ketoCONTINUUM: Consistently Keto Diet For Life

by Annette Bosworth

ketoCONTINUUM shares David's ketogenic journey from failing health to vibrancy. Author and internal medicine physician, Annette Bosworth, M.D., (Dr. Boz), uses the steps outlined in the ketoCONTINUUM to improve her patients' health at her clinic, Meaningful Medicine, located in Sioux Falls, South Dakota, USA.




ketoCONTINUUM uses David's story to escort the reader through a story of resurrecting health. Dr. Bosworth captures your curiosity while teaching a step-by-step process to stay consistently keto. From mindset and behaviors, to support systems and conflict, ketoCONTINUUM walks the reader through Dr. Bosworth's revolutionary protocol she practices at her medical clinic. ketoCONTINUUM combines the latest developments in brain research, sleep, and keto-chemistry's impact on health. Why? To teach the reader how to reverse insulin-based illnesses once thought impossible to heal, such as obesity, depression, unhealthy livers, inflammation, leaky gut syndrome, and autoimmune diseases. This relatable story teaches how to succeed using ketogenic nutrition, overcome common ketosis pitfalls, and sustain your vitality. The story of David engages the reader as Dr. Boz weaves clever analogies and science-lessons into the book.




ketoCONTINUUM dispels myths, fears, and ill-conceived paradigms about the ketogenic process that impede success. Learn why fat-fuel outperforms carbohydrate-fuel. This comprehensive book also persuasively argues why the term ketogenic-diet misleads many and offers a more nuanced and precise definition that makes sense to the reader.




ketoCONTINUUM not just educates the reader on how to heal and maintain optimal health; it methodically systematically takes them through a proven and responsible step-by-step sequence that implements the ketoCONTINUUM methodology. A workbook and mini-video tutorials also accompany this book. Take this journey with other Neurons by joining Dr. Boz's support group for every step of the ketoCONTINUUM.




After reading ketoCONTINUUM, you will take control and improve your health one ketone at a time.

Genres: Health, Nonfiction, Nutrition

489 pages, Kindle Edition

Published January 15, 2021

Reviews

[Donna · Rating 4 out of 5]

This is Nonfiction/Health. I've head a few keto books and I think this one managed to strip it down into understandable parts. I'm not keto and I don't think I've fully understood the whold idea behind the Keto diet but after listening to this one I feel I have a grasp on the science behind it.

I also liked the author and can appreciate her research and knowledge. I wasn't sure I liked how she started this one using the story of "David" through out the entire. But after finishing it, I can see why she chose this avenue. It all came together nicely. So 4 stars.

[Doris Erskine · Rating 5 out of 5]

Great book with lots of info

I’ve been a diabetes educator for 15 years, and would highly recommend this book. For years I straddled the fence trying to teach my patients how to manage their diabetes. The ones who did best ate very low carb, in fact the ones who kept their carbs below 20 grams excelled. I’m retired now but would have loved to recommend this book to all of those patients. It would have answered so many of their questions. Thanks Dr. Boz. You’ve given me the inspiration to start a Keto support group.

[Tracy Challis · Rating 4 out of 5]

4.5 stars. As far as information about keto goes, this book is outstanding. The information is presented clearly with good analogies, and it made things understandable that I had been confused about in the past. I also liked how there was a case study and a persons experience that was used throughout the book to help exemplify things.
I bumped it down a little because the writing was a little rough for me. There was quite a bit of repetition and some of the figurative language seemed a little off. But overall, for the information this provides, it is an excellent book!

[Lance Russell · Rating 5 out of 5]

Finally Kept Fully Explained!

Dr. Box has created the most comprehensive Keto course in one book that I have been searching for since I stumbled upon a Dr. Jason Fung video and the Keto lifestyle over 3 years ago. I have diabetes and cardiovascular disease. After following standard medical treatment for my health issues for many years I had a mild heart attack and received 2 aortic stents in 2017. I have been struggling to get my health back with Keto but now I understand that I was only getting bits and pieces of the information. Dr. Box has done a tremendous job in creating this amazing book that really explains how follow the correct path for my situation. I love the way she explains the chemistry of our body in easy to understand language. She is a gifted teacher and author. I read Any Way You Can a couple of years ago and could not put it down. I had to find out what happened next in Grandma Rose's adventure. It's a real page turner! Am looking forward to your next book Dr. Boz!!!

