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Diets have been at the center of animated debates for decades and many claims have been made in one direction or the other by supporters of opposite camps, often with limited evidence. At times emphasis has been put on a single new aspect that the previous diets had overlooked and the new one was to embrace in order to improve weight loss and well-being. Unfortunately, very few randomized clinical trials involving diets have addressed the combined question of weight loss and cardiovascular outcomes. The recently introduced ketogenic diet requires a rigorous limitation of carbohydrates while allowing a liberal ingestion of fats (including saturated fats) and has generated a flurry of interest with many taking the pro position and as many taking the cons position. The ketogenic diet causes a rapid and sensible weight loss along with favourable biomarker changes, such as a reduction in serum hemoglobin A1c in patients with diabetes mellitus type 2. However, it also causes a substantial rise in low density lipoprotein cholesterol levels and many physicians are therefore hesitant to endorse it. In view of the popular uptake of the keto diet even among subjects not in need of weight loss, there is some preoccupation with the potential long-term consequences of a wide embrace of this diet by large segments of the population. On the contrary, numerous lines of evidence show that plant-based diets are associated with reduction in oncological and cardiovascular diseases and a prolonged life span. The debate reproduced in this article took place during a continuous medical education program between two cardiologists with largely differing views on the matter of effectiveness, sustainability, and safety of the ketogenic diet compared to alternative options.|Though it sounds simple enough, the process involves many biological modifications and it may take a few weeks for these changes to occur. You’ll lose weight during this process - initially mostly water weight - as your body depletes its remaining carbohydrate stores (known as glycogen) and makes this adaptation. The main challenge keto dieters face is the extreme carb limit, which is capped at about 5 percent to 10 percent of your daily calorie intake, or around 20 grams of carbohydrates per day, depending on your individual calorie level. This amount of carbs is less than the amount in a large banana and given that even non-starchy foods, like nuts and broccoli, contain some carbohydrate, you’ll reach the cap easily. That means doughy foods, like pizza, pasta and bagels, as well as sweets, are strictly off limits. That’s why keto cycling is so appealing. Though it has no official definition and there’s no actual science to back up its effectiveness, many people take it to mean following the keto diet for five or six days and then following a higher carb menu for a day or two. One reason performance may not be affected, she suggests, is due to ketone measurement. Diabetics have to routinely measure their ketones; if levels are too high, it can indicate a major complication of diabetes. But many people who casually try a keto diet don’t measure ketones, so they may not actually be in a state of ketosis. Ford also points out that in the studies looking at ketosis and performance with negative results, the athletes are not often sufficiently fat-adapted (when the body is trained to tap fat stores for energy, which can take several months) or even in ketosis, making it hard to truly gauge whether the diet is effective when it comes to performance. Runners who may benefit from fat adaptation are those running long, long distances, like ultramarathons. Once you hit those later miles (30, 40, and beyond), your body needs to start tapping into fat stores. So if you’ve done any sort of fat-adapted training-not eating before a morning run, not fueling during an 18-miler-your body can better adjust, Kasparek says.

Potassium is used more by people in ketosis (either fasting, or on the ketogenic diet) due to how our bodies metabolize fat. Recommended amounts are 3,000 mg for those in ketosis. People who have a history of, or suspected, kidney problems should be monitored by a physician before and during potassium supplementation and the ketogenic diet. I normally have a ‘DIY’ approach to health, but there are some times that outside monitoring is really important, and this is one of them. Lite-Salt or potassium chloride (salt sub), mixed with sea salt. This is how most people who are doing extended fasts and starting a ketogenic diet make sure they are getting enough potassium. Spinach and avocados both contain a lot of potassium, but in order to meet your daily needs, you would need to eat 4 cups of spinach, or 5 avocados. This might be doable if you’re having a big salad, but most people are going to struggle to get this much, which is why supplementation may be useful. Despite these benefits, undergoing a seriously restrictive diet like keto shouldn’t be taken lightly. Is it a new diet? Keto is definitely trendy, but it’s not a fad. The ketogenic diet was introduced by modern physicians as an epilepsy treatment in the 1920s-a technique that is still used to treat child epilepsy today in concert with seizure medications. Many high-fat, low-carb diets like Atkins have popped up over the years, but keto has eclipsed them all to join the ranks of high profile diets like intermittent fasting and Whole30. Despite keto's relatively long-standing history, interest has exploded over the past few years. Over on Reddit, /r/keto has a community of over 706,660 subscribers, and thousands more follow along in the comments. These online communities act as a place for commitment, celebration, and commiseration, and for good reason. The demands of following keto are intense: Most keto followers aim to get around 60-75 percent of their calories from fat, 15-30 percent of their calories from protein, and the rest from carbs.|Without enough carbs for energy, the body breaks down fat into ketones. The ketones then become the primary source of fuel for the body. Ketones provide energy for the heart, kidneys and other muscles. The body also uses ketones as an alternative energy source for the brain. Hence, the name for this eating pattern. For our bodies, a ketogenic diet is actually a partial fast. During a total fast or starvation state, the body has no source of energy. Thus, it breaks down lean muscle mass for fuel. With the keto diet, the ketones provide an alternative source of energy. Unlike a full fast, the keto diet helps to maintain lean muscle mass. Is the Keto Diet Safe? Plus, there are both short-term and long-term health risks for all people associated with the keto diet. Short term health risks include flu-like symptoms. For example, upset stomach, headache, fatigue and dizzy spells. This is called the “keto flu.” Some people also report trouble sleeping. There’s evidence that ketogenic diets can help with weight loss. In one older study, people on a ketogenic diet lost 2.2 times more weight than those on a low calorie, low fat diet. Another 2007 study compared a low carb diet to the Diabetes UK’s dietary guidelines. It found the low-carb group lost 15.2 pounds (6.9 kg), while the low fat group lost only 4.6 pounds (2.1 kg). However, there was no difference in HbA1c, ketone, or lipid levels between the groups. Also, those on the low-carb diet also decreased their calorie intake. Finally, there was no difference in fat or protein intake between the two groups. This is important to note if people are increasing their fat intake because they are following a keto diet. However, there are contrasting theories for these findings. Other ketogenic diet studies have found that the ketogenic diet may lead to reductions in appetite and food intake. If you dislike counting calories, the data suggests a ketogenic diet may be a good option for you. You can eliminate certain foods and don’t have to track calories. If you follow the keto diet, you still have to check labels and keep track of your total grams of carbs each day, which requires paying attention to food choices. However, keep in mind that many of the studies mentioned above had small sample sizes and only evaluated the short-term effects of the diet. Additional research is needed to determine how the diet may impact weight loss in the long run and whether weight is regained once a normal diet is resumed. Bottom Line: The ketogenic diet is an effective weight loss diet that’s well-supported by evidence. It is very filling and usually does not require calorie counting. Now that you’ve cleaned out everything you don’t need, it’s time to restock your pantry