Here’s another point where inverting the usual framing is more helpful than the standard narrative. Let’s frame it around the question: “Which fuel does the body actually prefer?”

The Usual Message

Heard in a nutrition documentary (1):

In carbohydrate metabolism, the body uses glucose, its most important energy source. Excess glucose is also stored as fat. When glucose runs short, the body switches to fat metabolism and taps into its fat reserves so that our cells can keep working.

And in the Fat Guideline (2), fat metabolism ( ) is described as a metabolic imbalance or - in the german version - derailment:

At the same time, biomarkers for the supply of essential nutrients and metabolic imbalances (e.g. ketone bodies) must be observed.

Does That Already Answer the Question?

Both statements sound as though the body burns carbohydrates first, and only then fat. That’s true - but it easily creates the impression that carbohydrates are preferred, and therefore need to be replenished to avoid slipping into emergency mode, the “derailment”.

I’ll take my usual approach of reversing cause and effect. To illustrate, let me bring in another fuel that doesn’t usually feature in this discussion: alcohol.

Alcohol is a toxin. It can be burned (alcohol is not calorie-free). When alcohol is present, it is metabolised preferentially - but naturally not because the body prefers this toxin. It has to be broken down as quickly as possible.

Only then does the body turn its full attention back to carbohydrates. And carbohydrates, much like alcohol, are not entirely harmless: we know chronically elevated blood sugar as diabetes (though there are other lenses on that too - more in a later article), and it is not healthy. The more sugar available, the more AGEs can form in the body.

Only when blood sugar is low enough that it can no longer cause significant damage does the body turn to fat. Sugar is therefore not the preferred fuel - it’s the one that causes more damage when in excess.

The Answer

The preferred fuel for nearly all cells in our body (3) is fat. The body simply prefers to deal with toxins first, before returning to normal operations.

Example: a very lean person weighing 80 kg with 10% body fat has 8 kg of fat stored - around 56,000 kcal (4). Carbohydrates account for roughly 2,000 kcal. That’s hardly a convincing argument for a preference…

Automotive fuel gauge, where the by far largest part denotes the 'reserve'.
Photo by Google Gemini / Olaf Kock
License: Public Domain
Relationship of so-called 'Reserve' (Fat) to actual fuel content (Carbohydrates) in wrong proportions, but closer to reality

It does no good to give overweight people the constant impression that fat-burning is the body’s emergency mode: it is the default. It’s just a mode that becomes hard to reach with excessive carbohydrate intake and constant snacking.

Try it in the Simulator on this site

But the Experts Say…

Let me return to the DGE quote above to close, because it takes some nerve as a nutrition nerd to question a professional society…

The only explanation I can think of is that someone confused “ketosis” (a normal metabolic state in which the body primarily burns fat) with - which could genuinely be called a metabolic imbalance or even derailment.

If ketosis were a derailment, I would by now have been living with a derailed metabolism for nearly 14 years - in which case I’d be curious to know when the adverse effects are typically supposed to kick in.

More about Ketosis

Image of the retina
Here's looking at you...

A look inside: what I can’t measure - and why I don’t consider myself clever enough for a vegan diet

A child sits at a desk drawing; on the wall above hangs a board with the chalk lettering 'We can do hard things'
Asking a Lot, Trusting a Little: The Nutrition Doc and the Informed Patient

If something is hard, that is a sign it is worth doing👍. Or that it is not worth even considering👎. It depends.

Two chopsticks marked with a ruler scale, resting across a steaming bowl of ramen
Eating with Two Yardsticks: The Nutrition Doc's Burden of Proof

Dr Riedl earns both praise and criticism for a single podcast episode: giving up wheat even without coeliac disease👍, double standards on nutrition studies👎.

an abstract ringing alarm clock recreated from onion rings, mushrooms, basil leaves and salt
Food Noise

The popular weight-loss injection promises less ‘food noise’ - and lists side effects. A ketogenic diet does the same, and comes with side benefits.

A small child at the bottom of a very large stone staircase
Who should follow the advice here?

A collection of article links on this site, as a topic-based, easy entry point.

A hammer that looks like it's about to smash a light bulb, with a camera beside it
Dietary Advice as a Toolbox

I assume the toolbox of nutritional advice is not well sorted, and it’s unfortunate that a hammer seems to be the only tool left in the box

Fried egg and bacon in a pan
But Your Cholesterol, Your Heart...

People who hear about a ketogenic diet often wonder whether that much fat can be healthy. The mindset is widespread, but also outdated: the science has moved on.

Frontal picture of a swimmer, swimming butterfly
Out of Breath? Just Eat Something Different!

If you get winded quickly - or just want to last longer - the right diet can extend your endurance by roughly 30%

Cutlery lying horizontal: a knife above, a fork below. Between them, the words 'KETO DIET' spelled out in small letter tiles.
Nutrition Doc: Cognitive Dissonance and Ignorance of Ketogenic Nutrition

In an episode of the Ernährungsdocs podcast, Germany’s most prominent nutritional physician demonstrates shocking ignorance of and attitude towards ketogenic nutrition

Ketogenic Diet – The BARMER's Take

Thoroughly researched, thoroughly cited – and the counter-argument built right in. You just have to read the BARMER’s keto article carefully.

A man in swim trunks on the beach, looking out at the ocean. Photographed from behind — we're looking at the ocean too
Sunburn and UV

A surprising side effect of switching to a ketogenic diet: a new built-in sun protection factor

  1. Why your metabolism is blocking weight loss | NANO Doku (German-language video)
  2. English version of the DGE (German Nutrition Society) Fat Guideline 2015: Ann Nutr Metab 2015;67:141–204 - DOI: 10.1159/000437243, page 149 (German version)
  3. Notable exception: red blood cells and the brain (for roughly one-third of its energy needs) do genuinely depend on glucose.
  4. 1 kg of fat contains 9,000 kcal. But 1 kg of adipose tissue contains 7,000 kcal, which is the figure used here.