Ep:23 Keto Rash

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You have a way of speaking that automatically commands attention. I love listening to your talks. I have learned so much already from these talks. Please continue to enlighten us!

wilmafoster
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Omg 😮, I wish I had known this back in January 2019 when I started Keto and dove right in. I got Keto rash so bad it was like being covered in poison ivy rash. Itched so bad I thought I would go crazy. Yes, it was that bad! I looked everywhere for info. Found nothing except it was probably my imagination 😢
Finally found a few Keto people who suffered from Keto rash too. Mine only lasted a week. I was advised to use Selsun Blue dandruff shampoo and that worked to ease the itch. Thank you so much Dr. Cywes for this info. This will help others to not suffer like I did.

madambutterfly
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Every time I have tried to do the keto diet I end up with a keto rash on the back of my neck and in between my breasts. This last time I was able to suffer through it and it finally went away after four months. It’s nice to finally have an explanation of how this happened! So many people out there saying it’s a vitamin deficiency, I took so many supplements and nothing ever helped. My body just had to get adapted. I dove into the deep end too fast! Thank you doctor for this explanation.

tandembike
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Many more people need to come here for great info!

nancyfryhover
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Phenom video! Such great info. I did get keto rash & kidney stones both, about a year into my lifestyle. I had no idea why, I started taking bile salts & eating more carbs and they resolved. I threw out the ox bile and started adding beef suet to my diet. I didn't realize that I was probably not getting enough fat.I've been doing this for almost 3 years. I bet it's why I would still get the carb cravings sometimes too.

Ev-vhpf
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Interesting. I have the keto rash and I'm not on the keto diet. I'm fasting. No food. I think it has more to do with being in the state of ketosis than what you are or are not eating. I lean more towards acetate reacting with folks with sensitive skin or toxins leaving the body and again, irritating skin....usually brought up by sweating, always in my case. I can be in ketosis, not sweat, and have no issue....as soon as I sweat and something comes out of my body and irritates my skin, boom rash. It amazes me that Doctors can't figure this out.

cristinareiser
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Hi Robert - Finally I foud someone that explain to me what I had 4 times, you. All the doctors I tryed had no idea what was going on in my body in the first year of my "ketogenic diet". God bless you Dr. for your work on youtube. You are really making a huge difference in this world. My gratitude to you.

tarikcamacho
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Great video and advice. I have been on the carnivore diet for over 4 weeks now and have been suffering severely with keto rash. Like most, I jumped straight into it and my protein intake was much higher then my fat intake. From what I can see now, what you are saying makes a lot of sense! I wish I had seen this video when I first started. Could have saved me a lot of pain, itch and sleepless nights!

brandonjcollins
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Wow! Thank you so much! This was really helpful. I've been getting Keto Rash when I start fasting. After two days on my water fast, I started getting keto rash. I think I know what to do now to handle it. It was also very refreshing to hear a doctor say "I don't know.. but here is what I think"

evednavimedia
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I wanted to affirm what Dr. Cywes is saying, but adding speculation what causes the rash.
I went from eating a mostly vegetarian, low fat, 6 small meals/day + healthy snacks (apples, nuts, etc.) before going full keto. After a few days/week later, I had developed hiccups from eating a high fat diet my body wasn't accustomed to (bacon, HWC, butter, etc). But I was determined to follow keto to the letter. I cut out all carbs and ate 20G total carb in the form of greens. My breath began to be filled with heavy acetone odor every time I exercised, or even doing housework. When the intense ketone breath started (about 2 weeks into keto), the rash started. I exercise regularly and the rash appeared in the areas where I sweat more profusely (armpit, back, under breasts and groin area). The rash was like having poison ivy on top of a bad sunburn - painful as well as itchy. I tried everything (creams, supplements, etc.) but nothing worked (epsom salt baths after exercise did bring some relief).
I am TOFI and my waistline measured 35" well-developed "muffin top" even I am only 5'5". I do know that an MRI revealed that I had spots on my liver that were detected during a heart scan. I am guessing I had some stage of NAFLD.
So when I went whole-hog keto, My body went into ketosis rather quickly (in 3 days). When I started exercising more (walking every day) I'm guessing that the toxins were excreting from my liver and that by sweating, I developed an allergic reaction from my own toxic sweat. I did find that eating a handful of carrots each meal brought the intensity of itch down a couple of notches and made it at least tolerable. I had that rash for 2 months and in another 2 months it went away. Guess what else went away? My belly fat (swollen liver). I lost 6" off my waist without doing a single sit-up or crunch! When I finally stopped smelling the excessive ketones on my breath, the rash finally disappeared. My diet stayed keto during the rash phase and I did allow myself up to 50g carbs, only in the form of healthy vegetables. Once the rash disappeared, I went back down to 20g carbs (I don't count them anymore because I know what to eat). I've lost 25lbs, another inch off my waist, my Fibromyalgia is gone (which was the biggest motivator to stay in keto even though that rash was pure misery).
So I agree with Dr. Cywes that I should've gradually implemented keto. I did eat plenty of fat from the start though, so this is why I think the rash comes from a toxic liver trying to heal itself instead of from lack of fat (although that could be a factor, too). I also have heard that this rash is more common among people of Asian descent, which I am.
I know the rash is utter misery, but once your body adjusts and your liver heals, the itching will go away.

