I Can't Get Into Ketosis! Why?!

[@pambaldyga610]

I have the same problem. The highest I have ever been in ketosis is 0.7 . I have been on keto five months and IF 18/6 for six weeks.i have gotten my sugar down to 94 lowest ever. I am 76 years old, active every day and only lost 15 pounds. I’m half way to my goal. My blood pressure is in teens. I was a sugarholic all my life and non-alcoholic fatty liver disease is pretty much gone according to lab work. I’m sorry you’re having the same issues, but we can’t give up.

[@larkinwhidby6434]

I am a 59 (60 in Feb.) year old female that has been a food addict all of my life. At 5’ 4” my heaviest was around 210 lbs. Up until three years ago I was prediabetic, really, diabetic in denial. I have had a life time of diet then weight gain repeats. Diagnosed with fatty liver several years ago, but my doctor didn’t make a big deal over it so neither did I. Three years ago I had a major health issue that was, I feel, in a major part due to my cumulative, horrible eating habits. I now have those same ketogenic issues that Dr Keith has. Out of ketosis every morning with high glucose. I have been on a ketogenic way of eating since January 2019 without one single pound of weight loss. I lost weight before keto. I now weigh 160 lbs., which is still too heavy. I want to get more weight off, but my first priority is regaining my health. Some days I am completely discouraged by my lack of weight loss, but I want to keep on keeping on in order to heal my body. Watching you two and seeing Dr. Keith’s struggles help me to know that I am not alone in this. I’m so thankful that I found you all! Sorry this is such a long post. Thank you for all you do for me and all like me. ❤️

[@mwhittaker9159]

Larkin Whidby I feel your pain - it’s taken me 3 months to loose 10lbs and I am not optimistic about loosing 50 lbs by this time time next year when I have a trip planned with friends. There is something about being older and being fat all our lives that keeps our bodies from loosing the weight the youngsters achieve on keto. But I figure I feel better and this way of eating is doable (though holidays may be tough) Good luck !

[@wtglb]

m whittaker Hang in there!!

[@juliah182]

Right there with you! My body fights it like crazy and every pound is a struggle. It's a real struggle! I'll keep on keeping on but know you are not alone. :)

[@Beanieweenieable]

Larkin Whidby I’m 60 and have dealt with the same issue...I dropped 9 lbs over the past year but cannot break out of the plateau I’ve hit now even tho I have cut carbs down to 15 g per day! But I won’t get discouraged and neither should you because 1. It’s harder to lose weight as we age. 2. It’s far more healthy even if we can’t seem to get to our weight goal! our lifestyle promotes much more benefits so keep on keto and stay strong. I am going to try an egg fast for 4 days to see if I can kick start some weight loss, but beyond that...it is what it is....cheers! You are not alone!

[@susannaharget509]

I've heard of cases where people were following a strict keto diet for months or even years and not losing weight, and then into say years 2 or so, suddenly began dropping the excess weight. One theory of why is that for the first couple of years, keto, the body was healing its fatty liver. That is, healing was happening on the inside, and only after that did the body start shedding weight. So stick with it--I bet you feel better than you did when you weighed 50 lbs more--right? If you're feeling better, sleeping better, have better energy, etc., then you're on the right track. Good luck.

[@vinitasappington4805]

First off, I love you guys ,, I envy your relationship with one another ,, You can tell the respect and love for one another and the fact that you are Christians together is so awesome.. I was stalled for two months ( September and October ) stuck at a 50lb loss since Feburary this year..(2019) However, watching you guys encouraged me and listening to you both seperately and together puts my mind frame at ease and takes the stress out of me.. I recently went to just Bulletproof coffee for my morning meal and then started 1-2-3 plan ( It's on my fridge ) I eat 1 or 2 meals a day now depending if I am hungry or not.. My Carbs stay low like 5-10 a day and I eat 1500-1800 Calories a day..IMy eating window is between 1 and 7 pm. Since I started this I Lost an additional 3 lbs. and another inch from my waist. Stall is over Thanks to you both,, Thanks for the support and encouraging videos . I am 65 yrs. of age and looking forward to living a little longer and healthier .. I wish I had known sooner but better late than never! I am working on just getting rid of the last 7 lbs. and I know I will make it ,, Thanks again and God Bless you Both!

[@delishme2]

I'm absolutely the same, but I can't lose weight either. Four/five months of busting my ass on clean keto and I cannot get into a therapeutic level of ketosis nor can I get below a certain weight. It's so frustrating watching everyone around you succeed and changing their lives and you are still bobbing up and down in the same weight range. I've tried absolutely everything.

[@robert039]

Any changes?

[@delishme2]

@@robert039 I persevered for six months, watching every mouthful, day in, day out obsessed about it 😆 and couldn't break through an 10kg plateau. Since them I've put it back on and some.

[@robert039]

@@delishme2 I’m sorry! I’m the same. 34 male. Haven’t touched a carb for 2 months! I’m doing carnivore, not even a veggie. Always in ketosis and not losing the weight i should be

[@JTDyer21]

We all want quick results but the problem is everyone is different and you have to keep dieting continuously without a break to try to get into ketosis. However you to have remember EVERYONE struggles with body fat. Everyone. It's a never ending battle.

