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Electrolytes loss is a common problem in the early weeks of the keto diet. Ketogenic diet therapy is generally started gradually over several days during an inpatient hospitalization, and then fine-tuned over weeks to months on an outpatient basis. The ketogenic diet appears to be nearly as effective as prednisolone, ACTH, and vigabatrin, but it takes considerably longer to achieve a clinical response (several weeks to months). The longer you preserve a fat-adaptive state, the extra ketones you produce. In order to achieve that, you need to, most importantly, lose fat, but also preserve your muscle mass. But what is the exact role protein plays in the diet and how much of it do you need to consume to maintain optimal ketosis? What is Protein and Why Is It Important? The primary reason why fat is preferred on the keto diet instead of carbs is because it does not impact your insulin levels. The primary function of protein metabolism is to maintain the body and its tissues and functions. There is normally no advantage to consuming more than the upper limit (1.2g protein per lbs of LBM). To simplify and as a rule of thumb, start with 0.8 gram of protein per LBM then adjust it more or less to find out your sweet spot for optimal ketosis and health.