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Old 12-08-2016, 11:18 AM   #1
dianachristine
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Location: San Diego, CA
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Stats: Start: 230 Current: 190 Goal: 160
WOE: Ketogenic
Help with blood Ketone Meter, please!

Hi all, bit of a newb here (but long-term low-carber).

I'm fairly versed in all rules of NK (I've been a grad student at UC San Diego so blessed with good access to all kinds of lab work and health care). While I do know that I'm particularly resistant to weight loss metabolically, I know it's possible, because I lost 70 pounds three years ago.

Here's the question: I can eat almost *exactly* the same things (e.g., high fat, mod protein, under 20 carbs) for two days BUT one day the meter reads 1.2, the very next, .2?! I learned the hard way last year that sugar alcohols are totally no-go for me, as well as anything over about 40 carbs a day. But honestly, can anyone help advise what fairly random things could cause me to be kicked out of ketosis? Examples being a couple bites of tomato (still within daily carb range, though), no exercise that day, how long it's been since eating, etc.?

I've got all the books, had all the labs (including brain surgery) to ensure hormonal balances are correct, etc. but I cannot figure out the crazy unpredictability in ketones!

Any help deeply appreciated. Thank you so much



p.s. Random facts for "troubleshooting"
-Daily vitamins taken (potassium, magnesium, fish oil)
-Exercise 1-5x weekly, half an hour slow jogging or speed walking
-Highest weight: 2004-2012 (230ish)
-Lowest weight: 2014 (162)
-Current weight: (190)
-Neuro surgery (in August) was to drain a pituitary cyst. My theory was that because it was pituitary, it could have been contributing to weight issues, but my specialist thinks it may just be more that I've done low-carb and light calorie restriction for the past few years and my body is adapted to need less and less, so weight loss is pure hell. My body temp runs 1-2 degrees lower as well, so we know I've got a slow metabolic rate. Regardless - I can't give up!
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Old 12-08-2016, 06:32 PM   #2
clackley
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Hmmm. I would ask, how does the varying ketone readings effect your progress?
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Old 12-12-2016, 12:44 PM   #3
dianachristine
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Stats: Start: 230 Current: 190 Goal: 160
WOE: Ketogenic
Oh thanks! Well, I'm not positive how much it effects everything, because I've at least managed to stay within a .8-1.8 average since posting.

I will say though, that it would help me to understand because if I'm at .2 , I'm no longer in NK (to my understanding) and that affects weight loss. No?

I've also averaged 15-20 carbs, 60-80 protein, 1200 cals and 100 fat over the past few days and not really lost anything. My stomach is going down slowly, but it would be nice to actually lose something, especially since I've been in NK for a bit now...
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Old 12-15-2016, 10:13 AM   #4
Gata
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I find I register almost no ketones in the morning, and they are usually highest just before dinner. So even though my ketones are low/nonexistent in the morning, I don't believe I'm actually "out" of ketosis. I've even had no ketones measured in the evening a couple times, but within hours, like you, I was right back in range.

(I read somewhere about this, wish I could remember where, but it's pretty common, and the author recommended not testing all day long unless you're just super curious.)

I am losing steadily (after a few weeks plateau), so I'm not worrying about it as long as I'm well into ketosis at some point every day.

Remember you are measuring ketones in your blood, so you might have burned a bunch and just don't have any extras spilling into your bloodstream at one particular moment.
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Old 12-15-2016, 11:11 AM   #5
dianachristine
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Stats: Start: 230 Current: 190 Goal: 160
WOE: Ketogenic
Ah, thanks. That's very helpful! I've actually noticed the same - mine are always higher right before dinner, around 6 or so. I guess I wish they were higher (I'm consistently around a .8) and not losing much as of yet, but I guess I'll keep plodding along. Carbs are already under twenty so I'm not sure what else I can do to "jumpstart"/kick the plateau. Thanks for the reminders!
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