[@delishme2]

@JTDyer21 I don't consider 5 months "quick results"though, but thanks. It's pretty hard to stay the course when you see very little return in that amount of time. I don't expect to lose the weight in that time, but I sure as hell cannot maintain that level of intensity for a year or two, that's just how it is.

[@NicoleneOReilly]

Thanks for this you guys! I have been on Keto for a year and I have lost 80lbs. I still have about 70lbs to go. Keto has changed my life and even if I never lost the last 70lbs I won't be going back to high carbs. I had reactive hypoglycemia my whole life and no one ever mentioned diet changes to me.. But despite eating very few net carbs (below 20) every day, I CANNOT get the blood ketone readings others get. It's nice to see I am not the only one.

[@sylviaking8866]

You may be fat adapted to the point that your body uses fatty acids. According to one doctor who specializes in this. He states that ketones make up a tiny amount compared to the other fatty acids. He said your goal is to fat adapt not chase ketones.

[@missmarielyne6697]

@@sylviaking8866 that's nice to hear thanks for this informations the funniest is that ihave ketones in my urine but bearly none in my blood =(

[@privatesuzie4071]

Dr Keith, I see so many positive results in you....I am probably like you in terms of not being in ketosis, though I have only used the strips to measure....I never seem to be able to be in ketosis...and I have not reached my primary goals after a year...I have given up on being in Ketosis, I look to see the health issues improve to get me off meds....as long as I seem to have weight loss (20 lbs) blood pressure under control, blood sugars, and inflammation markers (I have heart disease) I figure I am better than not doing this....have not had my blood panels done in a while....headed in that direction soon...I am experimenting with more fasting techniques and love Dr Rhonda and her lectures on time restricted eating, etc... Love your videos

[@dizziechef9502]

I’m carnivore. I can’t get in ketosis. Why ? I’m so unhappy and desperate to see ketosis and I can’t get in ketosis. I’m on carnivore over a month now and I can’t get in ketosis. I’m so upset.

[@kindedge]

Feel ya.

[@deborahtate6346]

I'm right there with you, Dr. Keith. At age 65, I rocketed 32 lbs off in an astonishing 5 weeks. WooHoo! Since then four weeks later? Zilch. And I'm doing hard core keto, one meal a day, along with fasting for 48 hours at a time. I really do feel your pain. But you look like you're nice and trim, whereas I have a LONG way to go. But it helps knowing I'm not the only one. Love your videos!

[@cricketchristine2996]

What ketones are you testing for? I test for blood, urine, and breath, and only produce a measurable amount at zero carb or extended fasts (usually 50/50 water/chicken broth) and or water only. On my 10 day fasts, I’m producing measurable ketones by 3-5 days. In ten day fasts I lose 4-6 lbs, and put 2-4 lbs on 3 days post fast quickly. I retain water easily but also use a lot of sodium to keep my bp and pulse up. The positive side is, Dr Keith and I will survive any famine in our future. I was 10lbs at birth and only lost weight fasting or going long term under 500 calories (while jogging 3-6 miles daily). Oh and my heart rate is 36-42, and only reaches 60 when excited or adrenaline is pumping. Body temp is 95.5-97.4 with a fever I never reach 98. My bp is 90/50 max. At 9 months pregnant my bp was never reached 100/80. I’ve had my fasting insulin tested and it was 2.0, my fasting bs is in the 70’s and can go much lower. My point in all this is there are averages, and some of us are exceptional and not necessarily unhealthy because we’re not in range!

[@dollydelights]

You my friend are not alone! I've been keto almost 3 years, lost 155+ lbs with 30ish more to go. In those 2 years I have tested sugars and ketones daily multiple times. They were slightly higher in the beginning, but I am lucky if I get up with a .3 and in 2 hours they are .7, I might hit 1.0 before I eat my first meal. I am convinced that being fat my whole life, (I too did gene testing and man did I get a bad mix of gene zips) I will have to fight this fight the rest of my life. But I do believe my body is lazy and is not going to produce anything it does not need. I have to be tight as I have no room for error! lol So I keep carbs at total 20-23, hit my protein and fat.

[@juliah182]

Wow congrats on such a loss! That's amazing!!!

[@missmarielyne6697]

same for me been on carnivore diet for 1.5 years iam less then 10 carbs a day and still can hardely produce ketones but I had fatty liver and lots of things too that got solve but I guess my body is still weak

[@laurajanesherman9126]

Thank you for your transparency and sharing your struggle. Many people can relate to you Dr Keith!

[@janissmith916]

Thank you for your honesty and sharing your journey. After my annual physical, the blood work found some changes that I have never experienced before. I have always leaned toward healthy eating but apparently not to the level I needed to. I can't say I'll ever get into ketosis but low carb is my life style from now on!!!

[@johneason6540]

"Good looks" way to go Doc! You guys are good together.

[@Beanieweenieable]

I love the different messages on your coffee mugs! Such a true contrast of men and women!

[@tracyandrirs8863]

I think too much emphasis is placed on ketosis. I've never checked mine and as long as I lost weight, became healthier and felt better just didn't care. You both look great, in ketosis or not.

