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Norwitz says.The most common electrolyte-related issues stem from two primary mechanisms:Gastrointestinal losses (from vomiting or diarrhea)Reduced dietary intake (from appetite suppression)Here's what can happen and what matters:Metabolic alkalosis (persistent or severe vomiting)"Repeated vomiting can lead to a loss of chloride and potassium, often with metabolic alkalosis (an increase in blood pH) and altered sodium levels," Dr