Why you’re not in ketosis

As the COO of Diet Doctor and low-carb enthusiast for years, you would have thought I’d nailed ketosis years ago. I haven’t, and here’s why.

Am I still in ketosis?

To get into ketosis, the most important thing is to eat maximum 20 grams of digestible carbs per day. When I went low carb in 2012, I followed that advice to the letter – replacing all high-carb foods like potatoes, bread, rice, pasta, legumes, fruit, juice, soda, and candy, with eggs, dairy, meat, vegetables, fats and berries – counting every carb I consumed.

I felt great – effortless weight loss, no stomach issues, tons of energy and inspiration.

But over time, something changed – I no longer felt as great as I used to. Until recently, I had no idea why.

The journey to find out started with a simple question: Am I still in ketosis?

The moment of truth

At a Diet Doctor dinner a while ago, our CTO, Johan, gently challenged me. “Bjarte, you’re eating quite a lot of protein. Have you measured your ketones lately?”.

“No”, I said, feeling slightly defensive, “I’ve never measured my ketones. Should I?”.

It was wake-up time.

Johan and I grabbed two blood-ketone meters from a dusty drawer, pricked a finger each, and touched the ketone strips. His results came out first – 3.0 mmol/L – optimal ketosis. He looked happy.

It was my turn. The ketone meter made a weird beeping sound and the screen started blinking – 0.0 mmol/L – no ketosis whatsoever.

What?! I’d been eating strict low carb for years, how could I not be in ketosis? I felt slightly embarrassed, but mainly relieved. Was this the reason I no longer felt great?

Experiment 1: Eating less than 60 grams of protein a day

Several of my colleagues agreed with Johan – I was eating too much protein. To test that hypothesis, I started a 10-day-protein-reduction experiment in April, eating a maximum of 60 grams of protein a day (down from around 80-120). This sucked, as I love eggs, cheese and meat.

What I ate

Here’s an example of what I ate in a day during the experiment:

– Lots of broccoli
– Lots of spinach
– A fair bit of of cream
– A fair bit of butter and olive oil
– About 150 grams of ground beef (27 grams of protein)
– 2 eggs (13 grams of protein)
– A few raspberries
– A few squares of 86% chocolate
– A few brazil nuts
– 2 cups of coffee

Around 40-45 grams of protein, mainly from meat and eggs.

The results

Having eaten strictly low carb AND low protein for ten days, I pricked my middle finger and put my blood on the keto strip.

Beeeeep! The screen was blinking – 0.0 mmol/L. Nothing. No ketosis whatsoever.

My colleagues and I had been wrong – too much protein wasn’t the culprit.

Experiment 2: Eating less than 20 grams of carbs a day

It was time to test my carb intake – was I really eating less than 20 grams a day?

The experiment:
– eat a maximum of 20 grams of carbs a day for a week,
– keep my protein intake at maximum 60 grams a day,
– only make food at home,
– count carbs properly by weighing everything I eat and drink, and calculate my daily digestible-carb intake using Diet Doctor’s visual low-carb guides,
– document everything.

I was ready – the carb-counting could begin.

How many carbs was I eating?

Day one was my calibration day. Eating more or less like I had done lately, how many carbs would that add up to? I was in for a surprise.

What I ate on day one:

– 400 grams of broccoli (16 g carbs)
– 200 grams of cream (6 carbs)
– 150 grams bacon (1.5 g carbs)
– 4 eggs (2 g carbs)
– 150 grams of spinach (1.5 g carbs)
– 5 raspberries (1 g carbs)
– 1 square (1 cm x 1 cm) of 86% chocolate (1 g carb)
– 4 brazil nuts (0.5 g carbs)
– 75 grams of butter (0.5 g carbs)
– 2 cups of coffee (0 g carbs)

30 grams of digestible carbs, 50% more than recommended.

I couldn’t believe my own stupidity. This must be the reason I’m not in ketosis, I thought.

Eating less than 20 grams

For the next three days, I ate less than 20 grams of carbs by reducing my vegetable and cream intake, still keeping my protein intake below 60 grams.

Here’s what I ate on April 21st – the day before I was going to measure my ketones again:

– 100 grams of cream (3 g carbs)
– 60 grams of tomato sauce (2 g carbs)
– 150 grams of butter (1.5 g carbs)
– 2 eggs (1 g carbs)
– 100 grams of spinach (1 g carbs)
– 5 raspberries (1 g carb)
– 1 square (1 cm x 1 cm) of 86% chocolate (1 g carbs)
– 4 brazil nuts (0.5 g carbs)
– 200 grams of ground beef (0 g carbs)
– 2 cups of coffee = 0 g carbs

= 11 grams of digestible carbs.