[@koreenphotogirl]

Great perspective! I don't have a scale. I go by how my pants fit. 😁

[@tracyandrirs8863]

@@koreenphotogirl 😁

[@gypsyswingsw111]

3 months and virtually no weight loss and 45 hour fasts 4 since I started etc so fed up fasting every day at least 20 hours so why is weight not coming off bs still high and no keytones

[@Boyhowdy875]

@@gypsyswingsw111 have you consider that your scale is not accurate. I actually lost several pounds but my scale did not show that it had occurred because it was a faulty scale. You can read about this, it is not uncommon. A digital scale will stay at the weight that you we're at initially and not drop down. Maybe try changing the batteries. I could tell my stomach was smaller.

[@tiffanylewis896]

I'm glad I found this. My husband and I are the same way, but it is him who easily goes into ketosis. I can eat as keto clean as possible and it is SO hard to get into it and any tiny thing can take me out.

[@garthmarsh7178]

I’ve just completed a 22 day water only fast where I got and stayed in Ketosis for the entire period, I then started re feeding as my son was turning 30 so I could enjoy a keto meal with him, I have completely cut out carbs and sugar and am only eating one meal a day between 4 and 6pm and have days when I’m hardly in ketosis. I am 58 6’2 started the fast weighing 264lbs, I haven’t weighed myself but have lost a visible amount of weight and will re weigh when I fit comfortably into size large shirts and 36” trousers! It is frustrating not staying in ketosis and I’m considering going back on a water only fast for a month or when I fit into those clothes and then continue back on the Omad keto diet going forward as I definitely feel a lot more healthy, no headaches or heartburn in over a month, oh and I can comfortably tie my shoelaces 😂 stick it out and thanks Doctors for this vid as it definitely helps not being the only one worried about being in Ketosis Cheers G

[@widamo59]

I just absolutely love you guys! So real and willing to share your knowledge and struggles with all of us. I've mentioned this before, but I'd love to see Dr Keith go on a 90 challenge meat only no plant diet and see what happens. Maybe it's elements in plant material (lectins, oxalates, other phytotoxins) that are interfering with his body becoming as healthy as it can be. I know Dr Becky has a great following helping people with a low carb diet and this is an awesome help for them. But, for Dr Keith this type of elimination diet may be a great 90-120 day N=1 bio hack. I'd be interested to see his ketone and blood work numbers and the effects of a meat only, zero carb diet. Just a suggestion. Thanks for letting me pitch a suggestion. God bless!!!!!

[@northtexashiker]

love the videos. y'all both look younger than your ages. She looks about 40-42, he looks about 52 or so

[@juliah182]

Keith, I'm right there with you! I have been following Keto for 3 months and have started Intermittent Fasting. In a 48 hour fast, my Ketones read at .8 tops. So, I get you. I will keep on keeping on and thank you both for your wonderful ideas, help, and support! Blessings!

[@reneejones7807]

Bottom line is if he's healthy now, stay the course and everything will work out.

[@matthewhunter6421]

but is he healthy I think is the question they're tacking. The fact that it's so difficult for him to get into ketosis has implications of metabolic health

[@northyland1157]

Most the time I'm not showing ketosis, but I have lost a lot of weight and I am now off my insulin.. And my a1c dropped to 4.9. So I'm doing pretty good, even if the test strip usually says no ketosis after my 18 hour dailly fast.

[@koreenphotogirl]

I have to keep my carbs super low (around 20 or less) to stay in ketosis with half decent numbers (above 0.8). I've been doing this for the past 8 years. Sometimes it's really hard. Keep up the good work!

[@aileenhowlett6760]

same...

[@whatta1501]

I guess ill have to do this also. Tried carnivore for a day and I couldn't do it.

[@koreenphotogirl]

@@whatta1501 I can't do carnivore either. I love meat but crave my veggies too.

[@brierobb9879]

Since I went to OMAD, I can get into ketosis, consistently, via home blood test . in 3 hours. If I eat more than once, even just one mouthful, it can take 6 or more hours.

[@AllisonReece]

Same here with ketosis, unless I'm fasting...but it takes awhile to go into ketosis. I'm 58.

[@anastasiaremmes6601]

Both sides of my parent's families were obese. I am blessed to be in a normal size body. I would love to be 7-10 pounds less, but I am nowhere near where my genes could have taken me. I first experienced low carb in 1991 and started experimenting in 2000. I am grateful to have stayed mostly low carb and crave a healthy lifestyle. Keith, I hear your frustration, but you look really good! Your experience is amazing! Thanks for putting your information out to us!

[@jackieheaney6864]

Omg I feel your pain, I am one year in. I find it so hard too. I fast 23 hours, I am never in ketosis in the morning. I can go to bed in small ketosis but it's gone by the morning. So I go back to the start every night!! I was fat for years, yoyo dieter, female, kids.

[@DawnStyleArt]

Same here sister. So hard.

[@wandab3843]

I'm with Keith. I do 20-4 and my carbs are no more than 60 g. I can't get higher than .7 mmol.

[@gigismalley]

Love your videos. Chocked full of great info.

[@mackemladry]

Im athletic with a slow metabolism and i dont start going into ketosis till around 45 hour on a water fast

[@johngoodhue3410]

Dr. Keith, try a month of carnivore. Zero carbs. NO creamers in coffee. Just black. And nothing but water.

