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It exists as a highly polar, small zwitterion (an ion that while electrically neutral, carries both a positive and a negative electrical charge in different parts of the molecule, as seen in certain amino acids and protein molecules) [4]
This framing can deepen weight stigma and perpetuate harm, especially to those in larger bodies
153157, Sonthalia, Sidharth, et al
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It is not DKA, but it is a signal to check ketones more frequently during periods of reduced appetite or GI side effects, not just when your glucose is high
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