and fridge with delicious and wholesome, keto-friendly foods that will help you lose weight, become healthier, and feel amazing! With these basics in your home, you’ll always be ready to make healthy, keto-friendly meals. Just about every type of fresh meat and fish is good for a ketogenic diet including beef, chicken, lamb, pork, salmon, tuna, etc. Eat grass-fed and/or organic meat and wild-caught fish whenever possible. Eat as many eggs as you like, preferably organic from free-range chickens. Eat plenty of non-starchy veggies including asparagus, mushrooms, broccoli, cucumber, lettuce, onions, peppers, cauliflower, tomatoes, garlic, Brussels sprouts and zucchini. You can eat full-fat dairy like sour cream, heavy (whipping) cream, butter, cheeses and unsweetened yogurt. Although not dairy, unsweetened almond milk and coconut milk are both good milk substitutes. Stay away from regular milk, skim milk and sweetened yogurts because they contain a lot of sugar. Avoid all fat-free and low-fat dairy products. Olive oil, avocado oil, butter and bacon fat are great for cooking and consuming. Avocado oil is best for searing due to its very high smoke point (520°F). Coconut oil is also widely used in keto recipes and works particularly well in keto-friendly desserts. Berries like strawberries, blueberries, raspberries, etc. are allowed in small amounts. Avocados are great because they’re low carb and very high in fat! Stevia and erythritol are our great choices for low-carb friendly sweeteners. Learn more in our full guide to erythritol. No-carb sweeteners such as monk fruit, stevia, erythritol, and xylitol are controversial, but can have a place in a ketogenic diet. Read more about them here. Most seasonings, herbs, and spices add flavor and are very low carbohydrate. Losing weight on keto is individual to each individual. Because ketosis causes natural appetite suppression and increased energy, it is dieting on easy mode. In addition, you get a ‘quick win’ of immediate water weight loss that can boost your confidence. But still, your individual weight loss will depend on your calorie intake and expenditure - there is no way around that. The only people who lose weight on keto without trying are people who maintain a calorie deficit without trying. Just because a recipe or food is keto doesn’t mean you can eat unlimited amounts and still lose weight. The restricted and appetite-suppressing nature of the ketogenic diet ensures that most people won’t overeat, but if you sit down every night with keto baked goods, ice cream, or an entire block of cheese or bag of almonds, you’re not going to lose weight.

If you search online for the term “keto diet,” you'll see that the health claims associated with the ketogenic diet are numerous. But before you give this diet approach a try, it’s important to know what the science suggests about how it may affect your health. Namely, you'll want to be aware of potential keto diet dangers. One of the most common side effects of starting the ketogenic diet is the “keto flu.” This term describes the often unpleasant, fatigue-inducing symptoms that occur as the body adjusts from a high-carbohydrate to a low-carbohydrate diet. During the keto flu, the body’s stored glucose begins depleting, and the body starts adapting to producing and utilizing ketones as energy. Symptoms of the keto flu include headache, fatigue, dizziness, sleep problems, heart palpitations, cramps, and diarrhea. These side effects usually lessen and eventually resolve in about two weeks. 2) But to lessen the effects of any discomfort, simply consider slowly transitioning onto a ketogenic diet rather than rushing to change your eating habits. Second, following the Ketogenic Diet means carefully tracking your macronutrients (protein, fats, carbs, and water), in addition to some micronutrients like vitamins and minerals. It can be an arduous task that makes simple calorie counting seem like a breeze. While most proponents of keto tout that calorie counting isn’t the main focus, the fact is that most people on this plan are also restricting calories. Any diet that creates a calorie deficit is likely to induce weight loss. While this makes it somewhat difficult to determine if the weight loss is the result of calorie restriction or from being in ketosis, The Cooper Institute’s position is that it is the former, not the latter. Third, there is a lack of long-term scientific data to support this diet. Most diet studies (as well as testimonials) are short-term, lasting only weeks or months. The short-term studies on Ketogenic diets have shown short-term weight loss as well as temporary improvements in important risk factors like HDL and LDL cholesterol levels, blood glucose, inflammatory markers, and waist circumference.

If you regularly have a feeling of hunger and are snacking all the time, then try to add more fat and protein to your meals (1). However, if you occasionally need a little something to get you through, a perfect snack will be a handful of nuts, coffee with butter, bacon chips, hummus, cheese, or full-fat yogurt. But many people prefer keto smoothies. Here are a few keto smoothie recipes that will help you satisfy your hunger if you are on a keto diet. Soak chia seeds in cold boiled water for 7-10 min. Process the following ingredients in your blender: spinach, mint, cucumber (cut into cubes), strawberries, lemon, and lime, add cream and sweetener, do not forget about chia seeds. The smoothie is ready! Process all ingredients in a blender. A refreshing smoothie is ready! Yes, that’s so simple. In a blender, mix all the ingredients and enjoy a light bite. Is A Keto Diet Safe? There is clear evidence that a ketogenic diet can help treat obesity and improve insulin resistance (2). But the long-term effects of the ketogenic diet on overall health need further research.|A clinical keto diet limits carbs to 20-50g per day, primarily from non-starchy vegetables, and protein is kept high enough to maintain lean body mass, but low enough to kick your body into ketosis (typically around 1 gram per kilogram of body weight) and 75 percent or more of total calories from fat. For a 150-pound woman following a 1500 calorie diet, this might break down to 140g of fat, 69g protein, and 27g of carbohydrates per day. However, now that the keto diet has gone mainstream, this nutrient distribution varies widely. The popularity of keto is not without merit; it is a diet that is often touted as easy to stick to especially when compared with low-fat diets. This is attributed to the satiety (feeling of fullness) that likely comes from the fat and protein in the diet. There is also some evidence that there are changes in hormones while following the diet that result in appetite-suppression. A 2014 meta-analysis found that individuals who followed a keto diet experienced less hunger and reduced desire to eat, even as they continued to lose weight. Other studies have found reduced triglycerides and blood pressure along with weight loss. For those with diabetes, the keto way of eating could improve insulin sensitivity and glycemic control, according to some studies. One of the main reasons nutrition experts are not sold on the diet is because avoiding carbohydrates causes you to miss out on the vitamins, minerals, and antioxidants found in fruits, whole grains, and starchy vegetables. Therefore, there is a concern for vitamin and/or mineral deficiencies. Whole grains and fruits are also a great source of fiber which is an important nutrient that helps with gut regularity, reducing cholesterol, and weight loss. Long term studies on the ketogenic diet are limited at this time. Lack of nutrients such as B vitamins that are typically found in beans and grains can be of concern. Keep in mind those who follow a ketogenic diet are more likely to have other deficiencies because the variety of food they’re allowed to eat on this diet is so limited. When people on a ketogenic diet are consuming large quantities of non starchy vegetables, the excessive amounts of insoluble fiber also can lead to nutrient malabsorption. Although there are a few exceptions, non starchy vegetables aren’t rich sources of fermentable, prebiotic fiber. One of my favorite nutrients - fiber - is critical to serve as food for the gut bacteria and for the production of butyrate and other short-chain fatty acids, important for immune function, controlling inflammation, and overall gut health. The gut is essential to the brain and vice versa in terms of anxiety, depression, and pain management. The keto diet is missing a huge piece of this puzzle. Now onto fats, the ketogenic diet is seen as the “bacon and butter” diet, but it doesn’t have to be.