Urine Acetone Levels: Ketosis or Ketoacidosis?
Hello Dr. Attia. After being on a ketogenic diet for a few months, If a standard 8-hour fasting urine analysis comes back with an Acetone level of 80 MG/DL, would you consider this unsafe? (the entire workup was otherwise completely normal with the exception of a low-insulin level of 1.54 and a low ALK PHOSP level of 33 U/L) I'm serious about living a healthy long life and have been doing everything possible using fasting, exercise, and a clean ketogenic diet to become metabolically flexible. I know at a certain point, producing too many ketones will have negative consequences. I know this is a very rudimentary question. I'm obviously not a Doctor. Google is telling me to go to the ER, which is a testament to the lack of good information accessible to the public. Although my BMI is 19, I began the Keto Diet because I was addicted to sugar. I remain on it because I want to live as long as possible in good health. That said, when (at what measure) do ketones become counter-productive?
Virta Health's credibility is at stake.
I note that you are a Virta investor. I'm a physician doing long term follow-up on T2D patients and have had comparable results to Virta's. I'm going to continue to follow and report 3 and hopefully 4 and 5 year results as well. It bothers me that Virta Health is not releasing their 3 and 4 year data. Do you have an explanation for this?
How to use Biosense for weight loss
Hi Peter, First I want to say thank you so very much for the discount on Biosense. I really appreciate it! It made it possible for me to purchase. I know that there are many important ongoing benefits of ketones, and I am very interested in the benefits for the brain; but my first obstacle to optimal health is weight loss. How do I use Biosense to encourage faster weight loss? Is there a number goal? Should I measure after meals like you use your cgm? Thank you very much!