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Ketostix Not Showing Ketosis

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Keto Sticks (ketone Test Strips)

Keto sticks I’m often asked if it’s necessary to buy and use keto sticks. They’re small test strips that you dip in urine to see if your body is producing ketones (and therefore indicate if you’ve entered ketosis. I already wrote a post about how to tell if you’re in ketosis but I though this topic deserved a separate post. You can buy some here. What’s a keto stick? Like I said, it’s a small test strip and looks like this: It comes in a small bottle that usually contains 50-100 strips depending on the type you choose. It’s very thin and on one end if it there’s a small square of paper (this is the end you dip in the urine). If there are ketones in your urine the little paper will change colour. The darker it is (light pink up to a purple colour) the more ketones are in your urine. On the bottle there’s a picture you compare the colour of the paper to. How do I use a keto stick? It’s very easy: First of all you pee in a clean and dry cup. For convenience you can buy single use plastic cups in a grocery store and keep them in your bathroom. You take a keto stick out of the bottle and make sure you close it firmly again because any humidity can destroy the remai Continue reading >>

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  1. chelseyRN

    This is my 13th day on the ketogenic diet. I bought ketone test strips to test my urine. I've been testing a few times a day and been in the low range. This morning I've tested twice and it says "Large" and correlates with the "8 mmol/L" color on the test strips. I've been "high fat, moderate whole foods carbs" for months, if not longer. I'm not diabetic but have a glucometer to test for blood sugar spikes to know what foods to avoid. My blood sugars have been 60-90s consistently. Is there any concern about spilling too many ketones? Educate me please!!

  2. Jason_v

    Just due to the nature of the presence of the 3 different versions of circulating ketones, some will always spill over to the urine. how detectable they are will depend on your hydration level more than anything else. So no there is no concern, which is good because you can't do anything about it anyway. If you are producing ketones, some will show up in the urine:period. if you are hyper hydrated you won't see many, if you are dehydrated you will see dark purple. Exercise tends to reduce the amount of ketones in the urine, in my experience. There is a falsehood that circulates that your body "learns" to use ketones more effectively thus "spilling less" into the urine but that's not technically correct. Although the use of ketones by different tissues can be up regulated (made more efficient depending on demand) there will always be some in the urine if you are producing them at all.

  3. ketohealthclub

    I'd love to read the data explaining that. Do you have any links? I've definitely read the opposite: that over time your body wastes fewer ketones, which renders the ketostix pretty useless after a few weeks.

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A Quick Primer On The Ketone Test Strips...

A Quick primer on the Ketone Test Strips... Questions about ketones, ketosis, KetoStix, and its implications and misconceptions have always been one of the most common querries at Low Carb Luxury. We'll try and clear up some of those mysteries here. So... what are they? You'll hear them referred to as KetoStix (the original brand name), Urine Test Strips, Reagent Strips, Ketone Testing Strips, and Lipolysis Test Strips. Depending on the plan you follow and whether you are new to this way of life, or an old timer from the 70's, you'll be referring to them as one name or another if your plan calls for being in Ketosis. Please note, we're not here to debate the merits of Ketogenic vs non-Ketogenic diets here, so don't send me mail of disagreement. For me personally, being in Ketosis is my ideal state and keeps my body's systems at their best. The Ketosis we're talking about here is what Dr. Atkins refers to as "Benign Dietary Ketosis" (or BDK), and should never be confused with Acidosis — a dangerous state for diabetics and those in advanced starvation where acetone builds in the blood and tissues. People will sometimes tell you that producing ketones is dangerous for the body. This Continue reading >>

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  1. Janet2629

    Does anyone know much about the Ketone Stix? I am in the Atkins induction phase and have been good (really!!), so I should be buring some fat. I have tested with the TestMedia Ketone stiz 2 times (both in the afternoon) and the stix stay white.
    THe key on the container say that a "neutral" sign is pink. THere is no reference for just plain old white. What gives?
    Is there anything that would cause the Ketostix not to register?
    I look forward to your input, and will try not be be discouraged. I have been busy today--all I have eaten is eggs in the morning and a low-carb Ketoshake in the afternoon. There's no way I'm not burning more than I ate. . . .
    Thanks for your knowledgeable comments.
    Janet

  2. kidkemo

    Some people dont register any color with ketostix at all. Try eliminating the shake, which can stall people sometimes, then retest. It also takes 2 or 3 days of low carbing before the stix will change color. I dont change color at all no matter how low i go in carbs. Dont worry about the stix as long as you are losing pounds or inches.

