|Are You Putting Too Much|
Attention on Ketosis?
- Am I in ketosis?
- How many carbs does it take to get thrown out of ketosis?
- What should I do if the Ketostix aren't showing that I'm in ketosis anymore?
- I'm only eating 20 carbs, why am I not in ketosis?
- Is it safe to stay in ketosis indefinitely?
With so many different versions of Atkins out there, and people still doing all of them, I don't see the questions going away anytime soon, so I thought I'd take a moment and do a post on my own personal views about ketosis and its long-term safety.
Thoughts on Ketone Testing Strips
In the 70s, the whole Atkins' diet was built up around the idea of ketosis being the revolutionary miracle to save you from obesity, and like everyone else, I rushed out to the drug store and bought myself a bottle of ketone testing strips -- Ketostix they called them back then.
These ketone testing strips were actually created for diabetics who needed to test for the presence of Ketoacidosis. Acetoacetate are the type of ketone you are actually looking for when you test your urine: the ketones that prove a diabetic is in trouble.
The sticks don't test for the state of ketosis because that is actually measured by ketones in the blood, but at the time, Dr. Atkins felt that ketone testing strips were an accurate enough test for the presence of ketones and the motivation dieters needed to put his Revolution into play.
Since then, we've discovered they aren't very accurate, even for urinary ketones.
When I went on Atkins for the very first time, I registered dark purple no matter how much water I drank.
When I went on Atkins again, a second time, the color was somewhat lighter, but still moderate.
Each time I returned to Atkins, the strips grew lighter and lighter, until today -- I don't register on the sticks at all, even when doing Induction.
You can be in ketosis without turning the ketone testing sticks any color at all. You can register dark purple on the sticks, yet still not be burning body fat. In fact, these variances occur despite the number of carbs you eat.
There's NO standard.
Everything is individualized. Everything depends on your own:
- and metabolic damage
And here's the clincher:
You don't even have to be in ketosis to mobilize your fat stores! Latest scientific research showed participants had absolutely no problem mobilizing fat stores in the presence of insulin. Caloric deficit is what led to fat loss. In fact, as they moved from a high carb diet to a low carb diet, fat loss slowed down.
The original idea for ketosis mobilizing your fat stores was tied to ideas about insulin. Lowering basal levels back to normal was supposed to open the doors to your fat stores and help them to stay open. This is what all of the low-carb experts over the years have taught.
Dr. Eades went a bit further and suggested that ketosis helps you avoid all of the pitfalls and health consequences associated with Insulinemia (high insulin levels) and insulin resistance. Those benefit may, or may not, be true. I honestly don't know.
What I do know is that somewhere along the way, things got tilted.
Stay in ketosis and you can eat all of the low-carb high-fat food you want, whenever you want, including lots of high-calorie, fatty foods and you'll still drop the weight and make it to goal.
Stay in ketosis, they told me, and your body fat stores, regardless of the amount of calories you eat, will just fall off you because carbs are the demon, not calories.
Stay in ketosis, and you'll experience Atkins Magic:
- no hunger
- easy fat loss
- permanent weight loss
The problem, as I see it, isn't with the Atkins diet. The problem is us. We read the book cover to cover, but we only saw and retained what we wanted to see and remember.
We didn't think about how the whole book was structured, the different phases and steps we were supposed to move in and out of because Dr. Atkins said if you have a lot of weight to lose, it was okay to do an extended Induction.
Okay. An extended Induction.
With extended being the key word here.
The low-carb community totally loved the idea of faster weight loss, faster fat loss, and we embraced the idea of doing a very low-carb diet for an extended period of time because we are totally into FAST.
What we failed to understand, and this happened in the latter 90s as well as it does today, is that an extended Induction does something to the metabolism. I don't know what that is exactly but the body adapts to what you're doing.
It could be a thyroid issue. It could be a total body metabolic issue, a metabolic adaption so-to-speak, but I watched people do it to themselves in 1999, and I've watched people do it to themselves in 2010 when this post was first written.
Likewise, I'm still seeing people do it to themselves today.
But here's the rock-bottom truth:
Whatever carb level you chose for the majority of your weight-loss phase is pretty much the carb level you've sealed yourself into living with for the rest of your lives.
Did you get that?
They really weren't.
They were designed to get you into ketosis to initiate weight loss and make it easier to eat at a caloric deficit because you aren't hungry.
Ketosis is a metabolic state where hunger and cravings can be controlled long enough to teach you how to add more carbs to your diet slowly, so you can learn your own personal tolerance for carbohydrate -- and learn how to stay within that tolerance.
What most people did instead?
They stuck to Induction level of carbs for faster weight loss, or just barely above that, and stayed there for so long that their bodies literally adapted to that carbohydrate level.
The body created a new set point for carbs, so now, when these people try to up their carbohydrate level, even after the week or so required to up-regulate the enzyme needed to process carbs, they can't do it without gaining.
In a very real sense, people who didn't NEED to stay at those reduced levels literally shut themselves out of a more moderate maintenance diet -- all in the name of faster fat loss.
Playing the Victim Never Works for Long
We really need to think about what we're doing to ourselves. Right Now. Before it's too late. Because the original idea wasn't to stay in ketosis forever.
Unfortunately, staying in ketosis long-term is what a lot of folks are going to have to do even though we do not know how safe long-term is.
I've seen some pretty wacky things happen to those who have been in ketosis for too long, myself included.
Are you using the state of ketosis as it was originally intended? A tool to help you learn your own personal tolerance for carbohydrates?
Or, are you using the state of ketosis as a crutch because you have convinced yourself that the demon in your life, the thing outside of yourself that made you fat, the one thing that is to blame for everything wrong in your life -- is carbohydrates?