You went out to eat at a restaurant or you went to a party. You think you ate on plan. But the Ketostix this morning stayed beige, the scale bounced up a pound or two; and now, you just don’t feel like you’re in Ketosis anymore.
You want to fix the problem – fast. Get the sticks turning lavender again. Lose the excess water weight. But most importantly, you want to feel the euphoria that comes when you’re predominantly burning fatty acids for fuel. So what’s the fastest way to get back into ketosis?
What Happens When You Overeat Carbohydrates?
The body has four options when it comes to fuel: glucose, protein, fatty acids, or ketones. At any one time, the body switches back-and-forth between these fuel sources, depending on availability and immediate needs. When you follow a low carb diet, the body “predominantly” burns fatty acids for fuel, but when glucose becomes available, it burns that first.
When restricting carbohydrates, the glucose most often burned comes from vegetables, incidental carbs, or amino acids. But sometimes life interferes and you accidentally (or intentionally) eat more carbohydrates than you can use. When that happens, the body immediately burns as much glucose as it can, then chauffeurs the rest to the liver where it converts into glycogen, the storage form of carbohydrates.
Refilling glycogen results in a weight gain of a pound or two, because the body deposits water along with the glycogen for later processing. It’s not fat though. So as long as you get right back to your diet plan, it won’t do any permanent damage. If glycogen stores are full, however, that’s when carbohydrates find their way into your fat cells. So a single free meal, or restaurant accident, creates only a temporary setback.
But What is the Quickest Way to Get Into Ketosis?
When you first go on a low carb diet, the body uses liver glycogen to keep your blood glucose within a narrow, tight margin. Fatty acids fuel this process, with ketones the resultant by-product. Within a day or two, the glycogen level drops so low that the body begins to use the ketones for fuel, because it can’t break down fatty acids fast enough to take care of the body’s needs.
Once the body adapts to ketosis, and the brain, kidneys, and heart begin using ketones for much of their glucose needs, the amount of fatty acids the rest of the body requires goes down. And fat loss slows.
When you refill glycogen stores, returning to your diet program simply starts this process all over again. The length of time it takes to return to a state of predominantly burning fatty acids for fuel depends on how full your glycogen stores were, as well as how many carbohydrates you ate. Therefore, the fastest way to get back into ketosis is to eat a minimum amount of carbohydrate and up your activity level.
While it isn't necessary to cut back to a diet of just "meat and eggs" (personally, I do an Atkins '72 Induction after a free meal or refeed), a lot of low carbers do choose to cut carbs to a bare minimum, since sugar, wheat, and other food sensitivities from eating off plan can cause bloating and discomfort. If you need fast correction, then a no carb diet and extra movement will get you there the quickest.

33 comments:
Thank You!!! I messed up at a restaurant last night and was immediately kicked out of the "ketosis club!" I feel awful, but won't worry too much since I've read your post. Thanks, again!
It takes about a hundred carbs to actually get kicked out of ketosis. Ketosix don't measure whether or not you're in the ketosis club. They just measure how many ketones your body is throwing away, rather than using for fuel. They were the best measurement Dr. Atkins' had when he first introduced the world to low carb eating. They help a lot with motivation.
The best thing to do after a restaurant mess up (I've had plenty) is to just relax, and get right back on plan. We didn't get fat because we overate carbs at a single meal. It's what we do on a daily basis that matters the most.
Glad I could help!
Thanks! I'm new to the low carb life and went on a bit of a bender this weekend. :( Glad to know if I go right back on plan the weight loss should continue, and I'm going to try your 72 hour induction plan to see if it speeds up the process.
Also, I identifed strongly with your bio. My son has SPD and will probably end up with a PDD diagnosis if his social skills don't pick up. I look forward to reading more from you! :)
I feel a tad better after reading some of these comments. I have been following the no carb ways and thought i was doing fine then i find out the protein mix acyually lies about carbs, instead of 6 grams it is actually 30. I dont know what my number would be to stay in ketosis. I do work out every day. My total carb intake the last 12 days has been under 50 per day, however now im worried my last 12 days were a waste as the protien drink screwed up my count.
