Ketones are often lowest first thing in the morning when the liver is pumping out a bunch of glucose. End of the day readings are typically highest. I often get a negative first thing in the morning, especially if I am well hydrated (urine ketostix) but at night it is at trace.

If you get any positives, then you are in ketosis. Think of it like a pregnancy test. A positive is a positive, and a negative may even be a positive.

If you keep your carbs at 5%, you WILL be in ketosis. There's almost no question about it unless you have a serious health issue or your liver is very unhealthy and making tonnes of sugar... even then, you'd probably still be mildly ketogenic.

There really is no need to cut protein unless you need very high ketones for a medical reason. For weight loss, high ketones are not needed at all. People can lose on a high carb diet too... Some of us just find it easier to lose while low carb, that's all.

Protein is helpful n retaining lean tissue, so (IMO) it's often best to not limit your amount to lower levels.

How are you testing ketones?

I'll tag @macchiatto (hopefully that is correct) who also (I'm pretty sure) has MS. Though she may not be able to answer your specific question/s, the two of you may be able to share information about your various treatments relating to diet and MS.

I have a couple of questions (if you're willing to share) so I'll preface my question/s by stating I have a neurological movement disorder (Spasmodic Torticollis aka Cervical Dystonia) and have experimented with self prescribed dietary approaches (mostly elimination) to see if any have an impact on minimizing my symptoms (keto being the longest experiment of 52 weeks). No luck but certainly keto provided considerable hunger suppression which I was in great need of after weight loss. Given my disorder/condition is not degenerative, I admit to not being as tenacious as I might be otherwise. Anyway...

Is the doc who prescribed a ketogenic diet and the use of the Keto Mojo a neurologist? I ask mostly because it pleases me there are physicians who suggest dietary changes (at least as an adjunct) versus only medications and I am wondering the type of doctor. Have you worked with a registered dietitian to define/refine your food choices?

Are you familiar with the Wahls Protocol? I'm not suggesting it or advocating it for you but rather simply sharing the information if you have not heard of it before. Dr. Terry Wahls (MD) seems to have reversed her MS with diet. I'll not post a specific link or video but suggest for you or others reading that Dr. Terry Wahls has some very compelling videos on youtube. Her chosen diet certainly seems to have helped her and if it helps one other person, thumbs up to that.

Your comment of (paraphrasing) "eating right is always possible" is something that speaks to me. Best of luck to you in finding your best way of eating.

ETA: I've not watched extremely current videos by Dr. Wahls but with those that are 5 years old or so, she did indicate she has not CURED her MS via diet. Just wanted to share that. In the videos I watched, she obviously improved physically. Significantly.

Saw the tag and yes, I do have MS (relapsing-remitting). First attack 2001, official Dx in 2007. I've been eating keto/LCHF (experimented with different ranges within low carb) for about 2.5 years now. My MS specialist didn't prescribe it but is supportive. I did read Dr. Wahls book and am looking forward to seeing further research beyond her own results to see if this is generalizable. I follow some of her principles, though not her full diet or protocol. Anyhow, feel free to PM or friend me if you'd like!