[@jameskantor0459]

John Goodhue it why is it important to be in deeper ketosis?

[@johngoodhue3410]

@@jameskantor0459 Personally I find when my ketones are higher (1-2), I have more energy, and my cognitive function is definitely higher. Dr. Keith was showing his frustration on not being higher on his ketone count, so I threw out the suggestion. I myself waver between keto and carnivore, with some IF thrown in, and my ketones never go below 0.5 Again, that's just me. 😎

[@jameskantor0459]

John Goodhue when you are carnivore do you find you have constipation ? I need vegetables to say regular.

[@johngoodhue3410]

@@jameskantor0459 oh, and I'm 51, 5-11, 155lbs.

[@johngoodhue3410]

@@jameskantor0459 never a problem with regularity while on carnivore.

[@dorindamiddleton5418]

I take cortisol manager by wellevate. It has helped for some reason. You and I have a similar weight history and genetics. I am still overweight at 5’2” and 186 lbs.but I’m much healthier than I was. My doctor has me do low carb/paleo in May, going off keto as she felt I was missing nutrition. In just a couple of months I was back gaining weight at an unbelievable rate. I’m back on keto now, this time it took three weeks before I started losing again. Keith you are such an inspiration to me. Thank you for your honesty!

[@salonsavy6476]

I know how u feel !,, I have been on the keto diet for 7 weeks now and do intermittent fasting 18/6,,, and test myself in the mornings and NOTHING!!,,,, I read up a lot and I have to start cutting my carbs even more,,,, Man I Wish someone could prepare my meals !!! 👍🙏🤣

[@normbutler22]

Hi 2 Fit Docs, I believe I am insulin resistant. Although Keto in the strictest form doesn’t seem to work no matter what I cut out, low calorie diets with fruits/veggies and portion control doesn’t work either. My body simply will not let go of the weight unless I starve myself or eat foods I don’t like and work out very very hard everyday. This is not sustainable. I test key tones using urinalysis sticks that show a small amount on my best day. This is my first week of no sugar, intermittent fasting, black coffee, less protein, nothing is working and it seems like such a waste of time to go each week only to find that I need to adjust and remove something else. There is nothing else to remove, and since the remaining foods are high in protein which must be kept under control, what else can be done?

[@thresamatthews9096]

Urine strips are fine when we first start keto, but the body quickly stops overproducing ketones. We make less. I guess we get more efficient--maybe it's demand-driven. I now have a keto mojo and it helped me manage better. I thought I would NEVER get into ketosis and have to eat 20 g or less to maintain ketosis without exogenous ketones. But the meter helped to find out my carb tolerance which is, alas, LOW after cancer treatment. Maybe you will also have to do some detective work to get it sorted out. Good luck!

[@gmarounf7472]

I'll tell you this... I have a hard time achieving ketosis now that I have changed something in my daily regimen. Now I can't achieve 0.5 even after a whole day of 16/8 with under 50 grams of carbs. BEFORE I was getting to 6 (not 0.6, but SIX!) inbetween my 16/8 meals ! BUT, I was in a lot of pain and experiencing metabolic acidosis. You wanna know what I was doing different ? I was taking a Multi-Vitamin/Mineral supplement everyday. I had to reintroduce carbohydrates to shut down the metabolic acidosis. True story...

[@maryhumphrey2236]

I test ketones as well. I cannot fast. My blood glucose goes up and my ketones go down. I stopped losing weight on Keto after several years, so I dropped the total carbs from 20 to 13 grams a day. That still did not work, so I am now nearly carnivore at 7 total carbs a day. My ketone lows now run 1.1 and I reach highs at 1.8 to 1.9. I am finally losing weight again. The one other diet change that I made was to add MCT oil to my morning coffee. It appears to have deepened ketosis. Not sure how that worked...but it did.

[@maryhumphrey2236]

I am at 2.5 blood ketones today. So, I could someday read lower as my body learns to optimally use the ketones?

[@kundi13]

What does ur carnivore consist of? Do u eat eggs?

[@pamelakinnon7788]

I feel your pain! No rhyme nor reason most days for the rise and fall. Would you PLEASE do a video on the same thing with Blood Glucose reading first thing in the morning (Yes! I know about the dawn effect). My goal is to be

[@karynreed8936]

I am with you, Dr. Keith, I can’t get into ketosis. I’m 61, been keto for 2 years. 1st year, lost 40 pds no problem, year 2 not a pd lost. As I go into my 3rd year keto, I still have about 30 pds to loose. Not sure what to do. Everyday, I eat under 20 carbs.

[@missmarielyne6697]

same damn story with me !

[@angelarita7183]

I am skini and alleays benn,and i have the same problem no ketones shown

[@morgan18821]

Okay, after a weekend of normal eating, Monday I tripled the MCT by having 3 butter coffee. Ketones were at 1.6 at noon before lunch.

[@gypsyswingsw111]

Under 20 grams a day 3 months ketovore 45 hour fasts no keytones and blood sugar over 113 in the middle of 45 hour fast barely any weight loss in 3 months so frustrated

[@nomdeplume4543]

Very helpful.

