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Yeast infections, due to the mixing of urine with vaginal discharge Some sexually transmitted infections (STIs), again due to combination with discharge Kidney stones, due to excess ammonia and salt Poorly managed diabetes, as blood sugar can give urine a sweet smell Urinary tract infections (UTIs), resulting from bacterial growth While fruity-smelling pee is a normal side effect of slightly increased ketones, ruling out underlying health causes can help you prevent complications and maintain peace of mind

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