Am I In Ketosis? 13 Signs You’re In Ketosis

by Dr. Ahmed Zayed
Published on February 19, 2020 and last updated for accuracy on February 20, 2020

One of the most effective diets for you to lose weight and improve your entire wellbeing is the ketogenic diet. This diet involves food rich in fats and low in carbs that can help in increasing the ketone levels in your blood. The ketogenic diet provides a new source of fuel in your cells, which can provide various health benefits. 

What is Ketosis?

Ketosis is a process wherein the body burns fats instead of carbohydrates. This metabolic process happens when there are insufficient carbohydrates in the body. The liver then produces ketones, which is known to burn more fats in the body. 

The ketogenic diet aims to promote ketosis. A study has shown that people who follow a ketogenic diet consume food with less than 50 grams of carbs and about 1.5 grams of protein (1). This enables your body to undergo various biological adaptations, which will most likely affect your body, either positively or negatively. 

When you start a ketogenic diet, your liver starts to produce high levels of ketones, which can provide energy to your brain. But, it is hard to determine if you are in ketosis or not. Some people don’t even know when they are in ketosis. Don’t worry, and we will help you identify the signs when you’re in ketosis. 

13 Signs When You’re In Ketosis

  • Increased Ketones

One of the most common symptoms that you are in ketosis is when you have ketones in your blood. Your ketone levels can be determined by various tests, such as blood tests, breath tests, or urine tests. 

A specialized kit is also available to test your ketone levels at home. A person who is in ketosis has blood ketone levels from 0.5 to 3 millimoles per liter. The amount of beta-hydroxybutyrate, which is the main ketones in your blood, determines whether you are in ketosis or not. 

The most accurate way to measure ketones is through blood tests, according to various studies. But the only drawback for this is that it requires blood to draw from your fingers (2)

  • Weight loss

Just like any other diets which require you to consume low carbohydrates, the Ketonic diet is also effective in losing weight. That is the reason why this is used as a means for shedding off pounds. Studies show that this kind of diet has both short and long term effects. 

According to a 2013 study, the ketogenic diet is effective in the long-term compared to those diets which involve the consumption of foods low in fats (3). People who follow this diet can experience weight loss in just a few days. But it is worth noting that reduction only involves water weight. Fat loss may be experienced after a few weeks. 

  • Thirst

Since ketosis can make you lose weight in just a few days, you will feel thirstier than before. This is because your water weight is reduced in the first few days. But then, this is not good for you as it can lead to electrolyte imbalance and dehydration. High levels of ketones might cause major complications. 

Athletes, in this case, are at a higher risk of dehydration, which can eventually lead to kidney stones (4). That is the reason why it is recommended for you to drink plenty of water if you are following a Ketonic diet to avoid dehydration. If symptoms persist, such as if you have dark-colored urine and you experience extreme thirst, consult your doctor. 

  • Muscle spasms and cramps

Do you know that electrolyte imbalance and dehydration can also cause muscle cramps? Electrolytes are substances responsible for carrying signals between the cells. If these substances are imbalanced, the electrical messages will be disrupted, which can then cause muscle spasms and contractions. 

If you are following a ketogenic diet, make sure that the food you eat has enough electrolytes to avoid muscle spasms, cramps, and other symptoms of imbalances. Electrolytes, including potassium, sodium, magnesium, and calcium can be taken if you have a balanced diet (5)

  • Headaches

One of the most common effects of a ketogenic diet is a headache. This is because this diet involves the low consumption of carbohydrates, including sugar. Aside from that, electrolyte imbalance and dehydration also cause a headache. 

Headaches usually last a week. But some people experience headaches for a longer period. If the pain persists, it is best to seek help from your doctor. According to several studies, this diet can help in treating cluster headaches and migraines. 

A study has shown that the ketogenic diet can help improve chronic and episodic migraine (6). On the other hand, another study suggests that this diet can help in treating cluster headaches (7)

  • Short-term fatigue

If you are in a ketogenic diet, you will most likely experience fatigue and weakness. But this effect is just natural and comes with long-term benefits. Your body will eventually adapt to the new system, wherein you consume lesser carbs. 

It may be hard at first, but remember that change doesn’t happen overnight. You will experience full ketosis after a week or a month, depending on how your body will adjust to the diet. The best remedy is to take electrolyte supplements (8)

This can help in replacing the electrolytes lost with weight reduction. The ketogenic diet allows you to lose water weight, as well as eliminate unwanted foods from your body, including processed foods containing added salt. 

  • Digestive issues

If you shift to a ketogenic diet, the type of food you eat will eventually change. A major change in diet can probably lead to digestive issues as your body is getting used to this. Problems such as diarrhea and constipation are just a few of the side effects of the diet. 

But these issues will improve after you passed the transition stage. You should be mindful of the foods you eat, which can affect your digestive system. You should also eat fruits and vegetables that are rich in fiber but low in calories. 

