As an obstetrician-gynecologist who has struggled with her weight in the past, I am surprised by none of Michelle’s success. She had arrived at my office about six weeks before, wanting to lose around 40 pounds. Michelle frequently felt tired yet struggled to fall asleep, had a familial history of type 2 diabetes, and her bedroom life had, as she described it, “hit zero.” Please don’t confuse nutritional ketosis with diabetic ketoacidosis, a life-threatening complication of type 1 diabetes. Nutritional ketosis involves6 the regulated, controlled production where blood pH remains buffered within normal limits. Like many patients, Michelle initially seemed skeptical about this high-fat, moderate-protein, low-carbohydrate diet. But by her second visit (12 pounds lighter and on her way to better health) she had become a believer. That’s why I created an adjusted version (Keto-Alkaline™) of the ketogenic diet, which juxtaposes a ketogenic diet’s many benefits with a focus on alkaline foods. I emphasize testing, not guessing with urine keto pH strips because what we eat is only a part of what gets us keto-alkaline. It’s a lifestyle. Before shifting dietary focus into ketosis, my patients focus on alkaline-rich foods, eliminating many problems ketogenic diets potentially create like bad breath and constipation, helping them easily stay in ketosis. I also have them focus on alkalinizing lifestyle practices like meditation, gratitude journaling and long walks in nature, which all lower the stress hormone cortisol’s effects on the body. So whether you’re a keto newbie or want to give your existing diet an upgrade, I’d love to share more about my ketogenic diet that can transform your weight and your health.