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I've asked all about Ketosis before, and I've decided to make another attempt at it now that my body is able to run off of a LC diet. "Hunger" is normally a mental/social thing now :P I'm headed into my third day of 30g. of carbs or less, high fat, moderate protein. Based on what I've read on other Paleo-Hack threads, the answers previously given in my old questions, and other sites I should start to notice changes...the faint acetone smell in my nostrils or urine, energy, a metallic taste....SOMETHING! However, I feel nothing. So my questions are:

  1. I started to get a small headache last night. Could this be my brain "searching" for carbs? Its very faint. I can easily distract myself from it, but this is really the only change.

  2. Everyone has stated they taste a metallic flavor in their mouth. I taste a little sweetness...but thats about it? I dont smell/taste acetone. Anyone experience sweetness instead?!

  3. I drink a lot of water, even when eating normally, however the last 24 hours, despite my large amount of water intake my urine is still very yellow (based on the whole "if youre hydrated your pee is clearer" theory)...could this be related to my body gradually releasing ketones?

  4. Should I avoid dairy or starches? If I have a hard work out would having a small sweet potato (appx. 25 g carbs) and 1/4 cup milk (appx. 3 g carbs) with a serving of meat be counter productive? This would only be PWO and would make up my carbs for the day.

  5. Do I need to restrict calories while in ketosis? I'm still completely unclear on this whole..."ketosis for weight loss" thing. If I eat 3000 calories (more than my maintenance) while in ketosis, I would still think I would gain weight?

Any other information, tips, tricks, or help is appreciated! Were doing a 30 Day Weight Loss and Nutrition Challenge for a cash prize at my Crossfit Box and broke college girl needs some cash ;] :P

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I have a question, and it might be a dumb one, but why doesn't the body use the high fat for energy? Wouldn't that be easier for the body to use than going to the trouble of converting stored fat? I'm just starting VLC now and feel so naughty eating this way. – HippiPaleo Feb 2 2012 at 21:31
I think how this works is that by feeding your body fat (which is its preferred fuel source) as your glycogen stores are depleted, through VLC or NC, there is a readily available source of energy...your body fat. However, if you were to maintain a lower fat consumption (by choosing restricting calories/fat) your body would seek out carbs through gluconeogenesis...or the conversion of proteins to carbs. Basically your body would eat your muscles for energy. So they say eat high-fat so your body has an energy source. Apparently once youve become ketoadapted you naturally eat less because... – Hoover Feb 3 2012 at 12:54
...your body is already burning fat so you only eat when you really need to. – Hoover Feb 3 2012 at 12:54
Ok, I think I grasp it- thanks Michelle ;) – HippiPaleo Feb 3 2012 at 14:01
For the most part, the body is lazy. In terms of easy of processing, it's Carbs, Protein, then Fats. So if you've got a meal of the three, the body will use all three, but uses the Carbs preferentially, because it's less work to process. If you go low carb after a period of high carbs, it takes time for the body to recognize that no carbs are coming. So there's a bit of lag time to ramp up the other processes for protein and fats (low carb flu period). MCT/Coconut Oil are an exception to this, I'm sure there are others. – James Feb 3 2012 at 20:06
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12 Answers

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I've never gotten the metallic taste, nor the "ketone breath" others talk about, and I'm waaaay under 30g of carbs/day. But I also never went through the "low-carb flu" or keto-adaptation either; I just sailed effortlessly into ketosis, apparently.

Regarding your pee being yellow instead of clear, I wouldn't even pay attention to that unless it starts turning brown or red, lol. It's good you're drinking water; make sure you're getting some salt, too; at least initially. It'll help with keeping some minerals in you even if you pee all day long.

If you're restricting carbs, it shouldn't be necessary to restrict calories to achieve ketosis. Probably the best way to know if you're in ketosis is to get the ketostix. If you can't find them at a drugstore near you, you can order them online from Amazon, and maybe a few other places. They might stop turning color after several months or years, but when you're first going into ketosis, they're a fairly reliable indicator, since you should be spilling ketones in your urine.

