Dr. Annette Bosworth is an internal medicine physician from South Dakota. Known as Dr. Boz, she created the Boz Ratio to help patients quantify their progress in ketosis through a measurable glucose-to-ketone index.
The Protocol Explained
The Boz Ratio uses the Glucose Ketone Index formula to track metabolic health. Lower ratios indicate deeper therapeutic ketosis. Target ratio below 80 for weight loss, below 40 for therapeutic benefits, below 20 for cancer metabolic therapy.
Macro Breakdown
Fat75%
Protein20%
Carbs5%
What to Eat and Avoid
Eat Freely
High fat meats
Eggs
Butter
Coconut oil
Heavy cream
Leafy greens
Sardines and mackerel
Avoid
Any foods raising blood glucose
Protein excess which converts to glucose
All carbohydrates
Processed foods
The Science
1.Meidenbauer JJ. BMC Cancer 2015: Glucose Ketone Index predicts therapeutic efficacy
2.Seyfried TN. Nutrition and Metabolism 2012: Restricted keto as metabolic therapy for brain cancer
3.Veech RL. IUBMB Life 2001: Ketone bodies as superior fuel for heart and brain
Expected Results Timeline
Week 1-2
Baseline Measurement
Establish starting Boz Ratio with glucose and ketone meters
Week 3-4
Ratio Improvement
Ratio dropping as metabolic health improves
Month 2
Sub-80 Target
Weight loss zone achieved, insulin resistance reducing
Month 3+
Therapeutic Range
Ratio below 40 for maximum metabolic and therapeutic benefits
Who Is This Protocol For?
✓Those wanting a measurable quantified approach to ketosis
✓People with metabolic disease seeking therapeutic ketosis
✓Anyone who wants data-driven keto progress
Success Story
Using the Boz Ratio gave me a clear measurable target. Watched my ratio drop from 120 to 38 over 3 months.