%0 Journal Article %T Severe anion gap metabolic acidosis associated with initiation of a very low-carbohydrate diet %A Anthony Donato %A Asad Jehangir %A Niranjan Tachamo %A Rashmi Dhital %A Salik Nazir %A Sijan Basnet %J Journal of Community Hospital Internal Medicine Perspectives %D 2019 %R https://doi.org/10.1080/20009666.2019.1583534 %X ABSTRACT Low carbohydrate diets have been popularized as an effective solution for weight loss. Although rare, life-threatening anion gap metabolic acidosis has been reported in patients on these diets. We present a case of a 31-year-old man with atypical symptoms of chest pain and shortness of breath found to have severe metabolic acidosis after starting low carbohydrate diet for a week %U https://www.tandfonline.com/doi/full/10.1080/20009666.2019.1583534