Staying under 50 carbs a day is a nice carb count, especially if you work out daily. The body often cannot convert stored body fat into glucose fast enough for working out. Many find they need to eat a few more carbs than the average low carb individual.
Personally, I can easily enter into ketosis on 60 grams a day. I'm not very active as my vertigo issues won't allow me to be. So I don't think the protein drink made the last 12 days useless.
The Atkins Diet begins with 20 carbs per day because at that level, almost everyone can enter into Ketosis. It isn't a magic number.
Staying under 50 carbs a day is a nice carb count, especially if you work out daily. The body often cannot convert stored body fat into glucose fast enough for working out. Many find they need to eat a few more carbs than the average low carb individual.
Personally, I can easily enter into ketosis on 60 grams a day. I'm not very active as my vertigo issues won't allow me to be. So I don't think the protein drink made the last 12 days useless.
The Atkins Diet begins with 20 carbs per day because at that level, almost everyone can enter into Ketosis. It isn't a magic number.
Hi Vickie,
sorry for my ignorance but how does one know when they are in Ketosis in the first place..sorry I am blonde.
Cathleen
Cathleen,
The state of ketosis affects each of us differently. Most people experience a sudden, drastic drop in appetite. They feel much better due to more stable blood sugars. Some describe it as a feeling of euphoria. Many experience a funny smell in their urine or breath due to the ketones being initially thrown away.
But I personally don't experience any of those things anymore. I do get violently hungry when my glycogen stores reduce and the body wants glucose. That state (for me) makes my vertigo worse. So I have to depend on the numbers on the scale to show me that my glycogen stores are dropping.
It's normal insulin levels that keep the pathway open for burning our fat stores, not ketosis. But people have believed in the magic of ketosis for so long, it's hard to convince them otherwise.
If you're eating less than 100 grams of carbohydrate per day, you are most likely in ketosis even if you don't have any symptoms of it. If the body is breaking down fat stores, then ketones are being made as a result of that metabolic process.
Cathleen,
I noticed you have an Australian website. Here a link for a good low carb forum:
http://www.apinchofhealth.com
And her blog is at:
http://pinchof.blogspot.com
Her name is Sherrie. You are always welcome to comment and ask questions here, but she and the others on that forum can be very helpful when it comes to Australian specific problems and questions. She used to comment here, but I haven't heard from her in quite some time now.
Okay,
I'm going to try and see if my meager knowledge of html will work here. The note underneath this comment box says I can use "some" html tags.
A Pinch of Health Forum
Pinch of Blog
Hopefully, that turns into links to get there easier.
so if your in the purple on a ketostick ur in ketosis? And I have been told if you cheat it takes 3 days to get back into ketosis, is that true? Also, if you do mess up does it help at all to work out directly after or not?
Yes. If you turn your sticks any color at all, you are getting rid of excess ketones.
How long it takes to get back into ketosis after you eat off plan depends on what and how much you eat. If you go on a binge, it can take you a couple of days or more to eliminate the glycogen out of your liver. If you just have a few extra carbs, then no it does not take 3 days to get back into ketosis. If I have a piece of chocolate cake, for example, it only takes me a day to get back on track.
Working out directly afterwards would help, yes. Increasing activity throughout the day would help too. Liver glycogen depletes as your body needs glucose to maintain blood sugar. So the more active you are, the faster you'll get back into ketosis.
If I were to eat just egg whites, tofu, ground beef, bok-choi, low carb protein powder, Cheddar cheese, bean sprouts, and drink almond milk, combined with exersize, all for 2 weeks, would I enter ketosis and stay for the entire time?
I've never attempted, would there be side effects, like fainting or fatigue or inability to concentrate, or heart attack, etc?
If I am 20 lbs overweight, and I were to only use the above ingredients, would I expect to lose a bunch of weight (safely) quickly ?
Thanks! Gary Q.
A basic low carb diet consists of: eggs, meats, poultry, fish, tofu, cheese, non-starchy vegetables like salad greens, bok-choi and other cabbages, asparagus, green beans, bean sprouts, broccoli, cauliflower, onions, etc. It also consists of a healthy amount of fat (how much fat differs from person to person) and plenty of water.
