d u c e d food i n t a k e s b e l o w control levels after ingestion
m e n t One hr before the b e g i n n i n g o f the night period, all rats o f e i t h e r M C T or L C T oil, F ( 4 , 6 4 ) = 2 2 5, p < 0 001, h o w e v e r ,
were d e p r i v e d o f food Fifty rain later rats w e r e given e i t h e r the time c o u r s e o f the effect d e p e n d e d on the oil ingested,
T R I G L Y C E R I D E S A N D FOOD I N T A K E 853

I • LCT Normal
• LCT
20 / o MCT /~ o MCT
f -control ~S/~
/ -°'' ~//// 20 - - - Control

Oil
A
c~

fY
v

15
to
"~ 10- t-
° m

"O 10
O
O
u-
5

I I I
2 4 6
,,, I I I
Hours
FIG 2 Food retake of diabetic rats m the first 6 hr of the night
period after ingestion of 1 5 ml of long- (LCT) or medmm-chaln Diabetic
(MCT) triglycerlde od No od was g~ven m control conditions Val-
ues are means-S E M of nine rats
2o ////

F(4,64)=3 6, p < 0 05 After ingestion of MCT oil, rats re-


duced food intake compared to control or L C T conditions in
the first 2 hr of the feeding test, t(8)=5 5 , p < 0 001, compared
to control, t ( 8 ) - 3 5, p < 0 01, compared to LCT, but not in
the two subsequent 2 hr periods When given LCT o11, rats
reduced food intakes compared to the control condition in
the 2-4 hr period of the feeding test, t(8)=2 64, p < 0 05, but
not m the preceedmg or subsequent 2 hr periods
"0
81 0
EXPERIMENT 3 5

In the prewous experiment, diabet]c rats reduced mtakes


more rapidly after ingestion of MCT od than after ingestion
I I , I
of LCT oil However, because rats were tested with MCT oll
after they had been trained to drank and were tested with 2 4 6
LCT oil, the results may have depended on the order of Hours
testing In order to control for any possible order effects, FIG 3 Food intake of normal (top) and dlabenc (bottom) rats m the
another experiment was performed m which rats were given first 6 hr of the mght period after ingestion of 1 5 ml of long- (LCT)
equivalent experience with the two ods prior to testing In or medmm-cham (MCT) tnglycende od No od was given m control
addition, normal rats were used m order to determine conditions Values are means_+S E M of seven normal and eleven
whether they also showed a differential short-term response dmbetlc rats
to MCT and LCT od ingestion

Method normal rats showed no ssgnLficant effect of oll ingestion In


diabetic rats, ingestion of MCT oil reduced food intake com-
Seven normal and 11 diabetic rats were used Procedures
pared to the control condition in the first 2 hr of the feeding
m this experiment were s~mdar to the last except that rats
test, t(10)=3 67, p < 0 01, whereas ingestion of LCT did not
were trained to consume 1 5 ml of a 50 50 mixture of corn off
Ingestion of LCT oil reduced food intake compared to con-
(LCT) and MCT oll prior to testing On test days, each group
of dmbetlc and normal rats were dw]ded into two groups trol conditions in the 2-4 and 4-6 hr periods of the feeding
test, t(10)=2 49, p < 0 05, t(10)=3 07. p < 0 02 Ingestion of
which were fed 1 5 ml of either LCT or MCT oil Control
MCT o11 had no effect on food intake compared to the con-
tests m which no off was given preceded each test with oll
trol condition m the 2-4 period of the feeding test, but de-
Each rat was tested with each oll m a counterbalanced order
creased food intake m the 4-6 hr period, t(10)= 2 58, p <0 05
This greater reduction in gram intake of diabetic rats was
Results
also reflected m a greater percent reduction m intake from
As shown m F]g 3, dmbetlc rats ate more food than nor- control levels
mal ammals during the 6 hr feeding tests, F(1,16)=II 1,
p < 0 01 Ingestion of od reduced food intakes, F(2,32)=8 4,
p < 0 01, and did so more m diabetic than m normal rats. GENERAL DISCUSSION
F(2,32)=3 58, p < 0 05 Separate analys]s of food retake of The results of Experiments 1 and 3 show that ingestion of
854 FRIEDMAN EDENS AND RAMIREZ

