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Ketosis from steep or prolonged carb restriction produces acetone breath, and adding 15 to 30 grams of a slow carb once daily typically improves odor within 24 to 72 hours if ketones are the cause

Most people adapt well to this change, though some experience altered fat digestion

Lastly, doctors track how well a treatment is working by measuring prostate-specific antigen (PSA) levels in the blood and monitoring tumor size on imaging