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GLP-1 medications suppress appetite so effectively that many users drastically reduce their caloric intake, sometimes to 600 to 800 calories per day, without realizing how little they are actually eating

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Ketoacidosis can also happen in people who are sick, cannot eat or drink as usual, skip meals, are on a diet high in fat and low in carbohydrates (ketogenic diet), take less than the usual amount of insulin or miss insulin doses, drink too much alcohol, have a loss of too much fluid from the body (volume depletion), or who have surgery or a procedure that requires not having food for a long time (prolonged fasting)