od reduces food retake in dmbetlc rats more than normal to MCT od ingestion Experiments with perfused hvers have
animals In Experiment 1, diabetic rats reduced 6 hr food shown that M C F A are more ketogenlc m hvers from diabetic
retakes on a gram basis after oil ingestion 2-5 t~mes more rats than in those from normal rats [8] On the other hand
than normal rats depending on the oil c o n s u m e d In Experi- hvers from normal rats channel more ol the acetyl C o A gen-
ment 3, m which rats ingested less oil (1 5 vs 2 0 ml), normal erated from oxidation of M C F A into hpogenesls and Kreb s
rats did not reduce food retake after consuming oil whereas cycle achvtty than hvers from diabetic rats [8] Thus, mges-
diabetic animals did It should be noted that the reduction in tlon o f either M C T or L C T od probably causes a much
food Intake o b s e r v e d after oil ingestion did not appear to be greater flux through the hepatic ketogenlc pathway m dm-
due to malaise Rats repeatedly c o n s u m e d the small amount bettc than normal rats These differences in ketogenests or
of oil they were given m training and test trials despite the s o m e related process may account for the increased satiating
fact that it reduced their food retake I f m g e s t m g od made the effect of oil Ingestion m diabehc rats
rats sick, one would expect them to avoid it The fact that hvers of diabetic rats are maximally
In addition to demonstrating a differential effect of oil ketogentc [9] and M C T and L C T ods are equally ketogentc m
ingestion on food intake m normal and dmbettc rats, the diabetic rats [2] may explain why mgestlon of M C T and L C T
e x p e n m e n t s described a b o v e also revealed a differential ef- ods produce similar r e d u c h o n s m food retake o v e r a 6 hr
fect of M C T and L C T oil mgestlon on food intake in dlabehc period tn these ammals H o w e v e r g~ven the similarities in
rats In Experiments 2 and 3, dmbetlc rats reduced food thetr metabolic fate m diabetes differences m the hepatic
retake more rapidly after ingesting M C T od than after L C T uthzatnon of M C F A and L C F A do not appear to account for
oil The largest effect o f M C T od ingestion was observed m the more rapid effect o f M C T consumption on food mtake m
the first 2 hr o f the feedmg test, whereas the reduction m dmbetlc animals On the other hand differences in the rate of
retakes after L C T oil was c o n s u m e d occurred 2-4 hr after od d e h v e r y of M C F A and L C F A to the liver may p r o w d e an
ingestion It ~s possible that ingestion of M C T od has longer explanation M C T s are more completely hydrolyzed m the
lasting effects as well since, in Experiment 3, a suppression intestine than LCTs, the resultmg M C F A are absorbed more
of retake was also o b s e r v e d 4-6 hr after oil consumption proximally in the intestine than L C F A , and, unhke L C F A ,
Thus, although ingestion of M C T and L C T otis resulted m which are re-estenfied m the mtestlnal wall and are trans-
similar decreases in food intake o v e r a 6 hr period, the time ported m the form of chylomlcrons to the cwculatJon vm the
course of this effect depended on the oil c o n s u m e d lymphatic system, M C F A are not appreciably reestertfied
Changes m oxtdatlon of metabolic fuels m h v e r have been and are transported d~rectly to the h v e r wa the hepatic portal
imphcated previously m the control of food intake [3,4] It ~s veto [1] Thus, m the above experiments, ingestion of M C T
possible that differences in the hepatic m e t a b o h s m of oil may have reduced food mtake m diabetic rats wfthm 2 hr
medium- ( M C F A ) and long-chain ( L C F A ) fatty acids in nor- because it resulted m a rapid increase m hepatic fatty a~ld
mal and diabetic rats account for the dlfferentml effect of oil oxidation, whereas the effect of L C T otl ingestion was de-
mgeshon on food retake m these animals When msuhn layed because L C F A took longer to reach the hver
levels are high, as would be the case m normal rats eating a In previous studies, Maggio and K o o p m a n s [7] tound that
high-carbohydrate diet (Purina Chow) at ntght, adipose tis- normal rats decreased food mtake to a s~mllar extent and at a
sue hpoprotem hpase activity ts increased [13] and most of similar rate after gastric infusions of a hqmd diet containing
the circulating L C T s (chylomtcrons) are taken up into either M C T or L C T o~1 Differences m experimental protocol
adipose tissue and are unavadable for oxidation Also, partz- may account for the differences m thew findmgs and the
t~onmg of fatty acids between esterlfiCatlon and oxidation m present ones F o r example, they used rats that were more
hver is controlled in large part by the glucagon insulin raho deprived and admmlstered the otis m a mixed hqmd meal of
[9] When this ratio is low, as would be the case m normal greater volume via a gastric catheter W h e t h e r any of these
ammals eating at night, hepatic estenficatton of fatty acids is factors underhe the discrepant findings in normal ammals
p r o m o t e d and their oxidation to ketone bodies and CO., is remains to be determined N e v e r t h e l e s s the present findmgs
inhibited [6] Therefore, under the condtttons of our experi- are consistent with the results of other studies showing that
ments, relatively httle o f the ingested L C F A would be food retake m diabetic rats zs more greatly affected by fat
oxidized by the liver of normal rats On the other hand m feeding than it is in normal ammals [3 I1] The present re-
dmbetes, when lnsuhn levels are low, adipose tissue hpopro- sults also extend these findings by showing that fat ingestion
tern hpase activity ~s low [I0], uptake of hplds ts reduced [12] rehably reduces short-term food mtake m d~abet~c rats (see
and the partitioning of fatty acids m h v e r is shifted toward also [11]) and that the time course of this effect depends on
oxidation [8,9] Thus, the more pronounced reduction m the chain-length of the fat c o n s u m e d
food retake of dmbet~cs after ingestion of L C T oil may be due
to the fact that more of the resulting L C F A are oxidized in
hver (see also [11]) ACKNOWLEDGEMENTS
Differences m the hepatic utlhZatlon of M C F A may also The authors thank P Smallman for her techmcal assistance and
underhe the dJfferentml response o f normal and diabetic rats J Blescm for typing the manuscript

