Good deal. I don't know why doctors recommend estrogen supplementation and I'm not expert on it but from everything I've read estrogen is something you mostly want to avoid extra of (even as a woman) and if anything you want the progesterone.

good to hear!

Yes, I'm eating more fat. The last 24-48 hours have been unbelievable. I can't even describe the feeling other than to say that it's like being on a high constantly without any of the side effects of drugs. Life is good!

Definetly, my gallbladder was the problem all along. I have been steadily improving since about 2 weeks, in other words, since dropping estrogen. I'm digesting fat better.

I was thinking that maybe blood sugar fluctuations occur (and keto-adaptation never occurs) in individuals who have trouble digesting fat due to pancreas insufficiency or gallbladder problems. Fat is usually a source of energy needed to digest protein and when it cannot be properly digested and used as such, glucose is the substitute and is provided by glycerol. That's why blood sugar rises when protein content increases and why BS is less when protein is reduced.

A sign of fat malabsorption is that upon increasing fat, you get tired, get bloated, gain weight, have abdominal cramps, get dehydrated, etc. In other words, you don't feel good. Things are only worst and ketones show up suddenly.

I hope Lex is reading this...

Digestion requires energy that it can get from either glucose or fat. If fatty acids are lacking, then sugar will provide the energy. In this case, I meant to say that glycerol would convert to glucose.

Fat in the diet is important so as to allow the gallbladder to free itself of bile occasionally and not get too saturated, eventually leading up to problems such as gallstones.

I get body odor and bad breath. But this is likely from fat malabsorption and/or excess ketones in body not being used by cells. I have no problems digesting protein. When I eat lean protein, I am fine.