(r)-1,3-butanediol (s)-lactate ester

(r)-1,3-butanediol (s)-lactate ester has been studied in 1 paper since 2026: 1 trial in people; 1 in the past year. The newest paper, Nov 1, 2026: “(R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity”.

Intervention

1 paper studies it6 findingsUpdated

1 new paper in 30 daysSee all 1 papers on (r)-1,3-butanediol (s)-lactate ester

At a glance

The findings reach people, from one lab or study. 1 lab in 1 country.

“Compared with placebo, LaKe increased βHB and lactate concentrations and improved insulin sensitivity by 28%”
(R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesityThe American journal of clinical nutrition2026doi:10.1016/j.ajcnut.2026.101547

None of its findings points the other way.

Humans: a single group. Cells, worms or flies and mice: nothing yet.
  • 1 lab in 1 country
  • Funders: Hartmann Foundation and 2 more
  • Human trial1

Studies in people

1 study gave (r)-1,3-butanediol (s)-lactate ester to people and measured what changed.

What changedDesignPeopleSource

up: Improves whole-body insulin sensitivity28% improvement; M-value difference 1.00 mg/kg lean body mass/min (95% CI 0.28–1.72)

up: Increases glucagon-like peptide-1

down: Decreases gastric emptying

Randomized trial28 days followed by acute dosing10 peopleBothadultsAdults with obesityThe American journal of clinical nutrition, Nov 1, 2026

What did studies of (r)-1,3-butanediol (s)-lactate ester find?

6

Studies of (r)-1,3-butanediol (s)-lactate ester measured 6 outcomes, among them body weight, urea excretion rate and lipolysis.

Body weight

no changein humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester showed no clear effect on body weight in humans (adults with obesity; compared with placebo).

    “Body weight was not affected by interventions”

    Human trialadults with obesity; compared with placebo28 daysn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

Urea excretion rate

downin humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester decreases urea excretion rate in humans (adults with obesity; compared with placebo).

    “and decreased urea excretion rate (P = 0.037).”

    Human trialadults with obesity; compared with placebo28 days followed by acute dosing; excretion measured over 3 hoursn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

More on Urea excretion rate

Lipolysis

downin humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester decreases lipolysis in humans (adults with obesity; compared with placebo).

    “LaKe consumption increased glucagon-like peptide-1, lowered ghrelin concentrations, delayed gastric emptying, reduced lipolysis (all P < 0.001)”

    Human trialadults with obesity; compared with placebo28 days followed by acute dosingn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

Gastric emptying

downin humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester decreases gastric emptying in humans (adults with obesity; compared with placebo).

    “LaKe consumption increased glucagon-like peptide-1, lowered ghrelin concentrations, delayed gastric emptying”

    Human trialadults with obesity; compared with placebostomach28 days followed by acute dosingn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

Glucagon-like peptide-1

upin humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester increases glucagon-like peptide-1 in humans (adults with obesity; compared with placebo).

    “LaKe consumption increased glucagon-like peptide-1, lowered ghrelin concentrations”

    Human trialadults with obesity; compared with placebo28 days followed by acute dosingn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

More on Glucagon-like peptide-1

Whole-body insulin sensitivity

upin humans1

1 study
  1. (r)-1,3-butanediol (s)-lactate ester improves whole-body insulin sensitivity in humans (adults with obesity; compared with placebo) (28% improvement; M-value difference 1.00 mg/kg lean body mass/min (95% CI 0.28–1.72)).

    “Compared with placebo, LaKe increased βHB and lactate concentrations and improved insulin sensitivity by 28%”

    Human trialadults with obesity; compared with placebo25 mL (27.75 g) twice daily, followed by an additional dose28 days followed by acute dosingn = 10

    (R)-1,3-butanediol (S)-lactate ester improves insulin sensitivity, modulates appetite hormones, and reduces urea excretion: a randomized controlled crossover trial in adults with obesity

    The American journal of clinical nutrition

Latest

Dec 2025: 0Jan 2026: 0Feb 2026: 0Mar 2026: 0Apr 2026: 0May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 0Sep 2026: 0Oct 2026: 0Nov 2026: 11 paper in 12 months