Combining Alkaline and Ketogenic Diets for Greater Health

I hope you had a chance to read my previous blog on the many health benefits of an alkaline diet and my blog on the benefits (and potential drawbacks) of a keto diet... If you haven’t, I would suggest that you do so prior to reading this blog, as this information builds upon that material.

In this blog I’ll be talking about the benefits of combining a ketogenic diet to your alkaline diet and lifestyle.

First some history.

While research studies overwhelmingly showed benefits to a ketogenic diet (you can see a lot of this research in the previous blog here), I had found a lot of patients and clients had fatigued and sad womanhad side effects. Here’s just one example:

Nausea and fatigue overrode any benefits like weight loss or improved health,” 47-year-old Liz told me about her massive misfire trying a ketogenic diet for three months.

For a long time I weighed the benefits and frankly, some of the negative feedback from clients, relating to a ketogenic diet.

But after a good deal of research I still became a huge supporter of keto. Why? Well, read on!

Traditional ketogenic diets neglect alkalinity

Over the years guiding patients through ketogenic diets, I eventually discovered the missing component creating many of these roadblocks and negative reactions. Traditional ketogenic diets neglect alkalinity, which for women this can especially become disastrous.

After years combining research with empirical evidence from hundreds of patients, I juxtaposed a ketogenic diet and alkalinity with my Keto-Alkaline® Diet, which becomes the perfect plan for fat loss and optimal health by allowing your body to use fat for fuel while staying alkaline.

Ketogenic proponents got it partly right by utilizing fat as fuel. So did alkaline-diet folks by recognizing how crucial staying alkaline becomes to stay lean and healthy.

But combine the two and bam, you’ve got a really powerful plan.

When you stay in ketosis too long – this especially becomes true for women – your body becomes acidic, creating chronic inflammation that forces your body to hold onto its fat stores.

I’ve seen this play out numerous times among female patents: The very diet that supposedly helps you lose weight and get healthy actually makes you fat and sick!

That’s where the alkaline part comes in: You create a win-win dialing down inflammation and other problems while maintaining a fat-as-fuel state.

Getting alkaline before going keto stacks the fat-loss and health benefits in your favor

I’ve seen this time and time again in my hormone reset programs, like Women’s Restorative Health and Magic Menopause. So believe me…it makes everything work.

It’s really a simple concept at the surface, a bit more complex when you look at the actual physiology.

So focus on alkalinity first. Use my Keto-pH test strips (they test your urine pH and also for ketones once you start the keto diet).

Ready to add in Keto?

A Ketogenic diet puts you in a fat-burning state called ketosis. (don’t you just love the sound of “fat-burning state”?)

jumping from lots of energyKetosis is all about what your body uses as fuel.

Eating high carbs = high blood glucose (sugar), high insulin, stored fat… and low fat burning, low metabolism and belly fat. Your body’s fuel source is glucose, not fat.

Let me explain.

When you eat carbs your body’s blood glucose increases and spikes your blood sugar. Your body releases more insulin as a reaction to elevated blood glucose levels. Insulin is produced to get the glucose from your body and into the cells. There it gets converted to energy. Your body burns the glucose to make its energy and then insulin tells the cells to store their energy as carbs or fat (the unhealthy and dreaded belly fat).

When you eat a lot of carbs on an ongoing basis (like many Americans do, eating a lot of processed foods, sugar, alcohol, soda and such!) insulin is continually stimulated. This can lead to a health condition called insulin resistance, where the cells start to resist the insulin. When this happens, your blood sugar just continues to rise and you can become diabetic. Along with diabetes, many other health issues including heart disease and even dementia have been associated with insulin resistance.

Continue reading much more about Ketosis here, including:
  • What are the health benefits of Ketosis supported by research?keto-alkaline test strips
  • How Ketosis supports fat loss
  • How we know our body is burning fat (hint: ketones!)?
  • What a Ketogenic diet entails
  • How intermittent fasting is a key component to success
  • And that another key is to keep focused on your alkalinity, too!

WOW, I know that is a lot of information, but hopefully it helps explain why the combo, my Keto-Alkaline® Diet, is the key to getting to your ideal weight…success and greater health!

