The insulin resistance the prediabetes and the type diabetes we generally Keto Trim at least need to start even lower so we counsel our patients to start at under total grams of carbohydrates a day and then we adjust that and personalize it from there so what we see is that many of our patients if not right away can eventually tolerate even higher carbs like up to maybe grams a day or so but again we start at that under grams and then depending on their results blood sugars ketone levels we can help counsel them to add carbohydrates in depending on their personal tolerance adequate protein not high protein so one of the other things that.