[Rachel · Rating 4 out of 5]

Lots of science. Wanna know the exact mechanisms why keto makes you lose weight, or starves cancer, or reverses any of your inflammation/metabolic issues? This is the book for you. Additionally, Dr. Boz uses a patient case study framework to show you when and what to do (along with dos, don'ts, best practices, hints, tips, and tricks). Thus, the book is both complex (lots of science) and simple (patient case study) at the same time. And that leads to my main criticism. I'm confident that Dr Boz would believe that this book is for most everyone, but I think that within her target population those that are suffering from with brain fog (I'm assuming a substantial number here) will find the back and forth between the science and case study difficult. And with that difficulty, I think they might be discouraged to give the ketogenic process a try when they need it so badly. Perhaps though, that is why she created the workbook for a more step-by-step presentation of the process she recommends. I recommend this book and will be keeping it on my bookshelf.

[Martin Gaddy · Rating 5 out of 5]

Very inspirational

I read this book hoping to learn how to live my life in ketosis. I have used Atkins to lose 100 pounds 5 years ago, but not understanding how to continue short of living on Atkins, I have regained 50 of those pounds. I will be getting the workbook that compliments this book and start working on totally changing my hormones. I suspect it will be very difficult as all of my life I have thoroughly enjoyed breads, rolls, muffins, and pasta. Not exactly ketosis friendly! I would encourage this book for everyone wanting to live healthier. My only disappointment, and maybe I missed it, but I never understood how David's cholesterol concerns were resolved.

[Santina Young · Rating 5 out of 5]

KetoCONTINUUM

This book is not only interesting as it tells you how to get into the Keto way of eating, but it entails the story of one man who over the period of time goes through each continuum, and is restored from a foggy, unhealthy body and mind to an energetic and full of life happy individual. As he goes through each faze, we see his mistakes and successes which continue to move on to living healthy and joyful one ketone at a time. I especially enjoyed Dr Boz writing in southeast to understand language. I can hope I will be able to find a group of support as good as this one as I go through the workbook. Thank you Dr Boz! Great book!

[Merry · Rating 5 out of 5]

Don’t let the 500 plus pages scare you! This is a fantastic book. The large print and illustrations make it a fast read…I read it in three days. I have been doing Keto and intermittent fasting for 5 years. I had great success my first year, then have plateaued and been frustrated ever since, and my blood sugars have been creeping upward. Thanks to Dr. Boz’s book, I’ve implemented the Keto continuum process and my blood sugars and weight are decreasing again! Yay! Her explanations are so visual and easy to understand. I learned more from this book than the twenty other keto books I have read over the past 5 years! I highly recommend this book!

[Lynne · Rating 4 out of 5]

Great information in an easy to follow format. Quite a few grammatical mistakes that make me think the book wasn't edited by a professional.

[Sasha · Rating 4 out of 5]

Parts of this book are tedious having read many nutrition books, other parts are motivating.

[Gator · Rating 5 out of 5]

KetoContinuum is an absolute game changer. My personal backround of Keto goes back to 2017, it was my first go around and I started my 1st journey at 310lbs and by 2020 I Had brought myself down to 220lbs with the help of Mark Sisson and the Primal Blueprint, however I was drinking my face off and (whisky, because it was Keto HAHA, I actually believed it as so many do). And because I would EAT keto and drink KETO I believed I was Keto. (I didn't know then that booze stops the production of Ketones.) I fell off during covid and by 2023 I was back up to 330.5lbs... Lets Fast forward to today December 19, 2025 and I am back down to 222lbs.(second round of Keto started Jan 2023) I am not drinking this time around and this time around I am actually, Thanks to Dr. Boz, aiming to be keto; like real keto. I am devouring her podcasts and books and I must say in all this time I have never heard someone so clearly lay out what Keto is really all about, she paints such an amazingly clear picture of Keto and how to accomplish Ketosis. I discovered Dr B on the Diary of A CEO podcast, and from that day back in November when it dropped I've been obsessed with her and consuming her knowledge. So naturally I grabbed her books and I've finished this one and now I am on to the next one. Thanks to Dr B I for the first time have an actual understanding of Keto and the science behind it and she is the absolute best at describing it and lying out the information needed to make the best decisions possible. Ive been successful with keto as you can read but I want to live Keto and make it a real part of my life and embrace the chemistry that comes along with it, and she lays out that path for people thru fantastic stories of David, Grandma Rose, and herself. I have had many stepping stones over the years but she is solid ground. I am now longer jumping from rock to rock over hot lava I am walking on solid ground with Dr. Boz next to me. Thanks Doc :) I also wanna say I am not so much focused on my weight as I am my numbers (Glucose / Ketones) and the health benefits that come along with keeping that Dr B ratio at a respectful number, the weight loss will continue and I also strength Train 4-6 days per wk, the physical transformation has been amazing, but I am now looking forward to that brain transformation, energy transformation and true health transformation that comes with seriously being Keto. This Book is fantastic and If you're on the fence about starting it, get off, pick it up and start right away.