7 Hacks to Get and Stay Keto-Alkaline 

My Keto-Alkaline Diet provides a simple, safe way to lose weight and get healthy.

In my various hormone reset programs I’ve learned a lot about some secret hacks to get the best results…and here, I’ll share them with you.

  1. Be aware of underlying issues. Difficulties getting alkaline – which as I said, you should do before you go into ketosis – could signal numerous problems including toxicity, inflammation, high sugar, toxins, too little or much cortisol, or mineral insufficiencies. Some of these are easy to remedy; for others, a functional practitioner can pinpoint these and other underlying issues.
  2. Test, don’t guess.Rather than guessing, you can check your urine pH and ketones. Dark green signifies you are ph and ketone test stripalkaline.  Use my Keto-alkaline test strips to easily measure your alkalinity and ketone levels. While not perfect, they are the only way to really know whether you are in ketosis. For clients like Liz, these strips provided a tremendous clarity to know exactly whether she was alkaline and keto – and to troubleshoot if she wasn’t.
  3. Upgrade alkaline. The few times Liz didn’t hit her mark with test strips, bumping up alkaline foods usually did the job. Great foods to maintain alkalinity include greens, bone broth, apple cider vinegar, and my favorite, Mighty Maca® Plus. Cook your greens more to absorb them better and get alkaline more quickly. Taking a teaspoon to a tablespoon of apple cider vinegar before your meals will help digestion and alkalinity. If you want to step things up, try my Alkaline Elixir recipe: six ounces of water, 1 teaspoon Bragg’s Apple cider vinegar, 1 teaspoon Lemon juice, and 1/4 teaspoon baking soda. Add Mighty Maca to get added alkalizing and detoxifying benefits.
  4. Always buy quality. Especially when it comes to fat, buying free-range, grass-fed, non-genetically modified (GMO) foods becomes crucial. Whenever possible, choose organic since conventional foods often grow in mineral-depleted, toxin-loaded soil.
  5. Do modified intermittent fasting. My Keto-Alkaline Diet is powerful enough, but to provide that additional fat-burning boost, I have patients like Liz go 13.5 to 15 hours between dinner and breakfast – really easy if you’ve eaten a substantial dinner high in quality fats – to force their body to find energy reserves beyond stored glucose, burning fat instead. Think of intermittent fasting as turning up the dial a few notches with an already-amazing plan. Additionally, research shows that intermittent fasting can significantly reduce the risk of breast cancer recurrence (JAMAoncol 2016).
  6. Don’t try to be perfect. “I had some red wine last night and, OK, some dark chocolate,” Liz emailed me one morning, confessing testing showed she definitely wasn’t in ketosis or alkaline. I told her “Me too!” and not to worry and get right back on track. Real life happens, and to stay keto-alkaline completely is rare. Do your best but give yourself a little leeway. The principles work!  Keep at it.
  7. Look beyond diet. My Keto-Alkaline Diet isn’t just about food. Hydration becomes crucial. So does sleeping well. Stress, exercise, healthy bowel movements, and healthy relationships all contribute. Oxytocin, a hormone released when you hug, love someone, or have an orgasm, also creates alkalizing benefits. So many of us suffer from hormone effects as we age that impact our feminine parts and our happiness (and there are many things you can do to address these issues such as vaginal atrophy, dryness and the like…so that you will be able to have a happier life and relationship) The Keto-Alkaline principles also temper cortisol and improve insulin sensitivity – this is key to healthy longevity.

So what has your experience been?

If you’ve done a traditional ketogenic diet, did you struggle like Liz did?

Try it again incorporating alkaline foods and focusing on an alkaline lifestyle. Did you find incorporating more alkaline foods helped? Were you testing or guessing?

If you’ve had success with my Keto-Alkaline Diet, I’d love to hear your story. Share your thoughts below.

keto coffee photo

Yummy Keto-coffee…and so good for you, too!

And start your day tomorrow with a keto coffee or tea by adding a tbsp. of coconut or MCT oil, 1 tsp. ghee and maybe an egg yolk from a free range chicken – it’s really good!

And stay tuned…

I’m focusing on Keto-alkaline in upcoming blogs as well.