[@theflangdude]

love how she looks at him...still in love lol

[@glorialagroon6171]

Yes! Totally agree. I've picked up on that also on other videos. Lol! So cool!

[@lakenconner239]

Funny I noticed that, too!! How sweet! :)

[@juliah182]

Yes and so sweet and respectful to one another. Love it!

[@Boyhowdy875]

You all have an amazing fantasy life.

[@charlesoneill466]

I think y'all are on the right trail. For me 40years of doritos and beer made it hard for me to get into ketosis. At 64 it took a while. When I periodically go to a function and go off the wagon my glucose and ketones go off the page. In 3-4 days my ketone index will be under 4 .I feel like it is my age and years of constant eating high carbs. Good luck

[@joshstoppard4506]

There is merit in the speculation that Keith is a more efficient ketone burner. I am 38 was obese, started keto 9 months ago and have done clean Keto. With that said, when I started and for at least 3 months my ketones ranged 1-3.5 and for the past 2-3 months they range 0.5 to 0.8. I have been very careful with carb creep and alternative sugars, I do drink alcohol 2 times per week, but from what I see I am a more efficient ketone user as my diet has not changed. Just my take on it.

[@macdoug1234]

good work

[@DawnStyleArt]

Have you lost weight though? Cause I haven’t seen a lot of results. Fasting daily, less than 50g or no carb at all. Wake up every morning with low Ketones, higher glucose. Ridiculous.

[@julieregalado6086]

60 year old, female body, 5'6" - always active, always ate whole foods, never over 135lbs but with a family history of diabetes and early cataracts (there is a relatoinship b/t cataracts and blood glucose). I had been doing IF and low carb for about 18 months but without testing blood glucose or ketones - felt and looked great. Went off it for about 6 months while travelling and living with friends. Now , getting back on low carb >>> keto - while testing ketones and blood glucose - finding lots of glucose spikes, not easily in ketogenesis and also having blurry vision. Blown away by the spikes, my body's reaction to occaisional 'treats' (potato chips, bagel, etc) and indication of possible insulin resistance, especially the vision issues. I will get a fasting glucose blood test, thinking about a continuous glucose monitor, and would love to see a Functional Medicine doctor but they are really expensive!

[@whatta1501]

I don't know my friend just started keto four months ago he is obese, diabetic and he just had heart surgery. His ketones are in the therapeutic range. I don't have any of those things and i started the ketogenic diet about three years ago. Even if I fast for fifty-six hours my ketone are very low.

[@livehealthyfinishstrong]

Your videos are so helpful! You have encouraged and taught me a great deal in my own journey. Keep up the good work!

[@NorthcoastPatty]

I started eating a low carb diet on Oct. 14th. The first week I lost 7 pounds. A week and 1/2 later - nothing more. I'm feeling a little discouraged. I ate way less yesterday, and this morning again nothing lost.

[@wtglb]

Patricia Ribaric the first weight you lose is mostly water. Eating “way less” wont help either, you have to eat the right amounts of carbs, protein & fats. Also take it easy on yourself and don’t weigh every day, once a week should be good. Hang in there, the most important thing is you get to feeling better once you become fat adapted. Good luck!

[@amya2727]

You both are doing fantastic- thanks for all of your videos and support to the low carb/keto family

[@kimberlykyle6451]

No matter what I do cant seem to get in ketosis.... I have been at 25 or less a day. I am maintaining weight not losing.... I do IF and this is so annoying😠

[@alextatarinov8102]

Did you try to use breath ketone analyzer to measure ketosis (acetone level represent how much fat is burned by ketosis)? It may explain the difference in blood ketones levels. You can measure both, blood and breath in parallel, and analyse if data follow the same pattern. It would be nice to have such a video with analysis.

[@2FitDocs]

We've not tried any of the breath analyzer. I'm not sure that acetone is a good measure for fat burning or any better than beta-hydroxybutyrate.

[@alextatarinov8102]

@@2FitDocs I like your blog very much as you are questioning everything and try to logically analyse first and then test your hypothesis. And, I believe that it would be extremely interesting to add breath analyser in addition to blood one. Especially if you have low ketones, maybe they are all "at work" burning fat and producing acetone :)

[@alextatarinov8102]

@@2FitDocs For example, I have tested MCT OIl impact wih breath analyser (do not have blood one). Only water and black coffee with 2 tablespoons of MCT, acetone dropped half in 2 hours. Interesting if both of you will test it on breath and blood. 6.00AM - Breath Ketones 12PPM 7.00am coffee with MCT 7.20am - Breath Ketones 11.2PPM 8am - Breath Ketones 8PPM 9.30am - Breath Ketones 6.3ppm

[@livincincy4498]

There is growing evidence that you can actually use fat directly for fuel / energy without the production of ketones. Your body is all about efficiency. So by not waisting energy for conversion you are more efficient. So, you may not need as many Ketones to be full of energy. I think people need to consider changing their eating like the seasons. - While rabbit starvation from lean meat is bad, it is a change to your body. Try it for a week. - Extended fasting periods should be considered each month. - Eating "Zero Carb" ( technically not possible ) is a great way to change your bodies use of fuel. - Eat a low carb vegetable & olive oil diet for a week. - Eat only fish / seafood for a week. Your body always wants to conserve energy. So by changing things it cannot become efficient and store fat. Gaining weight is a sign of caloric efficiency. Good luck.