  • Sleep problems

Insomnia is one of the common problems encountered by new dieters. This is because of the drastic reduction of carbs from your diet. But this issue will most likely improve in just a few weeks. Some people who follow this diet claim that they have better sleep after they already adapt to this diet. 

  • Increased energy and focus

It is normal to feel sick, tired, and brain fog if you start a low-carb diet. This situation is usually referred to as keto flu or low carb flu. But just like any other symptoms, keto flu will only last shortly as your body is adjusting to the change. 

The ketogenic diet involves the burning of fats for fuel. That is why your body should adapt to this change. If you are in ketosis, your brain also burns ketones, not glucose. But this metabolic process will work a few days or weeks properly from the time you start the diet. 

Ketones are extremely important as it serves as fuel for your brain. It is also shown to treat brain conditions and diseases, including memory loss and concussion (9). This is the reason why people who are in ketosis experience improved brain function (10)

Furthermore, a low-carb diet can positively affect your blood sugar levels (11). If you reduce your carb intake, you will most likely stabilize and control your blood sugar. This may also help in improving brain function, as well as focus. 

  • Suppressed appetite

People who are in ketosis usually experience appetite suppression. A study has shown that a ketogenic diet can affect your hunger hormones, which significantly reduce hunger and appetite (12). If you feel full most of the time, you may be in ketosis. Well, the ketones are also responsible for sending signals to your brain, which helps you reduce your appetite. 

  • Increased ketones in urine or breath

One of the ways to measure the level of ketones in your blood is through a breath analyzer. This test could monitor acetone, which is most likely present in your bloodstream if you are in ketosis (13). The breath analyzer could identify whether or not you are in nutritional ketosis because more acetone leaves in your body. 

Although a breath analyzer is less accurate than blood tests to measure ketone levels in your blood, it is shown to be fairly accurate. Another technique to measure the same would be through your urine using special indicator strips. Although these strips are not considered very reliable, a urine test can be a cheap and quick method. 

  • Bad breath

People who are in ketosis usually experience bad breath. But this side effect is just common and people with similar diets, like the Atkins diet, also experience the same. The culprit for this is the high levels of ketone in your blood. As the ketone increases, the more acetone is released by your body through your breath and urine. Other ketones, such as acetophenone and benzophenone, may also lead to bad breath. 

Although bad breath is not favorable, it is an indication that your diet is working (14). The best thing that you can do is to brush your teeth several times a day. Or if it is not possible, then you can use sugar-free gum. 

  • Decrease in performance

We already discussed that reducing your carb intake can lead to tiredness. If you are tired, your physical activities will most likely be decreased. This is because the glycogen stored in your muscles is reduced, which supposedly serves as a fuel to perform high-intensity exercises. 

However, this problem is just momentary. Your energy will be back to normal after a few weeks when your body is already used to your diet. It was even shown that a ketogenic diet could help you improve ultra-endurance events and sports. 

A study shows that people who opt to a ketogenic diet burned 230 percent more fats compared to those who do not follow the said diet (15). This diet may not be initially favorable to elite athletes, but as your body adapts to fat burning, you will most likely improve in recreational sports and exercises (16)

Conclusion

There is no shortcut in losing weight. You should know that each diet has its pros and cons. Just like any other diet, the ketogenic diet also comes with major drawbacks. Although some of the signs, if you have ketosis, are not favorable, most of these are just temporary and can be remedied. 

For instance, one of the signs, if you are in ketosis, is when you have bad breath. If this happens, then you can merely brush your teeth. You can even use sugar-free gum to get rid of bad breath. 

Another sign that you are in ketosis is a decrease in energy. This problem will not last long. In fact, many dieters claim that this situation is just normal and could be experienced in just a few days or weeks from the time you start your diet. 

A ketogenic diet may also lead to dehydration and electrolyte imbalance. To prevent these problems, you should drink plenty of water and consume fruits and vegetables that are rich in fiber but low in calories. Remember not to compromise the nutrient your body needs due to your diet. 

References

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828461/
  2. https://www.ncbi.nlm.nih.gov/pubmed/11553201
  3. https://www.ncbi.nlm.nih.gov/pubmed/23651522
  4. https://www.medicalnewstoday.com/articles/154193.php
  5. https://www.medicalnewstoday.com/articles/323544.php
  6. https://www.ncbi.nlm.nih.gov/pubmed/28527061
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5816269/
  8. https://www.healthline.com/nutrition/10-signs-and-symptoms-of-ketosis#section7
  9. https://www.ncbi.nlm.nih.gov/pubmed/18625458
  10. https://www.ncbi.nlm.nih.gov/pubmed/18804129
  11. https://www.healthline.com/nutrition/low-carb-ketogenic-diet-brain
  12. https://www.ncbi.nlm.nih.gov/pubmed/23632752
  13. https://www.ncbi.nlm.nih.gov/pubmed/12081817
  14. https://www.medicalnewstoday.com/articles/166636.php
  15. https://www.ncbi.nlm.nih.gov/pubmed/26892521
  16. https://www.ncbi.nlm.nih.gov/pubmed/25275931

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