|Eat foods that support your goals most of the time, allowing for some flexibility to enjoy life. If your diet is something you “cheat” on, it’s probably not a sustainable way of eating. Can you have fruit on keto? The problem with fruit is that it can be high in carbs, which makes it difficult to include on a typical keto diet. However, by choosing moderately sized servings of lower-carb fruits, it is possible to eat some fruit and stay in ketosis. See the best options here: Can I Eat Fruit On a Keto Diet? What is lazy keto? On a “strict keto” diet, you track protein, fat, and carb intake and aim to hit specific macros. In contrast, someone who says they’re doing “lazy keto” only tracks their carbohydrate intake to make sure it’s low enough to be ketogenic. Otherwise, they eat whatever they want. What is dirty keto? Dirty keto diets are very low-carb like any other keto diet, but otherwise, anything goes in terms of food quality. Within that definition, some suggest as little as 10-20 grams of carbohydrates per day. Others, like the Keto Reset Diet, allow for 50 grams (and in some cases more). The key is to get carb intake low enough that the liver produces ketones (now you know where the name comes from), a source of energy that most of the body-including the brain- can use for fuel. Most of the time, particularly with the Standard American Diet, we’re running our bodies on glucose from the carb sources we regularly eat throughout the day. When carb intake is restricted enough, the body needs to tap other energy sources. That can include fat and ketones. While much of the body can use fat efficiently, the brain does not-hence the need for ketone production under a very low carb scenario. Rather than understand this setup from a restrictive perspective, a look into human evolutionary history shows us this would’ve been a common if not default arrangement.|Using the example above, once our 40-year-old woman approaches her goal weight and is now 150 pounds, her energy requirements just for maintaining her body size is now 1622 calories a day. That is almost what she was eating to lose 2 lbs a week at first! In general, if you are eating 1000 calories a day less than you burn to keep your body running you will lose 2 pounds a week. While this might be doable if you are very over weight, as you get closer to your goal weight you will probably have to lower the deficit so that you feel full and are getting your needed protein, vitamin, and mineral requirements from food. In addition, for women our body tends to hold onto weight and lose it in batches, due to our hormone cycles. So don’t be discouraged if you don’t see that 1-2 pound weight loss every single week. Your body is doing important things behind the scenes to keep you healthy.

If you regularly have a feeling of hunger and are snacking all the time, then try to add more fat and protein to your meals (1). However, if you occasionally need a little something to get you through, a perfect snack will be a handful of nuts, coffee with butter, bacon chips, hummus, cheese, or full-fat yogurt. But many people prefer keto smoothies. Here are a few keto smoothie recipes that will help you satisfy your hunger if you are on a keto diet. Soak chia seeds in cold boiled water for 7-10 min. Process the following ingredients in your blender: spinach, mint, cucumber (cut into cubes), strawberries, lemon, and lime, add cream and sweetener, do not forget about chia seeds. The smoothie is ready! Process all ingredients in a blender. A refreshing smoothie is ready! Yes, that’s so simple. In a blender, mix all the ingredients and enjoy a light bite. Is A Keto Diet Safe? There is clear evidence that a ketogenic diet can help treat obesity and improve insulin resistance (2). But the long-term effects of the ketogenic diet on overall health need further research.|A clinical keto diet limits carbs to 20-50g per day, primarily from non-starchy vegetables, and protein is kept high enough to maintain lean body mass, but low enough to kick your body into ketosis (typically around 1 gram per kilogram of body weight) and 75 percent or more of total calories from fat. For a 150-pound woman following a 1500 calorie diet, this might break down to 140g of fat, 69g protein, and 27g of carbohydrates per day. However, now that the keto diet has gone mainstream, this nutrient distribution varies widely. The popularity of keto is not without merit; it is a diet that is often touted as easy to stick to especially when compared with low-fat diets. This is attributed to the satiety (feeling of fullness) that likely comes from the fat and protein in the diet. There is also some evidence that there are changes in hormones while following the diet that result in appetite-suppression. A 2014 meta-analysis found that individuals who followed a keto diet experienced less hunger and reduced desire to eat, even as they continued to lose weight. Other studies have found reduced triglycerides and blood pressure along with weight loss. For those with diabetes, the keto way of eating could improve insulin sensitivity and glycemic control, according to some studies. One of the main reasons nutrition experts are not sold on the diet is because avoiding carbohydrates causes you to miss out on the vitamins, minerals, and antioxidants found in fruits, whole grains, and starchy vegetables. Therefore, there is a concern for vitamin and/or mineral deficiencies. Whole grains and fruits are also a great source of fiber which is an important nutrient that helps with gut regularity, reducing cholesterol, and weight loss. Long term studies on the ketogenic diet are limited at this time. The average person doesn’t fully understand what ketosis really means, or that it’s necessary to measure blood levels of ketones. The mere presence of a few ketones doesn’t make one in ketosis. And peeing on a stick isn’t the way to measure blood levels of ketones, because simply spilling a few ketones in urine isn’t indicative of ketosis. After all, we all produce ketones after a certain period of not eating. That doesn’t mean that our body is magically shifting gears and the ketones are changing how we’re oxidizing all the food in our bodies. The ketogenic diet’s extreme restriction of carbohydrates contributes to micronutrient deficiencies and impacts gut health. Ketogenic diets don’t just eliminate sugar and refined carbohydrates; they also cut out pulses, whole grains, fruit, and starchy vegetables. All of these foods contribute vitamins, minerals, antioxidants, phytochemicals, and fiber which include prebiotic fiber that promotes a healthy gut microbiota.|“I don’t recommend staying on the keto diet permanently. It can be really restrictive,” says Mancinelli. Long-term research on the keto diet is limited, so there’s no telling for sure what cutting out certain major food groups and cutting carbs will eventually do to your body. Registered dietitians warn that nutrient deficiencies may be possible if you’re on it for too long. Stick to the keto diet for three to six months max, says Mancinelli, noting that some people opt to cycle in and out of the diet throughout the year. Because it’s not a forever diet, there will be life after keto. But even when you go off it, you can expect that your taste preferences will have changed. “You likely won’t want as many carbs, and things will taste extremely sweet,” she says. That’s good, because the last thing you want to do is go back to your old eating habits and regain weight that you lost. While everyone’s nutrition requirements differ, generally, you may eat 40 to 45 percent fat and stick to 120 to 150 g of carbs per day to help you keep the weight off, she says. That said, the US News report noted that the long-term weight loss effects of keto aren’t clear. Moreover, some research indicates that the keto diet can also help with PCOS, fertility, and more. The keto diet has been shown to help people with type 2 diabetes because of how it maintains low blood sugar levels, and subsequently, can promote better insulin control. A 2005 study showed that the keto diet allowed patients with type 2 diabetes to stop taking or lower the medications that helped them regulate their insulin levels. A 2008 study found similar results in its patients. Patients who were obese and had type 2 diabetes were able to better handle their blood sugar levels as well as lower their medication that controlled their insulin. Supporting results from both the 2005 and 2008 studies, a 2017 review of nine studies found that people with type 2 diabetes on a low-carb diet generally could control their blood glucose levels better than diabetes patients on either a normal or high-carb diet.