REFERENCES

Bach A , G Debrv and P Metals Hepatic metaboh~m ot 3 Friedman M l Hyperphagla in rats with experimental diabetes
medmm-cham tnglycendes Bib/Nutr Dteta 25 24-35 1977 melhtus A response to a decreased supply of utdlzable fuels I
Edens N K and M ! Friedman The effect of medlurn- and ( o m p P h ~ : o l P ~ w h o 1 9 2 109-117 1978
long-chain tnglycerldes on food retake m the rat The role of 4 Friedman M l and E M Strlcker The physiological psychol-
palatabdlty Paper presented at Eastern Psychological Assooa- ogy of hunger A physiological perspechve P~x~hol Rel 83
tJon Meeting. 1982 40%431 1976
I'RIGLYCERIDES AND FOOD INTAKE 855

5 Janes, R G and M Prosser Influence of high fat diets on 10 Ramlrez, I and M I Friedman Metabolic concomitants of
alloxan diabetes Am J Phystol 151 581-587, 1947 hypophagla dunng recovery from insuhn-lnduced obesity in
6 Lossow, W J and I L Chalkoff Carbohydrate spanngoffatty rats Am I Phystol. In press
acid oxidation I The relation of fatty acid chmn length to the 11 Ramlrez. I and M I Friedman Food intake and blood fuels
degree of spanng II The mechanism by which carbohydrate after oll consumption Differential effects in normal and diabetic
spares the oxidation of palmttlc acid Arc h Btot hem Btophvs 57 rats Phvstol Beha~ 31 847-850. 1983
23-40. 1954 12 Reaven. E P and G M Reaven Mechamsm for development
7 Magglo, C A and H S Koopmans Food intake after of diabetic hypertnglycendemIa in streptozotocln-treated rats J
mtragastnc meals of short-, medium- or long-chain tnglycende Chn lnvevt 54" 1167-1178, 1974
Phw:ol Behav 28 921-926, 1982 13 Relchl, D Lipoprotein hpase activity m the adipose tissue of
8 McGarry, J D and D W Foster The regulatlonofketogenems rats adapted to controlled feeding schedules Bio¢hem J 128.
from octanolc a o d J Btol Chem 246 114%1159, 1971 79--87, 1972
9 McGarry, J D and D W Foster Regulation of hepatic fatty 14 Schmidt, F H , E G Siegel and V E Trapp Metabolic and
acid oxidation and ketone body production Ann Rev Bu;t hem hormonal investigations in long-term streptozotocln diabetic
49 395-420, 1980 rats on different dietary regimens D:abetologta 18 161-168,
1980

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