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Results: The available literature on keto-induction symptoms is highly heterogenous, but common transient symptoms are reported across multiple populations, including descriptions of keto-flu, nausea, emesis, reduced appetite, hypoglycaemia, acidosis, increased risk of kidney stones, altered liver biochemistry, and skin rash

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Dehydration, acute kidney injury, clots, and domino effect admissions A very common pattern in real practice is vomiting, diarrhoea, or inability to keep fluids down, leading to dehydration