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Ketosis vs. ketoacidosis: the difference, and who's actually at risk

People mix up ketosis and ketoacidosis all the time, so I wanted to clear it up.

Ketosis is a natural, safe state where your body burns fat for fuel instead of carbs. It happens when your insulin comes down, like it does on a keto diet. Your body makes ketones in small amounts, and you get steady energy from them.

Ketoacidosis is a completely different thing, and it's rare. It happens when there's a severe lack of insulin, so ketones pile up out of control and the blood turns dangerously acidic. The people who need to watch for it are folks with type 1 diabetes or LADA, people without a…

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