Starchy vegetables are basically corn and peas. For some people that also includes carrots due to their sugar content. Most vegetables are low carb. Depending on the plan you choose to follow, the amount of veggies you can eat varies.
Almond milk is low carb and healthy, so yes, that would be fine if you were not following the current Atkins' Induction Plan or the plan published in 2002 which has you wait to add in nuts.
In 1992, the Atkins Plan allowed dieters the option of just counting 20 carbohydrates per day, and using any low carb foods they wanted to make up those carbohydrates. So in 1992, dieters were also allowed to use nuts. Many of us use that version rather than the current ones.
Initial side effects depends on what type of diet you've been currently eating (many people go through wheat and sugar withdrawals), electrolyte balance (you initially lose a lot of water when the liver uses up its glycogen/water stores, so Atkins' Nutritionals recommends that you heavily salt your food for the first few weeks), and whether you eat enough protein so your body can use some of it for glyconeogenesis until the body adapts.
Some people do feel fatigue at first since the body is used to using glucose for fuel and must switch to using fats. It takes about 3 weeks for the body to fully adapt to ketosis. Sometimes longer. Some people get flu like symptoms. When I've felt sick like that, upping my salt intake has always stopped the symptoms. At time, increasing carbs by 5 or 10 per day also helps.
If you have never gone on a low carb diet before, you will lose weight faster than those who have attempted it several times before. It is safe for most people except for those who have kidney disease.
When I had my arteries checked after being on low carb for 2 years, the cardiologist was surprised at how clean my arteries were. My brother in law had a heart attack (not related to low carb), and his cardiologist told his wife that low carb was the healthiest way to eat.
But...I'm not a doctor, so I can't tell you whether low carb would be safe for you personally or not.
All the medical professionals I have spoken to about myself over the years have all believed in low carb diets of one form or another. My current doctor stands behind what I'm doing 100 percent, but I've had many, many tests -- and they all point to me being in excellent health. So healthy, that my personal physician is quite amazed.
I have been on low carb for 6 days now.
I have eaten between 20 and 25 carbs per day and keto sticks are not registering even a trace of ketones.
I have not lost any pounds.
I am drinking diet drinks along with alot of water. I am eating 1 atkins advantage bar a day for breakfast. Other than that, I am eating cheese, eggs, meat and veggies. What can I do to see some results?
Hi Cindy,
Are you new to low carb or have you done this type of diet before?
Keto sticks only register a single type of ketone that overspills into the urine. They are not an accurate measurement for everyone. The body also gets rid of ketones through your breath and skin.
I don't know about Atkins' Advantage bars personally, but many people I know stalled when they used them.
As for no weight loss after 6 days, sometimes the body has a tendency to shove water into your fat cells to keep them plumped up. It especially does this if you have a dieting history where you have gone off of your diet and gone back to your old ways of eating. The body will prepare itself for you to do that again. The only answer in that case is to wait it out.
Some people have severe insulin resistance and it just takes time to see the numbers on the scale drop. Others have PCOS and I've seen them never lose any weight on low carb at all. It doesn't work for everyone.
What low carb does is lower insulin levels so the body can access stored dietary fat easier, but it still works by calorie deficit, so make sure you're not eating too much. Plug your menus into a free online calculator and see how many calories you're eating. Some people have to up their calories to their BMR, and others have to lower them to see any losses.
I'm at the point in my own weight loss journey where the body fights back extremely hard. Although no weight loss is unusual for most, the last time I did Induction, I didn't lose a single pound either. My body is just too tired I guess.
I dont understand one day I'm in ketosis and the next not. I have not done anything different.
Any suggestions
Cindy,
"I am drinking DIET DRINKS along with alot of water. I am eating 1 atkins advantage bar a day for breakfast. Other than that, I am eating cheese, eggs, meat and veggies. What can I do to see some results?"
Some people cannot get into Ketosis and some even get kicked out by consuming Aspartame.
Cut out the Aspartame and if you must have some sweet stuff, limit your intake (especially during induction) maybe to 1 - 2 a week sweetened with Splenda instead.
