
A conceptual model is presented on adaptive balance which defines the transition from fixed homeostasis to flexible homeodynamics, with a consequential progressive contraction of this adaptive capacity associated with the ageing phenotype. From metabolic flexibility to rigidity, this framework links mitochondrial dysfunction, impaired autophagy, NAD⁺ depletion, and oxidative stress to chronic disease. Ketosis, principally defined by the production of β-hydroxybutyrate, represents a targeted strategy to restore homeodynamics and enhance physiological resilience.
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