The stix will also tell you if your PWO sweet potato or milk has knocked you out of ketosis. Personally, if I were trying to get into and stay in ketosis, I wouldn't mess around with extra carbs in the beginning, whether PWO or not, especially if you're having any kind of keto-adaptation issues. It'll just send you right back to the beginning of the adaptation process, and you'll go through the issues all over again.

More about going keto here: http://paleohacks.com/questions/56190/yoyo-ketosis-and-bad-feelings/56192#56192

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Nothing to add. Rose covered all the bases. Ketosis + caffeine seems to really make my brain work well. But it can take a while to get there. Stick with it, and ditch the post workout carbs. The point of getting Keto adapted is to get your muscles burning fat. If you keep trying to restock your glycogen stores, how will they adapt to fat burning??? – Cody Jan 31 2012 at 15:31
Never had the breath or the metallic taste either, and I did zero carb for a month + 2 months of < 30g carbs. – Korion Jan 31 2012 at 15:42
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I've never had the stinky ketosis breath either (or "stanketosis" as I like to call it), but over time I've been able to tell, or just sort of understand that within a few days of VLC, it's happening.... I'm urinating more often, I'm almost never hungry, no cravings for sugars or starches, my sex drive is turned up a bit (hey now, hey!) and my body requires less sleep. That's a frustrating part for me, for sure, but it's telling. I agree with Joshua, a 24-hour fast or some IF action will speed up ketosis, for sure. It has absolutely helped me with hunger and cravings.

I never felt the need for something starchy pre- or post-workout. A fattier meal was always satisfying enough. For me, if I felt like I wanted something dairy, I went with a little bit a cheese... no sugars, no filler crap.

As for a lot of calories, even if I go a little crazy and stay super low-carb, my body needs extra time to burn off the extra calories, regardless of where they come from (and especially if they're from over 3000cals of mostly fat). IF you're in ketosis, I think it might even be a challenge to get up that high... I sometimes find myself completely full and not surpassing 1500 a day.

I'm a young guy myself and lost all of my weight being broke as a joke, so if you need some help, I'm here fo sho!

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Can I ask about your age, height and weight? – Hemming Nov 23 at 21:14
Sure! 28... 5'11", and I stay between 160-175. I lost 215lbs in a year when I was 25. – Anthony D'Amato Nov 23 at 23:12
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Even when doing a full fast, ketone production continues to increase for weeks. The signs may not be too visible straight away.

My guess for the headache is that your body would like to sleep more. Often we mask this with stimulants and sugar can be quite effective to medicate the symptoms, but clearly the cure would be better sleep.

I can't say I've noticed any distinctive taste in the mouth, I wouldn't worry about this. Similarly if you're urinating regularly and drinking a lot of water then you're not dehydrated. The colour is just your body cleaning up the bloodstream.

Concentrating your 30g of carbs in a PWO meal is probably the best thing to do. It may not be absolutely fastest for fat loss but I prefer it for maintaining healthy lean mass and function.

Don't restrict calories, but don't go on crazy binges either. If you're seriously overweight then the idea is your body will correct itself. If you're already pretty lean then it may take a bit more effort or some IF to drop the last few pounds. Either way, you should be able to learn to trust your hunger and cut out the unnecessary eating so many of us do. If you try and count calories, you'll almost certainly get it wrong one way or another. If you stick mainly to whole foods then you will find it very hard to overeat, though it can take time to adjust to what is an appropriate portion or even whether or not a meal is necessary. But if you try to avoid eating all the time then you may find it counter-productive as you get weak and distracted by hunger. Your best shot at health (and weight loss) is to cooperate with your body to let it run as best it can.

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My recollection from the first time going specifically into ketosis: 1) I got a bad migraine for several days. Related or not, I don't know. I didn't get it subsequent times going into ketosis.

2) I tasted sweetness in the beginning when measuring "low" on ketostix, and noticed metallic later on from time to time (measuring "high" on ketostix).

3) I did notice skunky breath smell when I was measuring "high". Not so much on low/moderate.

