Only for those who fear change, believe the lies told them about fats, and want to have everyone one do as they do.
The rest of us understand that checking ketones in urine is a test to ensure that the carb intake is indeed low enough to start the process. We also understand that after time, ketones in urine drop dramatically while remaining in ketosis and that there are other ways to ensure you have not dropped out.
The chief one being a blood sugar test through an inexpensive meter.
The recommendation by many doctors is that people who are insulin sensitive should be checking their blood sugar often and that plays right into a healthy lifestyle. People should check their BP at least weekly too, but hey, some people won't be told.
Thanks for your posts on this. Science always trumps peoples' hard-headed ego approach.
In my experience/research with Nutrition, one size fits all diets are generally not advisable. This is due to lineage, it seems like.
Somewhat of a keto w. only certain fruits would probably be the best
general guideline.
For me personally, I abstain from any carbohydrate 6 days a week. My blood tests are pretty amazing.
For others - like I said it depends on their ancestry. There's this one husband and wife couple that study blood and gut micro-biomes, and when the husband has any carbs his insulin levels go bonkers whereas for the wife, they barely change and this is with controls on all other dietary factors. They monitor and mirror each others' food intake and adjust for body mass, in-terms of quantity. It's pretty fascinating stuff.
There's another couple that's been on an all carnivore diet for over 20 years and all of their health metrics are perfect. That's anecdotal, I'd never try it. Crazy, though!
There is a doctor out there -- can't recall his name off the top of My head -- that was a keto proponent who when fully carnivore. He claims all of his health and blood markers (with the exception of cholesterol) are textbook.
I found his statements about his cholesterol interesting in that the thinking on how your body gets cholesterol from food has been moving decidedly away from it being a red flag. Science is now thinking that the body makes 90% of its cholesterol and that only 10% comes from diet.
Anyway, he said that his cholesterol levels were in the range of 300 or something like that.
For Me, I am insulin sensitive (comes from a lifetime of drinking beer and eating to much), and the keto regime is the perfect way to get My borderline diabetes in check.
I've just recently started this diet, so I'll be watching the markers to be sure things are going well. I always do a lot of reserch before jumping in to something.
I'm years and years deep, we can call it "balls deep" into the research and experimentation. If you ever had any questions, hollar.
I started before any of this was a fad - back in the late 90s/early 2000s. Instead of following any diet, I monitored my "fullness" and sluggishness after meals and discovered that lean meats and greens worked best for my body. The low-carb fad happened after I already knew about this shit, and the whirlwind of dumb-assery that followed really pissed me off.
There's the hard heads that just say "balance," that don't realize that a single sniff of a slice of bread for some folks makes them gain 45lbs just looking at it. There IS NO one size fits all, and different comboes of foods make different bodies react in different ways. This seems to be the missing link.
Then, there's the other extremists who start to yo-yo and have no self control. Gain lose/gain lose, ad infinitum.
The keto thing is an easier approach than what I do, because the fats replace the fullness that the lack of carbs creates a vacuum for. Still, personally, I stick to way below the recommended keto amount of fat because the caloric intake seems to mitigate the speed of the fat loss.
I have tons and tons of little hacks of flavor that satiate cravings while maintaining the regimen. A friend and I have been kicking ideas back and forth for years, it really helps and it's pretty fun, too.