[@tumsfestival]

I had to look up what rabbit starvation meant, so got to learn something new. Thank you.

[@lozgod]

I have this problem as well. I can do pure carnivore and not get in to ketosis. Point six was the highest I ever got. Weird thing is my urine sticks can be dark sometimes and my blood only point two.

[@garrynorth6199]

I am a 71 yo male in Australia, I am 30 days into carnivore and the urine tabs are just showing slight commencement of ketosis. I can’t understand it as I am quite strict with no carbs or Meybe 5 or 6 but very low. I have lost 20 Ib and my knee arthritis is definitely improved.

[@ourfrugallife]

I just cant get into ketosis. My wife and i eat exactly the same low carb diet. She is in ketosis all the time but i never get into it. Makes no sense.

[@gregmc0531]

Dr Keith, I think you're spot on - your body may be using them and there aren't many free ketones floating around in the blood.

[@t-rozbenouameur5304]

I really think this is the case

[@janiceweaver6945]

My husband can turn that stick blood purple and I'm lucky if I get a tinge of pink. I guess I am super carb sensitive.

[@VagnHansen]

I had the same problem. Always between .3 and .8 in the morning, UNTIL i dropped cream. After 3 days i measured 1.8 in the morning and uptil 4.6 in the evening...

[@missmarielyne6697]

woahhh I have to try this... I put cream in my coffee =(

[@wtglb]

Maybe you should look into a gut microbiome test, I had one done through my MD and it showed strains of microbes that encourage weight gain

[@getter_done]

Swamper60 great point! 👍

[@shannonswenderman9205]

How did you change it

[@wtglb]

Shannon Swenderman I went Keto ( still am) and also took probiotics

[@pat-realfoodnanu9050]

Hmmm. That is an interesting theory. I am not 'really' glad Keith has such a stubborn metabolism but I am really glad I came across your channel when I was trying to work through my stubborn metabolism. I didn't have much hope until I found you! Keto for 11 months now and about 8 pounds from goal!!

[@getter_done]

An excellent video! Yes, we’re on a better path indeed! 🙂 Thank you Dr Becky & Dr Keith, much appreciated! 💕👍

[@WanderingNature]

I’m water fasting and not in K

[@terryolay4613]

I've never been fat in my entire life. I've been strict carnivore with eating lots of fat for several months and my highest ketone has been 0.4.

[@missmarielyne6697]

same for me after 1.5 years !

[@qlodmd]

I am a 72 yo male and at 20g of carb I am not in keto. Drop it to 5g and bingo I’m at 3 to 4.

[@lorettacarroll5874]

My weight loss has stalled for 9 months now. However my blood sugars are way down. I was on 3 diabetes meds. I am off 2 of them. Soon will be off the 3rd. I was on 3 blood pressure meds. Off one and my doc has talked about coming off the 2nd. I am off my acid reflux meds. My cholesterol is back to normal. So over the past 9 months all of the changes are on the inside. I think part of my weight loss problem is my hypothyroidism and perimenopausal (I am 52 now).

[@paintlady2268]

I would LOVE a duplicate of your coffee mug collection! Oh, and I'm not referring to the nicey nice one🤭😅

[@_FightForYourFreedom_]

I'm like Keith. A year and a half on keto; less than 20 grams of carbs per day most days. Time restricted eating most days and I can go 18 hours since last meal and test negative for ketosis. It is super frustrating. I lost 10 lb in the first three or four months of doing keto and since then I can only maintain my weight which is okay but still 5 pounds higher than I would like. I'm 6'0, currently around 178 lbs, I go to the gym about 3 times per week and take in about 2,000 calories per day. If nothing changes I guess the next stop is the Cole Robinson Snake diet :-). The most overweight I was was around 50 lbs for about 2 years and about 20 lb overweight for about a year on each side of that peak. I'm very interested in hearing others' stories like this because I feel this is practically defying the laws of physics!

[@missmarielyne6697]

same exact for me and iam at mostely 1500 calories a day ! and cnt get more then .6 ketosis ! but .... I will never go back to high carbs though

[@pambaldyga610]

I forgot to mention that my net carbs are always ten or u dear.

[@elbarodriguez9368]

Keith I’m with you and can relate 100% similar things are happening to me re: ketone readings I thank God I have reversed T2D HBP and fatty liver no more meds but boy am I insulin sensitive I have to watch and do trial and error with veggies protein and so on you both look amazing and thank you for sharing your experiences!

[@DawnStyleArt]

I can’t stay in Ketosis. Even eating below 50g of carbs a day, one meal will kick me out. I test before and after. I am also never in Ketosis in the morning and I fasted for almost 40 hours and it still took days to enter into a low level trace keto. So similar. So FRUSTRATING. I’m 51 and menopausal.

[@missmarielyne6697]

50g ?!!! that's way too high !!! Iam about 10g and cant get there !

[@TheFolkhead]

Youre 63 as i wTch this great video. Im the same when it comes to ketosis

[@wendykay3195]

I am 59 years old and I can not seem to get into Ketosis as well that's why I am watching this, I did that 23 & Me but it showed me to be completely normal

[@johngalt3566]

I guess if one is being physically active, which requires energy, and fasting at the same time, they don't have enough carb-free stuff for producing ketones.

