The Many Benefits of Ketosis

Along with living an alkaline lifestyle, one of the key principles of my Magic Menopause hormone reset program is eating a ketogenic-friendly diet. This diet puts your body in a fat-burning state called ketosis. My program’s Keto-Alkaline® Diet includes ketogenic methodologies.

It also incorporates the “reality of everyday life” into one’s diet. I’ll explain what I mean about this in just a moment.

First, for those of you who aren’t familiar with ketosis, let me give you a short overview.

A ketogenic diet is a diet which is low in (unhealthy) carbs and high in (healthy) fats and (healthy) protein.

So how does a ketogenic diet work so well at supporting fat loss and other health benefits?

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

Ketosis is all about what your body uses as fuel.Body energized

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.

We were just not designed to consume cereals for breakfast, sandwiches for lunch and breads with dinner.

But what happens if you don’t eat carbs?  If you don’t eat carbs, you eliminate the production of glucose – and the production of insulin – so your body looks around for something other than glucose to burn for energy…and what does it burn? Stored fat!

The ketogenic diet works by keeping the body’s carbohydrate stores almost empty. Your body starts burning its own body fat for energy, helping you lose weight quickly. It will also burn fat that you’re consuming through your diet, assuming you are eating healthy fats (not Trans fats, etc.).

How do we know the body is burning fat?

When your body doesn’t have the carbs it goes into a Ketosis and alkalinity can be measuredmetabolic state called ketosis. When your body is in ketosis it is getting its energy from ketone bodies in your blood. And ketones can be measured! (and we do measure them as part of my Magic Menopause program).

Studies have shown that with about 3-4 days without carbohydrate consumption the body starts tapping its fat storage. This causes an overproduction of something called acetyl coenzyme A (Acetyl CoA). The overproduction of Acetyl CoA is what causes the higher-than-normal levels of ketone bodies (acetoacetic acid, β-hydroxybutyric acid and acetone) in the liver.

When you are eating carbs, the production of acetoacetic acid is very slight and what is produced is rapidly metabolized by tissue. When your body is in ketosis, the acetoacetic acid accumulates above normal levels and some is converted to ketonemia and ketonuria ketone bodies. These are what are measured in urine and blood testing. And these are what the body uses as a source of energy.

Along with ketones, there may be other reasons for improved weight loss during ketosis. There is a possible appetite-suppressant action in ketosis, due to level fluctuations in hormones involved in appetite, such as ghrelin and leptin.

Research supports additional benefits of ketosis

There have been many studies which have scientifically shown that a ketosis state not only supports weight loss, but that is also reduces epileptic seizures, reduces overall inflammation and blood sugar issues (diabetes, insulin resistance), may help fight cancer and may even be effective at treating diseases such as Alzheimer’s disease and Parkinson’s. Many in the medical community already view a ketogenic diet as an initial phase of many patient treatments, such as Dr. Mark Hyman using it as an initial step with some patients having mental disease. In fact the ketogenic diet was originally developed to address epileptic patients.

Even though this graphic is now several years old, I think it is good at depicting what we knew even then. And since 2013 the research continues to pile up as to how the ketosis may benefit neurological diseases, mental health issues and even cancer. Even pre-2013 there were published studies that showed compelling evidence that at least in selected conditions there were significant clinical improvements observed in Alzheimer’s patients fed a ketogenic diet.

Ketosis health benefits

(Courtesy: European Journal of Clinical Nutrition (2013) 67, 789–796; doi:10.1038/ejcn.2013.116; published online 26 June 2013)

What are the requirements of a ketogenic diet…and what does lifestyle have to do with it?

In my program participants initially focus on getting their body alkaline. As mentioned in my earlier article, that is with diet and nutrition as well as many different lifestyle considerations.

