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*This content is strictly the opinion of Annette Bosworth, MD. Our content informs and educates viewers. Medical advice is not given on this channel. Your personal physician gives the medical advice and treatment specific to your situation. Dr. Boz channel only educates. Consult your doctor or qualified health professional regarding specific health questions. Neither Dr. Bosworth nor the publisher of this content takes responsibility for possible health consequences of any person(s) receiving this educational content. Ask your health advisors before beginning any nutritional supplement or lifestyle program.

[@johnmcgowanireland695]

Good morning, Dr.Bozworth. I am 62 years old and started your Keto advice 5 months ago when I was 285 pounds at 6 foot tall. I eliminated 100 percent of sugars and processed foods and intake no more than 20 grams of carbs per day, I also Intermittent fast every day and change my times to trick my body. I also walk, ride my e-bike and do resistance training at the gym. Here are my results; Todays weight is 234.2, completely off of blood pressure meds (been taking for 10 years). I take ZERO medications and feel so much better. Here's my issue, I am still chronically Insulant resistant, and my morning blood value is still between 100 and 110, mid-day before my first meal it will have dropped below 100 so I believe, my body is working correctly, also 2 hours after eating it is in the acceptable range of below 140. My takeaway is that I will be needing to keep this up for years because of my decades of eating poorly. One last thing DR. is that I am also focusing on my liver to detoxify and get rid of any potential of a fatty liver. Thank you for saving my life!

[@ellek6505]

It might takes years for the insulin resistance to resolve. As you lose weight, it should get better and better.

[@johnmcgowanireland695]

@ Thank you.

[@JimWooddell]

I bought a blood glucose meter at walmart along with the replacement stips as needed. Far less expensive than buying the blood glucose strips from Keto Mojo. I use the Keto Mojo for measuring ketones. Less hassle using two meters. I measure a lot for N=1 and N=2 testing with my wife. I have lots of data. Dr Boz, your GKI was excellent! Right where I want to be. Not always easy!

[@ellek6505]

How do you purchase ketone strips w/o glucose strips that work with the Keto Mojo monitor?

[@JimWooddell]

@ellek6505 I replied but do not see my reply. Did you get it?

[@ellek6505]

@@JimWooddell No I don't see it

[@mahavira108]

​@@JimWooddellthey sell them separately

[@lime7253]

l also bought the Mojo....but to mesure only the ketones you have to do the glucose first. Or can l skip it?

[@foltz-art]

Your a great communicator and a super Awesome teacher 👏 Thank you for sharing your information and health strategies .♡

[@unleashed3074]

Back to basics! I loved this video so much thank you Dr Boz! I'm in South Africa and with the exchange rate, the strips are so expensive because they are imported. I buy the keto strips and manually enter the glucose reading into Ketomojo from a glucometer that gets paid for by insurance. Then I get my Dr Boz Ratio 😊

[@danpan001]

4.0 for ketone is too high.

[@stevesjigs]

I do...so much.. beyond measure,appreciate your honesty, with a sincere thank you.Thank you.

[@jeffgilmore3147]

As a T2D, my insurance company let's me join Virta for free. I get all those supplies and 2 blood tests per year and a scale. It was tough to join Virta because I was already low carb (only meds are gabapentin and lowest dose statin) with an a1c of 5.6. Virta didn't believe I was T2D so I had to find my records from 3 years before when I was diagnosed. Even though I still use a Freestyle libre 3, I have to poke daily for Virta with the Ketomojo.

[@myapexodyssey]

That's so funny to see a doctor do like I do--reusing the lancet until it's dull and licking my finger afterwards. I'm doing it right! 😂

[@DoctorBoz]

Yay!! LOL

[@tinakelch9471]

@@DoctorBozcan I use the same needle on my husband? I’m new to keto slash carnivore learning a lot and I just ordered that from yours page chair

[@aprillady444]

You are the best..so much good and helpful info..I have learned so much from you ❤️

[@MamaBaer54]

I have always picked my finger after. I was tickled the first time I saw you do it. ❤

[@paulbraga4460]

small things that bother people don't bother me - squeezing blood, licking the blood which human naturally do. am going to do fasting and use the monitor used here...mygreathanks and blessings

[@brendabowers2320]

Thank you Dr. Boz!❤

[@Roarmeister2]

OMG. Dr. Boz is a vampire! LOL 😆😆 Yeah, it doesn't put me off either. Its just simpler than reaching for a tissue to clean the droplet of blood.