4) Water, I was peeing like a racehorse when I was shedding the water weight in the beginning. It slowed down after that, but I still end up peeing more (because it's not being stored in the body as much without the carbs). I didn't notice color being related to ketones. Are you taking a multivitamin or B vitamins (I believe that can affect the yellow color). Also, you may need more salt in your diet since you're peeing more out.

5) For me, going into ketosis, I've noticed it's faster going low calorie and 0 starches/carbs. Then adding in MCT oil.

Side note, liver converts its glycogen to glucose to provides glucose to the body. You need to deplete your liver glycogen stores to get into ketosis (and stay low to stay in Ketosis). Starches/fruits/etc. help rebuild those stores. It's a balancing act when you're working out, because you need the glycogen when you're lifting heavy weights. Which means you may have issues with your crossfit exercising while trying to get into and stay in ketosis.

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James, can you give some more detail about liver converting glycogen to glucose, please? When you mentioned that liver glycogen needs to be depleted, how is that accomplished? Thanks! – BJ Feb 1 2012 at 5:35
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It's a bit entailed, so I'll post it in a separate comment. – James Feb 1 2012 at 7:37
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BJ, in re. Liver converting glycogen to glucose (blood sugar). You need to take a step prior to that. Ordinarily, when the body has an excess of blood sugar, it uses the hormone insulin to store it in your muscles and liver as glycogen. Once those storage spots are full, it'll store as fat.

When blood sugar is low, the body uses the hormone glucagon to tell the liver to take the stored glycogen and convert back to glucose to boost blood sugar.

The glycogen in the muscles doesn't come out, it's solely used when your muscles need anaerobic energy (ie. when you're lifting heavy weights). So it's a one way street for muscles.

When the liver runs out of glycogen, the body falls back on a couple other methods of generating resources to power the body (via the liver and to a lesser extent the kidneys). Gluconeogenesis and Ketosis. Side note, a keto-adapted body doesn't need much glucose to operate (pretty much just chunks for the brain. Roughly 100 grams of glucose/day. Non-keto-adapted bodies need more).

Gluconeogenesis converts protein (well protein products like amino acids and lactate) to glucose at roughly a 58% efficiency.

Ketosis takes fatty acids and converts to ketone bodies.

Ok now, after this background, we know our starting point (body with full stores of glycogen) and our end point (ketosis). What we need to do is deplete the body's stores of glycogen. There's multiple ways of achieving this, some people use combinations depending on how fast they want to go in.

1) High fat, moderate protein, low to no carb diet.

2) Fasting

3) Heavy weightlifting exercises at the start to deplete glycogen. You'll have a hard time continuing heavy lifting on strict keto diets compared to high carb diets. Thus cyclic ketogenic diets.

4) Cardio

5) Supplements like R-ALA

6) Coconut Oil/MCT Oil

Hope that helps.

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do you need to restrict calories? a "maintenance" day would be appx. 2300 calories for me. i easily get here if im eating coconut oil in my coffee, heavy cream, butter...adds up really quickly. I have very little "real food" and when I add in protein I easily get up to 2000 calories or more (yesterday I hit 2600) with 30 g. of carbs. – Hoover Feb 1 2012 at 21:56
You don't really need to restrict calories if you're eating in the proper proportions (moderate to low protein, low to zero carb, high fat). However, you go into ketosis faster to start off with if you do limit calories (ie. fasting for a day or two). Of course, this assumes you are healthy and no diabetes, thyroid, hormonal problems. – James Feb 1 2012 at 22:25
okay thanks! i usually go about 16 hours between my final meal of the day to my "breakfast" but i dont necessarily do leangains IF...i might eat for 10 hours then not eat for 16. I do workout 4 days a week (3 of which are "2-a-days") and then my days off I take the dog on 2 mile walks (which are usually included on workout days too) and walking on campus and riding my horse 3/4 days a week so I find it hard to IF for 24 hours because Im usually hungry from all the activity (I used to be able to do it more but since I did a 3 day fast I've found it harder to do). – Hoover Feb 1 2012 at 22:31
Thanks +1 that was great – Chinaeskimo Jul 15 at 21:42
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My wife definitely notices a more acidic BO from me, as well as stronger breath when I am full blown zero carb for over a week. I no longer notice but I've been fairly low carb (under 15% of total daily calories) for about 4 months now.

