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And so, without using a meter, I can tell you with real accuracy what my blood ketone and glucose values will be. The body doesn’t normally use ketones for energy, so when it has to make the “switchover” from glucose things don’t go smoothly at first. Ketosis begins in fits and starts, which usually result in a series of very noticeable symptoms.

Ketone bodies fill part of your brain’s need for glucose (so you don’t have to break down as much of your muscle mass), and they also power all your other major organs. If you eat a diet very low in carbohydrates and protein , your entire metabolism will switch over to using ketones as fuel instead – this is called ketosis.

Consuming too many carbs on the keto diet can take you out of ketosis and back into breaking down carbs for energy. The ketogenic, or keto, diet is a very low carb, high fat eating plan on which carb intake is often restricted to less than 20–50 grams per day. Originally developed to treat epilepsy patients who were not responsive to traditional medicine, the trending, low-carb diet aims to put the body into ketosis, a state in which it burns fat, not carbs. People on the keto diet, a diet based around eating low-carb, high-fat foods with moderate amounts of protein, are apparently experiencing what they call "keto crotch."

βHB levels were measured by a commercially available glucose and ketone monitoring system (Precision Xtra™, Abbott Laboratories, Abbott Park, IL, USA) . Baseline ketone levels were measured on the last day of the adaptation period or before the chronic treatment started .