I am almost never hungry. not a result of keto . its the same on or off keto and has been for many years. . not that this has stopped me from eating. I can be a stress or boredom eater or someone who eats at mealtimes. Or I can not eat for 2 or 3 days because I am busy and forget. all the same to me.
I have quite a store of energy saved up which I am have not been burning for about 80 lbs worth. But on or off keto, I am not hungry but maybe a couple times a week. I also don’t aways feel full after eating whether I was hungry or not to start with. . so ‘eat to satiety’ is somewhat meaningless to me. Obviously my hormones and appestat are deranged.
I have a sleep disorder and when sleep is good for a few days, my appetite is more normalized but its not a lasting thing. my primary care doc (a well known keto doc) wants me to eat at least 120 g of protein a day - preferably more like 200. the doc is not a fan of fasting but seems to not understand that eat to satiety for me would likely mean 5 or more days of fasting a week. .
I’m not sure how to factor all these variables into an equation of food and groceries and times of eating that makes sense. perhaps I should just set up a proper set of macros and plan menus and eat it. For now, maybe just forget about the ‘eat to satiety and don’t eat if not hungry’ guideline? any one else ?
my BC and AIC are pushing the high end of pre- diabetes and my fasting insulin is too high also. I’m game to reverse these trends but a bit confused on how to proceed even after a year of following the dudes and the science. curious if anyone else does not find eat to satiety and eat when your are hungry to be helpful tenets. thanks.

hoping it does not make its way into my waking hours