  3. LittleAnne

    Hi Janet
    Those oh so important ketostix. I remember getting mine and testing at the start. Yes they are a sign, but they are not the beall and end all of things. If you are drinking lots of water then you may not see the colour change at all, if it turns purple then you are probably not drinking enough water!
    As already said, if you are loosing weight then that is proof that you are low carbing and it is working. You might like to read this article on the subject which I have copied from the GO Diet.
    Continued success.

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Buy Me Bacon? http://paypal.me/KetointheUK Breathalyser I got on Amazon http://geni.us/breathketone if you like my content please consider supporting my channel via Patreon at http://www.patreon.com/ketointheuk MY FAVOURITE KETO RECIPE BOOKS BY MARTINA FROM KETODIETAPP http://geni.us/ketodietappbooks 28 DAY KETO PRIMAL MEAL PLAN + guide + weekly shopping list http://po.st/primalmealplan 28 DAY KETO PALEO MEAL PLAN + guide + weekly shopping list http://po.st/paleomealplan You live the keto Lifestyle? NOW WEAR IT! Ginger's Keto Merchandise is finally here https://shop.spreadshirt.co.uk/ketoin... Subscribe and hit the for upload notifications! Never miss a Ginger video! Articles and background on ketones reading as alcohol in breath: https://proteinpower.com/drmike/2007/... https://blog.ketointhe.uk/2018/10/ket... https://www.reddit.com/r/keto/comment... http://community.myfitnesspal.com/en/... http://eatingacademy.com/nutrition/ke... How do you test for ketones? Either you go uncertain with the cheap and easy Ketostix for Urianalisys or you prick your fingers multiple times a day to test for Blood Ketones. Or you breath in a regular alcohol Breathalyzer, a tenth of the cost of the Ketonix, and if you are in ketosis Acetone in your breath will read as Isopropanol, and there you can have a live reading of your ketones for a fraction of the cost of all other methods of testing for ketones. Want to make sure you get reminded with every new recipe? There's a Mailing List for that: http://eepurl.com/bwE9aX Come interact and share your recipes and ideas on Instagram: http://instagr.am/ketointhe.uk Our Facebook Group: https://www.facebook.com/groups/lowca... Facebook Page: https://www.facebook.com/lowcarbuk/ Twitter: http://twitter.com/KetoInTheUK Blog: http://blog.ketointhe.uk My Specs come from Firmoo, you can get 15% off through my link http://po.st/gingerglasses All of My videos in neat Playlists Ginger's Keto Recipes http://po.st/ketorecipes Ginger's Keto Talkies http://po.st/ketotalkies Keto Friendly Foods Tuesdays http://po.st/ketotuesdays No Stupid Questions Thursdays http://po.st/ketothursdays Keto Food Hauls and Shopping Lists http://po.st/ketohauls Basics Keto Recipes http://po.st/ketobasics How To Keto - The Essential Keto Beginner's Guide http://po.st/howtoketo Ginger's Livestreams Chit Chat Keto Q&As http://po.st/ketolivestreams This video is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services to you or to any other individual. Through my videos, blog posts, website information, I give suggestions for you and your doctor to research and provide general information for educational purposes only. The information provided in this video or site, or through linkages to other sites, is not a substitute for medical or professional care, and you should not use the information in place of a visit, call consultation or the advice of your physician or other healthcare provider. Keto In The UK are not liable or responsible for any advice, course of treatment, diagnosis or any other information, services or product you obtain through this video or site.

