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The actual incidence is unknown

When to seek medical advice about your weight: If you are experiencing unintentional weight loss, unexplained fatigue, or symptoms that may suggest an underlying condition such as thyroid disease or Cushing's syndrome, or if you have concerns about your relationship with food or eating, please speak to your GP rather than seeking a supplement-based solution

acute pancreatitis, primary carnitine deficiency, gallbladder disease, use of SGLT-2 inhibitors), additional targeted searches were performed using the name of the condition or drug together with terms such as ketogenic diet or ketosis