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Signs Of Ketosis In Humans

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What Is Ketosis?

Ketosis is a metabolic function that occurs with low-carb diets. Instead of using carbohydrates for energy, the body will turn to its own fat stores and break them down for energy instead. This usually results in a rapid loss of fat (and pounds) that sounds great in theory, but in practice is a bit more dangerous. Our bodies use ketosis the same way a car uses the fake donut tire in your trunk. It's enough to get you to the garage, but it's not meant to be driven on indefinitely. In the same way, ketosis is a by-product of the body's reaction during a time of starvation that allows it to keep functioning until it can get to its next carbohydrate. What is a carbohydrate? Pretty much anything that's not fat and not protein. So if you get rid of oils, butter, meats, fish, and poultry, pretty much everything else is a carbohydrate. That includes super-healthy carbohydrates like salads and not-so-healthy carbohydrates like a cheese pizza. There are a lot of advocates for low-carb diets. I think what they're advocating is reckless and unsustainable. Yes, you'll get a quick hit of weight loss and the weight loss will come from fat, but you have to put your body into starvation mode to all Continue reading >>

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  1. Saraleesaralee

    Is it possible to stay on ketogenic diet for life-long?

    I have been on ketogenic diet for 2 weeks. It controls my blood sugar level really well. However I am not over weight. And I am worried about potential long term side effects of the diet. For example, high LDL level, steoporosis, auto immune disease, too much weight loss, vesicular stiffness. I was wondering if there is anyone in this forum has been on ketogenic diet for years? And do you experience any side effects from the diet?

  2. Aaron1963

    I've been on a strict ketogenic diet for 6 months, and was doing LCHF for much of the 5 months prior to that but didn't make any attempts at it being ketogenic so I may have been in and out of ketosis some during that period. I now have a blood ketone meter and remain in ketosis according to it.
    I did suffer excessive weight loss initially. I lost about 40kg (about 90 lbs.), and it ended up sending me from being very obese to being underweight. But I've always eaten very little protein, which I continued to do, plus I was doing intermittent fasting, sometimes not eating anything for days at a time. Once I stopped the intermittent fasting and concentrated on getting adequate protein, my weight went back up to my ideal weight and stabilized there. I've heard from several people that you really need to watch your protein when doing a ketogenic diet being it's easy for excess to hinder weight loss and/or increase your BG.
    I have had a few issues while doing a ketogenic diet, but not 100% sure which if any can be attributed to ketosis vs. some other factor. First off, as winter was approaching I got extremely cold all the time, especially my fingers and toes, but even my whole body was cold. I thought it might have been the caffeine I was getting as part of my ketogenic diet involves drinking lots of coffee with HWC, coconut oil, and butter. I switched to decaf and the problem pretty much went away, but I don't know if it was the caffeine, the ketosis, the massive weight loss (lack of body fat), something else, or a combination of factors.
    I've also had excessive itching and a rash. That's normal for me during the winter months, but this year it started a bit early, went longer, and was much worse than normal. I think it may very well have been my usual sensitivity to the cold dry weather, aggravated by toxins released during my rapid weight loss, and perhaps ketones being emitted through the skin. It's just recently started to clear up and the rash is gone and most of the itching.
    I got keto-breath for a week or two when I first concentrated on going keto. It was very noticeable, but disappeared after that and no issues anymore with my breath.
    This diet is very sustainable for me. I tried my whole adult life to diet to lose weight and was never successful. This time I wanted to lose weight, but my primary focus was controlling my BG, meaning reducing carbs down to a low-carb level, which caused me to gravitate naturally to a LCHF diet. For the first time I have no desire to go back to my old way of eating. I love this diet and it's completely satisfying. So I killed two birds with one stone - got my BG under control, down to non-diabetic levels, and got my weight down to ideal. Plus with the huge benefits (IMHO) of having my body use ketones rather than glucose, I'm totally sold on this way of eating for the rest of my life and have absolutely no worries about not being able to stick to my diet. I really have no strong urges for carbs anymore, and only end up going off the plan rarely due to social pressures or inadvertently eating hidden/unknown carbs.
    My LDL has gone up, but I've heard from others that usually it's benign large fluffy LDL that typically goes up when on a ketogenic diet. And my body is still adjusting. Also I've heard that LDL by itself is not a good measure of risk. So I'm not worried about it, but will keep an eye on things. I also have taken my ketogenic diet to an extreme, hitting a KR of 3.0 or higher almost everyday, and sometimes up to 4.0 or more. Not sure if eating much more fat than necessary for ketosis affected my LDL any or not. Initially my LDL dropped significantly as well as my trigs, but both increased at my last doctor's visit. I may try a more normal KR in the future while monitoring my blood ketones to verify I stay in ketosis and see if there's any difference in my BG, cholesterol, or other tests.
    I did also suffer from other typical symptoms during my keto adaptation phase. Most went away within about two weeks. But it's just been here at the 6-month mark where my BG numbers suddenly stabilized with very little change, and quite low, and overall I just feel absolutely fantastic. I feel like I'm bursting with energy and joined a gym and suddenly love running and working out whereas I hated them all my life.
    Well, I don't have years of experience with ketosis to report anything to you about that. Other than I've heard lots of other people with years of experience and not heard of anyone having any real side effects other than the things I've mentioned. However some people do find ketosis isn't for them and give up very soon. For those that feel it is working for them and stick with it, seems there's no significant side effects. But I'll let the others who've been in ketosis for longer than me speak for themselves.

