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Rocio Salas-Walan is a board-certified endocrinologist in New York Dr

At the most recent follow-up in October 2025, the patient weighed 78.18 kg (172 lb), representing a total weight reduction of 39.54 kg (87 lb), corresponding to a 33.6% decrease from baseline body weight

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Epidemiological studies have shown that metabolically healthy, normal-weight individuals exhibit higher urinary KB levels compared to metabolically unhealthy, obese populations [9]

Additionally, if household members or dining companions develop similar symptoms simultaneously, this strongly suggests a foodborne illness rather than medication effects