First, I agree that learning to use the device (I have both a Ketonix and a cheap breathalyzer) is not as simple as it might seem. I have found that to empty my lungs sufficiently requires a LOT of effort engaging both abdominal muscles and diaphragm. This is a very uncomfortable, and I think necessary, procedure. Clinical and lab devices which use spectrometers, etc. donāt have this particular issue.
Second, if you can master the technique and do it consistently, then you can safely presume that you are emptying your lungs sufficiently to to get an accurate ppm acetone into the device.
Third, why do you presuppose that successive breath samples must be consistent and are not reliable if not? Weāre dealing with a very dynamic system that changes continuously. For example, Ī²-hydroxybutyrate concentration varies minute to minute. Thatās why itās not a very good biomarker of much other than that youāre in ketosis and synthesizing ketones. Most people only sample once or twice a day and mistakenly think what theyāre seeing is a static concentration.
There is no valid reason to think that acetone would not also change minute to minute both from the āspontaneousā breakdown of acetoacetone (which is technically āfat burnā) and utilization within cells and organs (what we would most likely think of as āfat burnā). Additionally, in the case of BrAce if you empty your lungs taking a sample, itās going to take a few minutes for the deep alveoli to build up the acetone concentration again from blood acetone migrating into the lungs. Thus, you could sample too frequently and not get accurate results.
The importance of BrAce as a measure of āfat burnā are the trend and moving average. The Ketonix mobile app tracks both in addition to the sample points.