From:  Alkalinizing salts in ketogenic diet therapies: a narrative review with clinical recommendations for metabolic health and acid-base balance

 Summary of reviewed articles on dietary acid load, alkaline interventions, and metabolic health.

Ref.Article typeMain focusPopulationKey findings
[20]Narrative reviewChronic sub-clinical systemic metabolic acidosisGeneral adultMechanisms and clinical implications; diet’s role in acid load
[43]Article commentaryAcid-forming properties of foods; PRAL/NEAP modelsGeneral populationCritiques current models; highlights the role of unaccounted dietary components
[29]Systematic reviewBioavailability and metabolic role of magnesium supplementsGeneral adultShows that magnesium forms with higher bioavailability (e.g., citrate) improve metabolic function and support physiological pH balance; highlights relevance of mineral supplementation for acid-base homeostasis
[21]ReviewKetogenic diet in kidney disease managementAdults with CKDReno-protective potential; need for long-term studies
[46]Case reportKetone salts and metabolic alkalosisAdult with MTPDReports metabolic alkalosis after ketone salts; clinical caution advised
[47]ReviewRecurrent calcium kidney stones; dietAdults with nephrolithiasisDietary tailoring for stone prevention
[48]ReviewDiet and kidney stone diseaseGeneral adultAcid load reduction lowers stone risk

PRAL: potential renal acid load; NEAP: net endogenous acid production; CKD: chronic kidney disease; MTPD: mitochondrial trifunctional protein deficiency.