What is urine like in ketosis?

Ketosis is a disorder characterized by an abnormally high concentration of ketone bodies and body fluids. Uncontrolled diabetes can lead to ketosis followed by ketoacidosis and coma.

Low-Carb Diets and Ketosis

Following a low-carbohydrate diet, as is the case with some fad diets, including the Keto diet, can cause a state of ketosis, where the concentration of ketones in the blood increases due to the breakdown of fatty acids and the activity of ketogenic enzymes.

While some people achieve their weight loss goals, following these ketogenic diets comes with the risk of possible muscle loss.

Normal metabolism is affected. The body finds alternative ways to get energy other than glucose from the blood as it normally does. Rather, energy is obtained from ketone bodies that are produced by metabolizing stored fat.

Ketosis is also entered during prolonged fasting or intermittent fasting.

There are usually signs that the body is releasing ketone bodies, or ketones, through breath, sweat, and urine.

Urine odor in people in ketosis

Urine has a very strong smell of acetone, especially in women, it is stronger and more unpleasant.

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Urine color in ketosis

When in a state of ketosis and in addition to depriving the body of carbohydrates, little water is ingested, the urine, in addition to having a strong characteristic odor of acetone, can have an intense yellowish hue.

The concentration varies depending on the case of dehydration. However, if you drink a lot of water, ketones are detected by the strong odor of the urine and not by its color.

How is ketosis detected?

The common test to determine if a person is in ketosis is with a urine test. It consists of introducing a reagent (special tape) in the urine and waiting to see the color of how it stains.

If it turns purple, it is positive for ketosis and, depending on its intensity, the amount of ketone bodies present in the urine will be indicated.

However, this test can give false positives or negatives depending on the degree of hydration. The blood test is more reliable to detect whether or not ketosis is present.

If you have a blood ketone concentration of 0.5 and 3.0 millimoles per liter (mmol/L), it indicates ketosis.

Symptoms and signs of ketosis

Likewise, in addition to the tests, there are signs and symptoms that indicate if you have ketosis such as:

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– Thirst and dry mouth despite drinking a lot of water.

– Decreased appetite.

– Bad breath that is due to a ketone called acetone.

– Headache.

– Nausea.

– Fatigue.

– Confusion.

It is always recommended to only follow a keto diet or intermittent fasting for a short time and under medical supervision.

Source: National Library of Medicine (NIH).

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