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How reliable are ketone test strips?

Are ketosis strips accurate? According to Gilmore, the strips aren't 100 percent reliable . Hydration can affect the concentration of ketones in your urine, which may give an incorrect reading. Although the urine strips aren't precise, they can give you an idea whether you're eating too many carbs.

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The high-fat ketogenic diet is extremely hard to maintain. Eat just a few too many blueberries and you'll be knocked fat-burning mode. That's because restricting carbohydrates, your body's main fuel source, and protein forces your body to burn stored fat in a process called ketosis. As a result of this process, your body produces ketones. Generally, 70 percent of your total calories will come from fat. Protein makes up about 20 percent, while 10 percent comes from carbs. Consuming large quantities of fat while limiting protein and carbs is challenging, and people often aren't truly in ketosis, says Registered Dietitian Melanie Boehmer of Lenox Hill Hospital. "Sometimes people try and teeter into it and they won’t lower their carbohydrates enough," she previously told Men'sHealth.com.

More From Men's Health

An easy way to determine whether you're actually doing keto the right way is by using an over-the-counter ketosis strip test. This content is imported from poll. You may be able to find the same content in another format, or you may be able to find more information, at their web site.

How do ketosis strips work?

There are two ways you can measuring ketones using strips: through urine or blood. Both are fairly simple to use. The urine tests are similar to pregnancy tests except they measure acetoacetate, a specific type of ketone, says Ashley Cuellar Gilmore, M.D., gastroenterologist and program director for IU Health Medical Weight Loss. Typically, you'll dunk the strip into a cup of urine for a set amount of time. Strips are made with a type of paper that reacts to ketones by turning a different color, Women's Health reported. You'll then match the color on your stick to an accompanying color chart that offers an estimate of your level of ketosis. Usually, the darker the color the deeper you are into ketosis. Cuellar Gilmore explained to Women's Health that urine levels are generally indicative of the levels found in blood. Blood ketones should measure 0.5 mM/dL at a minimum, but numbers between 1.5 to 3.0 mM/dL, are optimal, she said. Blood keto strips are similar to urine except they require pricking your finger for a blood sample.

Are ketosis strips accurate?

According to Gilmore, the strips aren't 100 percent reliable . Hydration can affect the concentration of ketones in your urine, which may give an incorrect reading. Although the urine strips aren't precise, they can give you an idea whether you're eating too many carbs. Blood ketone tests provide better results.

How to use ketosis strips

Test at the same time every day to get a baseline. This will help you compare progress, says health coach and keto expert Karissa Long. She recommends testing twice a day at different times. “Morning and night testing is recommended because ketone levels are normally lower in the morning and higher at night so you can get an idea of your ketosis range throughout the day,” Long previously told Men's Health. Perfect Keto: These earn high marks from more than 3,000 reviewers on Amazon. Bonus: a pack of 100 costs just under $8. ( ) Smackfat Ketone Strips: This popular kit comes with a color guide right on the bottle so you can easily read results. ) Keto Mojo: These strips are more expensive and are better for people who aren't squeamish since they require a blood sample. )

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What does it mean to see fat in urine?

This observation is not normal and indicates lipiduria (loss of lipids in the urine). In the presence of abundant proteinuria (see protein result on the reagent strip), the observation of fat bodies in the urine is a sign of nephrotic syndrome (damage to the glomeruli with loss of protein in the urine).

Fat bodies include fat droplets, oval fat bodies (cells containing lipid droplets) and sometimes fatty casts. In all cases, these droplets contain cholesterol esters. This observation is not normal and indicates lipiduria (loss of lipids in the urine). In the presence of abundant proteinuria (see protein result on the reagent strip), the observation of fat bodies in the urine is a sign of nephrotic syndrome (damage to the glomeruli with loss of protein in the urine). In the absence of abundant proteinuria, the presence of fat bodies could be caused by an acute or chronic inflammation of a portion of the urinary tract (interstitial nephritis).

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