And if you didn’t read my earlier blogs on this topic, please do!

  • All about alkaline diet and lifestyle health benefits – check it out here
  • All about Ketogenic Diets and how the state of Ketosis puts you in fat-burning mode (and so much more) – check it out here

I’ll be talking more about my Keto-Alkaline Diet in the future…please do download the free ebook, “The Secret Science of Staying Slim, Sane and Sexy After 40” and get started on your new diet and lifestyle today.





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25 thoughts on “Combining Alkaline and Ketogenic Diets for Greater Health

    1. Hi Joyce, I will ask my technical team to look at it…I know it was working fine the other day but will check for you. Please feel free to send an email to and we can send you the pdf in the meantime…so sorry! Let us know how you like the resources…

  1. I have found you among 30 speakers at recent Diabetes Summit. You are the only expert that explained keto-alkaline diet . I have been doing the same based upon “C-cleanse” recommended by Russell Jaffee, and “ketogenic” diet recommended by David Perlmutter. Thanks to their recommendations and also to reverse-osmosis water filtering, my latest CRP test results was 0.1. I am now overcoming other medical issues such as A1c (current 5.9), vitamine D (current 27) and homocysteine (current 9.7) problems.
    Though I am male, your explanation on focusing first on insulin level and cortisol level for after-menopause women makes sense. I guess similar approach to older men may also work, I guess.

    1. Thanks for writing! Absolutely the keto-alkaline program benefits men and male hormone balance, tremendously well, in fact, typically faster results in men, than women! (sorry for the delay in responding but I have been out on the road for over a week)…

  2. Is it possible that some women are better off having more acidic urine ? I have tried twice to get more alkaline and each time I get a bladder infection. Any ideas?

    1. For recurrent UTI’s I recommend taking 4000mg of Vitamin C daily and a probiotic. One may also consider a d-mannose supplement.
      It is not typical to get a UTI with an alkaline diet, actually the opposite, so I would verify with a urine culture and sensitivity test and evaluate the amount of carbs being consumed as a possible confounding variable. Sorry for the delay in responding but I have been on the road for the past week…

  3. I’m having trouble locating your actual keto-alkaline diet plan. For the past week and a half I have shifted my diet to include lots more veggies with a few alkaline fruits, lean meats, very low carbs, ACV and have even included Mighty Maca in my daily routine. My body just wants to stay around the 6 to 6.5 pH mark. I’ve tried increasing more Mighty Maca but to no avail. I even drink a lot of high alkaline water. Actually I was more alkaline before changing my diet! I’m trying to become alkaline before attempting keto but I can’t see that happening since so many ketogenic foods are acidic. Help!

  4. Hello Dr. Anna
    Do you have any advice/help for the hair loss associated
    with keto dieting. I’ve been on keto now for 6 months and
    the last 2 months half my hair has fallen out and it’s
    not stopping. Please help!

    Thank you

  5. Help, I am 61 year old type 2 diabetic, and I still believe I have hormonal issues. In my twenties I had trouble conceiving after several miscarriages and had to go to a specialist who did give me dexamethasone to level out my hormones. My issue is this last year my morning testing has run into the 400-500 range. My a1c tests are high.
    I need a drastic plant -based diet. I have had kidney stones in the past. All my doctor does is prescribe insulin, I need something to fix the problem internally. would your diet work for me? I feel this is my last hope Please HELP!!!!

    1. Please work with your doctor to address your blood sugar levels right away. I do highly recommend working with a nutritionist within your doctor’s office and do believe my Keto-alkaline nutrition program would benefit you as well.

  6. I have tried the keto diet with my husband who seemed to have no problem getting into ketosis, staying there, and losing weight and fat easily. I, on the other hand, can’t get into ketosis even on 10g. of carbs a day. I had a total cuol sterol reading of 251 before starting keto and after ten weeks it has risen to 263. I’m wondering if my hypothyroidism, which has stabilized with taking cytomel, or the fact that I am without a gallbladder is preventing ketosis. I do take Bio-gest, an ox bile supplement, to help digest fats. My fats come from butter, olive oil, heavy cream, avocados, almonds, and MCT oil. I also eat 2-3 pastured eggs a day, that have a lot of cholesterol in them. However I don’t know if eating cholesterol is what is raising my cholesterol or not. I want keto to work but am confused as to how to make it work for me with my medical conditions. Please help with some guidance.

