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Yes, metabolism of fats is a reason and can cause the presence of ketones and can lower pH levels. To make it simple, ketones form from rapid or incomplete oxidation (breaking down) of fats from the liver and forms ketones. Ketones are strong acids and this is why it can cause a lowering of pH in the urine.

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Q: Could the metabolism of fat explain the presence of ketones and the low pH of the urine?
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