Once in an alkaline state, they factor in achieving ketosis. My program really strives for staying Keto-Alkaline, which is a very new concept, and more difficult than you would expect given our modern lifestyle.keto-alkaline plate

My Keto-Alkaline Diet plan focuses on attempting to achieve ketosis by a diet consisting of:

  • 20% healthy protein (so…grass fed beef, organic eggs, etc.)
  • 56-70% healthy fats
    • Healthy saturated fats such as coconut oil, grass-fed butter and ghee
    • Healthy omega-9 fatty acids found in olive oil, sprouted nuts and seeds, avocados, almonds
    • Omega-3 fatty acids found in salmon, flax seeds and chia seeds
  • 5-8% healthy carbs (so a diet very low in unhealthy carbs!!)
Key notes related to this “optimal nutrition plate” are:
  1. Fats mean healthy fats! So Trans fats and sugar are not healthy fats. And healthy, clean protein from grass fed, free range, wild caught sources. And finally, let’s talk about carbs.
  2. We say only 5-8% carbs…but let’s make most of this good carbs! Green veggies are good, slow-burning carbs, and you want to keep eating those to stay alkaline and gain their wonderful nutrients, anti-oxidants and fiber benefits. In addition, they are low-glycemic and don’t cause blood sugar spikes or insulin resistance. Limit unhealthy carbs. Avoid gluten-containing whole grains, processed foods and dried fruits. When you do eat an unhealthy carb, try and eat it with some fiber, healthy protein or healthy fat to help reduce the carb’s sugar load.
  3. And this brings me to my earlier comment about needing to incorporate the realities of life into a ketogenic diet. I love my red wine…and am not going to say I can’t have that when I want to enjoy a glass (or two). Vices are part of most of our lives…Everyone has a life, and it is our only one…so yes, be healthy and stick to a keto-alkaline diet overall…but also recognize you will bounce in and out of ketosis due to life. You’ll eat something at a restaurant, you’ll give yourself a treat… it is best to just go with the flow, and actually…staying in ketosis strictly over too many months is just what I call “keto-crazy”… Keto-crazy is also how going on a ketogenic diet made me feel before I added the “getting alkaline” essential component at the same time… and urine pH and ketone testing to make sure I was keto-alkaline.  That makes a huge difference.
Intermittent fasting is also part of my program for getting into ketosis.

I try and have participants go 13.5 to 15 hours between dinner and breakfast. Again, this creates a need for the body to find energy reserves beyond stored glucose.  The body can only store reserves for about 24 hours. Intermittent fasting will allow you to drop your storage levels way down. Your body will then burn fat instead.

Research has shown reduced risk of breast cancer with longer fasting intervals above 12.5 hours.

There is so much more to it, but I’ll stop here for now.Keto-alkaline testing

The final point? You need to measure your ketones as only with measurement do you know where you are in terms of being in ketosis.

I developed Keto pH urine test strips (for measuring pH and ketones) in support of my Magic Menopause program. Using them allows participants to easily measure where they are with both their alkalinity and ketone levels. It is the only way to really know.  Yes, there are limitations to urine testing and I will address those in another blog.

Read about the importance of combining alkalinity with keto.

In future blogs I will be talking about how I combined an alkaline lifestyle and diet with keto principles, and why that is so important; and I will also provide some great “hacks” on how to be successful on a Keto-Alkaline Diet. Keep reading for much more on this important topic!


Henderson ST, Vogel JL, Barr LJ, Garvin F, Jones JJ, Costantini LC. Study of the ketogenic agent AC-1202 in mild to moderate Alzheimer’s disease: A randomized, double-blind, placebo-controlled, multicenter trial. Nutr Metab (Lond) 2009; 6: 31.

Dashti HM, Al-Zaid NS, Mathew TC, Al-Mousawi M, Talib H, Asfar SK et al. Long term effects of ketogenic diet in obese subjects with high cholesterol level. Mol Cell Biochem 2006; 286: 1–9.

Yancy WSJr, Foy M, Chalecki AM, Vernon MC, Westman EC. A low-carbohydrate, ketogenic diet to treat type 2 diabetes. Nutr Metab (Lond)2005; 2: 34.

Marinac CR, Nelson SH, Breen CI, et al. Prolonged Nightly Fasting and Breast Cancer Prognosis. JAMA Oncol.2016;2(8):1049-1055. doi:10.1001/jamaoncol.2016.0164.

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24 thoughts on “The Many Benefits of Ketosis

  1. not showing ketones but I am showing a ph of 8.5. is this good or bad. i have been restricting carbs to below 30 a day for 14 days

    1. Great job in getting into Alkalinity! That is a great achievement! We would now suggest that you consume more healthy fats and drink half your body weight in ounces of water! You are doing a great job! Make sure to keep us posted on your progress, we love hearing your testimonials.