Eating starches pre and post workout once-per-week has not affected my ketone production, but I might "barely" break the 100-carb limit on those days with a half-cup of mashed white potatoes before the workout, with some coconut water after.

A trick to get you into ketosis quickly is via a 24-hour fast, followed by a break of that fast by eating a zero-carb meal (keep the sodium low or you might have some stomach/lower GI upset).

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I will only address the carbs around workouts. I find that I need carbs prior to heavy lifting or anaerobic workouts only. I lift about 3 days a week. It is more important for me to have a carb source the night before my lifting than immediately following it, because anaerobic work requires glycogen or glucose for best results in me. About 30-40 grams of carbs (which is approximately 10% carbs) on the days before lifting fuels my lifting and allows better strength gains than I get on lower carb levels, but does not knock me out of ketosis, at least not for long. Of course, my activities include more than lifting weights, which might have some bearing on my ability to remain in ketosis most days. I have had favorable outcomes on body fat reduction and overall weight loss under such a plan. I eat about 5% carbs (20 or less grams) on non lifting days, fwiw.

ETA: I should add that I do not eat potatoes of any sort ever. I use carrots, beets, other veg and perhaps some yogurt and fruit for carb sources.

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when i am in ketosis i don't notice a taste or change in scent, but i think i may be less sensitive to this than most. when i first tried VLC i bought ketostix and never registered ketones, even after weeks, so the only reliable sign i have is urine colour. its yellow, just a different yellow.

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Interesting! I have a BG meter that has the capability of testing for serum ketones. I'm pretty sure you would have registered on that. But yeah, the ketostix can be unreliable for some people. – Rose Jan 31 2012 at 14:49
BG meters really take the razor blade sales method and run with it. Cheap meters, but the blood ketone strips cost up the wazoo in comparison to ketostix, right? – James Feb 1 2012 at 18:10
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ALL I want to know is how much of what can I eat.It does me no good for you tell me I can eat 1/2 a cup of this veggie and 1/2 a cup of this other veggie.1 cup of yet another veggie,ect then you tell me eat all the lean meat I desire.followed by dount count the carbs in eggs.before long I have an omlett the size of texas with all the things that are good for me..I suspect that all of you are right about all the things you have said here...but keep in mind some us [me] got fat from over eating.I am yet to hear any of you address this as the true cause of why people [like me] get fat.I need help,,because I followed all the low carb rules as I understand them.yet i just eat a 14 lbs omlett.

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I'm quite lean to start off with, 2500 cal a day is my maintenance on non-training days, but recently I've decided to trim off the last couple of pounds of fat (4 or 5%). Cut down calories to 1.4-1.5k on non-training days, and have cut out eating lard/butter/coconut oil, focusing more on real food. The last bits are just DROPPING off. I can literally feel new muscle fibers coming out every couple of hours. My guess is that cutting out fat calories from pure fat, is forcing my body to burn stored fat. I still eat fatty cuts of meat, but focusing more on real food.

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I can't offer any words if wisdom on keto, but I can offer my thoughts on the metallic taste.

Are you eating raw pine nuts? Often a metallic taste lasting for days is indicative of a mild pine nut allergy. If you're not eating pine nuts then disregard.

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Going into ketosis is easy. Eat ALL protein drink ONlY water. No veggies, carbs, sugars, erc. Nothing but protein!!! 48 hrs later you will be in ketosis. By day 5 you will be letting off very high levels (burning crazy weight) Don't do this for longer than 4-6 weeks and take a multi vitamin every single day to make up for what you aren't taking in. Alll of this info is from my weightloss clinic.

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Don't you need to eat some fat as well? – Aoife Jul 5 at 15:47
Agreed. I thought ketosis was about low protein, high fat, or the protein interferes. – Chinaeskimo Jul 15 at 21:45
you need to eat fat and reduce protein for pure ketosis – CD Jul 15 at 23:43
I have no idea where you got this idea from. Even though there are several ways of getting into ketosis that way is not something I would recommend to anyone and I have not seen a single reference recommending it either. – Hemming Nov 23 at 21:56

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