Should I stay on NK or leave

The strength of N = 1 is how the border between correlation and causation becomes very thin. An epidemiological study *cannot* prove causation but in an N of 1 correlation and causation is often a distinction without a difference.

Have you seen this blog post by Peter at HyperLipid?

high-fat-nutrition.blogspot.com/2009/11/brief-discussion-of-ketosis.html

He discusses arrhythmia brought about by ketosis. Perhaps it applies to you? If I understand him correctly he thinks adding back carbs and staying just above constant ketosis is the way to avoid the problem.

You might try to shoot him an email describing what is going on and asking his thoughts on it. I'd preface it with the usual disclaimer about not soliciting medical advice just opinion and insight.

Robb Wolf might also be a good person to approach. His Paleo Solution podcast is centered around answering health questions and he generally gives some very detailed responses. He is an advocate of LC but very pragmatical about it and doesn't hesitate to recommend other ways of eating if he thinks it will provide a solution to the health issue or quality of life issue.

robbwolf.com/podcast/

Jimmy Moore may also be a good person to email. He's spent years talking to experts about eating and health and even if he cannot answer you directly he may be able to put you in touch with someone that can. For example, when I emailed him a question about something he'd said regarding NK and protein on the Fat Burning Man podcast he replied quickly and after a couple of email exchanges said he'd ask Dr. Phinney about it.

I think a cross between low-carb-Paleo and NK might work. Moderate protein and moderate carbs from whole foods with fat for the balance of calories. If ketosis is the problem that will solve it without sacrificing too many of the benefits of LC.

How do your eating patterns look? Are you going for long periods without eating? That can be very stressful on the body so it is something to look at no matter what eating plan you adopt.

I know this wasn't part of your actual question but I'd like to give my thoughts on it too and I hope you do not mind.

"why do I want a job for less pay, they think and my favorite, I’m over qualified"

Be frank in the interview or pre-interview. You want less stress and you recognize that a pay cut is requisite to that end. The overqualified objection is very easily dealt with if you consider what overqualified actually means to a potential employer. Why is someone disinclined to hire an overqualified person? Generally there are only two reasons:

#1 - It is a waste of time hiring someone that will be moving on to a "better" job they are more qualified for as soon as they can find it.

#2 - An overqualified person will be unsatisfied with a job below their skill level which can make them a marginal employee and potentially a bad influence on their coworkers since a dissatisfied employee finds fault with everything.

The thing that ties those two things together, in my mind, is the assumption that this person is being forced into taking a job beneath them for financial reasons - they *have* no choice but to get some job any job for cash flow. I think if you can remove the reason behind the objection you'll be a lot closer to getting a much less stressful job. Turn your over qualification into an asset by pointing out how good of an influence a mature and skilled employee can be on less mature and less skilled co-workers. It is a win-win for you and the company. They get the benefit of your experience at a discount and you get a much less demanding work environment. You'll have to thread the needle a little bit because you do not want to over emphasis the "stress" issue to the point they think you will be unproductive and lackadaisical.

I read "The Truth About Managing People" several months ago and I thought the part about the hiring process was interesting. Check your library and get some management books on how to hire people so you can better manage the interview process from the other side of the table.

www.amazon.com/gp/product/0133090442

Exactly! And that right there is perfect: "looking for a particular work environment that they appear to offer".

I found this on a site that may be why I'm having them at all?  I was tested for cortisol a couple years ago, about the time all this started and it was elevated but the doctor didn't know how to fix it and didn't refer me to anyone else.  Perhaps it's a cortisol issue? I'll do some more reading and see if I find this information elsewhere.

SOURCE 

Note of Caution
You should check with your physician if you have any concerns about starting a ketogenic diet plan with pre-existing health conditions, especially if those conditions involve kidney or heart problems.

Although ketosis, and ketogenic diets in general, are beneficial for most people, there is some anecdotal and research based evidence that suggests that ketosis will cause a transient increase in the body's levels of adrenaline and cortisol for a small subgroup of people.

These higher levels of stimulant hormones can cause thyroid issues, heart irregularities and elevated blood pressure for some, while others just feel more alert.

If you find you are one of the people in this subset, adding enough carbohydrate back into your diet to come out of ketosis should resolve the issues, and still allow for the health benefits and weight loss, if desired. However, you should consult your doctor about starting a ketogenic diet if you have any concerns.

However, be aware that most classically trained doctors don't understand the effect of foods on the body, much less ketogenic diets, so you may get push back, and a terrifying "danger of ketosis" sermon.

KK, how are you are you doing today?

KK, was your week off helpful to you? Made a plan for this week?

Pam

Icer, thank you for the link.  I'll check it out.

I'm highly skeptical of self-styled wellness experts, especially one who monetizes their blog and offers consultation services for a fee. She does have some great recipes but I don't know what qualifies her to advise people on health matters. 

kewlkat, I hope getting off dairy helps with some of your health issues.