  3. furball64801

    Hi and welcome to DD I know of a guy called no more carbs that was on it over 2 yrs. It is possible he is still on it, that chat site closed down but he was going strong on it.

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Keto Diet HACK! The trick I use to get and STAY in Ketosis This boils down to: - Bulletproof Coffee in the AM (For additional fat add more Grass-fed Butter + Heavy Cream) - Brain Octane Oil 2x daily - 1Tbs per serving *Recommended at noon and night - Use Keto Strips to gauge ketone levels (about 70-80% accuracy) Get the essentials below... Bulletproof Coffee (5lb) - http://bit.ly/1WRxBdm Brain Octane Oil (32oz) - http://bit.ly/2divjEM Keto Strips (100 strips) - http://amzn.to/1rxulbI This hack is a MASSIVE leg up when starting and working to stay in ketosis. The Ketogenic Diet can be intimidating to a lot of folks and understandably so. The amount of fat you need to take in is quite substantial. This can be even tougher for those adverse to taking in dairy and may want to retain a somewhat or even completely vegan lifestyle. The beauty of this hack is that it is exceptional at ensuring you get a steady baseline - a foundation of healthy fats offering the most in the way of cognitive benefit. This will elevate your health while making you feel great. A no brainer, right? It wasn't difficult for me to discover this hack. I've been drinking Bulletproof Coffee for more than a year now.

Symptoms Of Ketosis On Diet

Ketosis is a metabolic state that occurs when you have an insufficient amount of stored carbohydrate to provide energy to the brain and red blood cells. Ketosis is the process of fat stores being broken down into ketones to supply the necessary energy. If you are following a very low-carb or specifically ketogenic diet, you are likely to experience a range of symptoms. Video of the Day Ketosis typically happens when you are following a low carbohydrate diet, or to a lesser degree if you don't eat sufficient amount of carbs for a day or so. Entering mild ketosis, particularly overnight between meals, is completely normal. If your body uses up all its available energy and glycogen you get from carbohydrates, it starts breaking up fat molecules for energy instead. The liver uses the resultant fatty acids to create ketones, bodies of energy, which can be used by the brain, nervous system and red blood cells. One of the key indicators for ketosis is the state of your breath. There is a diverse and concentrated range of organic compounds in human breath, which can demonstrate what is going on inside your body. Acetone, for example, is a ketone produced when fatty acids are metabolized fo Continue reading >>

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  1. * DKA explanation

    * DKA explanation

    Below you will find a terrific explanation of DKA from one of the instructors at Med School Tutors. If you like what you see and may be interested in learning more about one-on-one instruction from MST, then please visit their website at www.medschooltutors.com
    In order to understand how to treat DKA, it is useful to first understand what is going on in the body when DKA develops. First of all, DKA (diabetic ketoacidosis) typically develops when a Type I diabetic does not take his or her insulin for a prolonged period of time. It may also be the presentation for new onset diabetes. Because these patients are insulin deficient, they are not able to take up glucose into their cells. This results in two important consequences: 1)glucose builds up in the blood and causes hyperglycemia and 2)the body's cells are forced to breakdown fat for energy, instead of glucose.
    These are very significant consequences... The hyperglycemia results in an osmotic diuresis, because the proximal tubule of the kidney can't reabsorb all the glucose filtered into the nephron. What is osmotic diuresis? Simply that the hyperglycemia (usually >300) causes the body to excrete lots and lots of water, because the osmotic pull of all the glucose particles prevents the reabsorbtion of water in the collecting duct. This means that patients with DKA are peeing their brains out!! They pee out sodium, potassium, and water.. And are therefore, very very very DEHYDRATED, sodium depleted, and potassium depleted.
    Now for the metabolism end of things... The body cells are forced to metabolize fat for energy rather than glucose. How do they accomplish this? - beta-oxidation of fatty acids. This results in excess production of ketone bodies which deplete available acid buffers. This causes a significant metabolic acidosis, with a high anion gap due to the presence of ketoacids. The acidosis causes potassium to shift from the intracellular space to the extracellular space. This may result in a normal or high serum potassium level. This normal or high potassium level masks what is typically significant potassium depletion because the person was peeing all their potassium out as a result of the uncontrolled hyperglycemia.
    So what are we going to do now? I will give a very brief answer for now, expect people to ask questions in the meantime, and then provide a more thorough approach to treatment in the coming days.
    1)Give the patient tons of normal saline. Why? - because your patient is dehydrated as all hell. They have been peeing out every last drop of water because of their severe uncontrolled hyperglycemia. These patients require liters of fluid to replenish all the fluid they've lost as a result of the osmotic diuresis.
    2)Give them insulin. Why? - NOT because it will lower the blood glucose level, but because it will cause a shift away from fat metabolism and toward glucose metabolism. This will slow the production of ketone bodies which are precipitating the metabolic acidosis. Thus, I will repeat, we give insulin to shift away from fat metabolism and stop the production of ketone bodies.
    3)Give the patient potassium. Why? - As we discussed earlier, the person has been peeing out all of their potassium stores and are overall very potassium depleted, despite having normal or high serum potassium levels to begin with. In addition to being potassium depleted, the insulin you are giving will cause a shift of potassium from the extracellular space to the intracellular space, which will drop the serum potassium. Thus, we give DKA patients potassium way before they become hypokalemic.
    4)Give the patient dextrose. Why? - They insulin you are giving the patient is obviously going to cause the serum glucose to decrease. We give glucose to prevent hypoglycemia as we continue to give insulin.
    How do we know when we are finished treating these patients? - When the anion gap returns to normal.
    That's all for now. Please ask any questions you have. I will be giving more specifics about DKA management in the near future.
    PS: Does anyone know the dangerous consequence of giving DKA patients fluid too rapidly? What are the symptoms this may cause, and what is the pathophysiology behind these symptoms?

