problems such as bulimia, anorexia, and diuretic or laxative abuse can cause or potentiate electrolyte losses in such patients.Here is the pertinent section discussing ketones... and yes I accept that if she were on a calorie-restricted diet her ketones could have been high (her blood pH was on the acidic side at 6.89 -- but surely they have to rule out cause for this other than ketosis?) that s