[@juditharmitage6797]

Dr Box, I would love you to address the issue of physiological insulin resistant or adaptive glucose sparing. I have been on a keto diet for several years but for the past 2 years my fasting blood glucose has been higher and then higher during the day. Despite having a low carb dinner, for instance, my fasting blood sugar this morning was 90 and ketones were 2.2. Doctors and researchers on KZbin acknowledge that this is a problem but don't tell me what to do about it. My fasting insulin is 3. Do I have a higher carb meal ( I am well under 10 grams of total carbs a day) once a week to slap my pancreas into producing more insulin since it seems to be sleeping on the job? Your thoughts on a solution would be greatly appreciated. I've been in remission from hormone positive breast cancer for 16 years and want to stay that way.

[@Steve-hk2yr]

I am living outside of the USA and use "urine ketones strips" rather than a machine. I know its not as accurate but my only alternative. But I still get MUCH higher mmol numbers after doing the conversion into mmol. In fact I am often (after 40 hours of water only fasting) getting 60 mg or 5.9 mmol of ketones. Is this a correct conversion? Do I have the correct conversion chart? Is the conversion different when using glucose or urine ketones. I love your videos. Keep up your inspiring work.

[@tinamartin4381]

Was watching a old video and you discuss eating closer to sunrise in order to have a lower glucose in am. Did you mean, eat as soon as you rise? Or, eat later in the day to shorten the time between last meal and sunrise? Confused because you were talking both. 😊

[@username00009]

The ideal scenario is to eat earlier in the morning for optimal results and end your eating window at least three hours before bed (because your body is slowing down and will focus on cleanup and repair overnight). Doctors and experts don’t put too much emphasis on this though because they know it can be hard in practice.

[@joeshmoe12301230]

Hi Doc. If you’re familiar with Ketone-IQ drinks, could you give your opinion of them? I can’t tolerate caffeine. It just makes me anxious, without delivering any energy. I bought some of the Ketone-IQ drinks and they actually give me a nice clean bit of energy without any side effects. I’m just wondering if I’m setting myself up for problems later by introducing exogenous ketones. Thanks!

[@annettemonty7350]

I have no idea what I am reading. I am 58 Spanish woman been carnivore for 236 days today. I did take my migraine pill this morning at 3am and I wanted to to start this Keto mojo. Tested at 5am gl 104 and keto 0.1. I have been looking for a graphic to see where I am at with these numbers. 😢 I going to start on Monday sardine for 5 days again and retest . Do you have a video showing numbers??? Thank you

[@truklagoondiver5390]

Check out some of the graphic posters on the Keto Mojo website. I'm not a numbers person so the colored charts helped.

[@josephpchajek2685]

It's hard to believe you are carnivore with a 0.1 value?

[@annettemonty7350]

@ Why is this hard to believe? These is the number that shows up on the gadget.

[@josephpchajek2685]

@@annettemonty7350 Hard for me to understand why the ketones wouldn't be higher give that a carnivore diet consumes no carbs?

[@annettemonty7350]

@@josephpchajek2685 i have no idea but i even did Sardines fasting for 5 full days. I purchased Dr. Boz Pucker Up and I am going to reset this darn body again. We shall see. Going to start over again with day 1 today.

[@JimWooddell]

That is what I said.

[@AwakeninChrist]

Dr boz when is the most accurate time to test for your ratio??????!

[@mahavira108]

I dont use the device I just poke my finger with the lancet.😂

[@ketoman4057]

The Accu-Chek FastClix is a superior lancet. It takes replacable a drum of 6 needles and I get at least 18 pin pricks out of one drum. The depth is also adjustable. I also like the Freestyle Optimum Neo meter that takes BG and Keytone strips. I am suprised to find a lot of people are using single needle lancets which are so primitive compared to the Accu-chek lancet drum fed.