[Rhoni Smith · Rating 5 out of 5]

Reversing My Insulin Resistance 1 Ketone @ a Time

I've been struggling with maintaining a healthy weight for over a decade. I had signs of a leaky gut for a decade before that. 8 months after my last period, I had gained 15 lbs and counting with my weight increasing no matter what. I had inflammation that I could feel. I had random places in my body that would swell with pain. My visits to the doctor chalked it up to age/menopause.

Ten years ago, I went gluten-free (processed food free) and began to heal my body and leaky gut. When I started intermittent fasting eight years ago, I further helped my body from becoming diabetic, and when I began adding long fasts (36 hours) at the beginning of 2025, it helped the weight gain to slow down.

The Keto Continuum, with a look back over my medical lab reports, helped me realize that I've been insulin resistant all along.

I now understand why I continued to struggle and understand how to rid my body of the extra insulin/glycogen/fat cells it has been holding on to for so long. I look forward to a healthy future with keto-chemistry as my guide.

[Kim · Rating 5 out of 5]

Reset my keto journey.

I’ve been following Keto/Carnivore since October 2018. I’ve also practiced intermittent fasting and occasional 48hr fasts. I never measured blood ketones/glucose although I’m certain I’m insulin resistant. The last year I’ve been in/out of the ditch. I just read both of your books and have committed to start measuring. My pee strips are on their way and I’m ordering a meter. I’ve already started <20 grams of carbs, added extra fat and step#5. I’m also logging my meals. I belong to an online group that is my tribe. I look forward to where this will take me. Thank you for sharing your knowledge and stories.

[Vanessa Glover · Rating 5 out of 5]

Excellent! So glad I took a chance on it.

I’ve been eating keto for several years (probably considered “dirty keto”) but never felt the surge of energy others described nor experienced significant weight loss. I’ve bought many books to study about keto, but haven’t been able to focus long enough to finish them. I didn’t have that problem with this book. I read every word eagerly and, towards the end of the book, I’d already started thinking about rereading it to absorb more of the simplified science Dr Boz shared. I’m glad this book appeared in my feed for weeks on end and that I finally took a chance on it. It was worth it.

[Bethany &#x1f33b; · Rating 5 out of 5]

Excellent! If you’re trying to start keto or you’ve started and stalled or want to take the next step but don’t know what that is, read this book! If you’re trying to convince your mom, sister, husband, coworker, doctor, best friend’s third cousin, or yourself that keto IS healthy and WILL repair years of damage, read this book and then tell everyone you know to read it. You’ll get lost in David’s story while also learning all about keto.

[Kristine Hood · Rating 5 out of 5]

Dr Bosworth has written another outstanding book. She weaves the story of her patients struggle to learn a keto lifestyle with the chemistry taking place in his body. She makes the chemistry easy to understand and as the book unfolds you are rooting for David to win his struggle with improving his health.
This is not a diet book. This is a way to live a healthier life using ketosis to repair your damaged body. This book will have you living your best life one ketone at a time.

[Suzi kirby · Rating 5 out of 5]

This is THE book for everyhing keto.

I now have THE book to recommend to everyone on their keto health journey. It is now my text book . Dr. Boz has helped so many of us improve our lives and now with this book we can help others that are coming to us and saying, " I want to do what you are doing. Help me ". Now we have a reference that includes everything. Thank you so much Dr Bosworth.

[Barbara Klinkel · Rating 5 out of 5]

Great guide to KETO

A great deal of thought and experience went into writing this book. It helps you prepare to change your life, realizing this is not a diet but a way of living that will heal your damaged body and restore your dreams of living your best you. In depth explanation of the chemistry that takes you to each level, but in terms easily understood. Also emphasizes the strength found in sharing this journey with others.

