Does the body maintain a state of ketosis once achieved?

If your keto strips indicate ketosis, you're likely in ketosis. However, even a small carb intake can trigger insulin, shifting your metabolism back to sugar. Therefore, the key to maintaining ketosis is reducing carbs. The body naturally regulates sugar levels, so higher carb intake can disrupt ketosis. Initially, urine tests are useful, but as you adapt to ketosis, you become more efficient at burning ketones, leading to fewer ketones excreted in urine. Blood tests are a more reliable method to confirm ketosis once you've adapted.