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The enzyme action releases glycerol and fatty acids, which travel through your blood to body cells, where they combine with oxygen to produce heat/energy, plus water — lots of water —and the waste product carbon dioxide. As anyone who has used a highprotein/ high-fat/low-carb weight-loss diet such as the Atkins regimen can tell you, in addition to all that water, burning fat without glucose produces a second waste product called ketones. In extreme cases, high concentrations of ketones (a condition known as ketosis) alter the acid/alkaline balance (or pH) of your blood and may trip you into a coma. Left untreated, ketosis can lead to death. Medically, this condition is most common among people with diabetes. For people on a low-carb diet, the more likely sign of ketosis is stinky urine or breath that smells like acetone (nail polish remover).
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