Game on.

D-Day

On April the 22nd, at 07:52 am, I pricked my finger, touched the ketone strip, and waited. It was now or never.

YES!

For the last two days I’d felt the typical symptoms of getting into ketosis, dry mouth and increased thirst for example. But, getting the confirmation felt great – blood doesn’t lie.

I continued to eat like this for about a week. Every morning, as soon as I woke up, I would measure my ketones, and every morning I would be in ketosis.

It had been the carbs all along.

Count the carbs

I’ve been in ketosis for a few weeks now and it feels great. I’m delighted to be back.

Do you want to stay in ketosis? Then count your carbs – at least every now and then.

The first principle is that you must not fool yourself – and you are the easiest person to fool.

Next

The above is the first of a 3-part blog series. Here’s the next one: How much protein can you eat in ketosis?

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121 comments

  1. bill
    If you like to eat eggs, just eat the yolks.
    Not much carbs or protein in yolks.
    Egg whites are pretty tasteless anyway.

    Thanks for the reminders.

  2. BobM
    This is not a valid test. You ate both low protein and high carb. What would happen if you ate say zero carbs and kept increasing your protein level daily? You never did that test.

    For instance, I had a bowl of ground meat, 3 eggs, 1 slice cheese, some anchovies, some hot sauce, a can of sardines for lunch. What would you expect my blood sugar to rise about one hour after eating? It rose 15 points. 15 points from maybe a few grams -- at most -- of carbs, and the rest in protein and fat. Now, I would need to test this again, taking out even the very small amount of carbs I put there (and also eat this multiple days in a row to see whether this rise is repeatable -- often, the same meal can produce two completely different results on two different days), and see what happens. But at least I know that my test results aren't totally relevant, unlike the tests done above.

  3. Bianca
    Please, which app is recommended to count carbs?
    Reply: #51
  4. Bjarte Bakke Team Diet Doctor
    Bobm,
    There's more to come, I already did the experiment you suggest. I tested what happened to my ketones when I ate more protein while keeping the carbs at maximum 20 grams a day. The results were interesting, and should be published in a week or two.
  5. Eric
    Why not report blood sugar?
    My ketone and blood sugar are as reported by many inverse.
    Both are in the 3 to 4 mm and I eat 35 grams carbs in the form of 454 grams cauliflower (25 grams ?? 15 net?) And 5 to 10 attached to eggs or sour cream.
    Do you eat once twice or 3 times a day in what eating window?
    Time restricted feeding needs more discussion IMO
    Eric
    Reply: #25
  6. Rochut
    I would be most interested to see the results of very low carb combined with moderate protein, like around 100 grams in your case, instead of 60 grams.
  7. SGK
    Very interesting and inspiring experiment. I will count the carbs I eat as well.
  8. Barry
    I think it can be more complicated. People differ massively.
    For example, this morning I tested my blood ketones at 0.7 mm after just water and tea (no milk or sugar). That level is normal for me first thing.
    Then I did HIIT on an exercise bike, and they were now 0.5 mm, just half an hour later. In the past they have dropped as low as 0.3 mm after HIIT. (And my blood-glucose was up a bit).
    Perhaps this was because of elevated glycagon, because perhaps my body isn't yet fully keto-adapted, so it still needs more blood-glucose after high intensity exercises?
    A week or two ago I tried a "fat-bombing" experiment, which may be of interest. Instead of starting the day with tea, I started with coffee with Ghee Butter. After a few hours, I read 5.5 mm - "starvation ketosis"! "Interesting", but not recommended! (And my blood-glucose was then the lowest I've ever seen it).
    So it isn't just carbs. (I doubt if anyone thought it was). It is also to do with exercise (or not), and getting enough fat, and some fasting helps too.
    Reply: #43
  9. Neil Carson
    I apologise if I have missed something in the article, but I didn't see anything about net carbs mentioned.
    Replies: #18, #26
  10. Lee
    Should a heavily muscled 6' person and a not-so-muscled 5' person be restricted to the same 20 grams of digestible carbs per day to maintain ketosis or is a larger person allowed more carbs?
    Reply: #15
  11. Alexandre
    Hi! First: I love your site/blog and I was deeply inspired by your conference "The Food Revolution 2016".
    I'm a huge fan of LCHF and I'm on a strict ketogenic diet myself for 1+ year now with great success. Very interesting experiment/article and I have a few questions:
    Basically, the replacement of 450g of vegetables/day (400g broccoli + 50g spinach) by a 75g/day increase in butter accounts for the most part of the reduction in carb intake, allowing the transition to a ketogenic state.
    My first question is regarding the nutrient balance of such trade-off since broccoli and spinach are supposedly high in nutrient density (and fibre) compared to butter although butter has a very low "insulinic" index. Wouldn't I be losing some precious nutrients with this approach? Is the trade-off recommended for the long run?
    Since you haven't said anything about physical activity or the consumption of coconut oil during the period you were involuntarily kicked out of ketosis, I suppose you decided not to take these factors into account on your experiment, right?
    If that is correct, I may consider it a strictly nutritional approach to get back into ketosis (maintaining basically the same ingredients) and reinforce the importance of not losing track of the carb intake.
    In your opinion, would it be possible to achieve the same results by a less radical reduction in the vegetable intake (let's say half the amount of broccoli and spinach) while adding approx 75g of pure coconut oil and perhaps some regular exercise?
    Thanks and keep up with this wonderful work!
    Regards, Alex
    Reply: #27
  12. Peter
    I thought there was no counting on this diet, but it turns out there is - you're just not counting calories but carbs. Frustrating.
    Replies: #24, #55
  13. 1 comment removed
  14. SteveM
    Lee, I started a LCHF diet to lose weight, but with an established high intensity weight training program already in place. I did lose weight but also lost both strength (reps per set) and noticeable muscle mass. I'm also totally gassed after a workout so have started taking a post workout protein shake with some carbs. I do try to maintain a protein intake of between 100 - 120 g and do calorie restriction by reducing fat intake.

