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Clinical Features Polyuria, polydipsia, polyphagia, and weight loss Nausea, vomiting, abdominal pain Dry mouth, sunken eyes, tachycardia, hypotension, Deep, rapid breathing (Kussmaul respiration) to compensate for acidosis Characteristic fruity (acetone) odor on breath Drowsiness, confusion, and in severe cases, coma E

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Before GLP-1 medications became available in Northern Nevada, most weight loss programs near the Reno area relied on calorie restriction, exercise, and older medications like phentermine

Hydration stands out as particularly important