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Breath acetone is a reliable indicator of ketosis in adults consuming ketogenic meals.

Am. J. Clin. Nutr. 2002 Jul;76(1):65-70.
PubMed Citation Journal Link

... CONCLUSIONS: Breath acetone is as good a predictor of ketosis as is urinary acetoacetate. Breath acetone analysis is noninvasive and can be performed frequently with minimal discomfort to patients. As an indicator of ketosis in epilepsy patients consuming a ketogenic diet, breath acetone may be useful for understanding the mechanism of the diet, elucidating the importance of ketosis in seizure protection, and ultimately, enhancing the efficacy of the diet by improving patient monitoring.

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