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[1] Patients should be counselled to recognise symptoms of both hypoglycaemia (tremor, sweating, confusion, palpitations) and hyperglycaemia (increased thirst, frequent urination, fatigue), and to contact their GP or diabetes specialist nurse if concerns arise

Consider higher-level monitoring, e.g., intensive care The 5 Ss of adrenal crisis treatment are Salt (0.9% saline), Sugar (50% dextrose), Steroids (100 mg hydrocortisone IV once, then 200 mg over 24 hours), Support (normal saline to correct hypotension and electrolyte abnormalities), and Search (for the underlying disorder)

(/ GSH) : / : Liposomal Glutathione : S-Acetyl L-Glutathione (SAG) : : N-Acetyl Cysteine (NAC) + Glycine GSH & L-Glutathione Reduced : L-Glutathione Reduced , GSH

Fiber is a particular concern given that the keto diet restricts many fiber-rich foods such as whole grains, fruits, vegetables, and beans