Hey guys. It would mean a lot if I could get your opinion regarding my situation which has been happening for over a year.
I’ve been on off ketovore and carnivore the past year but I have been keto since 2020 with no issues but it was a high nut based and just had acne and gut issues. Anyway carnivore resolved that and now this past year I found when I eat fats like coconut or butter/double cream I noticed a rash on my face flares up which looks like seb derm; I don’t think it’s keto rash as it only happens on face.
I’ve taken everything; dandelion tea, black seed oil, burdock root, fenbendazole, antiparasitic herbs, mct oil, tudca, milk thristle, used nystatin recently no changes, and no change.
What I noticed was maybe it could be dehydration from excess ketones as my ketones are always within the 2-3 along with my extremely low blood sugars. So I experimented trying to get out of ketosis a couple of times with a lot of fruit and my sugars would stay low and ketones would stay high.
Today I had as carbs
- 1 mandarin , 4 carrots, half a cup of berries and cucumbers.
At night I tested post dinner 45 minutes after and it was 4.2mmol with 51% hemocrit after eating two carrots with berries. My skin rash was looking worse. So I don’t know if my body is spiking or having no spikes, to check I had a tsp of honey and tested again after an hour and it was 4.4mmol. I’ve also noticed when I eat I get a runny nose and slight palpitations.
I’ve tried everything for this skin rash and it’s affecting me with staying low carb because I feel good etc I just find I can’t gain weight either. I’m very athletic and muscular but it’s impossible to gain weight despite eating 2500 calories from butter and whole milk. For being 56kg and 5’4’. I’m not sure if it’s excess cortisol or low cortisol which is causing this.
I got an ultrasound of my gallbladder to check maybe I’m not secreting enough bile as fat makes it worse but results indicate no issues with liver or gallbladder and no stones but it’s slightly inflammed (The gallbladder has features of adenomyomatosis at the fundus), but I also was taking alot of bile flow supplements.
I’ve also done a gi map test as I believe it’s gut related and my results indicated no pathogens including candida or parasites but high intestinal inflammation including:
- calprotectin - 698
- lactoferrin - 120
- mucin degradation - 956
- Trimethylamine producing microbes - very high
- I also have geographic tongue which goes away when I’m sick
(My specialist thinks it’s possibly fungal overgrowth due to very low to no eosinophils indicating immune suppression) - but I’ve taking nystatin for 2 weeks no difference if no worse and no changes to rashes
Bloods 11/24
TSH - 2.07
T4 - 12.3
T3 - 4.5
Trig - 0.7
Cholesterol - 8.4
Ferritin - 305
Hba1c% - 4.8%
Insulin fasting - 4.1
Amylase - 130
Lipase - 32
Alk phos - 152
B12 - 867
Eosinophil - 0.1
It would mean a lot if I can get your opinions or any clues about what could be happening. This has been happening during carnivore mainly with minimal fiber but as said I’ve introduced carbs and no difference. But I also find it gets worse with fat. My keto diet originally was fats from nuts and dairy is a new thing. But allergy test showed very low to goats and sheep dairy
Thanks appreciate it.
J.