Q&A about ketosis with Dr. Dominic D’Agostino

Dr. Dominic D’Agostino answers questions related to the ketogenic diet, seizures and exogenous ketones.

Watch a part of the Q&A session above, where Dr. Westman asks a question about “pharmacologic ketosis” (transcript). The full video is available (with captions and transcript) with a free trial or membership:

Q&A with Dr. Dominic D’Agostino

Join free for a month to get instant access to this and hundreds of other low-carb TV videos. Plus Q&A with experts and our awesome low-carb meal-plan service.



Keto for beginners


  1. Ernst
    Keto for Diabetics!!!!

    2018 ADA guidelines with Keto-Option for Diabetes

  2. winter Winters
    Being that in mammals all metabolic processes CYCLE in response to external/internal stimuli, shouldn't most humans do better training their metabolic processes to cycle between using glucose vs ketone bodies?

    Isn't the whole issue of insulin-resistance because metabolic process gets stuck in a glycogenic state?

    So instead of eating to remain in a ketogenic state, shouldn't we be training our metabolic process to EASILY transition between ketosis vs glycolysis?

  3. Robert Beckwith, Jr.
    Dear Dr. Dominic D',
    I am a 57 year old man who did the keto diet for 6 months thru this summer-2018. Had amazing results but had to stop this diet. In 6 months I dropped 40 pounds and dropped my a1c level from 8.1 down to 5.9 and now I am normal for blood sugar levels that havn't been normal for over twenty years. I don't Know your expertese but maybe if you dont have an answer you may know someone who may have an idea why and how to prevent this issue. Since I stopped this diet I have gained twenty pounds back and would like to solve this problem so I can continue this keto diet. My Problem is Severe Muscle Cramping in my feet and ankles where I cant walk correctly.This pain/cramp makes me stop and sit - I tried walking thru this cramp and could hardly walk for a week. I see a nuerologist for a muscle disease -mitocondrial myopathy- mild condition but limits me with physical activities.I was told to increase my carb intake to over 100 grams daily from my 25 grams per day that I was on and cramps in feet went away. Was told to keep lowering carbs till cramping returns and they kept coming back. Why would a keto diet not cause cramping for over five months being on diet and then appear. My family Dr. ran blood test for uric acid and standard test and tests came back normal. I know my salt and magnesium and water intake was sufficient as I increased my daily water intake to up to 8 sixteen ounce water bottles but did not help cramping issue.Could you reccomend anything to try that may decrease these cramps from happening as I really would like to get back on this diet as I am now starting to take my diabetis Metformin medicine again daily. PLEASE COTACT ME BY EMAIL AS I HAVE NO IDEA HOW I FOUND YOU AND WILL NOT BE ABLE TO LOCATE THIS WEBSITE AGAIN. Your reply will be greatly appreciated but I am not sure if you will ever see this but is worth the try. Best Regards

Leave a reply

Reply to comment #0 by

Older posts