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A 37-year-old woman who had 8 weeks post partum, breast feeding and on a low carbohydrate and high protein (ketogenic) diet, was admitted to the hospital with acute onset of nausea, vomiting and abdominal pain of 1-day duration. On admission, she was found to have high anion gap metabolic acidosis, elevated beta-hydroxybutyric acid level, normal glucose level and evidence of ketoacidosis. She was treated with lactated Ringer solution, along with dextrose 5% solution with the resolution of symptoms and metabolic derangement. © BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.


Ali Alkhayat, Kevin Arao, Taro Minami, Kamran Manzoor. Ketoacidosis associated with ketogenic diet in a non-diabetic lactating woman. BMJ case reports. 2020 Jun 30;13(6)

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PMID: 32606112

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