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Pure Cut Keto At this point it is important to mention that it is not actually a question of being 'in' or 'out' of ketosis; we don't either totally run on ketones, or not. We don't get beta hydroxybutyrate, acetone, or acetoacetate (ketones) from the diet. Ketones have to be deliberately synthesised by the liver; but the liver can easily synthesise glucose (a process known as 'gluconeogenesis' that uses amino acids (protein) or other metabolic intermediaries) too. You haven't reached ketosis after all. 12 Reasons Why You're Not Losing Weight On Keto. It also goes by the term low carb high fat (LCHF) diet, because there is a focus on..