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How Bad Is Ketosis Breath

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Keto Breath: Cause And Remedies

You’ve been on a ketogenic way of eating for a couple of weeks now, and you’ve stayed under your 20g of carbs every day. Congratulations on your dedication, your reward is… stinky breath? That’s right, most people who try keto at some point in the first month or so of being in ketosis will experience some unpleasant breath. Some people describe it as “metal smell” or having “metallic taste in the mouth”. What a fun reward for choosing a healthful way of eating! The Cause of Keto Breath The explanation is simple, though it’s usually unavoidable, at least until you’re fully fat adapted. As the body shifts into ketosis, it turns fats into ketone bodies, specifically beta hydroxybutyrate, acetoacetate, and acetone. They are all completely normal and healthy to have in the body in the amounts it produces. These ketone bodies, especially acetone, can be detected by smell on the breath. This is actually one of the most reliable ways to tell when you have gotten into ketosis, and can be smelled more easily when you are deeper into this fat burning carbohydrate deprived state. Studies have shown this, and there are devices such as breath ketone test monitor that can meas Continue reading >>

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  1. holymolysoly

    I am on day 21 and my husband has remarked on several occasions that my breath is absolutely horrific and offensive. After some searching in this forum and online, it seems the most likely culprits are ketosis and acetone breath from the over-consumption of protein? I dont think either of these are possible culprits, but over the last few days, I have increased my starchy veggie consumption to two per day and my husband said it hasn't helped. I am a nursing mamma to an almost 2 year old, so I figured I could use the extra starchy veggie because he still nurses 4 to 6 times in a 24 hour period. I follow the meal template fairly strictly so I don't think I am lacking or overdoing it in terms of protein or plant based starches/carbs. I feel great and want to continue with a very slow reintroduction of just a few things but my husband said he can barely tolerate the next 9 days and he is looking forward to me eating "normally" and my bad breath issue resolving ASAP. Any suggestions ? I really would like to make this way of eating a lifestyle and the breath issue is the only impediment for me.

  2. ladyshanny

    On July 25, 2016 at 10:12 PM, holymolysoly said:



    I am on day 21 and my husband has remarked on several occasions that my breath is absolutely horrific and offensive. After some searching in this forum and online, it seems the most likely culprits are ketosis and acetone breath from the over-consumption of protein? I dont think either of these are possible culprits, but over the last few days, I have increased my starchy veggie consumption to two per day and my husband said it hasn't helped. I am a nursing mamma to an almost 2 year old, so I figured I could use the extra starchy veggie because he still nurses 4 to 6 times in a 24 hour period. I follow the meal template fairly strictly so I don't think I am lacking or overdoing it in terms of protein or plant based starches/carbs. I feel great and want to continue with a very slow reintroduction of just a few things but my husband said he can barely tolerate the next 9 days and he is looking forward to me eating "normally" and my bad breath issue resolving ASAP. Any suggestions ? I really would like to make this way of eating a lifestyle and the breath issue is the only impediment for me.
    Hi,
    The most common culprits is ketosis but could also be from dehydration causing dry mouth which allows bacteria to breed.
    If would be most helpful if you would outline your last few days of food including portion sizes, specific vegetables/fat types and quantities, fluids, exercise etc. We can take a look and see if anything stands out.

  3. holymolysoly

    Thanks so much for the response. I generally walk between 5-7 miles a day and sleep is disrupted with several night time wake-ups since my son does not sleep through the night yet.
    Here's what my days have looked like:
    M1 - 3 scrambled eggs cooked in ghee
    1/3 of a 6 inch in diameter acorn squash drizzled with some EVOO
    1 trader joe's bag of organic spinach, steamed to yield about a cup
    1/2 cup coconut milk in coffee
    M2 - 3 turkey meatballs (each a bit smaller than a tennis ball),
    1 cup home made complaint marinara
    2 cups green beans (steamed)
    2 tbsp ghee mixed into marinara after cooking
    M3 - 1 and a half boneless skinless chicken thighs cooked into a curry with
    1 cup broccoli, 1/2 cup red peppers
    Served atop cauli rice with 1-2 tbsp of ghee mixed in after cooking
    Yesterday
    M1 - Fritatta made with 2 eggs, 1/4 cup ground chicken, asparagus, zucchini, onions, spinach
    roasted potatoes with herbs
    1/2 cup coconut milk with coffee
    M2 - Buffalo chicken spaghetti squash bake (PaleoOMG recipe)
    Mixed greens with tomato and cucumber, EVOO and balsamic
    M3 - ground turkey with 2 cups of veggies (same as in morning fritatta) with 1-2 tbsp of ghee mixed in after cooking
    I practice good oral hygeine and brush and floss twice a day. I have been carrying around mouth wash and using that several times a day as well. I can't tell that my breath smells bad. Also, I never had this issue before W30, and do not have any underlying medical conditions that could be causing this. My husband mentioned bad breath to me the last time I did a W30 in October of 2013, but he doesn't recall it being as severe as it is now. About a week ago, I ate squash or potato at every meal for 2 or 3 days and my husband said it wasn't as rancid but that he could still smell it.

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