What are the risks of keto cycling? Setting aside intense cravings, there may be other risks of cycling on and off the keto diet. In one short-term, small study, researchers investigated the impact of following a strict keto diet for six days and then going off plan by consuming a drink containing 75 grams of carbohydrate. For reference, that’s slightly less than the amount of carbs in two cans of soda. The damage: “We saw a temporary increase in the levels of endothelial microparticles (sometimes called micro vesicles) in the blood,” explains study co-author and Assistant Professor at the University of British Columbia Jonathan P. Little. Endothelial cells are the single layer of cells that line and protect our blood vessels. “Microparticles are small vesicles that get released from cells when they are inflamed or damaged, so finding an increase in endothelial microparticles tells us that the endothelial cells that line our blood vessels experienced some damage and inflammation when glucose spiked.” Though he says that the increase in markers of blood vessel damage was temporary, the long-term impact remains unclear. What do you eat on the keto diet? A typical ketogenic diet consists of 75% fat, 20% protein, and 5% carbs. When you follow the ketogenic diet, your body stops relying on carbs as the main source of energy. This sends your body into a metabolic state called ketosis. Ketosis is when your metabolism burns fat for energy instead of carbohydrates, and produces molecules called ketones in the process. Normally when you eat sugar and carbohydrates, your body turns them into glucose, aka blood sugar. Then, your liver releases insulin, which helps your cells absorb that glucose for energy. But when you limit your sugar and carb intake, there's nothing for your body to turn into glucose. As a result, blood sugar levels remain low, and your body generates ketones, instead. Ketones are acidic, so too many in your body are potentially harmful. However, it's this ketone production that makes the keto diet so helpful for people with certain neurological diseases.

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In fact, a recent study published in the British Journal of Nutrition concluded that an increase in lycopene consumption is associated with a lower risk of developing cardiovascular disease. Unfamiliar with this fatty food? Ghee is a form of clarified butter that regularly makes an appearance in Indian food as well as on our list of fat-burning keto diet foods. In addition to its abundance of fat, ghee is also high in fat-soluble vitamins such as vitamin A, vitamin E, and vitamin D. You can, of course, buy ghee at the grocery store or you can make your own: The Easiest Way to Make Ghee at Home. These mini cabbages are a winter and fall favorite that you can enjoy all year-round on the ketogenic diet. Brussels sprouts are chock-full of nutrients including vitamin C, vitamin K, folate, and phosphorus, so don't be afraid to dig in. Asparagus is a low-carbohydrate vegetable that you should make an effort to incorporate into your diet, whether you are going keto or not. The stalky green is rich in glutathione, a compound with major cancer-fighting benefits. A study published in the journal Cancers found that glutathione participates in cell protection and regulation. Caffeine-fiends are in luck: coffee is allowed on the ketogenic diet. The bad news? Sugar and milk are both off-limits. If you can't stomach the idea of drinking your coffee black, you can make bulletproof coffee, which is made by adding butter and coconut oil or concentrated MCT oil to your morning brew. Just make sure you're choosing the right keto add-in, because some keto creamers are on our list of 7 Things You Should Never Add to Your Coffee. Many meats contain additives, artificial ingredients, and unnecessary sugars so you’ll need to eliminate those to improve your health. They include processed and cured meats like pepperoni, salami, hot dogs, and certain jerky. For more information about protein on keto, check out Is Too Much Protein Bad for Ketosis? When following keto, you want to get the majority of your carbohydrates from vegetables such as leafy greens (which contain almost no carbs), asparagus, and broccoli, and most other vegetables that grow above ground. Avoid starchy vegetables like potatoes, corn, and parsnips. The rest of your carbohydrate intake should come from the carbs in nuts and seeds, the small amount in dairy and on occasion, from fruits like berries. Most vegetables, including leafy greens and cruciferous vegetables, are encouraged on keto. Cooking your vegetables helps break down the plant matter so their nutrients are easier for your body to absorb and use.

