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I started keto about a week ago and immediately had an attack. That sent me digging and questioning my priors, and deciding it wasn't for me.

I started with a 36 hour fast and I was definitely in keto without the "flu" people complain about. Then I ate keto only the next day, unfortunately by eating bacon and fatty lamb which set off the attack.

Technically keto is from a lack of carbs. A water fast puts you into keto. So it's not strictly incompatible with gout. But to practice it long-term you need to replace the carbs with something, and usually that is fat. If it's a bottle of canola oil you won't get gout, but if it is fatty meat you might. But there are other reasons not to go drinking canola oil.

Jac 1y ago

You might try MCT oil. Also, how high is your A1C? If there is insulin in your blood, you literally cannot metabolize fatty acids for energy. Forty dollars or so buys a blood glucose tester, and forty more buys a blood ketone tester. I recommend both if you’re going to do this.

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Discussion

Mike Dilger ☑️ 1y ago

My Hba1c has never been above 33 mmol/mol, which is low (healthy). I don't measure my blood sugar with a glucose tester because it has never been a problem. I burn fat just fine: I fast and lose weight rapidly while feeling fine, never weak or tired.