Sothe: Exogenous citons can bump your millimolar reading of b h b in the blood. In some cases, like 30 minutes later, you have a couple of tablespoons of this stuff. If you are doing that while you are still consuming carbohydrates, i am concerned that is going to produce long term health problems. Sothe: The only place that combination is exhibited in nature that iam aware of in humans is in qitoacidosis for type one diabetics.