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Keto stalls are almost always caused by identifiable implementation errors, not diet failure. The most common causes: hidden carbohydrates in processed foods (pushing above 20-50g/day threshold), calorie excess from fat (9 kcal/g vs. 4 kcal/g for protein and carbs), insufficient protein (1.6g/kg/day still required on keto), and NEAT reduction from fatigue during adaptation. The gluconeogenesis myth — that too much protein blocks ketosis — is not supported by evidence in healthy adults.