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Weight Loss, But Now a Rash (Keto Rash?)

Tuesday, March 20, 2018

I'm very happy with my "experiments" lately. I've lost five pounds in the past two weeks!
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That makes me very happy! I've been logging my meals and making healthy choices. I felt determined to stay on track, even when things were stressful. I read SparkPages for motivation, and that helped. I'm very satisfied with the results!

Unfortunately, I'm having a problem that is really annoying, because I don't know the cause, and that is causing me some stress. I've developed a rash on both arms and my chest. It seems to have started around the same time as I put real effort into my diet. At first it was just a spot or two, and I wondered if it was my psoriasis coming back. This is possible, because I've been tapering my topamax medication (that I take for migraines), and topamax seemed to have the good side effect, for me, of clearing up my psoriasis. I've only cut my dose by 6 mg, which isn't much, but I was prepared for my psoriasis to return. But this rash doesn't seem like psoriasis. It's slightly itchy, and in like a hundred very small, raised spots. Some are in groups. It seems to itch when the spots first come on, and then after two days they don't itch as much, but the spot is still there. But then new spots pop up.

I've been looking at all the possibilities on-line, and wonder about two. One is called pityriasis rosea, which is a rash that can come on after a viral illness. I had a slight cold a few weeks ago, so that is possible, but the spots don't look quite like that. This rash can last for a month or so, and is harmless and goes away on it's own. But it's more common in younger people.

The other thing I found was something called keto rash, which people following a very low carb diet, like a paleo diet, have described, as their bodies go into ketosis. The pictures I've found do seem similar to the rash I have. But it's confusing, because I have been eating carbs during my diet...just not as many as before dieting. My usual carb count in the past two weeks was between 70 and 95 a day. People getting this keto rash usually were eating less than 50 grams of carbs a day.

So, on one hand that doesn't make sense either. But when I read more, the keto rash is due to poor gallbladder function, and I do have that (I have gallstones), so maybe I have this problem even at a higher carb rate. It can also be related to high histamine levels, and with my history of cold urticaria, I know I have histamine issues. I'm still taking an Allegra every day. Also, I'm often somewhat fasting on most days, since I eat dinner around 5:30 or 6, and then don't eat breakfast until sometimes 9 the next morning...so I wondered if that was enough time to produce ketones.

Anyway, the rash is itchy, and it's making me anxious. I'm spending way too much time on-line trying to figure it out. It's probably time to see the doctor, but...wouldn't you know it...we are in the middle of a big snowstorm. We got about 4 inches today, and expect maybe another 8 inches overnight, so tomorrow we'll have to dig out of all that. It may be several days until I can make an appointment and see a doctor. I keep wishing it would just go away, and honestly it's not that bad, and I could live with it, but I worry about it getting worse and wonder what is causing it. And I worry, and I look on-line, and I stress out, and I can't sleep, and I itch...hehe.
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Sorry this is long...just wanted to vent a bit. I'm so happy and motivated about the weight loss, and want to keep it up. It's been a long time since I've made progress, and I'm trying not to let this rash be a set back, or steal my joy at making progress!
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Thanks to all my SparkFriends for their encouragement! And thanks for reading. If anyone ever had a rash along with their weight loss, please let me know your story and how you dealt with it, or if anyone has ideas!
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Member Comments About This Blog Post
    there is also the possibility of hives
    but it would be hard to see what food could cause this if you are on a keto diet
    maybe substitute oily fish for meat as omega 3's are anti-inflammatory
    cheers richard
    791 days ago
    Congratulations on the weight loss! Great progress!

    I found something about how fiber and drinking plenty of water might help with the rash, since it may be caused by toxins being released when the fat gets burned. It makes sense, because toxins are stored in fat cells. Check out this article, and the website has a lot of info:


    Another thing that helps is staying as clean as possible, and applying lotion. I really love the kind with colloidal oatmeal. It's soothing. It's even medicated, it has something that helps you heal and it also creates a barrier to protect the skin. Another thing you might want to try is calamine lotion, which is for more than chicken pox. It can be really soothing too when your skin is inflamed. Whatever you do, try not to scratch it, because it can lead to scarring and the rash spreading! If lotion has no positive effect, you might want to try Gold Bond medicated powder instead. I hope it heals quickly!

    Oh, here's another article I found about dealing with candida (yeast) die off, which is what happens when you eat less of what they need to survive:


    Definitely see a doctor if you're worried! They might want to check everything out with you.

    This has good info, not to scare you with the gross pictures, but it's more medical (so better in some ways) than the other things I gave you:

    R>That last one says that Pityriasis Rosea is likely from a virus, yet other people are saying it's from the Keto Diet. But they don't really know where it comes from. Perhaps when someone who has a virus and is sick gets it is from the toxins being released and the skin having a reaction, similar to the one people on Keto diets get when the toxins are released from their fat cells.

    If it doesn't clear up soon, please see your doctor! Get plenty of sleep too, you need your rest!
    802 days ago
    Well, congratulations on losing weight. Maybe once the snow lets up you can see a doctor and ease your anxiety over it. You're doing great, though!

    803 days ago
  • PICKIE98
    I hope your doctor finds out what is causing this issue.
    803 days ago
  • BJAEGER307
    Congrats on the new weight loss for you. As for the rash that is quite a puzzle. I think if it doesn't go away on it's own, I would see the doctor before it starts to spread. It may be an allergic reaction to Allegra. I know that sounds weird, but over the counter medicines have side effects and you have been taking it for a while.

    Hopefully soon you'll get an answer.

    Take care.
    804 days ago
  • no profile photo CD22631941
    Hello, I don't have any idea what is causing your rash. How you did anything different like changed soap or washing powder? Used any new creams? The best thing I have found for itching rash of any kind is Benadryl cream that you can buy over counter if the itch is bothering you and in the mean time you need to get to the bottom of what is causing it. If you can't figure it out let a doctor look at.
    804 days ago
    Sounds pretty important to get your blood tested in case anything is off balance. Wishing you relief and easy answers!
    804 days ago
    good to see the Dr. If you've ever had chicken pox in the past, want to make sure it's not shingles. That is usually pretty painful, though. Just good to get it checked out. Good luck! And stay safe with all the snow!
    804 days ago
    You have been doing a great job--your weight loss is awesome! I'm sure you're very proud and should be! I have no idea why the rash though. I think, and this is just my opinion, I would see a doctor just to be on the safe side and make sure what you are doing is healthy for YOU! But it seems as if you are feeling great and that is important as well! Please let us know if you find out what is causing it-I realize that could be very scary! Good luck on your journey! I hope you have a wonderful day! Even if you are snowed in, I'm sure it is beautiful to look at! emoticon
    804 days ago
  • LINDA!
    Wow, so sorry about the rash. Losing 5 pounds in the past couple of weeks is awesome.
    804 days ago
  • BERGEN127
    Everyone’s carb threshold is different. Hope you solve your mystery and feel better.
    804 days ago
    I’m loving the Keto - lost 31 lbs since Jan 7! Sorry, no experience with any rash tho... maybe go see a Keto savvy doctor?
    804 days ago
    I hope you can figure out where the rash came from and I hope it goes away soon
    804 days ago
    Congrats on the weight loss! :) I'd kill for a 5 pound loss! I think you should see a doctor ASAP about your rash--better to be safe than sorry!
    804 days ago
  • no profile photo CATFURMAMA
    I think your research and reasoning are sound. I would try a protein snack right before bed, to keep your blood sugar more stable until breakfast.
    804 days ago
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