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I have highlighted the word bother: that will determine if and when treatment is needed

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The key differences for your care team to test are the pH (acid-base profile) and HCO3 (bicarbonate) levels in your blood, along with evidence of ketosis (BHB), as shown below: Treating HK-CHS To treat HK-CHS, your care team will typically increase fluids, treat the high blood glucose with insulin, and balance your electrolytes, or anion gap

The main body outlines evidence, practical timing approaches, and safety notes for those considering peptide options

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