I was up and about, decided to read threads, my "personal experience" autism got to me on the ketosis thing, gomen; I'll be gone again after this, see you all on Friday>>93467332You don't smell like ammonia when you're in ketosis as a diabetic, you smell sickly sweet because the body can't get rid of glucose.
So at the very least it's not diabetes from this one symptom, unless she's going to provide more symptoms to Dr. Anon Y. Mous for a better diagnosis.
It's most likely related to her gallbladder removal and is just a consequence (read: "have to live with it/change diet where possible"), as bile from the gallbladder is used in fat digestion, and the ammonia smell comes from the body struggling to digest protein (via not having enough fat to digest said protein from said gallbladder removal).
>>93467614>>93468834The keto diet literally causes organ failure via inducing ketosis in the body (albeit less overall to the whole body than obesity, but it's more concentrated and worse in the short-term, it can cause a burnout of specific organs). Ketosis is very bad for you, it can cause renal failure and is shown to damage your heart, brain and liver alongside the kidneys in prolonged states (ie "on a keto diet for more than a few weeks"); anyone who says a keto diet has no downsides is lying.
People in medicine are just as likely to be kooks and idiots as the rest of us in my experience.
I had a surgeon for a hernia that was convinced that dairy consumption (both in you and your mother while pregnant) was the cause for type-1 diabetes and tried to sell me on it when he *should* have been running through what my recovery should be like. 