Chronic ketosis can lead to sodium wasting and loss of magnesium, calcium, and potassium.

“if you're chronically in ketosis and you're not having a postprandial insulin spike let's call it a bump because when i say spike people get worried about that term if you're not having a postprandial insulin bump because you're chronically in ketosis your body is wasting sodium sodium is a very valuable mineral and the balance of sodium with other minerals magnesium calcium potassium is critical when you lose too much sodium you lose too many of the other nutrients when you lose too much sodium you lose too many of the other minerals”