Will I gain it all back once I go off the keto diet? No! Because keto provides such drastic results for so many people, it is common to have the success minimized by jealous onlookers. Fat loss is fat loss, and if you eat over your carbs you will probably gain some water weight back, but you aren’t going to put on pounds of fat overnight - it’s just not biologically possible. Still, once you stop keto you may fall back into the carb-craving cycle and overeat again. For this reason, many people who initially lose weight with keto choose to stay on it, even at their goal weight, because they feel so good on it and it is easier to maintain their weight without the carb cravings and energy crashes associated with a carb-based diet. Is it okay to be on keto during the week, and then ‘cheat’ during the weekends? This is where keto gets tricky, and what puts a lot of people off.|On average, most people will lose a few pounds but have a tough time sticking to it in the long run. But keto does have this real potential as a treatment for a few diseases. And that’s the really serious and fascinating scientific exploration that’s happening right now. Listen to the full episode of Today, Explained to learn more about the science behind the keto diet. Will you support Vox’s explanatory journalism? Millions turn to Vox to understand what’s happening in the news. Our mission has never been more vital than it is in this moment: to empower through understanding. Financial contributions from our readers are a critical part of supporting our resource-intensive work and help us keep our journalism free for all. Please consider making a contribution to Vox today from as little as $3. Vietnam defied the experts and sealed its border to keep Covid-19 out. I could have been Ma’Khia Bryant Like Ma’Khia Bryant, I was exposed to violence at a young age. I needed help, not bullets. How men’s thighs became the new abs Men haven’t been skipping leg day. And this summer, they’re ready to show you. Greek life is losing members. Here’s why. From racist slurs to classism, three students share the reasons why they left - or dismantled - their fraternities and sororities. Just because you can work from home doesn’t mean you’ll be allowed to Which jobs are heading back to the office and which can stay home varies widely. She warns not to try this (or any version of keto) before talking with a physician if you have diabetes and are insulin dependent, as it could lead to a too-low blood sugar level. How It Works This version of keto calls for upping the protein intake just a bit. Protein should make up about 30 percent of calories, with the other 65 percent coming from fat and 5 percent from carbs, Spritzler says. Aim to source your protein from both animals (meat, fish, and dairy) and plants (nuts and seeds), Spritzler suggests. Who It's Best For This is meant for those who need protein to help protect muscle mass, like bodybuilders and older people who need to prevent muscle breakdown, Spritzler says. It’s also a good option for those who show signs of a protein deficiency. Those signs include a loss of muscle or thinning hair, according to the subcommittee on the 10th edition of the federal recommended dietary allowances. 15. What Is My Unique Carb Count? Your unique carb count refers to how many carbs you can eat on the keto diet and remain in ketosis. Some people can eat over 50 grams of carbs per day and remain in ketosis. Others can only eat 25 grams of carbs per day before they slip out of ketosis. After you’ve followed a keto diet for four to six weeks, increase your daily carb intake until you reach 0.5 mmol/L of blood ketones. 16. How Do I Minimize Carbs on My Workout Days? Start by eating between 15 and 30 grams of carbs before your workout. If your unique carb count number is higher, you can get away with eating more carbs pre-workout. However, if you need more carbohydrates to fuel and recover from your workouts, try to split them up. To minimize your time out of ketosis, try to keep your total carb count under 50 grams. 17. When Should I Eat Carbs on My Workout Days? For everyday dieters, it might be for the more anecdotal side effects, such as a clearer head. But it can be risky for certain folks, like those with kidney issues, according to experts at the Keck School of Medicine of USC. Ninety percent of Americans have been on a diet and when you ask why they’re dieting - is it for health or to lose weight? “the predominant answer is to lose weight,” according to Dean Pinchas Cohen of the USC Leonard Davis School of Gerontology. So it’s no surprise keto - essentially a new take on the Atkins diet - is popular since it results in weight loss, he said. But long term, the keto diet could be detrimental, since cutting out carbs increases health risks and mortality over time, Cohen said. The ketogenic diet is usually something that’s prescribed by a registered dietitian. For example, Jessica Lowe, a Keck School of Medicine of USC ketogenic dietitian, said she might prescribe it to a patient who has epilepsy, since there’s research that shows it can help control seizures.

Essentially, the ketogenic diet promotes a "pseudofasted" state.3 After three to four days of fasting or following a very low-carbohydrate diet, the body, deprived of dietary sugar and starch, reduces insulin secretion and switches to primarily burning fat for fuel. The resulting overproduction of acetyl-CoA leads to formation of ketones-beta-hydroxybutyric acid and acetone-in a process known as ketogenesis.2,4 Whereas the brain can't use fatty acids for fuel, ketones can cross the blood-brain barrier, providing fuel to the typically glucose-hungry brain as well as to other tissues. Andres Ayesta, MS, RD, LD, CSCS, CSSD, owner of Vive Nutrition in Orlando, Florida, adding that the true ketogenic diet can have a ratio of 75% to 90% calories from fat, 10% from protein, and 5% from carbs. However, in research and in real life, diets labeled as "ketogenic" vary widely. Diana Reid, MPH, RD, Luxembourg-based owner of The Global Dietitian. Some people do well with slightly more carbs in their diets, and that’s perfectly okay. Standard keto: This is typically 75% fat, 20% protein and 5% net carbs a day, every day. Some keto followers eat as few as 20 grams of net carbs per day. Cyclical keto: You follow a standard keto diet most of the week. One to two days a week, you have a “carb refeed” in which you eat slightly more carbs. For example, you might eat approximately 150 grams of net carbs during carb refeed days. Targeted keto: You follow the standard keto diet, but eat more carbs 30 minutes to an hour around workouts. The glucose is meant to boost performance, and you return to ketosis after the workout. If your energy is suffering in the gym during keto, this style of eating might work for you. Dirty keto: Dirty keto follows the same ratio of dietary fats, proteins and carbs as the regular keto diet, but with a twist: It doesn’t matter where those macronutrients come from. The reason less fat is burned on a ketogenic diet is presumably the same reason people who start fasting may start burning less fat: Without carbohydrates, the preferred fuel, our bodies start burning more of our own protein. Inadequate intake of 17 micronutrients has been documented in those on ketogenic diets. Children have gotten scurvy, and some have even died from deficiency of the mineral selenium, which can cause sudden cardiac death. Bone fractures disproportionately plague children on ketogenic diets, along with growth stunting and kidney stones, and constipation is a frequently cited side effect. Keto diets have also been shown to reduce the richness and diversity of our gut flora, and all of that saturated fat can have a profound impact on the heart: A meta-analysis of four cohort studies following the diets, diseases, and deaths of more than a quarter million people found that those who eat lower-carb diets suffer a significantly higher risk of all-cause mortality, meaning they live, on average, significantly shorter lives. Image Credit: maglara / Adobe stock. This image has been modified. This mechanism has served us for hundreds of years through periods of scarcity or famine. A lack of consistent energy slows our metabolism because our body wants to do one thing: keep us alive. A slowed metabolism is also why it’s hard for people who restrict their intake to continue to lose weight past a certain point or maintain their current weight loss long-term. Moreover, there are some confounding variables worth noting when on a ketogenic diet. First, cutting out an entire food group will consequently reduce your intake. Yes, you can eat more protein and fat, but these nutrients are more satiating and less likely to be overeaten than carbohydrates. To put in simpler terms: you could probably eat 3 bagels before you ate 3 steaks or 3 avocados! Additionally, avoiding carbs may also leave you lacking some key nutrients, like the vitamins and minerals found in fruits and vegetables. Furthermore, the weight loss is probably not permanent. The ketogenic diet may help you (temporarily) lose weight, but the odds of it staying off are slim.

