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Severe Metabolic Acidosis: A Case of Triple Hit with Ketogenic Diet, Vinegar, and Metformin in an Obese Patient
Joint Authors
Rana, Abdul Mughees
Mansoor, Kannan
Assad, Salman
Abouzid, Mahmoud
Ogu, Iheanyichukwu
Bandak, Ghassan Salim Issa
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Obesity is an epidemic with high burden of disease.
It is directly proportional to increased risk of morbidity and mortality.
Ketogenic diet and herbal supplements have recently gained popularity amongst patients struggling with weight loss.
There are limited data available for most of these supplements contrary to the claims laid by the mainstream media.
Due to lack of awareness, this patient population is at high risk of adverse effects.
We present a case of severe acidosis secondary to ketogenic diet and acetic acid (vinegar) ingestion.
The use of dietary acetic acid is usually well tolerated; however, in this case, the large quantities and presence of acute renal injury and metformin use may have worsened the acidosis.
Severe ketosis in setting of ketogenic diets is a serious complication, which is infrequently reported in literature.
Many of these diets and supplements may seem harmless, but as our case illustrates, when combined with other risk factors, patients can face serious adverse effects and even require hospitalization.
It is imperative that such dietary practices are physician supervised to avoid complications.
With the recent surge of over-the-counter weight loss supplements and ketogenic diets, physicians also need to engage in dietary discussion with patients when attempting to lose weight.
American Psychological Association (APA)
Rana, Abdul Mughees& Mansoor, Kannan& Assad, Salman& Abouzid, Mahmoud& Ogu, Iheanyichukwu& Bandak, Ghassan Salim Issa. 2020. Severe Metabolic Acidosis: A Case of Triple Hit with Ketogenic Diet, Vinegar, and Metformin in an Obese Patient. Case Reports in Nephrology،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148825
Modern Language Association (MLA)
Rana, Abdul Mughees…[et al.]. Severe Metabolic Acidosis: A Case of Triple Hit with Ketogenic Diet, Vinegar, and Metformin in an Obese Patient. Case Reports in Nephrology No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1148825
American Medical Association (AMA)
Rana, Abdul Mughees& Mansoor, Kannan& Assad, Salman& Abouzid, Mahmoud& Ogu, Iheanyichukwu& Bandak, Ghassan Salim Issa. Severe Metabolic Acidosis: A Case of Triple Hit with Ketogenic Diet, Vinegar, and Metformin in an Obese Patient. Case Reports in Nephrology. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1148825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148825