Very intriguing and insightful, Dr. Attia. I wonder how this would translate over to muscle building in a ketogenic state, if one were to try and stay in ketosis for neurological issues. For instance, I largely follow the Body By Science protocol of exercise (with some variations) while wearing an elevation training mask and doing rest-pauses and what not – it’s highly intense, but brief. I’ve been more or less following a cyclical ketogenic diet, but I’m wondering if I can alter my feedings on this day to still register at the minimum of of ketones. I could probably still gain muscle, albeit slowly though.