Ketosis & Measuring Ketones

Generally, ketone concentrations are lower in the morning and higher in the evening. Whatever time you pick to measure ketone levels, make sure to keep it consistent. Also, do not measure your ketone levels right after exercise. Ketone levels tend to be lower while your glucose levels higher so you won't get representative numbers. Keep in mind there are daily fluctuations caused by changes in hormone levels. Don't get discouraged! Another aspect that affects the level of ketones is the amount of fat in your diet. Some of you may show higher concentration of ketones after a high-fat meal. Coconut oil contains MCTs that will help you boost ketones. To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. Ketone levels tend to be higher after extensive aerobic exercise as your body depletes glycogen stores. Exercise may help you get into ketosis faster. ketogenic "fruity" breath is not pleasant for most people. To avoid this, drink a lot of water, mint tea and make sure you eat foods rich in electrolytes. Avoid too many chewing gums and mints, as it may put you out of ketosis; there may be hidden carbs affecting your blood sugar. I Continue reading >>

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  1. blurfocus

    Your first, best, and cheapest option is not to use them.
    Ketostix do not measure what many people expect that they do.
    Ketostix only measure excess levels of acetoacetate, which is not the type of ketones that correlate with nutritional ketosis.
    Ketostix may show negative ketones when your blood ketones are high and then may show positive ketones when your blood ketones are low.
    Misinterpretation of what they show is one of the most common unnecessary causes of keto anxiety and wasted time. You can be perfectly successful on a ketogenic or low-carb diet without ever measuring ketones.
    Many people are already overwhelmed with learning about keto diets. Adding another layer of unnecessary complexity doesn't help the matter. Often, people are most successful on keto when they treat it as a lifestyle and not a diet. Obsessively measuring ketones can be at odds with attempting to live a keto lifestyle.
    If you decide to use Ketostix anyway, please be kind to those who answer questions here by not submitting a question that begins with I know that Ketostix are unreliable, but ...
    If you consume few enough carbohydrates and avoid excessive intake of protein, you can trust that your liver will be producing ketones within a single day. That is how human metabolism works.
    If you consume too many carbs, you will be kicked out of ketosis temporarily. However, if you once again restrict carbs, you will go right back into ketosis within 24 hours. This is because the liver can store only 100 grams of glycogen. If you restrict carbs, the liver will run out of glycogen within a day and begin burning fat instead. The liver produces ketones as a side effect of burning fat.
    As an example of how Ketostix can be misleading, it is possible to eat a high-carbohydrate meal followed by a positive Ketostix result. You may think that you cheated the system, but you didn't. It takes time for excess ketones to appear in urine. Ketostix are showing you what happened in the past before you cheated.
    If you have the time and really want to know why Ketostix will not tell you much, read pages 164 and 165 of The Art and Science of Low Carbohydrate Living by Volek and Phinney. This is the section headed by Ketones: To Measure or Not.
    If you do not have this book, read this summary:
    http://ketopia.com/why-you-need-to-stop-worrying-about-the-color-of-your-ketostix/
    Ketostix were designed to help diabetics avoid ketoacidosis which is a dangerous condition involving very high blood sugar and very high serum ketones. If you have near normal blood sugar and serum ketone levels consistent with nutritional ketosis, you don't need to worry about this.
    Ketostix only measure excess levels of acetoacetate, which is not the type of ketones that correlate with nutritional ketosis.
    The ketones that correlate with nutritional ketosis are known as beta-hydroxybutyrate. This type can be measured only with a blood ketone meter.
    There is a built-in time lag. Ketostix are measuring what has happened in the past since it takes a while for the kidneys to produce urine.
    Exercise can influence how many excess ketones are excreted.
    You can be in nutritional ketosis even when Ketostix show no excess acetoacetate. In the keto-adapted state, very little acetoacetate ketones will be excreted in urine even though blood ketones may be high.