    For me LCHF is a basic model not rigid dogma. It's hard for me to imagine that a heavily muscled person following the carb/protein targets here would not experience the same negative effects on muscle mass. If you do a search on "weight training" AND "low carb" some sites will pop up that discuss a mixed model. E.g., carb loading. I suppose the best solution for anybody is contingent on their level of flexibility.

  15. David
    What was the reason you wanted to be in Ketosis again? Is it a good thing in and of itself? I know of most of the benefits (e.g. helps with weight loss, can reduce fatty liver, gets blood sugar down, can reverse T2D, etc.) but once you reach the point where all of those health markers are back to normal, what's the advantage of actually being in Ketosis vs. just staying healthy and eating a low to moderate carb diet?.
    Replies: #28, #109
  16. Karyn
    Will you just look at that daily food intake. What a very sad way to live. If this is what it takes it is not for me.
    Replies: #29, #47
  17. Jodie
    Neil when they say digestible carbs they are referring to net carbs.
  18. Eric
    What we eat, when we eat, how much we eat?
    Eat and observe and report!
    More n of 1 sheds light!
    standard SAD american diet eating 24 hours a day? We can observe it is a big fat no surprise.
    Once a day keto seems a much better option.
    Eric
  19. Toni
    Very helpful article and comments thanks
  20. Richard
    Maybe I'm being dumb but can you summarise where the 'hidden carbs' were? Looks like you're still eating cream and spinach, eggs and meat. Was it just the broccoli?
    Reply: #30
  21. Eric
    Suggestion
    Update. Us
    start section of diet doctor for N of one reports
    I would like to one mea! a day report's from keto vs pa!no vs sad. Vegan diets
    Why not
    Eric
  22. Moira
    Thank you for the reminder -- time to get back to ketosis.
  23. Bjarte Bakke Team Diet Doctor
    Peter,
    You don't have to stay in ketosis to lose weight or reverse diabetes - eating struct low carb is usually enough. I want to be in ketosis for other reasons - to feel more energetic and inspired.

    Even if you do want to be in ketosis, you don't have to count more than once every now and then to make sure you're not fooling yourself.

    How does that sound? :)

  24. Bjarte Bakke Team Diet Doctor
    Eric, I could have measured lots of things, and what was important to me was my blood-ketone levels.

    During the experiment I typically ate during the a 5pm-to-9pm time-window. However, I did drink coffee with butter around 7 am and 1 pm.

  25. Bjarte Bakke Team Diet Doctor
    I used the phrase "digestible carbs" - that's the same thing as "net carbs".
  26. Bjarte Bakke Team Diet Doctor
    Alexander,
    1. I don't know. I do eat some vegetables (spinach, avocado, cauliflower, broccoli etc.) but less than before. I do eat liver, salmon, and a number of other nutritious foods.

