Expert Q&A

Can anyone else smell pee?

Understanding Changes in Body Odor During Weight Loss

As the expert behind CFP Weight Loss, I've worked with thousands of adults in their mid-40s to mid-50s who suddenly notice unusual smells, including a pee-like odor. This often stems from metabolic shifts rather than poor hygiene. When your body begins burning fat for fuel instead of carbs, it produces ketones, which can exit through breath, sweat, and urine, creating an ammonia or urine-like scent. For many with hormonal changes, this is amplified by fluctuating estrogen and insulin levels that slow metabolism and alter how your liver processes waste.

The Role of Ketosis, Dehydration, and Hormones

In my book, I explain that entering mild ketosis—common in sustainable low-carb plans—can cause what people describe as "smelling like pee." Acetone, a byproduct, is volatile and escapes through lungs and skin. Add midlife hormonal changes, and your kidneys work harder to eliminate excess nitrogen, intensifying the smell. Dehydration compounds this; concentrated urine smells stronger, and many of my clients with joint pain or diabetes skip water because they're busy or fear frequent bathroom trips. Aim for 90-100 ounces daily, adjusted for your weight—every 10 pounds of body weight equals roughly 1 ounce of water minimum. If you're managing blood pressure or diabetes, track how this affects your readings; proper hydration often stabilizes both.

Practical Steps to Reduce the Smell and Support Your Goals

Don't let this embarrassment derail you—I've seen clients lose 30-50 pounds while addressing it. First, balance electrolytes: add a pinch of sea salt or consume potassium-rich foods like spinach to prevent the ammonia smell from excess protein breakdown. Second, incorporate gentle movement despite joint pain—10-minute walks after meals improve circulation and hormone balance without gym stress. Third, test your approach: if following my CFP Method, ensure you're getting 25-35 grams of fiber daily from vegetables to bind toxins and normalize digestion. For those overwhelmed by conflicting advice, start simple: one protein-rich meal, one walk, and consistent water intake. This reduces insulin resistance common in hormonal weight gain.

When to Seek Professional Insight and Long-Term Success

If the urine smell persists beyond two weeks or comes with fatigue, consult your doctor to rule out urinary tract issues or uncontrolled blood sugar. In my practice, pairing medical check-ins with my methodology helps those whose insurance won't cover programs. Most see the odor fade as their body adapts, energy rises, and weight drops steadily—often 1-2 pounds weekly without crash diets. Remember, this is your body's signal it's shifting; listen, adjust, and you'll build sustainable habits that outlast every failed diet before.

💬 What the Community Says

In online forums for midlife weight loss, many in their late 40s and early 50s report noticing a pee or ammonia smell during the first weeks of keto or low-carb plans. The community is split between those attributing it to ketosis and dehydration versus others linking it to perimenopause or diabetes fluctuations. Most practitioners find increasing water intake and adding electrolytes like magnesium and potassium helps within days, while a vocal minority worries it signals kidney strain or protein overload. People managing joint pain and blood pressure often share success stories using shorter walks and simpler meal ideas instead of strict programs. Embarrassment keeps some from asking doctors, leading to self-experimentation with supplements or apple cider vinegar. Overall sentiment leans positive once the smell subsides, with users encouraging beginners that it's temporary and a sign metabolism is changing, though debates continue on the ideal carb threshold to avoid it entirely.
Clark, R. (2026). Can anyone else smell pee?. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/can-anyone-else-smell-pee
Russell Clark, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

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