[@ann-mariey5971]

Dr. Keith don’t feel bad I will lose 1 lb. and plateau for 3-4 weeks. Very frustrating! But I also have metabolic syndrome. While I am healthier and all I still have Hypothyroidism ...so I have just resigned to the fact that it will take Me much longer....and I am not happy about it but it is what it is. I am not going to quit. Come to far. For is it will just be more difficult. We can do it! Thanks for being open and honest. It helps keep me going!!!

[@marilynweare6639]

Just a thought, have you considered using a natural supplement for boosting your thyroid? A naturopath could recommend something that will help. I take them.

[@ann-mariey5971]

Marilyn Weare No I didn’t know there was anything supplemental I could take. I will look into it. Thank you!

[@homeedconnect]

Interesting theory that you're super efficient at burning ketones...Hmmmm...I'd like to believe that's what's happening for me! It's just so hard for me to get into ketosis. Thanks for the discussion. Helpful! (PS I do not have a history of obesity or even overweight, but still have a hard time.)

[@treelore5100]

So honest and interesting and many have the same issue. One week in on Keto. I read high and my husband who is younger and about 15 pounds over weight reads low to no even though he is very strict and doing pure Keto. My weight is correct for my height.

[@dogcrazy25]

Dr. KEIRH, I too almost always have low ketones. I attribute it to being overweight for much of my adult life, was insulin resistance, its slowly changing and working to unravel type 2 diabetes. I'm on my way. I'm surprised you dont keep your carbs under 20 more consistently. I need to be close to 10g of carbs due to the damages of type 2. I bet if you got your carbs consistently under 20, and even closer to 10 your ketones would be higher. Try it for 2 weeks.

[@ifodaniell]

How about an endurance test (i.e., an aerobic event greater than 2-3 hours without feeding during the event) to see if he's actually a "fat burning machine"? Maybe even go into the event in a fasted state? Bicycling could be implemented to reduce the risk of injury. If you have a positive outcome, then make these rides a habit. Start with one or two rides a week and work up to more, if desired. You've already shown in an earlier video that your ketone generation is higher with endurance workouts.

[@PhilipGunn]

what i like about this is , it shows there is no fast one being pulled regarding results, i to have been omad for the last couple of weeks and no move on the scales , maybe i need to reduce my protien or get more sleep or not engage with the world to make sure there is no stress , thank you for your honesty ps in my mid 60s and lovinglife but it will make it a bit easier if i can shed the 100 lb i need to get to a reccomended BMI

[@staceykersting705]

I've been mostly keto for 2 years, then was so wiped out by it, went low carb for about a year Finally started IF. Now, after fasting over night about 15-16 hours, I get hungry, go for an hour walk...never feel hungry while walking or exercising. Then, I don't get hungry after that.

[@w.l.proctor3773]

I couldn't either until I started intermittent fasting and I do 20 total carbs instead of net carbs.

[@w.l.proctor3773]

oh and I quit the sweeteners. they all cause a spike in blood sugar for me.

[@KoalaBear499]

Surely what matters is a sustained trim waist? Maybe no need to focus on ketone numbers when you’re satisfied with what you’re eating & your visceral fat stays gone?

[@calaou1000]

Keith, I believe you are so fully adapted that you use all the ketones produced by your body and your wife doesn't use them as easily so they appear on the test. You're healthy.. be happy.

[@DawnStyleArt]

But what if there was little to no weight loss either? That’s my story.

[@gmarounf7472]

A good Multivitamin/mineral supplement while doing IF and Keto worked for me. I was at 6.0 between meals ! BUT I suffered from serious metabolic acidosis and had to shut it down with carbohydrates ! I used SWISS Men's Ultivite for anyone interested, but I also took Centrum Men's Advanced 50+ from time to time for Copper, Vitamin K and Iodine. I would only take half at a time of both tablets. I made sure to eat dairy for Calcium, Beef for Iron or an Iron tablet, eggs for Choline and sometimes eat tomato and/or avocado for extra potassium. Of course salt for sodium and chloride too. If I was doing Keto for extended periods of time and ketones are not showing, I would probably request a full blood works be done by my doctor... EDIT: I recently found an article that explained what was happening to me. Apparently those Ketone test strips measure only the ketones you AREN'T USING for energy ! I did not know this. WE CAN BE BURNING FAT WHILE HAVING LOW STORED KETONES (High ketone readings) ! And it was the Vitamin B3 and B2 that apparently was causing the metabolic/Ketoacidosis during the fasting state. Be careful with those vitamins while fasting ! I had to consume lemon water with vinegar plus reintroduce glucose into my blood to stop the acidosis. I am now off Keto and looking to do low carb (under 120g per day or 40 to 60g per meal), high fiber, low to moderate fat (definitely low saturated fat and cholesterol), low GI (glycemic index), low GL (Glycemic load) and moderate to high protein diet... WITH intermittent fasting... that means no grains except for maybe high fiber bread, no legumes, and no to very low sugar (maybe just the sugar from a piece of fruit a day)... after learning what I have, I think this is a much healthier diet... and you will probably lose just as much weight as keto, if not more ! I hope this information is helpful... and I think getting vitamins and minerals from natural whole foods is a much better option to taking a multivitamin/mineral supplement although for Magnesium, Zinc, Folate, B12 and B6 I will be supplementing... to keep blood pressure and Homocysteine in check...

