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Hi I am insulin resistant I have pcos and high blood sugars I was diagnosed with fibromyalgia in October last year i was put on gabapentin which made me put 2 stone in weight on in 2 short month I decided to come off gabapentin. And start keto diet as had been on it previously since starting amitriptyline my bllod sugars are high and can't seem to get my blood ketones above 0.6 no matter if I fast 20hr and stick to keto like a religion my weight is not shifting and the ketones and blood glucose is out of whack before taking this medication my ketones would rise great I've stopped taking the medication to see if I can control the blood sugars and ketones I am still taking 2000mg of metformin and my antidepressants but not sure what else I can take for the nerve pai. In my hands :'( I really want keto to work for me as I previously lost 3st on it in 2017 any advice would be great as I'm loosing the will