There are three kinds of ketones, and the urine is only tested for acetoacetate. As you switch to the more efficient fat-burning process, you convert that acetoacetate to beta-hydroxybutyrate. So, yes, your test can show negative or zero ketones. Look at other factors. Are you losing weight? Are you feeling good? If you’re doing 20 grams net carbs a day or less, you’re going to be in ketosis, no matter what.
Again, for a good B vitamin source, I recommend nutritional yeast, which is packed with virtually all the B vitamins you need every day. But make sure it’s unfortified (that is, make sure it doesn’t have synthetic vitamins added).
Thank you Dr Jockers! I recently came across your website and i absolutely love what you do. I am an advanced practice nurse and just started a part time keto coaching practice.I am already amazed by the changes i see in my clients. Do you have by chance a training program for keto coaches. If not, is there one out there that you recommend? Thank you in advance.
This is perhaps one of the most well-known ketogenic diet side effects. Keto flu is exactly what it sounds like, the onset of flu-like symptoms that arises shortly after beginning a ketogenic diet. This includes symptoms like fatigue, runny nose, nausea, and headache.
Typically, anywhere between 20-30g of net carbs is recommended for everyday dieting – but the lower you keep your carbohydrate intake and glucose levels, the better the overall results will be. If you’re doing keto for weight loss, it’s a good idea to keep track of both your total carbs and net carbs.
The keto flu can often be shortened or avoided completely by taking one of our ketone supplements, which help switch the body into ketosis instantly. They make the transition period much shorter and easier.
NOTE: The main exception to ketoacidosis is type 1 diabetics – it can happen when insulin levels are severely low which is rare in someone with a normally functioning pancreas. Dangerously high ketone levels result in insulin secretion.
Most anyone who has struggled with keto side effects or just hasn’t felt good on a ketogenic diet stands to benefit greatly from exogenous ketones during the adaption phase and beyond.  Additionally, for people who have poor liver or gallbladder function, have poor mitochondrial health, or have never tried a ketogenic diet; the process of producing ketones can be stressful.
Because consuming even up to 30–50 grams of net carbs daily is still dramatically less than what most people eating a “standard Western diet” are used to, many will still experience weight loss eating slightly more carbs.
I know the title is clickbaity, but I honestly feel a great need to get this off my chest. When I graduated high school in 2005, I weighed probably 115 lbs. The “freshman 15” for me in college was more like the freshman 80. It’s weird how I didn’t even realize how big I had gotten. I saw two of the more popular girls from high school at the same college I went to, and looking back I wonder what they must’ve thought, seeing me so big (and as a short girl, it REALLY shows).
Below you’ll find a list of vegetables based on how low carb they are, so if you need help finding a certain one use the Find function (Ctrl + F). These are based on 1/2 cup (~4 oz.) or 100g servings, which is the general recommended serving size for vegetables.
In terms of protein, it is often recommended that ketogenic athletes set protein between 0.6 and 1.0 grams per pound of lean mass—not per pound of body weight. Below is an example of how you could calculate the protein needs of a 180-pound lifter who has 15 percent body fat:
This may be more of a maybe, but recent studies on mice fed a ketogenic diet lived longer, according to Cell Metabolism. “Not only did these mice live longer, they had expanded health in terms of physical and cognitive functioning,” says Volek. “Meaning, they lived happy, healthy lives.” Obviously, human studies need to be performed.
When you eat a diet rich in carbohydrates, your body converts those carbs into glucose. This causes an “insulin spike,” as insulin carries the glucose to your bloodstream for energy. Glucose is the preferred energy source of the body. When glucose is present, your body will burn it before burning fat.

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To know you’re spot-on dietwise (since the macros mix that launch you into ketosis varies between individuals), you can measure ketones in your blood (with a finger prick kit) or more commonly, through your urine (cheaper, but not as accurate).
Hey Darlene, sorry to hear about this. Start with making sure you are consuming plenty of water with electrolytes from a natural salt as outlined in this article. Using a multi vitamin could be beneficial too. If it resides I would suggest working with one of our coaches to see what is going on.
If you are following a ketogenic diet for its therapeutic benefits, KetoEdge is comprehensive support to maximize your success.  Feel free to check it out and we are currently offering $30 off and free shipping in the US if you use the coupon code DrJKetoEdge2018 at checkout.
Healthy ketosisTM is a state in which the body is using ketones as its primary fuel. Ketones are the byproduct of fat burning and a much cleaner fuel than sugar. Ketones are the preferred fuel of the body and brain. Running on glucose is inefficient for the body and unhealthy in numerous ways. It is just a recent way of eating for humankind.
Today, new studies show that fats are not the real culprit[*]. A ketogenic diet dispels the “fat makes you fat” philosophy for several reasons. First, a diet high in carbs (especially refined and processed carbs from low-fat diet products) can increase insulin and blood sugar levels and promote inflammation in the body. In contrast, a low carb diet can help reduce inflammation far better than a low-fat diet[*].
Insulin is needed to help cells absorb nutrients such as potassium, magnesium and amino acids (protein). In fact, almost every nutrient is influenced by insulin. Potassium is needed for energy, for balancing sodium in the body, and for all kinds of other important things. We need amino acids for our hair, nails, skin, joints and muscles. We need magnesium for a healthy heart. See where I am going? 
Grass-fed beef and other types of fatty cuts of meat, including lamb, goat, veal, venison and other game. Grass-fed, fatty meat is preferable because it’s higher in quality omega-3 fats — 0 grams net carbs per 5 ounces
Within just a couple days of cutting out carbs and raising fats, ketone concentrations in the blood rise and the brain will begin using them for energy preferentially. This initial keto-adaptation process usually takes about four weeks to complete, at which point you’ll reach peak fat-burning adaptations.
