How Do You Know When You’re in Real Ketosis – Keto Before 6 – B2
Being in the state of ketosis is defined by
a measurement of ketones in your blood.
Specifically, there’s three ketones that’ll
be in your blood.
One is beta-hydroxbutyrate (BhB).
One is acetoacetate (AcAc) and one is acetone.
When the sum of these ketones equals between
.5 – 3 millimolar that is defined as being
in nutritional ketosis.
But now how are we gonna measure this?
On the market you have blood ketone meters,
urinary ketone strips, and breath ketone.
Of these, blood measurements are far and away
the best because they measure all of the forms
of ketones and aren’t subject to the fluctuations
and the shifts in metabolism that really define
the ketones that are measured in your urine
or your breath.
The urinary strips measure acetoacetate.
Now interestingly, acetoacetate is formed
when the body is not truly fat adapted and
cannot use your main ketones, betahydroxbutyrate.
So you’ve got excess of it and the liver flips
it to acetoacetate and then it comes through
So in the beginning of moving into ketosis
when you’re not really efficient at burning
fat you’ll show a lot of the acetoacetate.
And ironically if you’re using exogenous ketones
your body hasn’t switched at a deep cellular
level in to true fat adaptation.
So you’re going to turn the majority of these
ketones into acetoacetate and you’ll see it
coming through the urine.
Now you might feel good all about yourself,
‘oh my god I’m in ketosis!!’
But that’s really a false sense of security
and a false reading of ketosis.
The breath similarly, is measuring acetone
which is another by-product that shows that
you’re not truly efficiently using betahydroxbutyrate.
At both the urinary levels and the breath
levels are fluctuating throughout the day.
So the true measure of being in ketosis is
the blood measurement of ketones.