If the scales are no longer telling the whole story, Ketone Test Strips will indicate if your fat is being burnt or you are unintentionally eating SUGAR!

What are ketones?

Ketones are a normal and efficient source of fuel and energy for the human body. They are produced by the liver from fatty acids, which result from the breakdown of body fat in response to the absence of glucose/sugar. When engaged in the Ideal Protein Diet, a ketogenic diet, the tiny amounts of glucose required for some select functions can be met by consuming a minimum amount of carbs – or can be manufactured in the liver from PROTEIN. When your body is producing ketones, and using them for fuel, this is called “ketosis.”

Ketones are incompletely burned carbon fragments. The very fact that they are less efficient as fuel is what makes them give you that ‘metabolic advantage.’ Some of the calories burned are not used to their full capacity… hence the person can eat more calories when in ketosis than when not, and still lose the same amount of weight.

Ketoacids are short (four carbons long.) It’s important because in that way they are able to penetrate cells to feed them when there is no glucose present. The fat stores accumulate fat as very long fatty acids. They’re ordinarily difficult to break down because they’re so long.

When the body must use its fat stores for energy (our goal to lose weight), these fat cells begin to release the long fatty acids into the blood to be used as fuel, particularly by the brain. The fatty acids go to the liver where they are literally cut into two carbon fragments “Ketoacids.”

They are then utilized (burned) by many tissues, including the brain. The brain operates just as well on a diet of Ketoacids as it does on glucose. What’s left (the incompletely burned fragments) are called ketones, and they are what spill into the urine to be swept from the body.

How will ketosis help me to lose weight?

Most reducing diets restrict calorie intake, so you lose weight but some of that is fat and some of it is lean muscle tissue as well. Less muscle means slowed metabolism, which makes losing weight more difficult and gaining it back all too easy. Ketosis will help you to lose FAT.

Being in ketosis means that your body’s primary source of energy is fat (in the form of ketones). When you consume adequate protein as well, there’s no need for the body to break down its muscle tissue. Ketosis also tends to accelerate fat loss — once the liver converts fat to ketones, it can’t be converted back to fat, and so is excreted.

But, isn’t ketosis dangerous?

Being in ketosis by following a low carbohydrate diet is NOT dangerous. The human body was designed to use ketones very efficiently as fuel in the absence of glucose. However, the word ketosis is often confused with a similar word, Ketoacidosis.

Ketoacidosis is a dangerous condition for diabetics, and the main element is ACID not ketones. The blood pH becomes dangerously acidic because of an extremely high blood SUGAR level (the diabetic has no insulin, or doesn’t respond to insulin …. so blood sugar rises … ketones are produced by the body to provide the fuel necessary for life, since the cells can’t use the sugar). It’s the high blood sugar, and the acid condition that is so dangerous. Ketones just happen to be a part of the picture, and are a RESULT of the condition, not the CAUSE. Diabetics can safely follow a ketogenic diet to lose fat weight … but they must be closely monitored by their health coach, and blood sugars need to be kept low, and stable.

When the body is in the fat burning state — where it has no carbohydrate to burn and is breaking down body fat for fuel, the body is in a state of ketosis-lipolysis (ketosis for short.) This is the only metabolic pathway for fat breakdown (lipolysis.) Therefore, there is no lipolysis without ketosis, no ketosis without lipolysis. The two terms are biologically linked and, therefore, it is appropriate that they be linguistically linked.

So being in ketosis simply means that you’re burning your fat stores and using them as the source of fuel they were meant to be.

Testing Strips – How do the ketone test strips work, and where can I get them?

You’ll hear them referred to as Ketostix (the original brand name), Urine Test Strips, Reagent Strips, Ketone Testing Strips, and Lipolysis Test Strips.

Ketone urine-testing strips are small plastic strips that have a little absorptive pad on the end. This contains a special chemical that will change colour in the presence of ketones in the urine. The strips may change varying shades of pink to purple, or may not change colour at all. The container will have a scale on the label, with blocks of colour for you to compare the strip after a certain time lapse, usually 15 seconds. Most folks simply hold a strip in the flow of urine. Other folks argue that the force of the flow can “wash” some of the chemical away, and advise that a sample of urine be obtained in a cup or other container, and then the strip dipped into it.

The chemical reagent is very sensitive to moisture, including what’s in the air. It’s important to keep the lid of the container tightly closed at all times, except for when you’re getting a strip to take a reading. Make sure your fingers are dry before you go digging in! They also have an expiry date, so make note of this when you purchase the strips … that’s for the unopened package. Once opened, they have a shelf-life of about 6 months — you may wish to write the date you opened on the label for future reference.

Ketone test strips can be purchased at any pharmacy, and are usually kept with the diabetic supplies. In some stores they’re kept behind the counter, so if you don’t see them on the shelf, just ask the pharmacist; you don’t need a prescription to buy them.

I’m following Induction strictly; why won’t my strips turn purple?

Ketones will spill into the urine ONLY when there is more in the blood than is being used as fuel by the body at that particular moment.

