A 23-year-old female asked:
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23 f obese. tested for diabetes and none. wasn't feeling good. went to doctor. said ketones were up a little. normal or worrisome? should i recheck?

2 doctor answers
Dr. Philip Kern
43 years experience Endocrinology
Fasting: Mildly elevated ketones are often present when you're fasting. If you don't eat carbs, they get somewhat higher. The high ketones can cause nausea and other symptoms, and this is a frequent reason why some people cannot tolerate a very low carb diet. But even in the absence of any diet, urine ketones are often elevated when fasting.
Answered on Jul 25, 2013
Dr. Gregg Nishi
22 years experience Bariatrics
ketones: Are you fasting or dieting? Fasting can put you into starvation mode and cause you to go into ketosis (this is not dangerous). Ketosis would cause your ketone levels to go up. Don't starve yourself. Just eat healthy, cut out all the carbs, junk food, sugar, soda, and do cardio exercise several times a week. That will help you lose weight without going into ketosis.
Answered on Oct 15, 2013

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