    Note that it takes a period of four to six weeks of being in ketosis every day in order to become keto-adapted. Someone who is keto-adapted has adapted to using fat as the primary fuel for muscles and various organs. The keto-adapted brain uses ketones in place of glucose for most of its energy needs. When keto-adapted, most acetoacetate is not excreted. Instead, muscles convert it to beta-hydroxybutyrate and return it to the blood for use by the brain.
    If after all of this, you still want to use Ketostix because you bought them and cannot bring yourself to throw them away or because they are comforting in some way, here is how they may be useful.
    When you are first starting a low-carb or keto diet and transitioning into ketosis from a moderate to high-carb diet, Ketostix will confirm that your body has in fact done what biology says that it must do. It will show that your liver has begun producing ketones.
    Once you are a few days into the diet, you can give them away to a keto newbie or toss them. Note that Ketostix will eventually expire, especially if you keep them in a moist environment like a bathroom.
    If you have a medical condition that makes monitoring blood ketone levels necessary or if you are a numbers geek with spending money, you may be interested in purchasing a ketone blood meter and test strips for measuring beta hydroxybutyrate in your blood. The test strips cost somewhere between $2 and $5 per strip.
    There are a few meters to choose from.
    Precision Xtra - https://www.abbottdiabetescare.com/products/patient/pxtra-overview.html
    Nova Max Plus - http://www.novacares.com/nova-max-plus/
    CardioChek Home - http://www.healthchecksystems.com/CardioChek.cfm#home
    Most use one of the first two listed (Precision Xtra or Nova Max Plus). Some say that the Precision Xtra is the more accurate of the two. I've found that readings from these two track fairly closely with each other. The Nova Max Plus has cheaper test strips.
    To detect nutritional ketosis, look for a reading between 0.5 and 5.0 mmol / liter. Some experts recommend aiming for a level of 1.0 to 5.0 mmol / liter.
    Another option is the Ketonix Sport breath meter. This meter measures acetate in the breath. It does not require test strips.
    Acetate forms when acetoacetate spontaneously breaks down to acetate. According to Volek and Phinney (page 165 of The Art and Science of Low Carbohydrate Living), it should be linearly correlated with blood ketones. In practice, it is not as accurate as the blood meters in part because it is difficult to breathe in the same way every time you test.
    Ketonix Sport (order direct from Sweden) - https://www.ketonix.com/index.php/product/sport
    Again, remember that you can be perfectly successful on a ketogenic or low-carb diet without ever measuring ketones whether in urine, blood, or breath.
    In the final analysis, ketone concentrations are what they are. Chasing ketone concentrations often becomes as unnecessary and distracting as Ketostix. Unless you are treating epilepsy, cancer, or other medical condition, the concentration of ketones do not matter too much. You can achieve weight loss and a sense of well-being even with lower levels of ketones.
    Focus on how you feel, not on the number. Use ketone meters for interest and experimentation, but don't let the results stress you out.
    tl;dr never, unless you have read and understood this post, yet still want to use them anyway
    [If anyone has any suggestions for improving this post or correcting misinformation, let me know. I'll correct this and re-post it once in a while]

  2. anbeav

    Hallelujah!!
    tl;dr never
    If you want to do it for experimentation, go for it but please spare the rest of us the unnecessary ketosis anxiety
    edits: In addition to false negatives, ketostix commonly show false positives as in when people eat a high carb meal and think they cheated biology. Also I might remove the bit about using ketostix to monitor keto-adaptation, just asking for more posts about the issue. Also I might emphasize that people seem to already be overwhelmed with keto when starting and adding another layer of unnecessary complexity doesn't help the matter. People always talk about lifestyle, live a lifestyle and IMO living a lifestyle certainly shouldn't have to include measuring. Lastly, ketone concentrations are what they are. If you want to measure with a blood or breath meter, they are what they are and chasing ketone concentrations often becomes as unnecessary as ketostix. Unless someone has a medical condition for which a particular concentration is required for management, focus on how you feel not the number. Use the meter for interest and experimentation, but don't let it stress you out.

  3. blurfocus

    Thanks. I have incorporated your feedback.

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