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"Hunger breath" is caused by a condition called ketosis. In ketosis, the body recognizes that there are no calories being ingested and starts breaking down fat stores for energy. This results in the production of ketones, which can also be used for energy, but in large quantities can increase the acidity of the blood. If these ketone levels continue to rise the body attempts to lower the pH by eliminating the ketones via urine and lungs. This results in the odd smelling breath.

Ketosis is the underlying principle in the low-carbohydrate diet, which "tricks" the body into thinking it is undergoing famine without actually requiring the person to limit calorie intake.

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