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Keto rash

A few days ago, I noticed a rash on my body. It’s a bit like a chicken slept on my neck and when he got up, he left an imprint in red ink. It’s not overly visible, but I can feel it and it’s slightly itchy. It goes from brighter red to faint pink in a matter of a day.

I’m not a fan.

I’m on the fence, as to whether this is a keto rash or an allergic reaction to the 5 medications I’m on for this sinus/ lung infection. I checked the encyclopedia sized side effects sheets that come from the pharmacy and all have ‘rash’ as an adverse reaction. Hilarious, I’m sure. So, it could be the meds but, it could be keto rash too.

Keto rash is a bit of a mystery to doctors, but the sense is that it’s because of the body’s swift reduction in carbohydrates. It shows up after the body enters into ketosis and stays until the body decides it’s cool or an intervention happens. Ketosis sweat can contain the ketone body acetone and when you’re sweating, whether through exercise or illness, the acetone can become an irritant to the skin.

For the most part, you need to up carbs to more than 50 grams a day, kicking you out of ketosis in order for the rash to disappear. Another option is staying in ketosis and trying medications to trick the body. I’m not super excited about either of these options.

It takes a huge toll on the body to get into that first stage of ketosis. I’ve been testing my keytones for a week now, using urine strips. I’m not sure if I want to stop the momentum that I’m in, as I feel like I’m balancing out.

I’ll watch the rash for the next week. If it doesn’t dissipate after I stop the medications, I’ll think about upping my carbs for a day. Carb-ups are advised weekly (especially for women), but it’s usually after 30 days of consistent ketosis. I’d like to make it to that point first.

Day 18: Carbs 35 / Fat 121/ Sat fat 60/ Protein 63/ Sugar 14 grams.