  2. What is the best time of day to test urine for ketones and alkalinity? I am on day 4 and not showing any change on the strips. Thank you for your blog, it makes understanding the keto-alkaline diet so much easier to understand..

    1. When starting out, I recommend doing it several times a day. Definitely morning afternoon and bedtime. It can definitely take a while. Try doing my Mighty Maca morning elixir once or twice a day and gradually increase your intermittent fasting to 15 hours. Really keep track of your carbs. Best wishes… I am glad the blog helps and I will be writing several new blogs on the Keto-alkaline diet (and lifestyle) during this month.

  3. is it possible to incorporate the keto diet into a vegan lifestyle? any suggestions, resources i can check out? thanks

  4. I received the Keto-Alkaline Test strips, but it didn’t come with any instructions as to what color it should be if you are in ketosis. I’ve been reading the blogs, and found that the optimal ph is between 7 and 8, but what number is optimal when you are in ketosis?

    1. Hi Debra, sorry for the delay in responding but I’ve been on the road for the past week or so.

      You should have received and email explaining the test strips…apologies if you did not. Here is a video that may be helpful:

      Regarding ketosis, unless we are treating a specific medical condition such as alzheimers or parkinsons, then even trace to 1+ ketones is great! When using keto-alkaline program for serious medical condition and long-term, then I recommend blood ketone testing and initial urine at the +2 range and greater, once you become keto-adapted, the urine ketones won’t show up but blood ketones will. This typically takes several weeks.

  5. I eat extremely healthy and workout 6 days a weeks. I’ve been on low carbs, before and felt like crap and couldn’t hardly get through my workouts. I’m now eating higher carbs and feel much better and not having any issues getting my workouts done. My PH is 7.5 and my ketones looked to be around the negative color. Is it okay to be negative?

    1. Hi Dana, yes but try periodically to get ketones, possibly after a work out or 15 hour fast? The key is that you feel healthy and are following the keto alkaline principles.

  6. Dr. Anna, I was part of Magic Menopause 2 and enjoyed it very, very much! Since the program I have learned to get alkaline so much more easily. Still haven’t achieved ketosis, so I have much more to learn. When do you think you will have MM3? I so need another “round” of the healthy, caring, structured program and community to get it right. Thanks.

  7. About 20% of the people in this country (U.S) carry the brain-parasite, T. Gondii; about 50% of the world’s population carries it. The healthy immune system keeps it quiescent but in those with a weakened immune system it causes havoc (e.g., blindness). In a forum for Toxoplasmosis (the condition of carrying the parasite), one fellow said that he went on a ketone diet and it activated the parasite and he is now going blind. I have read that T. Gondii thrives on ketones. Does anyone know whether that’s true? I want to try the ketone diet but am afraid to because of that man’s experience. If it’s true about T. Gondii thriving on ketones people should be careful about recommending it to everyone since most people who have Toxoplasmosis don’t know it. I got it from eating medium-rare beef in a restaurant and, fortunately, I had symptoms (severe abdominal pains) and got it checked. The symptoms went away after about a week because my immune system damped it down and I wouldn’t know I had it if I hadn’t been told so.

    1. Joan,
      Our goal is to get Keto-alkaline through smart nutrition and meal timings and healing holistically, over time, all that is wrong, ideally… mind body and spirit. My KA plan is balanced.

      This concern of Toxoplasmosis is interesting but I have not been able to find any contraindications regarding diet. Please copy research links here. I looked in NIH, National library of medicine database. We certainly don’t want the standard american diet.
      It is quite fascinating the number of psychological disorders associated with Toxoplasmosis including schizophrenia and severe depression and seems a blood test is worth while if also having these conditions.

      This does bring up an interesting point regarding trouble shooting, when individuals aren’t getting alkaline for instance, digging deep into underlying roots of inflammation is key. Parasites, infections, hyperglycemia and so many more reasons. Any concerns should be addressed with your functional medicine physician who can run a stool test and other work ups such as with a CDSA test by Genova Diagnostics

      Regarding Toxoplasmosis, a simple blood test is the universal screening and can be gotten for $44 here:…
      but a positive test just means more work up is needed as antibodies can persist for years.

