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Keto can also give you some nasty smelling breath. Starvation can cause high amounts of ketones,
but dehydration does not. Eating a diet high in processed and refined carbohydrates may alter the balance
of gut bacteria and cause blood sugar to rise and fall
significantly, both of which can adversely affect skin health.
Keto "treats" made with certain sugar alcohols can cause blood sugar levels to rise in some people (my father who has diabetes experienced this).

Can You Drink Coke Zero Sugar on The Keto Diet? You shouldn’t drink alcohol, m’kay." As booze carries a host of health risks and offers few real benefits for your waistline, it’s easy to write it off as an unnecessary addition to any diet. Your liver recognizes booze as a poison and prioritizes ridding your system of it. Another contributing factor: the hot and cold feelings that alcohol can induce by disrupting the hypothalamus, the area of your brain that modulates body temperature, and other parts of the endocrine system. When you drink, around 20% of the alcohol (aka ethanol) enters your bloodstream, where it goes on to affect the brain and other parts of the body.
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