It takes serious dedication to drop your daily total carb intake to below 50 grams (or 20-30g of net carbs, which are sans fiber), the equivalent of a single cup of brown rice. The USDA Dietary Guidelines were just changed in January to mention the need to limit intake of added sugars and refined carbs like bread, rice, pasta, cookies, and crackers, which spike blood sugar more rapidly than candy. Check the label of nearly any sports drink, and it’s most likely loaded with natural or added sugar. Meanwhile, Noakes continues preaching that the right kinds of fats-the ones our bodies evolved to process, like animal fat and butter, olive and coconut oil (but not vegetable oils like corn oil and soybean oil)-are extremely healthy. ” or “Truth wins in the end. Noakes’s war on sugar goes back a generation, to when his father developed type-2 diabetes. Type-2 is a disease in which the body gradually loses its ability to regulate blood sugar through the production of the hormone insulin.|Indeed, there's plenty of research to support ketogenic diets in the treatment of some devastating neurological conditions. But can it really help the average Joe or Joanne lose weight? Well, yes, in theory - especially ultra low-calorie versions. But is it suitable for long-term, sustainable weight loss and improved health? The jury's still out on that. In regimented keto diets, only 10% of total calories per day (about a measly 20 grams!) come from carbs, 20% from protein, and a whopping 70% from fats. Since our bodies preferentially use carbs for energy, cutting them means we have to use something else to keep organs functioning. Our bodies then turn to the glucose stored in our muscles as glycogen for fuel. What else happens when we break down muscle glycogen? We lose water weight! Our muscles store about 3 grams of water for every gram of glycogen, meaning we can lose quite a bit of weight right away when we tap into glycogen stores for fuel. One day you’re eating cereal, sandwiches, and pasta, and the next you decide to hop on keto and eat only 20 grams (g) of carbohydrates a day, which is often the recommended amount to start with. That may be a drastic change for your body. Consider easing in. “Prior to starting a keto diet, individuals may benefit from tapering down their carbohydrate intake, instead of reducing carbs cold turkey,” says Lara Clevenger, a ketogenic dietitian-nutritionist with a private practice in New Smyrna Beach, Florida. For all the focus on what you’re eating, don’t forget about what you’re sipping. Dehydration is an increased possibility on keto. “The drastic decrease in carbohydrate intake on the ketogenic diet can cause shifts in your fluid and electrolyte balance. Carbs are stored along with water in the body, so as these stores are depleted, that water is lost along with them,” says Alyssa Tucci, RDN, nutrition manager at Virtual Health Partners in New York City. Although the main focus of your ketogenic diet should be consuming whole foods that are as close to nature as possible, there are some other healthy options that will support your keto diet. Here’s a guide to some of the common supplements and other products that may help you along your keto journey. The purpose of exogenous ketone supplements is to provide the body with extra ketones for energy. Ketone supplements can be a huge help when just starting out on keto or entering a fasted state. Exogenous ketones help with energy levels and battle brain fog when you’re getting into ketosis. They can also provide you with an extra boost of energy pre- and post-workout - even if you’re already in ketosis. Learn more about exogenous ketones here or try Perfect Keto Base. MCT is short for medium-chain triglyceride. MCTs are a type of fat that are readily used for energy by your body and do not have to be shuttled around your digestive system before use.|In basic terms, successfully following the keto diet means cutting out all sources of sugar and most carbohydrates and loading up on foods with a high fat content. The key to sticking to keto guidelines is focusing on what you can eat, not what you're cutting out. If you're unsure about what's safe to snack on, you are in luck. We have picked out our favorite, keto-friendly foods that will make eating a fat-centric diet easy and, dare we say it, enjoyable. Read on and then bookmark this essential keto diet food list that you'll need to successfully take the ketogenic plunge. And if you're already following the diet, it may be worth checking out these 8 Major Mistakes You're Making on the Keto Diet to ensure you're keeping yourself healthy. Pass the guac! Avocados are one of the best keto diet foods thanks to their high healthy fat content and low carbohydrate count. Unlike the Atkins Diet, which is high in protein, a keto diet avoids eating too much protein. In the past, people thought large amounts of protein can turn into glucose in a process called gluconeogenesis, which takes you out of ketosis. More recent findings suggest the possibility of gluconeogenesis isn’t as big a problem as we once believed, but on a keto diet, the majority of your calories should come from quality fats-not protein. There’s a bit of a learning curve when you’re finding out what to eat on keto. Broadly speaking, it’s best to get your dietary fat from nutrient-dense, whole food sources. That means eating more foods like avocados, coconut oil, olive oil and butter (or Bulletproof Grass-Fed Ghee). Your protein intake should primarily come from fatty cuts of protein like salmon and, yes, bacon. How long does it take to get into ketosis? It can take anywhere from 2-3 days to a few weeks to enter ketosis, depending on your body’s ability to adapt to burning fat for fuel and increasing your ketone levels.

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It came from a group of Chinese researchers who presented a study at the American College of Cardiology annual meeting in New Orleans. They found patients who followed a diet low in carbohydrates for nearly two decades had an increased risk for atrial fibrillation. But there are important caveats to consider. While the study suggests a link between the two, it wasn’t a randomized trial, so it doesn’t show a cause and effect, and the participants weren’t on the keto diet. They self-reported their carbohydrate intake and those with lower intake (about 44 percent of their calories - which is higher than the keto diet) were found to have higher rates of the disease. “Only a very limited portion of the data and study was presented at the meeting, but it’s a very loose association,” Chokshi says. The researchers proposed that those at risk were probably eating fewer vegetables, fruits, and grains, which are known for being inflammation-fighting foods.