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How Do I Know If I Am In Ketosis?

[Some of the links in this post are affiliate links. If you choose to purchase something by using one of those links, I may receive a small financial compensation, at no cost to you.] Ketone testing strips are not reliable, so it can often be difficult to know if you are in ketosis, especially, if you are not losing weight as quickly as you had hoped. Weight loss isn't a sign of being in ketosis, so even if the scale isn't moving, you could still be using dietary fats to fuel your daily activities. To put your mind at ease, we have put together a list of the signs and symptoms of ketosis for you, as well as advice on what you can do to be more comfortable during Atkins Induction. "How do I know if I am in ketosis?" I have been getting quite a few emails and comments lately from people who have been asking me if they are in ketosis. After a bit of discussion back and forth, the conversation usually reveals that: 1) The ketone strips that Dr. Atkins recommended are only turning pink; and 2) They are not losing much weight. Both of the above ideas show a misunderstanding about: the purpose of ketosis weight loss and low-carb diets So, I went searching through the archives to see what Continue reading >>

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Popular Questions

  1. Drix_the_Pill

    I got into an argument with my mother about my diet. I recently took a blood test to reaffirm that my LCHF diet is making positive improvements on my health. I don't have the full results of the report yet, but the doctor says my HDL is 57 and LDL is 159, so LDL is elevated (normal = <130). He also mentioned my blood sugar is 102. Doc thinks exercise will help with my health, and says regarding my low-carb diet "keep doing what you're doing." I must admit I was on and off keto for the last month during the month before finals so that may have affected results. So I told my parents about these results and they are concerned that my usual 3-4 eggs in the morning have an impact on "cholesterol" overall.
    Dad's argument: I have never seen anyone eat that many eggs on their diet. I know you use internet to research these things, but please don't cherry pick facts that prove your case. Have you SEEN anyone to eat 3-4 eggs a day?
    Mom's argument: My doctor tells me that eggs are bad, and I stopped eating them and I improved my cholesterol. I also knew some co-workers who used to have bad cholesterol and when they stopped eating eggs, they improved their levels.
    Really? Is conventional wisdom this stupid? They conveniently ignore the fact that LCHF has made me lose nearly 50 pounds and my protests that the diet really makes me feel more healthy and energetic. My mom still supports buying my eggs, but she treats it with such disgust, when she still buys junk food like soda and cookies happily and thinks these are necessary. I was hoping to have good results on my blood test to sway my parents to converting to LCHF, but I guess my intermittent cheat month didn't help too much (even if I only gained like 3 lb).
    Good thing they don't say anything about meat. Because I'm going to suggest buying red meat next time we go shopping for my breakfast. Yes, big bad red meat. Please stop with the conventional wisdom.

  2. Azurenightsky

    Since no one has said this yet. You've lost 50lbs mate. That's going to increase your cholesterol numbers because part of the adipose tissue you've lost was composed of cholesterol, as is all fat. Tell them to wait patiently, in 6 months after you've reached your goal weight, get your blood checked again, it should be normalized and stable by then.

  3. CanuckLoonieGurl

    Exactly what I was going to say. Recheck at your goal weight so you can show them better numbers :)

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