    2. Correct.

    3. Yes, my aim was to achieve ketosis purely through adjusting my diet.

    4. I don't know, but yes, I do think so. Other factors that influence ketosis are exercise, ketogenic "foods" (like MCT or exogenous ketones) etc.

  27. Bjarte Bakke Team Diet Doctor
    David,

    I don't know if there are health advantages to staying in ketosis long term vs. eating strict low carb for example. I love being in ketosis due to the extra energy and inspiration I experience in this state.

  28. Bjarte Bakke Team Diet Doctor
    Karyn,

    This was an experiment. I eat way more varied these days and I'm still in ketosis.

  29. Bjarte Bakke Team Diet Doctor
    Richard,

    The "hidden" carbs were primarily vegetables (all types, but especially broccoli as I used to eat a lot of that), cream, creme fraiche, and eggs.

    I still eat all of these things, but I've significantly reduced my broccoli and cream intake.

  30. Sharon
    I follow a moderate LCHF diet and have had successful weight loss and maintenance. This diet is already so restrictive and it is very easy to get constipated, given the absence of legumes and most fruit. I can't imagine further restrictions. What's left? This is why most people find LCHF to be a radical approach.
    Reply: #37
  31. Otito
    This is beginning to sound to me like a cult, sharing this story/discovery is not only unreasonable but discouraging too to beginners like me. The instant attraction was eat until you're full now this? ? ?If I have to measure every meal that goes into my mouth then what's life for? Most people are being fed through pipes cos they're feeling poorly and people are here killing themselves over some 2g of carbs? ?This is fanatical! !!
    This is sure promoting SERIOUS eating disorder.
    Reply: #35
  32. Vesela
    Why I think this article might appear somewhat flippant and should have been worded more carefully:
    - It makes going into ketosis seem like a competitive sport.
    - It doesn't say why being in ketosis is important.
    - It leaves you with the impression that you have to count each morsel you put in your mouth all the time, which is contrary to what DietDoctor states elsewhere.
    - It displays an almost unhealthy obsession with food akin to an eating disorder.
    - What it describes is an anecdote, or a personal experiment, and it should have stated that in the title (I'm not in ketosis for a host of other reasons).

    Cheers,
    Vesela

    Reply: #36
  33. Tania
    Why are some people so disappointed, afraid and angry about one person counting carbs and protein and taking blood measurements​ to reach wellness goals? Many health, psychology and nutrition​ professionals want to keep clients dependent on them. Their jobs involve scientific analysis and counting. They want you to think there is something obsessive and unhealthy about you taking an analytical approach like they do. They may be assuming (or perhaps hoping) you don't have the knowledge, skill, time and access to testing devices and the ability to interpret your own symptoms. This article reports self experimentation, but it doesn't say every day for the rest of your life you have to measure and count. Once in a while you may be motivated to do a health and diet self-checkup. If you are an intelligent adult and have resources you can do similar experiments if you want, and learn about yourself and how you are different from others.
  34. Bjarte Bakke Team Diet Doctor
    Otito,
    You don't have to count the carbs like I did in this experiment. I did it to stay in ketosis as I enjoy how that state makes me feel.

    Staying in ketosis is rarely necessary for losing weight and reversing diabetes, just eat real foods that are low in carbs and high in natural fats, until you feel satisfied.

  35. Bjarte Bakke Team Diet Doctor
    Vesela,
    You're right, this post could have had a different focus, for example on what ketosis is, or why ketosis can be beneficial for a lot of people, but we have covered that already: http://dietdoctor.com/low-carb/keto

    The purpose of this post is to make those who want to stay in ketosis aware of the carb-creep mistake.

