i don't eat several times a day. i eat once a day. i drink liquids like water, coffee, pop, milk, soy milk and juice through the day. it had been about 10 hours since i'd had a meal when i took the test, but i would not have eaten before that for a full day, and a full day before that, etc. i will only rarely do things like eat a bag of chips or a pile of cookies in between, and i may end up skipping meals on days that i do.
i'm not starving myself. i'm not anorexic. if i was more hungry, i would eat more; in fact, i often have to force myself to eat what i do eat. i also make gigantic meals, as can be verified. these pasta plates are restaurant-sized portions and full of carbs.
but i'm eating one plate a day, even if it takes me a few tries. i could go 15, 20, 25 hours before the next meal.
some level of urinary ketones make sense in that context, because i'm burning the fat i'm storing. i eat well and stay thin because my metabolism is working. i was said to have a fast metabolism as a child.
it doesn't explain the extreme elevation. that ketone level should mean i'm dying; it's unhealthy. but, i should have some low level of ketones, and i suppose it's possible that my daily 15+ hour fasts are amplifying the steroid results.
i think that makes a moderate amount of sense.