How do you know your body has reached ketosis?

You can find out how much ketosis is going on in your body by testing for ketones in your blood or urine. You can buy test strips to check your pee at home. Some blood sugar meters can measure ketones in your blood. If you don't know how and when to test your ketones, talk to your doctor or diabetes instructor.

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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Does chronic BV ever go away?

Some women suffer from chronic (recurring) bacterial vaginosis. Medicine can clear up the infection, but it returns again after a few weeks. Some women report that bacterial vaginosis returns after their period each month.

familydoctor.org - Bacterial Vaginosis (BV) - familydoctor.org

Bacterial vaginosis can be treated in one of several ways. Your doctor may prescribe pills for you to take by mouth. They may also prescribe a cream or gel to put in your vagina. It’s important to use your medicine exactly as your doctor tells you. If your doctor prescribes metronidazole or other medicines, don’t drink any alcohol while taking the medicine. You should not drink alcohol for 24 hours after taking metronidazole. Combining alcohol with these medicines can cause nausea and vomiting. Even the small amount of alcohol in many cough syrups can cause nausea and vomiting if you’re taking metronidazole. Be sure to tell your doctor about any other medicines you are currently taking. If the infection isn’t treated, the bacteria may spread into the uterus or the fallopian tubes and cause more serious infections. Treating bacterial vaginosis lowers this risk. Treatment is especially important in pregnant women.

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