Ketogenic diets must be low in protein to produce ketones.

“it's a misconception you see I think a lot of people assume ketogenic diets or high-protein diets I think some people do consider that yeah but if you're there may be certain people out there who can produce ketones with high protein but in my experience personally and more important clinically meaning I don't know over the course of my practice and my career in medicine I mean I've probably at least encountered 50 or 60 patients at a very detailed level on ketogenic diets almost without exception protein is the bigger thing that fouls people up”