[@JuanGomez-zj2bs]

How often should we measure the ketones level and glucose ?

[@craigsmith1948]

Nice video. I'm using TRUEPlus ketone test strips and just about every morning my keto's are showing 40 but when dividing ketone into Glucose 111 it come to 2.775 or should 40 mean 4.00? 27.75 or 2.75? Love your videos.

[@tinamartin4381]

Devide glucose by ketones. Not the other way

[@ProjektLebenErleben]

Thanks for the great information, you are the best! I haven't eaten sugar for 3 months now and have even been eating carnevore for 1 month now. So I eat around 800 grams of meat per day. Sometimes a little cheese or eggs. Now I measured what ketosis looks like and I was surprised. At the first measurement (2 hours after a meal) I only had a value of 0.3 mmol/L. And that with 0.0 carbs that I consume. My GKI value is also only around 6 - 7. Can you explain that? Is it too much protein from the meat that leads to these low values? Kind regards and thank you for your great videos Feedback

[@johnbower7452]

I was told not to use the forefinger or thumb; as they are the most important fingers; yet you used the forefinger, any reason?

[@zlatkozlatko100]

I live in Germany. I buy blood sugar test strips on eBay. The price for 50 pieces is around 15 EUR (US$ 16.70). Test strips for ketones are very hard to find and usually a package of 10 pieces costs around 25 to 30 EUR.

[@ReaNiena]

Dr.Boz, please tell us opinion about smart watchs which can measuring glucose... is it a good way to Monitor glucose? I don't know if I should choose glucose Monitor,watch or Mojo blood test device 😢 THANK YOU

[@ellek6505]

Here's my results: AM fasting glucose 81, ketones 2.4. Urine ketones dark purple. Doesn't this mean I'm not even remotely fat-adapted? Just hypoglycemic? I feel really good though. Much better than higher protein/lower fat.

[@tonisevier2430]

Your dr Boz ratio would be 33.75! That puts you under 40 which is GOOD! At 2.4 ketone reading, your in ketosis!🎉 Watch her video “Getting your Dr Boz Ratio Under 40” -solid chance of autophagy(definite repair of the immune system)

[@optimizelogicrepair2784]

81 fasting is normal range.

[@ellek6505]

@@optimizelogicrepair2784 That's not what I'm asking, but thank you for taking the time to reply! I had to go back to higher protein because of hunger, and now I feel good, but my fasting sugars are over 100 again. Very frustrating and upsetting.

[@robertnicoletti3846]

You should not squeeze. Squeezing introduces interstitial fluids. And, you should always wipe away the first drop of blood.

[@jackiegarroutte8970]

Where do you get one of these?

[@DoctorBoz]

shop.keto-mojo.com/discount/nji98uhbvgy76tfc?rfsn=6717371.1353e7&.1353e7

[@Kellys_kitten_squad]

Amazon

[@lisaparker526]

Is there such a thing as a continuous ketone monitor similar to a CGM?

[@Kellys_kitten_squad]

Yes

[@golfcoachmarv]

I eat only 30g of carbs from veggies each day. Rest is 175g Protein and about 190 of fat and still am not in ketosis on a regular basis. Really not sure what I’m doing wrong. Should I eliminate veggies? Go straight carnivore?

[@my-yt-inputs2580]

How long do you go between meals in a feeding window? You might need to extend that a few hours. 30g may or may not be low enough.

[@danesovic7585]

that's alot of protein..

[@my-yt-inputs2580]

@@danesovic7585 Says who? The recommendation is to eat approx 1 gr of Protein for every lb of "Ideal" weight. So an ideal weight person at 175 lbs need to eat 175 gr of protein daily.

[@golfcoachmarv]

@@my-yt-inputs2580 I fast for about 16 hours and got 3 meals in between the remaining 8

[@griseldavelazco1227]

You have to fast... Don't eat breakfast, eat around noon, last meal at or before 6pm, repeat...

[@tinamartin4381]

Ive been told if in ketosis but still peeing out ketones you are not really in ketosis? My ratio this am was 27.5. Urine showed 8.0 ketones??