You may have exercised or worked a few hours previously, so your muscles would have used up the ketones as fuel, thus there will be no excess. You may have had a lot of liquids to drink, so the urine is more diluted. Perhaps the strips are not fresh, or the lid was not on tight and some moisture from the atmosphere got in.

Some Ideal Protein Diet participants NEVER show above trace or negative even … yet they burn fat and lose weight just fine. If you’re losing weight, and your clothes are getting looser, you’re feeling well and not hungry all the time. Then you are successfully in ketosis. Don’t get hung up on the strips; they’re just a guide, nothing more.

Will I lose weight faster if the strips show dark purple all the time?

No. Testing in the darkest purple range all the time is usually a sign of dehydration — the urine is too concentrated. You need to drink more water to dilute it, and keep the kidneys flushed.

The liver will make ketones from body fat, the fat you EAT, and from alcohol — the ketone strips have no way of distinguishing the source of the ketones. So, if you test every day after dinner, and dinner usually contains a lot of fat, then you may very well test for large amounts of ketones all the time. However this does not indicate that any BODY fat was burned.

The strips only indicate what’s happening in the urine. Ketosis happens in the blood and body tissues. If you’re showing even a small amount, then you are in ketosis, and fat-burning is taking place. Don’t get hung up on the ketone sticks.

Does caffeine affect ketosis?

This is questionable. There ARE a few studies that suggest caffeine may cause blood sugar to rise; with consequent effect on insulin … The studies involve consuming 50 gm glucose orally, followed by a dose of caffeine. This is quite different from a low carber, who is consuming only 20 gm carbs, in the form of high-fiber vegetables, spread throughout the day.

Many Ideal Protein Treatment participants continue to enjoy caffeine-containing beverages with no serious impact on their weight-loss efforts. However, there are some sensitive individuals … and persons who are extremely insulin resistant may need to restrict or even dramatically reduce all caffeine. If you have been losing successfully then find your weight loss stalled for a month or two, and you are following your program to the letter, you might consider stopping all caffeine for a while, to see if that will get things started again.

Will drinking alcohol affect ketosis?

No and yes. The liver can make ketones out of alcohol; so technically, when you drink you’ll continue to produce ketones and so will remain in ketosis. The problem is … alcohol converts more easily to ketones than fatty acids, so your liver will use the alcohol first, in preference to fat. Thus, when you drink, basically your FAT burning is put on hold until all the alcohol is out of your system.

This rapid breakdown of alcohol into ketones and acetaldehyde (the intoxicating by-product) … tends to put Ideal Protein Treatment participants at risk for quicker intoxication … especially if no other food is consumed to slow absorption.

This is where the test strips come in…

While they are in no way necessary to the diet, most of us feel more secure with a way to test to know if we are in ketosis at any given time and at what level. The test strips provide a quick and private way to determine that. Simply dip the reagent end of the strip into a urine specimen (collected in a clean cup) and remove immediately. Or alternatively, (the method most of us prefer) – wet reagent area of the strip by passing through the urine stream. Tap edge of strip to remove excess liquid and check color within 10-15 seconds against the color chart provided on all test strip brands’ bottles.

A beige or cream color indicates NO KETOSIS detected. Any shade of pink/purple indicates some level of ketones in the urine. Some people get very hung up on the fact that their friend’s/husband’s/daughter’s etc strip shows a darker color all the time, etc. We are all different. Some of us lose better (and feel better) at lighter or darker levels. You’ll soon learn what feels right for you. This graphic shows a close up of the color chart used to determine the amount of ketones in the urine for Ketostix, one brand of urine ketone test strips:

What if your sticks don’t “turn”?

A negative result does not always mean you’re not in ketosis. If you’re keeping your carbs below a certain level (different for different people, but the 20 to 40 carbs per day range is a safe bet), you’re probably in ketosis. Some people use their ketones more efficiently, and indeed make fewer of them, hence their lack of “spill” into the urine.

Keep in mind, though, that it’s possible to keep your actual carb count low (say at around 30 grams), and still side-step ketosis. The culprits? Most often it’s from eating foods that contain even a small amount of “High Fructose Corn Syrup” (HFCS), which can cause a strong insulin spike and halt fat burning. HFCS is far more destructive to your health and your weight loss than regular sugar.

You might also be a person who reacts to aspartame intake with an insulin release. The Atkins Center reports up to 25% of people have such a reaction to aspartame (NutraSweet.)

An appreciable amount of Trans Fats in the diet can also halt weight loss and fat breakdown. Why? Because Trans fats are artificial fats that the body fails to recognize as “real,” and attempts simply to store them, taking an “I’ll deal with it some other time” approach.

When should you test for Ketones in your urine?

Unless otherwise instructed by your family doctor, specialist or other medical professional, follow these general guidelines:

• Your blood glucose is 14 mmol/L or higher for two tests in a row.
• You are sick (even with a cold) because being sick can cause you to have ketones.
• You are vomiting or have diarrhea.
• You are under stress or are upset.
• You are pregnant.
• You are using the strips as part of your weight loss program.