Ben explaines that breaking a fast and staying in ketosis are not necessarily the same. He described two types of fasting: a caloric fast and a nutrient fast. While consuming calories breaks a caloric fast, consuming certain nutrients can maintain a low insulin state, similar to fasting, allowing the body to continue burning fat and producing ketones.

Dr. Bikman supports the inclusion of a little fat, such as dairy fat, during fasting to maintain this metabolic state. Dr. Bikman himself practices this by adding butter to his morning yerba mate, emphasizing the unique benefits of dairy fats like ghee, cream, and butter.

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