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The duration of fasting is a key ketogenic trigger that might be less prominent in short-stay emergency cases ( 3.2 The cautionary signal: BMJ open and anesthesia literature In contrast to the reassuring administrative data, the anesthesia and intensive care literature continues to report clusters of severe euDKA

The condition, now known as metabolic dysfunction-associated steatotic liver disease (MASLD), occurs when excess fat accumulates in the liver unrelated to alcohol consumption or viral hepatitis

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Reports indicate that the incidence correlates with higher dosing, and onset occurs within the first month of therapy and upon dose escalation