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Ketones are produced as a byproduct of fat metabolism, not protein metabolism. Elevated urine keytone levels can be either a sign of diet-induced ketosis or possible kidney disease. In either case, a high protein diet alone should not elevate keytone levels in urine. However, if a person is on a high-protein, high-fat and low-carbohydrate diet (for example Atkins or one of the other ketogenic diets out there), it would not be unusual to see elevated keytone levels in a urinanalysis. These keytones would be produced, however, as a result of the body metabolizing fat in the absence of carbohydrates, and not because of the higher protein intake.

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