Photo: Artem Podrez

Are you burning fat in ketosis?

Ketosis is a process that happens when your body doesn't have enough carbohydrates to burn for energy. Instead, it burns fat and makes things called ketones, which it can use for fuel. Ketosis is a word you'll probably see when you're looking for information on diabetes or weight loss.

webmd.com - Ketosis: Definition, Keto Diet, Symptoms, and Side Effects - WebMD

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If you’re a new mom and don’t get enough calories or fluids, it could affect your breast milk supply. Doctors generally recommend that you wait until you’re done breastfeeding if you want to start the keto diet. About 1 in 20 children who have epilepsy and are on the keto diet get kidney stones . A supplement called potassium citrate can help prevent them. Talk to your doctor about the kidney stone risk if your child is on the keto diet.

Drinking plenty of water can ease or prevent some of these symptoms.

Some over-the-counter supplements claim to raise your ketone levels. They come as pills, powders, oils, and other forms. There isn’t much research on whether they work or if they’re safe. Talk to your doctor before you start taking any supplements.

Ketosis vs. Ketoacidosis

If you're healthy and eating a balanced diet, your body controls how much fat it burns so you don't usually make or use ketones. But when you cut way back on your calories or carbs, your body will switch to ketosis for energy. It can also happen after you exercise for a long time and during pregnancy. If you have diabetes that isn’t under control, ketosis can become dangerous when ketones build up. High levels lead to dehydration and change the chemical balance of your blood. It becomes acidic and can cause a coma or death. People who have diabetes can get ketoacidosis, or diabetic ketoacidosis (DKA), when they don't take enough insulin. They can also get DKA when they're sick or injured or when they don't get enough fluids and become dehydrated. Some people who don’t have diabetes can get ketoacidosis, too. It's caused by alcoholism, starvation, or an overactive thyroid. A healthy low-carb diet shouldn't cause a problem.

If you have these symptoms, call your doctor:

Thirstiness or a dry mouth

Peeing a lot

Feeling tired

Dry or flushed skin

Upset stomach

Throwing up

Trouble breathing

Confusion

Fruity-smelling breath

Pain in your belly

When you have diabetes, throwing up can be especially dangerous. Although DKA usually starts off slowly, throwing up can speed up the process so that it happens in just a few hours. Call your doctor if you've been throwing up for 2 hours or more.

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How does face change with weight loss?

When you lose weight, you inevitably lose some fat, including that which naturally occurs in your face and neck. And when that happens, volume in your face and neck decreases, says Nina Desai, M.D., a dermatologist in Manhattan Beach, CA. That creates skin laxity (derm speak for sagging) and folds.

weightwatchers.com - Let's Go There: How Weight Loss Affects Your Face

Most weight-loss milestones are celebrated. More energy! Lower blood pressure! Looser jeans! But there’s one we tend to get quiet—if not silent—about: changes to the skin. More pointedly, looser skin and wrinkles.

After all the effort that’s put into eating healthier, walking more, and prioritizing your wellness, it can be deflating to see this unexpected change in the mirror, as if you’ve pressed fast-forward on the aging process. You may even feel younger, so what’s up with those jowls—and why didn’t anyone give you a head’s up about this?

“Most patients are happy about the weight loss, but often feel discouraged when they see their skin changes,” says Marisa Garshick, M.D., a dermatologist in New York City. Of course, you can (and should) feel all your feelings, whether that’s disappointment at newfound winkles or pride in the lines that now grace your face. But whichever side you land on, here’s one thing we can all agree on: It’s time to start talking about how weight loss affects our facial skin. Just like plateaus and non-scale victories, complexion changes are a real and natural part of the weight-loss experience. And normalizing (and celebrating!) this shift can only better prepare you for the journey. So let’s take a science-backed look at the causes and explore what you can do about them if (big if!) that’s the route you choose to go.

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