|Lisa said. She noted that these bad things include saturated fat and omega-6 fats from butter, red meat, and cheese. Slowed metabolism. This is the opposite of what you want with a diet, correct? Correct. "The main reason a ketogenic diet is not good for weight loss is that it mimics starvation," Lisa said. In starvation mode, your body clings for dear life to every calorie you come near. As Lisa put it, "this is your metabolism coming to a screeching halt." In addition to a limited diet, bad mood, and missing pasta, you're also destroying your metabolism and putting yourself in a worse place than if you had just been eating carbs all along. The balloon effect. Even worse, once you go back to your normal diet (because as Lisa put it, "a keto diet for life sounds like the worst thing ever"), you will balloon up. Yeah . . . Does It Work For Anyone? While Lisa says there's no reason for the average person to try the keto diet - "science supporting the ketogenic diet is either widely discredited or nonexistent" - it can work for children with epilepsy or someone who has suffered brain trauma or injury. There is some science to back up how a keto diet would work in those instances, but Lisa warns that those people should be under the supervision of both a doctor and a dietitian. Consider where you're getting your information on keto. Is it from social media? Does your source have a degree? Are they versed in nutrition? Make sure you're getting the best information possible - this is your health we're talking about, after all! In Summary . . Lisa said. We're happy to hear it, because we also really like pasta. Piles of bacon. An avalanche of fried eggs. These are the promises of keto, the high-fat, low-carb diet steadily increasing in popularity over the past few years. Keto's reputation as a route to rapid weight loss has the diet trending, and with celebrities like Halle Berry and Kourtney Kardashian getting on board, we have a feeling that interest won't be waning any time soon. But what exactly is keto, and is it truly healthy? Okay, what is keto? The ketogenic diet is a high-fat, low-carb eating plan designed to force the body into ketosis, a metabolic state that burns fat for energy. Once in ketosis, the body creates organic compounds called ketones to help create energy lost from those missing carbs. As the body adjusts to running on ketones by burning fat for energy, it's common to experience weight loss. This is the crux of keto's popularity: Many people see results. Still, it's important to note that much of this can be attributed to water weight shed from depleting carb stores, which can easily fluctuate. Additionally, some patients may feel a little tired in the beginning, while some may have bad breath, nausea, vomiting, constipation, and sleep problems. Is a ketogenic diet healthy? We have solid evidence showing that a ketogenic diet reduces seizures in children, sometimes as effectively as medication. Because of these neuroprotective effects, questions have been raised about the possible benefits for other brain disorders such as Parkinson’s, Alzheimer’s, multiple sclerosis, sleep disorders, autism, and even brain cancer. However, there are no human studies to support recommending ketosis to treat these conditions. Weight loss is the primary reason my patients use the ketogenic diet. Previous research shows good evidence of a faster weight loss when patients go on a ketogenic or very low carbohydrate diet compared to participants on a more traditional low-fat diet, or even a Mediterranean diet. However, that difference in weight loss seems to disappear over time. A ketogenic diet also has been shown to improve blood sugar control for patients with type 2 diabetes, at least in the short term.|For someone eating 2000 calories per day, that translates to around 167g fat, 75-100g protein, and 25-50g carbohydrates. This is key: the total calories you consume are not NEARLY as important as the overall ratio of protein/fat/carbohydrate that you take in. Consuming foods with this macronutrient ratio causes our bodies to burn fat for fuel instead of carbohydrates, meaning it’s a simple (not easy, but simple) way to burn body fat more efficiently. Because of this, the ketogenic diet has been getting a ton of buzz recently for its weight loss benefits. Many people who adopt a ketogenic lifestyle tout easy weight loss from following the protocol, without adding in extra exercise or worrying about total calories. It’s true, you can experience rapid, significant weight loss if you follow this diet correctly, to do this safely, there are other nutritional considerations - more on that soon. WHERE DID KETO COME FROM? The ketogenic diet is the gold standard diet for epilepsy, and research demonstrates that these benefits could actually extend to other neurodegenerative diseases as well.

There are several potential factors at play-including the fact that with any diet that restricts entire food groups, it's possible that reduced dietary variety leads to reduced calorie intake. Jeff Volek, PhD, RD, a professor in the department of human sciences at Ohio State University. He also points out that some research studies have found that a ketogenic diet has benefits for individuals with type 2 diabetes and prediabetes. Reduction in appetite is a frequently noted effect of the ketogenic diet. This could be because of the satiating effect of protein, despite its restriction to low-to-moderate levels. Or, something about the diet-possibly the ketones themselves-may increase levels of appetite control hormones.4,9 In one small 2013 study of adults without diabetes with BMIs in the overweight or obese range, levels of ghrelin (the hunger hormone) and subjective appetite were lower when the subjects were in ketosis, even on a very low-energy diet (VLED) of 500 to 550 kcal per day. According to a review published in 2015 in Obesity Reviews, studies have found that individuals adhering to a ketogenic low-carb diet report significantly less hunger and desire to eat compared with baseline, despite moderate calorie restriction and significant weight loss. Burn fat more efficiently. Speed up your metabolism. If you’re struggling to lose those last 5 pounds or wondering why the muffin top just won’t budge (despite eating clean and exercising), you may find the answers you’re looking for in this keto diet master guide. What Is the Keto Diet? This is done by heavily restricting carbs and focusing on high-fat, moderate protein meals. The standard ketogenic diet contains a 4:1 ratio of fat to proteins and carbs. The keto diet is often grouped with other high-fat, low-carb diets such as the paleo or Atkins diets. But the reason these diets boast fat-burning benefits in the first place is because they promote ketosis. Therefore, the ketogenic diet isn’t so much a diet, but moreso the basis of these diets, and the biochemical reaction that occurs when you train your body to burn fat for fuel instead of carbs. While the ketogenic diet has become popular for weight loss, studies have also shown numerous other benefits of following a keto diet. As your body adjusts, it’s common to go through the keto flu during the first week or so. You might experience symptoms like brain fog, muscle aches, constipation, a metallic taste in your mouth or even an acetone odor in your breath (aka “keto breath”). Once you enter ketosis, you’ll notice changes like fewer cravings, clear-headedness and increased energy. Depending on how your body adjusts to this style of eating, you might also notice keto side effects if your electrolytes become imbalanced. If you’re having trouble sleeping or dealing with low energy, you might feel better with slightly more carbs in your diet. Experiment with carb cycling to find what works for you. When you’re starting keto, the list of rules on what you can and can’t eat may seem daunting. It’s important to educate yourself about what high-carb foods can sneak up on you, such as legumes or starchy root vegetables.|Sometimes, amazingly good things. Two years ago, LeBron James famously lost 25 pounds and upped his late-game endurance by cutting carbs and sugars from his diet. Tim Ferriss, the author of the Four-Hour self-improvement book series, followed a strict keto diet to cure his Lyme disease, and performs a long multi-day fast every four months as a means, he says, of pushing ketosis further and starving incipient pre-cancerous cells of sugar (more on that later). Last summer, Sami Inkinen, the ultrafit co-founder of real estate juggernaut Trulia, rowed with his wife from California to Hawaii in record time on a keto diet, to promote high-fat eating and raise awareness about the dangers of too much sugar. The Keto Diet, say its ardent supporters, is a natural way to literally reprogram your metabolism and transition to an upgraded operating system. You’ll ultimately feel better and perform better, and your body fat will plummet. But this sort of “low-carbohydrate, high-fat” (LCHF) diet, as Noakes calls it, is still far from mainstream.

