As the giant nerd that I am, I read my PSMF pamphlet cover to cover, and one factoid that stuck in my head was that sugar free cough drops often still contain carbs. That remained, deep in my mind, unused until this week, when two events occurred. First I developed a harsh, dry, hacking cough that I treated very effectively with sugar free menthol drops. Second, my ketosis plummeted from medium/large to small/medium.
After some research on the back of the back and online, I discovered that so called "sugar free" cough drops really just don't have basic sugars, but instead have sugar alcohols. These are the same things they put in sugar free gum and what not. While very low calorie, they do still make each cough drop 6 calories, all from carbs.
Faced with the alternative of coughing myself nearly out of breath, I've decided to keep using the drops, perhaps more carefully, while I scrupulously watch the rest of my diet. I'm not sure how low my ketosis can go before I officially leave it, but my appetite was in control yesterday and I felt fine with my normal breakfast of 2oz of chicken this morning.
If there is a moral to take away from this, it's that even after ten weeks on the program I can get nearly derailed by something as simple as cough drops coupled with a single poor meal choice. Eternal vigilance is a pain.
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