cmorrison
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Excellent explanation! I just listened to 5 videos and all together they don’t equate to the beautiful explanation you just gave.

sallynickerson
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**If you have the rash**: Please try eating celery (approx 200 grams a day) and drink diluted fresh lemon juice (ca. 2 tablespoons in a glass of water, 4 times a day).

It has worked incredibly well for me (within 24 hours!), and I have tried almost everything until now without success, including; Bile salts, digestive enzymes, electrolytes, frequent showers, cold showers, dandelion root extract, nigella sativa, selsun blue, different vitamins and minerals, omega 3, drinking more water, avoiding high histamine foods, etc.

ingvildh.a
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I’ve learned in German nutrition classes, that keto rash is being caused by a high amount of ketone acids inside your blood, so if you sweat it’s acidic and it causes skin harm. Speaking from my experience it goes away after two weeks, you just need to shower a lot more

u.us.
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Funny how you come here for the subject and you end up getting a load more information, teaching and inspiration! 👍💕👍

imliz
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I didn't know any of this but my natural inclination was to ease into keto a year ago. It took me about a month to get into ketosis. I started with keto breakfasts, then added lunch, then went full keto. No rashes, no keto flu, no side effects other than a lot of peeing for a week or so and that can't be avoided AFAIK.

johnnypenso
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I LOVE keto and fasting, but every time I tried it I would get a terrible rash to the point where I could not sleep or live it was terrible. I tried creams, bile salts, etc. Nothing worked.

I just recently found out on Tik Tok that pickle juice helps. This time around I tried pickle juice right when I noticed the rash. IT WENT AWAY THE NEXT DAY!!!

But I had to drink like a gulp or two of pickle juice like every 4 hours or else the rash would start to come back.

Pickle juice hahaha

nes
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Sally K. Norton says that keto rash really is an oxalate rash. And I totally believe she is right! Im on the carnivore diet and experience oxalate dumping periods, where I get terrible itching and rashes!

ninalilleskog
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This is so TRUE!! I got bronchitis March 19, 2019 & God delivered me from a 32 year smoking habit. When I went to the doctor & they MADE me get on a scale & I saw 155 pounds (I use to be 97-120 pounds my whole life) I knew I had to do something before quitting smoking made me gain MORE weight!


So on May 3rd I jump into the deep end of a keto diet. Taking the pop I drank EVERY day out along with the bread, cereal, pasta that I ate DAILY. Talk about traumatizing myself! In June I decide to get my IUD out that I had for 7 1/2 years. All of this done at once landed me in the hospital barely being able to walk or raise my arms & my body swelled up with edema & instead of losing weight while only eating 800-1200 calories a day my body GAINED weight! They then diagnosed me with Hashimoto's disease & told me Keto will kill me to stop that diet and add carbs! Even though I have been pre diabetic for 10 years! Of course I didn't listen to them and continued on Keto.


So here I am months later. I upped my calories to 1600-2000/day. My IBS is totally gone and my insulin resistance is under control and I'm down 18 pounds. I wish I knew to not jump in the deep end and I'm happy you're out here letting others know that! God bless you! XX

lakenconner
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I had the rash for months. Almost took me out of this WOE. Finally tried topically applying ACV (apple cider vinegar) - coincidence or not - it worked.

AndreaIhara
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This makes more sense than all the other videos I have seen about this!

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