I think I have figured out what’s going on with my UTI-like symptoms. This may be way TMI, but here goes …
I finally took a mirror to the area, and was really surprised to notice that my urethra looks strange. Sort of swollen and like a little donut, very red in the center. This is not a classic e-coli uti that can be cured with D-mannose powder (which btw is absolutely awesome for that purpose, I cannot praise it enough as natural and practically instantaneous relief). What I’m dealing with appears to be a somewhat prolapsed urethra, and I believe it’s the natural acidity of the ketones in my urine that has aggravated it. I’m not exactly sure how to work with it because it seems to be so directly linked: ketones = irritation (or maybe even erosion of the lining of the urethra) = pain, and I don’t want to give up ketosis. There are some home remedies or the suggestion of estrogen cream, I may have to pursue this with a “real” doctor, one of my least favorite activities on earth.
Anyway, I just wanted to put it out there that you might want to actually take a peek at yourself, especially if you are nearing or past menopause. I don’t think the ketones caused the prolapse but they are irritating the lining of the urethra, which is in crisis for other reasons (in my case lack of estrogen, I think).