  36. Bjarte Bakke Team Diet Doctor
    Sharon,
    Keep doing what your doing, sounds like things are going well except from the constipation - here's how to fix that: https://www.dietdoctor.com/low-carb/side-effects#constipation
  37. Phil Hughes
    HA! So Sorry, But I will never do a diet that reuires me to count the carbs, protien, caloriues, potion sizes whatever. I eat a low carb diet, approx 20g of carbs or less a day but I dont stress my self if I go over. I also belive in a HF diet but good fats. I dont eat: any veggies that are root food. No legumes, no processed food or white food and no grains, Im losing weight and feel good. Little or no sugars. Just use common sense.
    Reply: #39
  38. Amanda
    If you are insulin resistant and obese then you do need to count calories. That is common sense because you want to be using the fat on your body for fuel, not everything you are ingesting. Do not talk about what you need to do like it's universal: it's not
  39. Robyn
    Thanks for posting this for those of us who need to be more strict with our diets. I lost a ton of weight 15 years ago going low carb...75 pounds on my " one golden shot", where it was super easy and the weight just fell off. Ten years ago I hurt my back and went thru a bout of depression and the weight started to creep back on. For the past five years my efforts have produced yoyo dieting, with more gain than loss. During low carb periods I would lose sufficiently, but gain back more when I fell off the wagon. Now I'm experiencing some health problems, high blood pressure and knee pain, which will definitely improve if I lose weight..85 pounds is my present goal. During the past year and thanks to your website I've learned about LCHF and the Keto diet, and been incorporating those methods, but still not being successful. So now, for the first time, I will measure my portions and track my nutrients, eat less veggies, and just 60g of protein. Insufficient planning has contributed to my failure, so I'm so glad your website has the various keto meal plans. I need to force all the planets to align for myself: very low carb, high fat, mod protein, high water intake, faithfully take my supplements (calcium, vit C,D& B complex, magnesium, krill oil, condroitin glucosamin, curcumin), gentle exercise, adequate sleep, stress relief. I probably need to limit my dairy and sweeteners as well. So that's my goal, now to focus on achieving it today, and every day.
  40. PulsarH
    Bjarte Bakke,

    Thanks for posting your results, it sounds interesting. I'm on low carb diet/ intermittent fasting (16/8) and I have a medical background.
    I haven't read all the comments. .. but if I can refer to important factor here.... just some biochemistry and physiology. ...
    Ketosis come from lipolysis (fat breakdown), lipolysis happen when insulin is below threshold number (basic secretion ) which is averaged per unit time but for simplicity insulin has to be very low for the period of time that your body needs energy the most which is roughly between 7 am to 7 pm. So any thing increase insulin sectretion will lead to inihibition of lipolysis and if the lipolysis inihibition last considerably the ketosis disappear from blood. Carbs is only one of many stimuli that stimulate the pancreas to secret insulin. .. for example diary products have very strong stimulation... so even if the carbs zero in your total daily intake ...lets say if you ate 3 meals and snacked in between and the type of food is highly insulinogenic like dairy... then your body will never have enough lipolysis to create ketosis.... and if somebody asks what happens when we have frequent insulin secretion with zero carbs.... the liver create enough glucose (gluconeogenesis) to counteract hypoglycemic effects of insulin... and this new glucose synthesis is coming from the amonoacid pool which is fairly adequate in healthy individual.

    From my personal experience. .. I found frequency of neals is as bad as high carbs... and intaking seemingly very low carb food but highly insulinogenic is as vad as high carb diet too.

    Thanks again for all this work and for educating the public about the benefits of low carb/ketogenic diet

    Reply: #42
  41. bill
    "Dairy" includes a wide variety of food items.
    Not all are insulinogenic to all people.
  42. Heidie
    Yes, why is it that your ketones drop after exercise?? Surely this shouldnt be the case?? I fastes for 3days, measured my ketones 2.2!! Best ever! I was so excited, went for a slow 3km run on a really empty stomach and tested again 1.3!!!??? Why did that happen??? I thought I would be going into the 3zones after exercise??? Can someone explain this?
  43. Frances
    Thank you very much for this post. I Was inspired to try the ketogenic diet when I was diagnosed with a stage 1 cancer. My doctor suggested a watch and wait approach. In the meantime I researched the sugar/carb connection and decided to give keto a try. For me getting into ketosis was fairly easy. I was strict in the beginning because I was very frightened by the diagnosis. However, I found over time that it became more difficult to be in ketosis. Sure enough it was too much protein! I am very small, 5’2” and 114 lbs. on inactive days I keep protein at about 40 grams. Btw, I am 63. Thst works for me. I love the diet because it has freed me from food cravings. Also, I feel wonderful. I lost 17 lbs, which thrilled me because I was developing a little belly. To those addicted to food the diet may seem drastic. I could have never imagined the freedom of not having hunger and food cravings run my life. Also, can I Say as a small 63 year old woman to NOT have to worry about my weight is sooooo wonderful! Anyone interested in this diet and cancer read “Tripping over the truth”. One reason unappreciated this article so much is that I have to get all of my info on my own. It was from websites land blogs like this that I found out that too much protein was keeping me out of ketosis. So......thanks again for posting!
    Reply: #49
  44. Philipp
    I eat more than 200gr. of protein, around 70gr. of digestible carbs and I'm in optimal ketosis. Just 11gr. of carbs and 60gr of protein sounds really hard. I could never do that. I eat 7-8 eggs a day, 500mml tomato soup (250mml tomato puree mixed with 250gr. full-fat cream and 30gr. Butter) Only when I get over 30gr. of carb per meal I'm out of ketosis but only for a day and I have no negative symptoms while getting back into it. I even can have a cheat day once a month where I eat pasta and tiramisu (with real sugar) so like 500gr. of carbs and I'm back in a day.

