How to tell if you are in Ketosis without strips

How to tell if you are in Ketosis without strips

A ketogenic diet is having a minor resurgence as of late, surpassing low carb diets for fat loss. The idea of keto dieting is to use all of your bodies glucose reserves and burn ketones for energy.

The body eventually reaches a state of ketosis from the result of reducing your net carb intake.

People who are new to a low carb high fat, ketogenic diet often ask what are the signs, symptoms and how to tell if you are in ketosis without strips.

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If you’ve never been in ketosis before then you may not even realize you are in it.

The human body is quite remarkable being able to switch from burning glucose for energy to ketones.

Your body experiences many physiological adaptions, including a decline in insulin and breakdown of fats.

While Ketosis may be confirmed by urine ketone sticks and blood ketone tests, it is not always practical or convenient.

You may be at work, out to eat with friends and don’t need the hassle of measuring your blood or urine levels of ketones.

There are many small signs and symptoms of ketosis which can help your analysis.

Sleep and Ketosis

No matter what type of diet you follow, after a good nights sleep you are already in light ketosis.

While you have fasted for over 8 hours you are on your way to burning ketones.

Once our liver glycogen stores have been depleted we begin to produce ketone bodies at an exponential rate.

Despite that, it doesn’t mean that we’ll be utilizing them efficiently.

We will not be able to effectively use ketone bodies for our muscles, brain, digestive system if we are not keto-adapted.

When following a ketogenic diet some people may experience all symptoms of ketosis, some may only feel a few signs or none at all.

If you are brand new to low carb high fat dieting then achieving the optimal fat burning state takes time.

Your body will have been reliant on you bringing in carbs and glucose your entire life.

It won’t be ready to simply give up carbs and start craving saturated fats. Here are signs and symptoms of Ketosis without using strips.

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Bad Breath

One of the first noticeable signs of full ketosis is bad breath, similar to nail polish remover and sometimes with fruity, or metallic taste.

This is due to acetone, a by-product of acetoacetic acid which may be smelled on a person’s breath. A drier mouth may be another similar symptom.

The change in the way your body processes these abundant low carb high fat foods makes it a common side effect.

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Bad breath is not permanent and will soon pass after you become accustomed to a keto diet lifestyle.

If it puts you off then there are simple steps you may temporarily use until you are adapted.

If you are socializing with friends use sugar-free chewing gum or beverages such as diet soda drinks or no added sugar squash.

Be sure to check nutrition info for carbs or bring your own with you.

Use this for the absolute short term since they reduce ketones and are prohibited on keto.

If by yourself at home then simply brush your teeth an extra couple times a day which is always good.

Stronger urine smell

The same reason for the cause of bad breath on keto goes for a stronger urine smell.

With acetone being excreted from your body it will produce a stronger noticeable odor.

This isn’t a cause for concern, your body is slowly adjusting to ketosis.


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How to tell if you are in Ketosis?

Increased thirst

When eating carbohydrates, you increase fluid retention. Once you flush the carbs, water weight is lost and you will have to counterbalance by increasing your water intake since you are somewhat dehydrated.

You’ll want to drink more water on a low carb or ketogenic diet since because your body needs more of it.

When you store carbs, they are stored with a large amount of water.

If you become dehydrated, it can use the stored carbs to partially restore some hydration.

In ketosis, all carbs are removed so your body simply does not have these extra reserves of water available.

The only resolution is to drink more water more since when you become dehydrated on keto there isn’t a lot the body can do.

You were dehydrated in your previous diets, just that carbs consumed stopped you from getting that thirsty. The bottom line is keto a diuretic state, keep a bottle of water by your side and sip throughout the day.

Lack of appetite

On keto you will be increasing your fat intake exponentially, reducing your carbs and proteins overall amount.

One of the best symptoms of ketosis is a reduced appetite from consuming many fibrous veggies, fats, and satiating nutrients.

Not feeling hungry as often and a feeling of satisfaction after meals is a major plus on keto.

It gives us one less thing to worry about and makes the whole keto-adaptation process much easier.

Increased Mental Clarity and Energy

People on short-term low carb diets describe tiredness, blurred thinking and generally feel unwell.

Often referred to as keto flu. Your body must first adapt to using ketones for fuel, instead of glucose.

