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Have you been getting enough protein as well? I was reading a good explanation about getting 600 total calories from carbs + protein. The balance is up to you, e.g. 100g protein, 50g carbs, 75g of each etc. Doing that means your body doesn’t need to do any conversion to get glucose, and spares your liver. If you eat less than 50g carbs and drop into ketosis, you’ll need over 100g of protein to prevent muscle wasting. The protocol diet could easily exasperate other health problems if you’re not careful with your nutrient intake.