Definetly, my gallbladder was the problem all along. I have been steadily improving since about 2 weeks, in other words, since dropping estrogen. I'm digesting fat better.
I was thinking that maybe blood sugar fluctuations occur (and keto-adaptation never occurs) in individuals who have trouble digesting fat due to pancreas insufficiency or gallbladder problems. Fat is usually a source of energy needed to digest protein and when it cannot be properly digested and used as such, glucose is the substitute and is provided by glycerol. That's why blood sugar rises when protein content increases and why BS is less when protein is reduced.
A sign of fat malabsorption is that upon increasing fat, you get tired, get bloated, gain weight, have abdominal cramps, get dehydrated, etc. In other words, you don't feel good. Things are only worst and ketones show up suddenly.
I hope Lex is reading this...