Long-term results on a ketogenic diet are quite the opposite, often with enhanced focus, enthusiasm, and energy.

This makes sense since a ketogenic diet is used to help treat patients with epilepsy and seizures.

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Digestion problems

After completely changing your diet overnight you may experience stomach complaint, diarrhea or constipation.

Depending on what you have chosen to eat you may need to increase your fiber intake from various vegetables.

Your fiber intake may be too high compared to your previous diet, so try reducing certain foods.

After the transitional phase to keto finishes, it should have cleared up.

In this modern world, your gut will most likely be lacking beneficial bacteria.

Consuming fermented foods will greatly increase your probiotics aiding digestion. You will benefit from omega 3 fatty acids, b-vitamins, and beneficial enzymes also.

Measuring Ketone Levels

Detecting ketones in urine is an accurate way of measuring your ketone levels. Ketone urine strips are widely available, simple to use and can instantly check your levels. After you’ve done your business simply match the color of the stick to the guide given to see your ketosis level.

Urine strips are not 100% accurate since it won’t match the more accurate readings of ketone levels in your blood.

Some people may prefer the more accurate reading of ketone blood levels. Let’s not forget you will need to prick yourself with a needle every time you want to test, so it’s far from pain-free.

Blood ketone meters will generally be more expensive than urine strips as well.

These tools are far from essential for LCHF dieting. Stick to a simple plan with your exercise and nutrition on track and you will see good results. If you’re curious or wish to measure readings on a daily basis then it’s a decent investment.

Ketosis and Ketoacidosis

Ketosis on a low carb high fat diet causes slight acidosis when the body’s pH level is lower than normal.

However, some signs of ketosis may turn out to be ketoacidosis. Here your blood pH falls even lower than normal which can be life-threatening.

If you are type 1 diabetic then ketoacidosis will be more common, otherwise, it’s unusual on when keto dieting.

Ketoacidosis signs might include confusion, nausea, vomiting, dehydration, shortness of breath, rapid heartbeat, fatigue and increased urination and thirst.

If you encounter anything above, especially if you have type 1 diabetes then it’s advised to call a doctor or ambulance for advice.

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How Long To Get Into Ketosis

When you reach nutritional ketosis, part of the brain starts burning ketones instead of glucose. When you fast, the hormones in your body change.

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Fat is released from cells and made into ketones within the liver. A ketogenic diet is very similar to fasting in many ways.

Everyone is different but it’s possible to get into ketosis in a couple of days after using all your stored glycogen.

More likely it can take a few days, a week or up to a month.

Your carb and protein intake will greatly determine how fast ketosis begins.

Exercise levels play a big part also. The more active you are the quicker it is and slower it takes to get into ketosis the less active you are.

Keto and Electrolytes

At the beginning when following a ketogenic diet you may also feel severe muscle cramps, lack of drive and feel nauseated.

These negative symptoms, also known as keto flu, usually result from an electrolyte imbalance.

Increasing your salt intake by simply adding salt to meals or drinking bone broth will help your keto adaptation. Changing what you eat changes how your body operates inside.

If you have any health concerns then make sure you discuss these with your healthcare professional.

For me individually, the sense of being in ketosis is easy to recognize.

After keto-adapting several times, you just feel different! Sometimes I have a strange taste in my mouth, increased mental clarity, much lower appetite and increased energy.

These are all small subtle signs but over time you will learn to sense the changes. Eventually, your body gets used to Ketosis and you slowly lose your carb cravings.

Remember everybody’s different and even if you don’t have any signs of being in ketosis it doesn’t suggest that you are not.

How do you know if your body is in ketosis and what are your signs of being keto-adapted? Please leave any comments below.

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25 thoughts on “How to tell if you are in Ketosis without strips

  1. I just started keto a little over a week ago. I’m down 7 pounds but get so confused on the macros of 5% carbs, 25% protein, 70% fats. I think that is mainly because I watch calories also? I try to keep calories around 1000 to 1200 and my net carbs at 20 grams. Do I need to worry about calories so much to continue to lose weight? I really don’t exercise much other than walking once in a while.

  2. You may want to increase your caloric intake depending on your basal metabolic rate (the amount of calories your body needs for your given height, weight, and activity level) and your weight loss goals – 1000 to 1200 is quite low.