      Toxoplasmosis is typically treated with Azithromycin or trimethoprim-sulfamethoxazole (Bactrim). Also acute infection with pyrimethamine and sulfadiazine, plus folinic acid.

  8. Today is my 5th day following this program. I am 64, overweight but otherwise healthy. I am having one hot flash after another. Why, is this normal, and will it stop? Thank you.

  9. Hello! Unfortunately I have to have a hysterectomy (leaving the ovaries) and deal with a hernia and a lot of scar tissue next week. I am planning on being on a ketosis plan before , during and after (I’ve just started) but I am wondering how the anesthesia, pain meds etc will affect the plan? ( I plan on drinking a ton of water which will hopefully speed up the detox process?)

    1. Hi Patti – Just want to send you best wishes on your surgery and do recommend beginning a detox program before and after as well… such as in
      – Each person is unique and responds differently to anesthesia but your approach in getting as healthy as possible is great…

      take care, and let me know how you do!

  10. I have PCOS and have had it for 10 years. I am now 25 and still haven’t had a natural cycle in all the 10 years. Forget irregular, I don’t get one at all. I am hearing good things about keto for PCOS, but I’m scared for how it will work for my body because I am not overweight, at all, if anything I am more androgenous looking. I am about 5’3″ and 100lbs. I have elevated testosterone AND prolactin. I have the hirsutsm, which thankfully I can hide well with good tweezers and a good waxer. I have cycsts all over my ovaries, confirmed with ultra sound. But my blood sugar is totally normal, even when they test my body for how I react so straight glucose, the diabetes test. It came back totally of a regular person. So I wasn’t convinced keto would really work for me as I don’t seem to have a problem with sugar or insulin. However, I did try a LCHF diet, without a meal plan, I just tried eating meat and veggies with lots of olive oil for a solid 2-3 days, and I felt the worst I ever felt. I had heartburn, I couldn’t sleep, at one point I had nausea, dry heaving, and diarrhea. So I ate some popcorn.. sh…. I thought I might just need a little bit of carbs so I don’t die. But the next day, I got my period. I still can’t believe it because I never had a natural one in ten years. The only other difference I made was drinking about 3 tablespoons of tumeric a day with garlic and ginger, as I’m also convinced I have candida in my intestines after using an antibiotic. So either the keto works, or tumeric alone does lol but I have a feeling keto is helping me in some way. However, I’m scared I’m doing it wrong. Do I really have to feel so bad just to be “healthy”? Heart burn doesn’t mean alkaline, and to feel nauseated and have your heart racing out of your chest, is not long term, livable symptoms. All that being said, how do I access this magic alkaline diet??? Where is it? Where do I find it? Because I think keto must be working for my PCOS but it’s definitely not working for just me. I’m also a die hard vegan, so eating keto is mentally hard for me to come to terms with. I really need that reassurance that I am doing what’s right for my body. I would suck the ink right out of a squid, I would eat crickets for lunch if it meant my body would be healthy. There’s nothing I wouldn’t do to be healthy. I just need to know what that is. Not having a period isn’t healthy, but having constant heart burn isn’t healthy either. I feel like no matter how hard I try, I’m still not getting it right! Where do I go from here? Also, it would make sense to me that eating for 2-3 days high, high fat and zero grains or root vegetables would cause my period, but I ate a whole bag of popcorn right before bed the night before I got my period. Why did this happen? I thought I would have set myself completely back. Thank you for reading!!! Really hoping for some help. I’m almost there! Almost healthy.

    1. Hi Bethany and thanks for writing.
      You definitely have a complicated presentation with PCOS. This is where genetic testing may be helpful as well.
      I would use our urine test strips to confirm you are getting alkaline, and try intermittent fasting vs. the amount of high fats you are feeling unwell with. Digestive enzymes may help and have you tried Mighty Maca Plus yet? Also look into your environment to see where toxins or mold could be complicating things.

      You’re on the right track with getting Keto-alkaline though but listen to your body and go slow.

      I do wish you the best and pray for your speedy and complete healing.

      I’ll be having a Couch Talk on PCOS on May 8th, so please plan to listen to that. It will get posted on my podcast page as well as in a blog post. Take care.

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