Ketosis: Definition, Benefits & Side Effects (2024)

What is ketosis?

Ketosis is a process that occurs when your body uses fat as its main fuel source. Normally, your body uses blood sugar (glucose) as its key energy source.

You typically get glucose in your diet by eating carbohydrates (carbs) such as starches and sugars. Your body breaks the carbohydrates down into glucose and then uses the glucose as fuel. Your liver stores the rest and releases it as needed.

When your carb intake is very low, these glucose stores drain down. Since your body doesn’t have enough carbs to burn for energy, it burns fat instead. As your body breaks down fat, it produces a compound called ketones. The ketones, or ketone bodies, become your body and brain’s main source of energy.

The fat your body uses to create ketones may come from your diet (nutritional ketosis), or it may come from your body’s fat stores. Your liver produces a small amount of ketones on its own. But when your glucose level decreases, your insulin level decreases. This causes your liver to ramp up the production of ketones to ensure it can provide enough energy for your brain. Therefore, your blood has high levels of ketones during ketosis.

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What is the ketosis diet?

The ketogenic (keto) diet changes the way your body uses food. Typically, carbohydrates in your diet provide most of the fuel your body needs. The keto diet reduces the number of carbs you eat and teaches your body to burn fat for fuel instead.

The keto diet is high in fat, moderate in protein and low in carbohydrates. The standard keto diet consists of 70% to 80% fats, 10% to 20% proteins and 5% to 10% carbohydrates.

Many nutrient-rich foods contain high amounts of carbohydrates. This includes whole grains, fruits and vegetables. Carbs from all sources are restricted on the keto diet. So you’ll have to cut out all bread, cereal and other grains and make serious cuts to your fruit and vegetable intake. The types of foods that provide fat for the keto diet include:

  • Meats and fish.
  • Eggs.
  • Nuts and seeds.
  • Butter and cream.
  • Cheese.
  • Oils such as olive oil and canola oil.

How many carbs do I need for ketosis?

You’ll need to stay under 50 grams of carbohydrates per day to enter and stay in ketosis. That’s about three slices of bread, two bananas or 1 cup of pasta.

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How long does it take to get into ketosis?

If you eat between 20 and 50 grams of carbohydrates each day, it will usually take you two to four days to enter ketosis. However, the time it takes to enter this state varies based on several factors. It may take you a week or longer to get into ketosis. Factors that may influence how long it takes you to achieve this state include your:

  • Age.
  • Carbohydrate, fat and protein intake.
  • Physical activity level.
  • Metabolism.
  • Sleep health.
  • Stress level.

If you eat a high-carb diet before starting a keto diet, it may take you longer to reach ketosis than someone who consumes a low-carb diet. That’s because your body needs to exhaust its glucose stores first.

You may be able to get into ketosis faster with intermittent fasting. The most common method of intermittent fasting involves eating all of your food within eight hours. Then, you fast for the remaining 16 hours of a 24-hour period.

What are the benefits of ketosis?

Research has shown that ketosis may have several health benefits. One of the biggest benefits of ketosis may be weight loss. The process can help you feel less hungry, which may lead to eating less food. It can help you lose belly fat (visceral fat) while maintaining a lean mass. Other possible benefits of ketosis include treating and managing diseases such as:

  • Epilepsy: Healthcare providers often put children with epilepsy on the keto diet to reduce or even prevent seizures by altering the “excitability” part of their brain.
  • Other neurologic conditions: Research has shown the keto diet may help improve neurological conditions such as Alzheimer’s disease, autism and brain cancers such as glioblastoma.
  • Type 2 diabetes: The keto diet can help people with Type 2 diabetes lose weight and manage their blood sugar levels.
  • Heart disease: The keto diet may lower your risk of developing cardiovascular disease by lowering your blood pressure, improving your HDL (“good”) cholesterol levels and lowering your triglycerides.
  • Metabolic syndrome: The keto diet may reduce your risk of developing metabolic syndrome, which is associated with your risk of heart disease.

Ketosis has also been shown to increase your focus and energy. The keto diet delivers your body’s energy needs in a way that reduces inflammation. Research suggests your brain works more efficiently on ketones than on glucose.

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What are the side effects of ketosis?