Because the ketogenic diet alters the body’s metabolism, it is a first-line therapy in children with certain congenital metabolic diseases such as pyruvate dehydrogenase (E1) deficiency and glucose transporter 1 deficiency syndrome[34], which prevent the body from using carbohydrates as fuel, leading to a dependency on ketone bodies. The ketogenic diet is beneficial in treating the seizures and some other symptoms in these diseases and is an absolute indication.[35] On the other hand, it is absolutely contraindicated in the treatment of other diseases such as pyruvate carboxylase deficiency, porphyria and other rare genetic disorders of fat metabolism.[9] A person with a disorder of fatty acid oxidation is unable to metabolise fatty acids, which replace carbohydrates as the major energy source on the diet. On the ketogenic diet, their body would consume its own protein stores for fuel, leading to ketoacidosis, and eventually coma and death.[36]
Rather than relying on counting calories, limiting portion sizes, resorting to extreme exercise or requiring lots of willpower (even in the face of drastically low energy levels), the ketogenic, low-carb diet takes an entirely different approach to weight loss and health improvements. It works because it changes the very “fuel source” that the body uses to stay energized: Namely, from burning glucose (or sugar) to dietary fat, courtesy of keto recipes and the ketogenic diet food list items, including high-fat, low-carb foods.
A ketone is the by-product of fat being burned. It is basically an alternative source of energy (fuel) for your body. A more common source of body-fuel is the burning of glucose (sugar), but ketones are a preferred way of fueling the body. They are more efficient for the brain and the heart, and are better for your metabolism than running on glucose
I thought I would post this progress comparison photo my wife put together. I’m far from done my journey but I feel that I am certainly over half way. Thank you /r/keto for all of your kindness and support through this time.
Dai X, Stanilka JM, Rowe CA, et al. Consuming Lentinula edodes (Shiitake) Mushrooms Daily Improves Human Immunity: A Randomized Dietary Intervention in Healthy Young Adults. Journal of the American College of Nutrition. May 2014.
Intermittent fasting is very good for the gallbladder in all kinds of ways. Gallstones are caused by two things: high insulin and low bile. IF lowers insulin spikes and concentrates bile to make it easier to digest fats and absorb nutrients from the foods you eat. If you’re eating five times a day, you’re using up your bile reserves like crazy.
One of the best ways to get your body keto adapted quickly is through the use of exogenous ketones.  Exogenous ketones are a supplemental form of ketones that are identical to the ketone bodies (Beta-hydroxybutyrate or BHB) that our body makes.
Protein intake should be between one and 1.5 grams per kilogram of your ideal body weight. To convert pounds to kilograms, divide your ideal weight by 2.2. For example, a woman who weighs 150 pounds (68 kilograms) should get about 68–102 grams of protein daily.
When you lose weight, fat cells shrink. In a fat cell, there are triglycerides and cholesterol. Now, as that fat cell shrinks, you can burn triglycerides, but you cannot burn cholesterol. So it will go into the blood, go to the liver, and come out through the bile. But you’ll be totally fine as long as your triglycerides are low. (If you’re not using those as fuel, then you’re eating too much sugar.)
During keto-adaptation, your body is learning to utilize a completely new fuel source that it has not had to use before. The muscles (along with the brain) contain tons of mitochondria for energy production that must now learn to utilize ketones as an energy source.
Most condiments below range from 0.5–2 net grams per 1–2 tablespoon serving. Check ingredient labels to make sure added sugar is not included, which will increase net carbs. (Stevia and erythritol will become your go-to sweeteners because neither raise your blood sugar — combine for a more natural sweet taste and, remember, a little goes a long way!)
This is where the magic happens. Eating a high carb diet means you’re always producing insulin to transport the glucose around your body. The fat can just sit around and watch because insulin is doing all the work. The fat is eventually stored, which leads to weight gain.
Mama June lost nearly 300 lbs. in 2017 after getting gastric sleeve surgery, and debuted her new, size-4 body on her WEtv show. But now that her impaired vision is a concern, she’s worrying less about her weight.
A sales woman came over and asked if she could help me find anything, and I told her I was just looking for jeans in my size and they didn’t have them. I told her I needed a 46, and the largest they had was 42 and I thanked her and began to walk away. She stopped me and just said plainly, “You’re not a 46. You’re a 42.” I told her I wasn’t. I had been measured a couple of months back, and I was a 46 and the pants I was wearing are a 46. She continued to argue with me, and told me my pants were too big. I figured I would humour her, took a 42 into the dressing room, and holy shit. They fit.
Diabetic ketoacidosis (DKA) is a dangerous metabolic state that is most commonly seen in people with Type 1 diabetes and sometimes Type 2 diabetics if they aren’t properly managing their insulin and diet.
and combating hypothyroidism. I also forgot to mention I’m a long haul (international) Airline Pilot; a lifestyle that pretty much guarantees chronic sleep debt. Also not good for my autoimmune condition.
Although for most people, bulletproof coffee (BPC) refers to a cup of any “butter coffee”, the original BPC was created by Dave Asprey of Bulletproof. It’s made with high-quality coffee beans and is known for having the lowest mold toxin levels. As I found out myself, it tastes amazing even without sweeteners or cream. In fact, I can drink it black without anything added to it.
In the first week, many people report headaches, mental fogginess, dizziness, and aggravation. Most of the time, this is the result of your electrolytes being flushed out, as ketosis has a diuretic effect. Make sure you drink plenty of water and keep your sodium intake up.
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