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Beta-hydroxybutyrate (BOHB, also known as 3- hydroxybutyrate) is a ketone body produced when glucose cannot be used as a fuel source. It is measured in conjunction with free fatty acids (FFA) and glucose in order to investigate hypoglycaemia or symptoms associated with ketoacidosis. The ratio of FFA to BOHB in hypoglycaemia can help to detect hyperinsulinism or a fatty oxidation defect.

If you have concerns or questions about feeding your baby, you can talk these through with your midwife or health visitor. ​

The phalanges are the bones of the fingers and thumb beyond the palm. There are three phalanges in each finger, and two in the thumb.

From sharing your thoughts and ideas to influencing the way we provide hospital services, from electing our governors to becoming a governor yourself – there are many ways you can help us as a member.

by Jade Edwards

This page gives you information about having an apicectomy and answers many of the commonly asked questions. If you have any further questions or would like a further explanation, please contact the Oral and Maxillofacial department using the contact information at the end of this page.

We are committed to integrating sustainable development into our core business and ensuring our use of resources is efficient.

This page gives you information about having a Computed Tomography (CT) scan of the head or sinuses. It explains how the procedure is carried out and some of the possible risks.

The information on this page answers some of the commonly asked questions about Carbapenemase-Producing Enterobacterales (CPE). This includes why and how patients are screened and information for patients who test positive.

This page answers some of the questions you may have about your humerus fracture. It also gives you advice and information about how to manage at home. The humerus is the bone in the arm between your shoulder and elbow. Your injury is a fracture to this bone, near the shoulder. There is often quite a lot of bruising and swelling of the arm over the first few weeks. This is normal and resolves by itself as the fracture heals.

This page gives you information about the specialist team for Inflammatory Bowel Disease (IBD), the services available and the IBD Advice line.

It is essential that your bowel is empty for this investigation. In order for your bowel to be empty please follow the instructions below.

Mr Engelke has a specialist interest in trauma surgery, upper limb surgery including hand surgery, wrist surgery, elbow and shoulder surgery.

This page explains what a hysterectomy involves and answer some of the more commonly asked questions.

This page gives you information about the treatment options for early vocal cord cancer.

This page outlines the procedures in place to help ensure the safety of children attending the Emergency Departments in Gloucestershire.

The Learning Disability Hospital Liaison Nurses are highly trained and experienced learning disability nurses, who work across the acute hospitals: Gloucestershire Royal Hospital and Cheltenham General Hospital.

Dr Copp is a general anaesthetist with a special interest in the difficult airway, regional anaesthesia of the upper limb and vascular anaesthesia.