[Maryann · Rating 5 out of 5]

A should read for anyone who is considering starting a keto journey. It is filled with down-to-earth explanations on how your body should function and why it doesn't (or isn't) when you eat a typical American diet. You take a journey with David to see (and possibly feel) what he has gone through to improve his health. I have learned so much about ketosis and how to maintain this lifestyle one ketone at a time. The best keto book I have read thus far.

[Joyce Calkins · Rating 5 out of 5]

Extraordinary explanation of the keto diet.

Are you tired, fat, fighting an autoimmune disease and want to try the keto diet to help your body fight the inflammation that causes these things read this book first and then find a great keto cookbook like Marie Emmerich. You will then have good success. Know how to measure macros, glide thru plateaus and see your goal as reachable.

[Sylvie Bourgeois · Rating 5 out of 5]

This is a must read for anyone who would like to improve their health ! This is a comprehensive step by step on how to get your body keto adapted. She does an amazing job of explaining exactly how this works in your body! Dr Boz is a storyteller and I could read/ listen to her all day, she breaks down the information in order for you to fully understand. I also love all the visual content! Great book!!

[Kerri · Rating 5 out of 5]

The missing puzzle piece

I have been following no sugar and no starch advice for over a year and rarely measured glucose or ketones. And although I am healthier than I was eating highly processed carb heavy foods, I was not truly accomplishing my goal of metabolic health. I have read so many books on Keto/low carb but this one really explained it in a way that is easy and makes sense for a beginner or someone who has a bit of knowledge. I recommend this book for everyone!

[Sandy · Rating 4 out of 5]

Lots of information for those of us who want to eat and get healthy. I've been watching the author on youtube for a while now. I like how she gave us the information using David as the subject. "David" and I are pretty much the same. But I'm trying to be more carnivore because keto is not strict enough for me. But this book is a great way to start and then, if you need to, get more to the carnivore side of low carb.

[Colleen · Rating 5 out of 5]

Dr Annette Bosworth is a giant in the field of keto science. She has written a great book for anyone doing keto, whether newbie or not. Dr Bosworth tells the anecdotal journey of one of her patients who was in pretty bad physical and mental/spiritual shape and nailed keto with her guidance. Dr Boz explains the processes, provides the science, and shows the steps to better gut, heart, blood glucose, brain, spirit, and least of all physique through keto.

[Gina · Rating 5 out of 5]

Most of this information wasn't new to me, but Dr. Bosworth's use of an example character, along with her consistent and straightforward approach to describing symptoms and making connections to elevated glucose, insulin resistance , and projected long-term outcomes put the bigger picture in perspective. And it was terrifying! Have improved my health considerably after only two weeks following her guidelines.

[Homer C Reed III · Rating 5 out of 5]

Best nutrition education I've read

I had practiced the keto way of eating for a year when covid hit and I soothed myself with food. I tried again and really struggled. The ketoContinuum helped me understand what was going on and how to go back To basics and follow a proven path, clarify my "why" and be compassionate with myself.

[Sarah Holt · Rating 5 out of 5]

This book had great information on implementing the keto diet, as well as some of the science behind why things work. At times the writing was hard to follow as the timeline often changed with the person who was losing weight. However, the information was presented in an easy to understand format, and made learning about keto fun and enjoyable.

[Alice Antley · Rating 5 out of 5]

Helped me get into Ketosis

Reading David’s journey helped me understand what had been happening to me in my own journey to lower my blood glucose levels and to get into Ketosis. It helped me STAY THE COURSE! I’m in the early weeks of being in Ketosis (all day) with morning blood glucose in the 80s! Thank you Dr Boz for making sense of the Keto diet!

[Chris Paine · Rating 5 out of 5]

Dr Boz clearly explains how to get into "nutritional ketosis" and stay there through a contiuum of steps 1 - 12 to achieve better health results. I am practicing because I have rheumatoid arthritis and as a result a real reason to eat so that I can mitigate the health issues I've recently faced. I would recommend this and the workbook, which I am going to buy next.

[demooor · Rating 5 out of 5]

Very Informative

A book everyone considering or currently doing keto should read. I am more knowledgeable about ketosis and how to maintain this lifestyle more than ever before.
Thank you, Dr.Boz