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" ... So, what's the difference for normal medical use? The acetate is better used (see update below) when a patient has low potassium levels due to some metabolic disturbance, a condition known as acidosis – when the body is having difficulty ridding itself of acidic metabolites. Acetate is a buffer, meaning that it can sop up acids and withstand swings in pH (a measure of acidity). Potassium chloride has no buffering capacity and is sensitive to changes in pH; that's perfectly fine for normal potassium supplementation when a patient doesn't have any pH disturbances. ... "