The keto diet has many benefits, but it may come with some side effects. One of the signs of ketosis may include “keto flu,” which includes symptoms such as upset stomach, headache and fatigue. Other symptoms of ketosis may include:

  • Bad breath (“keto” breath).
  • Constipation.
  • Insomnia.
  • Dehydration.
  • Low bone density (osteopenia) and bone fractures.
  • High cholesterol (hyperlipidemia).
  • Kidney stones.
Ketosis: Definition, Benefits & Side Effects (2024)

FAQs

What are the benefits of ketosis? ›

Ketosis is a popular low-carb weight loss program. In addition to helping you burn fat, ketosis can make you feel less hungry. It also helps you keep muscle. For healthy people who don't have diabetes and aren't pregnant, ketosis usually kicks in after 3 or 4 days of eating fewer than 50 grams of carbohydrates per day.

What is ketosis in simple terms? ›

Ketosis is a metabolic state that occurs when your body burns fat for energy instead of glucose. The keto diet has many possible benefits. These include potential weight loss, increased energy and treating chronic illness.

Does ketosis have side effects? ›

Though this way of eating may help you lose weight, some keto diet side effects and complications can include diarrhea, mineral deficiencies, or reduced athletic performance. A person can experience these effects as the body achieves a state of ketosis by decreasing carbohydrate intake to 50 grams or less daily.

Does your body get better at ketosis? ›

Fat adaptation is a long-term metabolic adjustment to ketosis, a state in which your body burns fat for fuel instead of carbs. It's commonly claimed as one of the benefits of the keto diet. Fat adaptation is said to result in decreased cravings, increased energy levels, and improved sleep.

How long can you stay in ketosis safely? ›

Gulotta recommends staying on keto for six months max before reintroducing more carbs to your diet. And Scott Keatley, RDN, of Keatley Medical Nutrition Therapy in New York City, agrees: “The science hasn't gotten to the point where I would be comfortable recommending it as a forever diet,” he says.

How does ketosis heal the body? ›

However, during ketosis, your body gets more of its energy from ketones, which are produced from fat ( 1 ). While research is mixed, ketosis may have several health benefits, such as fewer seizures in children with epilepsy, weight loss, and improved blood sugar management ( 2 , 3 ).

What organ does ketosis affect? ›

In the liver, beta-oxidation of fatty acids occurs and ketone bodies are produced, and long-term use of KD can lead to fatty liver12.

Is keto good for seniors? ›

If weight loss is a concern for an older adult, keto can be a good option. However, keeping other health conditions in mind is important when determining whether or not keto is the right option. Talking to a doctor or healthcare professional before attempting keto is imperative.

What medications should not be taken with keto? ›

Medications used for seizures and glaucoma (Carbonic anhydrase inhibitors) interacts with KETOGENIC DIET. Some medications used for seizures and glaucoma can increase the risk of kidney stones. The ketogenic diet might also increase the risk of kidney stones.

What food is not allowed in keto? ›

10 Foods You Can't Eat on the Keto Diet & Their Substitutes
  • Grains and Starches. ...
  • Sugary Foods and Sweets. ...
  • High-Carb Fruits. ...
  • Starchy Vegetables. ...
  • Legumes and Beans. ...
  • Processed Foods with Hidden Carbs. ...
  • Alcohol and co*cktails. ...
  • High-Carb Sauces and Condiments.

What color is urine when in ketosis? ›

Any color on the ketone strip, from pink to purple, indicates fat burning (ketosis). Some people get a darker ketone strip color and achieve the same weight loss results as someone with a lighter color. Your “positive” color result can vary throughout the day for many reasons.

Why do I feel good in ketosis? ›

Anecdotal evidence links the initial phase of fasting or a low-carbohydrate diet with feelings of well-being and mild euphoria. These feelings have often been attributed to ketosis, the production of ketone bodies which can replace glucose as an energy source for the brain.

Is it healthy to be in ketosis all the time? ›

But for weight loss and general well-being in healthy adults, there's no need to be in ketosis all the time. People who typically do keto might benefit from short periods out of ketosis, and people who aren't fully on the keto train might benefit from switching to a fat-burning metabolism every now and again.

What happens once I'm in ketosis? ›

Ketosis is defined as a natural metabolic process that involves the production of energy from the breakdown of fat into ketone bodies. Signs that suggest you are in ketosis include fatigue, bad breath, dry mouth, weight loss, flu-like symptoms, and decreased hunger and thirst.

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