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Alcohol while keto?

People like to get healthy,

burn body fat, increase their aerobic activity,

and improve their cognitive function.

The ketogenic diet is an excellent way

to obtain these outcomes,

which partially explains its

meteoric rise in popularity. But people also like to drink alcohol. You might say it's a toxin.

I wouldn't disagree. You might say we'd be better off without it. Perhaps. The fact remains that people have been drinking for tens of thousands of

years, and they're not going to stop anytime soon. Can keto and alcohol coexist? Is there anything

we need to take into consideration? First things first, does alcohol inhibit ketosis? There are very few human studies that even look at this issue. Let's go over the best one I could find. How does high intake of alcohol affect ketosis? A 2002 study out of Poland examined the bodies of 16 recently deceased people who had died from hypothermia,

mostly alcohol-induced. Most were alcoholics. They found that ketone levels and blood alcohol

levels were inversely proportional. The higher the blood alcohol, the lower the

ketones. The higher the ketones, the lower the blood alcohol. In the discussion section,

the authors explain, liver cells engaged in ethanol utilization do not accumulate larger amounts

of AC coa, which is a substrate for ketogenesis,

because an increase in the NADH-N-A-D ratio during ethanol oxidation inhibits B-oxidation of fatty acids.

And the acetate created from ethanol is activated to AC accoa mainly in the non-liver tissues,

...