[@taineesteps]

Today I had a roast dinner with some potatos and yorkshire pudding, before the meal my glucose levels was 6.2, after the meal 2 hours later it was 14.2, then i checked my ketones it was 0.4. What does high glucose and low ketones mean? Is it because of the meal? it's only day 2 on insulin - type 1 doctor suspects.

[@jackdjacki1872]

How often should we do that, not every day hopefully?

[@AnneGoggansQHHT]

I wish the 14 day sugar monitor also tested ketones

[@horatiojones8916]

I am following something close to a keto diet, and after a longish, cardio zone 2, bike ride at the gym I noticed I developed a distinct ammonia-like smell. When I looked that up online, it said it's what happens when your body is burning protein as a fuel. It sounds unhealthy. Should I eat more carbs before a workout? Do I need to bike even slower to burn fat instead of protein? (Already, i am only riding with a heart rate of 95, but maybe that is still too high for me???) Secondarily, I worry about maintaining ketosis when I already don't have much fat to lose. I am six feet tall with a wiry, lean build at 163 pounds. I still have a bit of fat I can lose, but if I lose a few more pounds there won't be much excess fat left. Is there a point where I should be careful about being in ketosis?

[@tippieyanez8289]

Doc is it possible to reverse cherry angiomas and dar circles under your eyes? I am assuming i have them due to insulin resistance.

[@TokyoCraftsman]

Where can you buy a Keto Mojo meter and test strips?

[@notnow7973]

Amazon

[@DoctorBoz]

you can get a discount with Ketomojo if you use code DRBOZ : shop.keto-mojo.com/?rfsn=6717371.1353e7&.1353e7

[@jsbrecovered9496]

HELP. 3 solid zero carb months. No cheats. And NOT in ketosis. About 100 g protein, and 150 g fat. Weigh around 115 Arthritis and other issues no improvement. GUT all better from NO veggies 😊 What do I do? (Off coffee too )

[@pamjohnson4872]

For some reason, the more fat adapted you are, the lower your ketone levels.

[@jsbrecovered9496]

Never was fat adapted. No signs or symptoms. But thanks for the kind thoughts.

[@bethadkins9812]

@@jsbrecovered9496you need to do 4 to 1 fat to protein. Or if you can do it, 3 to 1. You’re not in Ketosis bc of how much protein you’re eating. People with a ton of muscle can eat way more protein and stay in ketosis. But it’s not easy for most people.

[@jsbrecovered9496]

Good idea. Will definitely eat less protein, more fat. Right now my coach is having me to some days with only butter- just to see how blood ketones respond.

[@wagnerw8364]

Fasting is the most powerful tool to get into ketosis. In 3 days of fasting i am in ketosis.

[@maaifoediedelarey4335]

I'm not American, can you kindly also give the numbers in mmol ?

[@dougster6948]

Dr Boz Blood glucose 135 and Ketones at 6. I'm type 2 diabetic. Is that a good number. This is on day 2 sardine challenge.

[@aloevera519]

How many cans per day and what liquids do you drink through the day. Newby here

[@dougster6948]

@@aloevera519 I had 5 cans and some smoke ones I made about 1/2 lb and drink only water & 1 black coffee.

[@bestonly7983]

im not doing keto, but still seeing ketones, why?

[@Kellys_kitten_squad]

You’re in ketosis

[@CForged]

The prick just hurts too much! I can’t do it. The anticipation is unbearable and the pain is overwhelming

[@jackiemorrison2661]

I poke between my nail and first knuckle. I always get a good sample

[@barbberg8833]

Life is choices. I don’t think you would be watching this video if you didn’t need to do it. Just grin and bear it.

[@glendabrekke5475]

My strips don't absorb the blood like they should and so have to always open another one. prick finger again. I have wasted so many i don't think I will use this anymore. I never had problems with the ones that came in the tube.

[@lime7253]

l have the same problem with the Keto Mojo....

[@harriscarol513]

@doctorboz my ketones are regularly over 4 and as high as 7. Is this ok? This seems awful high. If not, what should I do to help fix it?