I speak from experience, Aspartame kicks me right out of Keto and makes me gain weight.
Beer doesn't, go figure lol!
I am on low carb for the second time...first time was about 2 years ago, and I was drinking TONS of diet soda. I never got into ketosis (did lose ten pounds in 3 weeks). This time I had already cut out the diet sodas before I started...and I really think it has made a HUGE difference! I got into ketosis easily on day 3 and am now on day 6 with a 6 pound weigh loss! I substituted crystal light into my water, and I am drinking about 6 liters a day! I would have never believed the sodas made a difference...but I do now! GOOD LUCK to all who are low carbing!!!
I lost 3 stone last year on low carb (lipotrim shakes) and maintained for the past 8 months eating low carb plan, meat, eggs, tuna, fish, veggies etc. Have just started back on lipotrim to shift my last stone to target, I lost 6lbs in my 1st week, then another 3 1/2 this week, I went off plan yesterday and had a meal out which has knocked me out of ketosis ( according to the stix) I am back on plan today and wondered how long it should take for me to get back in to ketosis?
I lost 3 stone last year on low carb (lipotrim shakes) and maintained for the past 8 months eating low carb plan, meat, eggs, tuna, fish, veggies etc. Have just started back on lipotrim to shift my last stone to target, I lost 6lbs in my 1st week, then another 3 1/2 this week, I went off plan yesterday and had a meal out which has knocked me out of ketosis ( according to the stix) I am back on plan today and wondered how long it should take for me to get back in to ketosis?
The sticks only measure the overflow of ketones. They do not measure ketosis. If you only went off plan for a single meal, it should take less than one day.
This is an excellent post, very informative. Thank you very much. I have been doing Atkins since February and have lost 20 lbs without any effort, but now after Easter and after buying low carb tortillas and bread for the first time, all of a sudden the ketostix are showing a distinct drop in the number of ketones for the first time since I started on this program. I got very concerned about that. Your post has set my mind at ease, especially since I'm still losing weight at the rate of about .25 lbs per day, so really there is no need for concern.
So, I'm in week 3 of the Sanoma diet. Was in ketosis and loosing. This diet has a 10 day phase. Limited veggies and fruits. Phase 2 lends a few more types of veggies and fruit Limited amounts of fruit and 6 oz of wine per day. I had a couple glasses this weekend and I am up 2 pounds.I did not cheat or add anything that I was not supposed to. I am 3 days back on and no wine or fruit for me. I am still not in ketosis and have only lost a tad. What the heck?
I don't know anything about the Sanoma diet, but wine (like all forms of alcohol) is processed in the liver and causes ALL dietary fat eaten around that time period to be stored as fat.
Now, the alcohol is metabolized first, then any sugar that may be in the wine, before anything else. Once the alcohol is processed, the recently stored body fat will be used for energy purposes, but only if there are not enough calories coming in. Alcohol is dehydrating. On some people it makes them appear to have lost weight, but they really haven't.
Fruit is part fructose and part sucrose. Fructose always replenishes liver glycogen first (the storage form of carbohydrates) and the sucrose is used for metabolic purposes once the alcohol has been totally burned. But that's only if you are not eating enough carbs. If you are eating plenty of carbs, excess calories will be stored as body fat.
Ketosis occurs when liver glycogen falls to a certain level, generally about 1/3 to 1/2 full. You will be in Ketosis even if testing strips do not show that you are overspilling ketones into your urine.
If you are not eating anything that you are sensitive too (meaning food intolerance) then when your appetite drops you are in Ketosis no matter what the testing strips say. Testing strips DO NOT measure whether or not you are in Ketosis. Ketosis has to do with blood glucose levels. Nothing more.
Hallo there! I am about 5ft tall with 26 percent fat although my weight is in the normal range. I have been going to workout for at least 3 days a week but have not seen much fat lose. I plan on going to low carb but I was wondering if it is possible for me to go out of low carb diet after I achieve a healthy body fat level? Thank you!
Moving from low carb to maintenance involves finding the level of daily carbohydrates or calories you can eat that will support your new lower body fat level. The amount of carbohydrate you can eat when you're done low carbing depends on your individual metabolic problems.