    How can it be that it's so extremely difficult for some people and for others it's relatively easy to stay in ketosis and loose weight?
    I take a walk for 3 hours every day and my activity tracker says that I burn about 1400cal. On top of that, I go the to the gym twice a week and do weight lifting.
    Can it be that I simply burn it all off?

    Reply: #48
  45. Garnet Gray
    Please translate this to ounces. Otherwise, I have no idea the quantity you are talking about. And consequently, a well researched article of this calibre means nothing to we American folk. Thanks.
    Reply: #52
  46. Linda McDonald

    Will you just look at that daily food intake. What a very sad way to live. If this is what it takes it is not for me.

    I totally agree!! Bottom line apparently is calories, protein, carbs and sugars ALL MATTER! I can see why he finally got "back into" keto, practically starving himself to death!!! I dont believe keto is meant to be a full time "forever" diet. If you look at our ancestors eating habits, this was only meant to be short term, not a way of life. Cutting BACK on sugar and carbs is doable, but not this extreme of a diet. I've been on it for four months now and I'm going out of my mind! Never been a big meat eater and all veggies seem to have carbs, at my age, 60, I can't afford to cut out ANY healthy foods!

  47. Linda McDonald
    I'd say a THREE HOUR WALK is the answer to your questions right there, lol!!! Thats NOT the norm Philipp!

    I eat more than 200gr. of protein, around 70gr. of digestible carbs and I'm in optimal ketosis. Just 11gr. of carbs and 60gr of protein sounds really hard. I could never do that. I eat 7-8 eggs a day, 500mml tomato soup (250mml tomato puree mixed with 250gr. full-fat cream and 30gr. Butter) Only when I get over 30gr. of carb per meal I'm out of ketosis but only for a day and I have no negative symptoms while getting back into it. I even can have a cheat day once a month where I eat pasta and tiramisu (with real sugar) so like 500gr. of carbs and I'm back in a day.
    How can it be that it's so extremely difficult for some people and for others it's relatively easy to stay in ketosis and loose weight?
    I take a walk for 3 hours every day and my activity tracker says that I burn about 1400cal. On top of that, I go the to the gym twice a week and do weight lifting.
    Can it be that I simply burn it all off?

  48. Linda McDonald

    Thank you very much for this post. I Was inspired to try the ketogenic diet when I was diagnosed with a stage 1 cancer. My doctor suggested a watch and wait approach. In the meantime I researched the sugar/carb connection and decided to give keto a try. For me getting into ketosis was fairly easy. I was strict in the beginning because I was very frightened by the diagnosis. However, I found over time that it became more difficult to be in ketosis. Sure enough it was too much protein! I am very small, 5’2” and 114 lbs. on inactive days I keep protein at about 40 grams. Btw, I am 63. Thst works for me. I love the diet because it has freed me from food cravings. Also, I feel wonderful. I lost 17 lbs, which thrilled me because I was developing a little belly. To those addicted to food the diet may seem drastic. I could have never imagined the freedom of not having hunger and food cravings run my life. Also, can I Say as a small 63 year old woman to NOT have to worry about my weight is sooooo wonderful! Anyone interested in this diet and cancer read “Tripping over the truth”. One reason unappreciated this article so much is that I have to get all of my info on my own. It was from websites land blogs like this that I found out that too much protein was keeping me out of ketosis. So......thanks again for posting!

    So Frances, you didnt mention what effect, if any, the diet had on your cancer? Why worry about weight when you have that elephant in the room?!

  49. J Bollen, MD
    Whoa did you have any actual meals? 2 eggs with butter for breakfast? spinach and some berries for lunch and a little some meat for dinner with a dessert of, nuts and chocolate? What is the nutritional breakdown? You are literally starving yourself so of course, you would be in ketosis but it looks like you will get scurvy
    Reply: #67
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