[@martinc1036]

Good morning Doc

[@WalkerOne]

I used the same lancet, and my finger got infected. Over a few days It got swollen and hurt like hell. Had to go to the hospital a week later to save my finger. Telling people you can use the same lancet is bad advice.

[@lime7253]

this is ridicules.....l hurt my fingers often in the kitchen,an the cuts are much deeper than this prick.....and l don't use a brand new knife every time l cut sth.....l put then a band aid around the cut....never had a life threatening situation...l still have all my fingers

[@barbberg8833]

Most likely your hand was not clean

[@stevenarcher9824]

I can’t believe anyone can survive on 20 carbs per day. I went on the keto diet in ‘21 in preparation for a 1 week candida detox program. With Covid taking off I didn’t think it was safe to stress my body with that program so that didn’t happen. But In to weeks I went from 175 lbs to 155 lbs. I was carefully charting and counting my carb consumption. I was holding at about 75 per day. I was shooting for 50. I had been on that diet for about 4 weeks total. The weight loss was frightening. None of my clothes fit. I have been a vegetarian for 40 years (fish only) but ignored my carb consumption. Occasionally I would have a “suger spike”, would get sweaty, shakey, and somewhat disoriented. Maybe once or twice a year. Didn’t concern the Dr. though. All my labs were normal. So I decided to try the carb reduction (keto diet). When I finally told my Dr. about the diet he told me that 50 per day was too low. I am thinking 20 carbs per day would be suicidal for me. 77 yo male here. I am no longer counting carbs but always checking the labels for added sugars and excessive carbs. 20 carbs ??

[@barbberg8833]

Perhaps you should follow a different doctor than Dr. Boz …. She’s helping a lot of people to get healthy

[@larrya3989]

❤❤

[@martinc1036]

Hi Doc, How do I drink my coffee throughout the day and still intermittent fast? Love your content. Martin

[@my-yt-inputs2580]

Black coffee should not break a fast. There are some other nuances here as well.

[@ugliestbeauty]

Great question,My doctor told me it’s different for everyone. The best way to check is to test yourself in the morning on an empty stomach and test yourself again after you drink the coffee. You know for sure using this method

[@Mel59841]

The keto and bg machines I have the strips come in a container not individual wrap! Does that matter??

[@unleashed3074]

It's fine as long as you replace the lid as soon as you take one out

[@davehogan1716]

I’m in love lol No really you are one hot mama! Thank you for all that you do!

[@Sandra-hk8ks]

My fingers do not give anything. Even at the hospital cant get blood out of my fingers and my hands are warm

[@billsmith5593]

Check your hematocrit. It is part of your regular blood panel. High level means ratio of red cells to plasma is too high

[@tinamartin4381]

My ratio 1-2 hours after rising ( fasting 13-14 hrs) is usually 70-100.. even on sardine fast. 1 hour After my mct coffee it goes below 50 and keeps going lower all day. Is this ok? Carbs ar 10-20 grams, fat 75-80%, rest is protein. Still tired all the time.

[@DoctorBoz]

There are answers in the details … I would love to answer questions looking closer at your story

[@tinamartin4381]

​@@DoctorBozwish I could but struggle to stay afloat right now

[@24carrotgold8]

Remember to TOT. Test on toilet when you first wake up. 🚽 💉 😊👍

[@tinamartin4381]

What about dawn effect? it's 1-2 hours after I rise when I check

[@LauraB.335]

@@tinamartin4381- even with dawn effect, your glucose should be below 100 first thing in the morning.

[@sinusnovi3826]

3:45 Hello Dr. Boz, you are doing it wrong. The first drop of blood should you wipe off.

[@hectorherrera1829]

Question doc.. im on amlodipine 5 mil twice a day . But it seems like alot of things interact with it..I cant take multivitamin, cant have minerals, cant take vit k2 or potassium... But I'm on the carnivore diet and red meat has potassium in fact so does greens so what the hec am I suppose to eat in this stupid medicine.. Im scared if I have too much potassium this wont be good with my cario health.. am I ok on carnivore.. I eat 2 meals a day 3 bacon 4 eggs then around 5-6pm a steak with butter or fish or ground meat. Thanks for any info.