Many people have found they must continue to do low carb in order to maintain their weight losses. Some find they can eat a moderate amount of carbohydrate, something like 100 to 150 grams per day, and still maintain. Others have been able to watch their calorie count and been fine.
My uncle lost a lot of weight doing low carb, and then moved to a normal diet afterwards. He eats whatever he wants to now and has no trouble maintaining. Personally, I fall into the moderate range. I try not to go over 125 carbs per day, and have to be very careful with sugar; but I'm a long ways from my body fat goals.
So it's "possible."
Hello. I have been trying to get into ketosis for the last week and according to my strips I am in within a trace to a small amount. But I want to get into the large amount because I would like to see results and I have heard that you need to be in the large amount for good results. I have been really strict on eating only things that have 0-3 carbs in it so probably only eating like 25 to 30 carbs a day. Plus I am very active:) So why am I not in the larger amount???
Manglishly Mush : Low carb diet just for weight loss is unhealthy and does not make fit bodies. Those people that have to do this for medical reasons is one thing but to promote this diet as a good weight loss plan just irks me. I eat 55-60% of my calories as carbs. That is over 1000 calories a day in carbs. My ratios are this, 55-60 carb, 15-25 fat, 25-30 protein. Look at all professional body builders and they will have a similar ratio contrary to the hype out there about all the meat they are eating. Google Dorain Yates and look up his diet, very similar and he was a 6 time Mr. Olympia with a body fat around 4%! I am not over weight but I started an exercise program and I wanted to get a low body fat around 8%. I started around 18% and after 8 weeks, 3xs a week doing the Bob Harper Biggest Loser Boot Camp workout I lost 10lbs fat and gained muscle and got down somewhere around 14% body fat. I have since added weight lifting and am probable closer to 13% or so now after two more weeks. Haven't measured but I see my abs and the muscles in my shoulders. Calories in calories out. Eat less than you burn and you will lose weight. Get a program like Ifit or one of the others online for free and track calories and make sure your exercise keeps you in the fat burning zone. Don't go too low on calories for a long time because then your body adjusts but do keep the calories 300 or 400 less than burned and you will see results with a good workout program.
Anonymous,
Ketostix do NOT measure Ketosis, regardless of what anyone has told you. They only measure one particular type of ketone (there are actually several) that the body is over-spilling into the urine. This particular ketone is the ketone that diabetics might have problems with. A dark color indicates DEHYDRATION! Not Ketosis. Ketosis occurs when liver glycogen is reduced by 1/3 to 1/2.
Alex M,
I appreciate your comments, even though I do not completely agree with them. A low carb diet is not unhealthy for those who wish to use that type of diet to achieve weight loss. I do agree that not everyone does well on a low carb diet. Some people do better at a higher carb level.
However, MOST PEOPLE who follow a LOW carb diet (rather than a more moderate or higher level) are those who have metabolic issues such as insulin resistance, pre-diabetes, diabetes, food sensitivities to wheat and corn, irritable bowel syndrome, inflammatory bowel disease, neuropathy, celiac disease, and many other health issues. That was also what Dr. Atkins' patients were experiencing when they first went to see him.
When I began low carbing in January of 2007, I weighed 256-1/2 pounds. Since then, I have lost 100 pounds following a low carb diet. I have been checked out by a cardiologist as well as my primary physician and have been told I'm in excellent shape. Despite my higher than yours dietary fat content, my cardiologist was shocked that my arteries are SO CLEAN!
I have celiac disease, pre-diabetes, neuropathy and food sensitivities to gluten, cow's dairy and corn. I am only 5 feet tall, though I do have a large frame, so my goal weight is 125 pounds. My maintenance level of calories is 12 x my current body weight. That puts my MAINTENANCE for goal weight at only 1500 calories per day.
Personally, I'm a follower of Lyle McDonald, as I have found that what he says fits solidly with my own experiences.
Thank you for stopping by.
Vickie what is the best way to tell if I am in Ketosis? I read in your previous comment that ketone stick do not completely tell you. ???
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