    Macros represent your caloric intake from those sources – if you’re aiming for 25% protein, and your caloric intake is 1200/day, you should be getting 300 calories from protein alone – about 60-65g of protein. Tracking grams of protein, carbs, and fat is easier than tracking the macros themselves, so you should do that when you’re tracking what you eat.

    Most importantly, don’t focus too much on the weight loss number. 7 pounds over a week is a lot, though a decent chunk of that might be water. Be careful and make sure to eat enough.

    Your weight will change daily with your water intake and activity. If you’re lifting weights, some days you may actually gain weight – remember, muscle is more dense than fat.

    Instead, you should focus on your long-term weight change and – most importantly – how you FEEL. Track your mood, track how you feel during exercise, etc. As you lose weight, are you feeling better? Do you have less aches and cramps, or more? If you have more, that might be a sign that you’re not eating enough or that you aren’t getting enough of a vitamin or mineral.

    Focus on feeling good – losing weight means you see that number drop, but more importantly you FEEL so much better as you have less of that stuff on your body.

    Keep it up and stay with it!

  3. Hello. I would like to start the Keto diet and have been reading a lot about it on your site. I am a type 2 diabetic and have a lot of weight to lose. I take medications for my diabetes also. Do you have any advice for me as a type 2 diabetic? I heard this way of eating is very good and can reverse diabetes. I just want to know if there is anything I need to do to help my body lose more effectively. I have a very hard time losing weight. Thank you

    1. Hi Shakhar, If you are brand new to keto and have type 2 diabetes then start gradually.

      Start by weighing out your meals, so you get used the high amounts of fat.

      Daily or weekly meal prepping will be a great help as it will teach you only to eat meals you have prepared.

      Speak with your doctor about keto and test your blood sugar often to be sure you are getting the right medication.

  4. I may be making this more difficult. I’m getting ready to start this and having a hard time figuring out exactly how much # wise I’m supposed to have. Not %
    Can you give me an easy way to figure this out?
    Thank you

  5. Hi, just started a few days ago, and very differant then my last 6 months being on natural HCG drops 🙂
    Have lost 37lbs and kept off 30 lbs…but Re-tried several times to go back onand just can’t, always hungry and not so happy lol so got a physical check up and I’m borderline 2 diabetic, and I feel awful when eating carb & been doing “keto life style” research, and it makes so much sense..however I’m used to waaayyyy..small portions and “no fat, carb or sugar” (I use plain stevia) and coconut spray.
    What I’m concerned with is how often and calories I eat? Don’t see too much about that, and I can go many hours without eating at all.. like 8 am to 5 or 6, not every day but often and brother and sister and mother all ironically do the same ..(one of my biggest probs to overcome) we’ve all needed to loose 20-30 lbs after we hit ages of 40 & up ;))) and sister died of kidney failure this last year (severe diabetic) so this is super serious for me!
    I have baked and cooked the “keto” recipes for 3 days now, and have all my shopping and some prep work done and even have hubby on board ( we followed “fit for life”for a year and felt better)
    However he eats way more then I do, so it’s not cheap…we get grass fed meat ordered from “crowdcow” and organic pasture chickens as well, so here I am back to quantity lol ..
    Is there a guideline you suggest? I do seem very full after I eat and don’t feel hungry..
    Hubby might have 5 lbs to loose me 30, but besides that, it’s our fatigue and brain fog as well as glucose levels and concern for the liver, that is concerning…
    Also with 5 back surgeries and ME/CFS exercising has been a challenge..
    Welcome any thoughts about keto living, and thank you ….

    1. Hi Bethia, I have no experience with HCG drops so cannot comment on that.

      I was borderline type 2 diabetic before I started eating a ketogenic diet and it helped lower my blood sugar levels naturally.

      Eating one meal a day or reducing meal frequency can help to heal the kidneys as the body will have more time to repair as is it not digesting food all the time.

      I do this regularly and believe that intermittent fasting helps normalize my weight and keep my organs healthier. See some of my posts how to live a keto lifestyle for more info.

      I find if I am not getting enough calories for the day I add caloric dense foods such as a tablespoon or two of coconut or MCT oil after my meal.

      Do not worry too much about exercise especially with back surgeries and ME/CFS. If you can only manage very light gentle exercise, stretching, and deep breathing, then it is okay.


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