[@Segador415]

I'm in the same boat as you 36 hr fast and measure trace amount of ketones .driving me crazy 🤯

[@chuckentleutner4818]

Thyroid? I read that there is a correlation with hypothyroidism and prediabetes, diabetes. I'm in the same boat as you sir. About the same age, pre-diabetic. Been doing keto and intermittent fasting for 6 months. My blood ketone level is. 4 at best, after fasting 48 hours and keto days before. I'm having a complete thyroid test next week

[@irisyjmiao1510]

hI QUICK ONE, During Dr Keith's 80 pounds loss, whats his ketone generally? Was it betwwen the ideal 1.5-3 range, or he lost weight at 0.6 the whole week as well?

[@Simonpt2000]

Thomas delauer also said his ketone level is quite low compare to his wife. I think once you have been doing the keto diet for a while, the ketone level is generally low.

[@irisyjmiao1510]

@@Simonpt2000 thanks!

[@2FitDocs]

I was rarely over 1.0

[@audrey3042]

Thank you so much for your honesty 😊...

[@debbiehocking8047]

BAd idea to get genetics tests done: If insurance companies find your results, and there is something bad there, they raise your rates or even drop you!

[@AuntieMarg123]

thank you for this video because im pretty sure im Keith, he says a lot of things that resinate with me. I have been on a keto way of eating for a year and ahalf and have lost 65lbs. I never for the first year checked my ketons then at about 13 monthes I started and im rearly above .6most of the time .4 .5 and its frustrating here I thought I was in ketosis carbs below 20 then I start testing and I think it was a mistake for me to start testing I was happier not knowing. Even after a 48hr, water fast I was at only .7 how is that possible? So thank you for this video it makes me feel better knowing more of the things that factor into it.

[@TheShumoby]

He needs to go total carbs , not net... 20 or less

[@caroldorsett8170]

Yes I did this and dropped another 16 pounds total lost 70.

[@johngoodhue3410]

Or none.

[@TheShumoby]

@@johngoodhue3410 yup

[@cwstars]

Keep away from the damn Quest bars

[@2FitDocs]

We never go by net carbs.

[@datsuntoyy]

I did a 70 hour fast recently. At hour 70 my ketones were 1.9. The more interesting thing is that hour 30 I still had a blood glucose of 147. I'm diabetic and my body wants carbs. If my protein is up, it'll make glucose. I use glucose as a better mesure of my state of ketosis. RIght now I'm at .4 ketones and 110 glucose (24 hours since any metformin) I had a keto drink about 4 hours ago that was 0 carbs, 45 grams fat and about 20 grams protein, other than that nothing for the last 16 hours. My first 3 day fast when starting keto 2 years ago was over 3.0 ketones, so I guess I'm getting better at using them. Side note, that impossible burger is loaded with carbs (bread) so it's no wonder your ketones were low after it.

[@wildlifegardener-tracey6206]

Slipped up and had sugar this evening. Boy do I feel 🤢 my body is very resentful. My hubby is stuck like yourself too, cannot shift this last half stone. Similar story to yourself regards age , weight and length of time obese, so maybe a similar problem. We follow your transition with great interest. My hubby is now off metformin. Yay! Blood pressure dropped too. 😊

[@marlow769]

I can’t get into ketosis either. I’m approach my 40th hour on the way to at least 42 hour fast (we’ll see when I stop) and I’m barely producing ketones. (≈25 ml/dL). I’m also bald and ugly…is there a correlation?

[@nancyjane888]

I’ve been ketotic since April 2019. Still don’t think I’m really adapted. My sleep quality is fair to good (not great). I’ve done the 23&me recently. Turns out I’m ApoE4 (one variant) . Maybe due to that I won’t see full benefit of adapting? My eating pattern is conducive to low card eating as long as calories from fat equal half of my daily total calories. According to 23&me result.

[@averagebodybuilder]

If one refrains from consuming anything (excluding water/coffee/tea etc) for two days will that push one into ketosis?

[@macdoug1234]

I think the fat adaptation in Keith could be right and that would be great. On the other hand he might be hyperinsulineamic from his insulin resistance which would not bode as well. You should get homa ir test and find out what your fasting insulin level is like.

[@iandalton6887]

I picked up Becky's gaze from my 1st video ! Keith's cortisol goes through the roof every time he checks what ketones are leftover in his blood, but his current reading tells him nothing of what he has used since the last test !

[@Allensmom20]

I'm basically at a moderate weight 6'2 male at 57 years old, and can get a 40 percent of Ketones in my body at anytime.I will say I'm on seizure meds which caused me to start a Keto diet anyway I really don't want to do a fast because I also have a enzyme deficiency disorder I think it puts me between a rock and a hard place I've been at the diet for about a week now the question is do I keep it up or just script the diet all together .

[@BenHammond25]

Good content guys! "Good looks..." funny banter too.😁