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Imagine the surprise of some patients with type 2 diabetes when their blood sugar improves meaningfully within days or weeks of bariatric surgery

Users tend to eat fewer meals, gravitate toward smaller portions and seek foods that feel functional, satiating or safe

As you can see, adding more water makes the solution less concentrated

Key findings pointing toward dehydration include: BUN-to-creatinine ratio above 20:1 (pre-renal azotemia from volume contraction) Serum sodium above 145 mEq/L (hypernatremia from free water deficit) Serum potassium below 3.5 mEq/L (hypokalemia from vomiting or diarrhea) Urine specific gravity above 1.020 on urinalysis A 2021 systematic review in the Annals of Emergency Medicine found that no single clinical sign had sensitivity above 80% for dehydration in adults

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