    1. You do seem to be facing some challenges and it is not possible for me to advise without a full medical background. Are you getting alkaline? Have you tried mini-fasting or bone broth day? Those might help.

  7. I was on a strictly keto diet since April and did very well. I developed very acidic urine though and it ate the walls of my bladder, resulting in tissue and clots that would not allow me to pass urine (it was that bad). I was so upset to have to go off keto, and then I found this keto/alkaline diet and it might be perfect for me. Feeling a bit overwhelmed because everything I was eating on Keto, isn’t alkaline and I don’t know where to start. Please help!

    1. Diane, I am curious what happened with your situation. I am in a similar boat. Once I started Keto I quickly developed bladder pain. I hate to go off keto since it works so well, but I have to take care of my bladder. Any suggestions or recommendations based on your experience with this.

  8. How often do you recommend the alkaline drink acv baking soda lemon water? I was told it can cause “volcanic eruption” in your stomach. I feel like my urIne is acidic and need help with that. And then drink acv with water by its self before each meal? I drink lemon water throughout the day already.

    1. Hi Rebecca, sorry for the delay in responding…we’ve just kicked off another Magic Menopause program so we’ve been incredibly busy…(and alkalinity is a key topic in that program; diet is important in getting alkaline, but so are many lifestyle components such as bowel movement, stress management, sleep, etc! Read a few of my blogs to learn more)…

      Do also try my Alkaline booster:

      2 oz filtered water
      1 scoop MightyMaca Plus
      1 tsp Bragg’s Apple Cider Vinegar
      1/2 tsp baking soda
      optional 1 tsp lemon juice or squeeze 1/4 lemon

      It will fizz up! Stir rapidly and drink down!
      You most likely will get an alkaline reading within 2 hours, if not repeat this every two to four hours until you do (not more than 3 times in one day). You can use my pH test strips to measure how you are doing.

      Please let us know how you do and if you have any more questions.

  9. I am really excited at this idea. I have hashimotos disease and am currently taking synthroid and am looking longingly to the day I can stop taking it. Should I stop taking it and then start this diet? Or start diet and after a while stop taking it? What are your suggestions? Also is there a way to find a practitioner in my area that could help me do this diet and fix my thyroid? Thank you.

    1. Hi Kristina,
      Thank you so much for reaching out to us! We ask that before you stop any medication that you please talk with your primary care physician. We do not know all of your history and can not say what to do. Your primary care physician will know you much better and we are sure they will be able to talk with you about your concerns. Ask your doctor about the benefits of your going gluten-free as a start (I have the participants in my Magic Menopause program start with that as they try to achieve alkalinity), as gluten can be a trigger for thyroid distress.

      As far as finding a practitioner, there is an organization called the Institute for Functional Medicine that I recommend. It is an organization of doctors that asks how and why illness occurs and restores health by addressing the root causes of disease for each individual – a more holistic approach.

      Here is a link to find someone in your area:

      There are many good functional medicine practitioners who focus on thyroid issues. When you do the search above you can do to advanced options and search on “thyroid” medical condition. Even if the practitioner is not in your vicinity it may still be worth searching for a few and looking them up online to see if they provide information via a blog of some kind. I find that many of my peers provide excellent ongoing info on their specific area of focus. I think you’ll find that diet is key, likely followed by environmental toxins, stress and gut health…a functional practitioner can help guide you through all of that. Good luck!

  10. Can you help clarify the science behind how ACV (an acid) helps alkalinity in the body? I see the good effects, I just don’t understand how it works. Also, even more confused about the idea behind mixing baking soda (a base) and ACV (an acid)… When they fizz it would appear they are neutralizing each other. How does this work?

    1. Alena,
      It’s really the effect on the body thru the kidneys that we are measuring with urine testing. ACV, has a net alkaline effect, it may do this in many ways, such as improving digestion. Lemon juice also has a net alkaline effect on the body. The combination appears more effective than either ACV and BS by themselves. Check your urine and see the results for yourself, don’t just take my word for it.

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