Who Should Not Do the Keto Diet? Who Should Do the Keto Diet? On the Keto diet, if you decide to eat a piece of cake one day, you can quickly kick yourself out of ketosis and your body will shift back to burning carbs for energy, so eating a Keto diet is a constant commitment. Can You Track Your Macros? The Keto diet is all about tracking your macro levels. Without this information, you really don’t know whether you’re within the proper macro zone for ketosis or not. Can You Keep an Eye on Your Calories? As you ramp up your fat intake, your hunger cravings will naturally fall off. So when you’re just starting out, it’s not enough to simply listen to your body’s hunger cues, it’s important to actually track your calories to make sure you’re getting enough food. If you answered “yes” to the questions above, you’re probably a good fit for the Ketogenic diet. Over time, you’ll start to develop a sense of the best foods to eat and how many calories you’re taking in, but until then, stick to using apps like MyFitnessPal to help take out the guesswork.|Lately, the ketogenic (keto) diet is all the buzz in the health world, but what exactly is a keto diet and who could benefit from it? Let’s take a look at the science behind this exciting new approach to weight loss. A keto diet is a low-carb diet that puts your metabolism into a state called ketosis. During ketosis, your body becomes very efficient at converting fat into energy. This can help suppress your appetite, speed up your weight loss efforts and maintain muscle mass while dieting, which are all things that work together to make it easier to stick to a diet. Keto diets have been well-studied in the scientific community and have shown to be successful for healthy weight loss. Profile utilizes ketosis during the early weeks of a member’s nutrition plan. We’ve found it’s suitable for 3 out of every 4 people who join our program. By utilizing ketosis through wholesome grocery foods and Profile foods rich in nutrients, Profile allows you to make big strides in weight loss while maintaining your body’s lean mass. This is the key reason a typical member actively engaged in Profile is able to drop 12% body weight within 12 weeks! While ketosis is safe for most people, it’s not for everyone. When members join Profile, their Certified Profile Coach takes them through a health and lifestyle questionnaire to tailor their plan to meet their specific weight loss needs and decide if a ketogenic diet is right for them. Worried your medical condition may prevent you from joining Profile? Don’t fear! Our program is adaptable and can assist you in your unique weight loss goals. Additionally, women who are pregnant or breastfeeding should contact their healthcare provider before starting a new diet. Looking for an alternative to a Keto Diet? Fill out the form below to get a FREE initial consultation from Profile by Sanford. We’ll craft a custom plan that works just for you! Protein is part of the keto diet, but it doesn't typically discriminate between lean protein foods and protein sources high in saturated fat such as beef, pork, and bacon. What about fruits and vegetables? All fruits are rich in carbs, but you can have certain fruits (usually berries) in small portions. Vegetables (also rich in carbs) are restricted to leafy greens (such as kale, Swiss chard, spinach), cauliflower, broccoli, Brussels sprouts, asparagus, bell peppers, onions, garlic, mushrooms, cucumber, celery, and summer squashes. A cup of chopped broccoli has about six carbs. A ketogenic diet has numerous risks. Top of the list: it's high in saturated fat. McManus recommends that you keep saturated fats to no more than 7% of your daily calories because of the link to heart disease. And indeed, the keto diet is associated with an increase in "bad" LDL cholesterol, which is also linked to heart disease. Nutrient deficiency. "If you're not eating a wide variety of vegetables, fruits, and grains, you may be at risk for deficiencies in micronutrients, including selenium, magnesium, phosphorus, and vitamins B and C," McManus says.|By following a keto diet plan, you force your body to burn fat, and you don’t switch back and forth, so your body stays in fat-burning mode all the time. Please note that a low carb or Paleo diet could also be a keto diet! If you’re eating a diet with low enough amount of carbohydrates to trigger ketosis, then that diet is technically keto, even if your plan says it’s paleo or low-carb. This is one of the reasons it can be hard to answer the question “what is a keto diet? ”, because the keto diet can be done several different ways. I highly recommend you check out our Paleo diet vs. ’ll help you understand the difference between the two diets better. I still remember when I used to count calories. I was constantly hungry! My salads didn’t satiate me, and toast just made me hungrier! I used to go to sleep hungry and upset because I could never seem to eat less than 1600 calories. Some, like Richard Isaacson, MD, director of the Alzheimer’s Prevention Clinic at Weill Cornell Medicine and NewYork-Presbyterian in New York City, are supportive of low-carb diets. “I believe when people are fueling their brain using ketones or calorie or carbohydrate restriction, it’s a cleaner burning fuel, and a better way to delay brain aging,” he says. Still, the evidence isn’t there to say that the keto version of the low-carb diet is always necessary, or even helpful. Indeed, it may benefit some. For example, a small study published in February 2012 in the journal Neurobiology of Aging followed 23 older adults at a higher risk for Alzheimer’s and found that they experienced better memory function after six weeks on a keto diet. For others with certain genetics, though, it may be harmful, says Dr. Isaacson. For that reason, there’s no one-size-fits-all recommendation. Anyone going on keto needs to have his or her labs taken throughout the process, and do it in conjunction with their treating physician and a registered dietitian, he says. Other down sides: There’s an initial period where your body is adjusting to its new carb-free existence, and many people experience symptoms like fatigue, brain fog and nausea for a few weeks. You also end up deficient in important micronutrients, like folate, calcium and potassium, which is why most ketogenic devotees recommend taking multivitamins. Personally, I recommend my clients follow a diet that in its ideal state provides all of the nutrients you need through real, whole foods. Confused on how to eat better? Who is the ketogenic diet right for? If you have health reasons that make you want to try it and eating bacon, eggs and steak salads every day sounds amazing, maybe you could swing it. If nothing makes you happier than a fresh piece of sourdough, or if beans are one of the protein sources you rely on, there’s no point in trying a diet that’s not going to work. This avocado egg boat is queen of keto breakfasts. And if you’ve been loving zoodles for your grandma’s famous pesto sauce, you’ll find another perfect use for them with these yummy and beautiful zoodle nests.|The diet's heavy reliance on fat, especially saturated fat, can elevate cholesterol levels, further increasing your chances of developing heart disease in the future. 7)RELATED: Is the Paleo Diet Good for Heart Health? For any individual with diabetes, discussing dietary changes - especially those as dramatic as the ones the ketogenic diet requires - with your healthcare team is essential. Because carbohydrates are broken down into glucose in the blood, cutting carbohydrates from your diet could cause levels to crash rapidly depending on your current medication regimen. Such a change may require significant adjustments to medication and insulin to prevent dangerous side effects such as low blood sugar, called hypoglycemia. Outside of physical health changes, one of the biggest concerns of the ketogenic diet may be in long-term adherence. “It’s a very difficult diet to stick to and maintain. Compliance is a challenge because it is so restrictive,” explains Mohr.

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At about the same time, German biochemist and Nobel laureate Otto Warburg published a study showing that cancer cells, unlike normal cells, use glucose for energy. In 1995 I worked with a teenager who had a large inoperable brain tumor that caused seizures. He was given just weeks to live but his tenacious mother pursued all possible treatments and was referred to me to start the ketogenic diet. Not only did he stop having seizures, he became more alert and active, and was able to enjoy life for another year. His neurologist determined that the diet stopped his seizures and also slowed the rapid growth of his lethal brain tumor. It was then that I realized the diet worked for more than epilepsy. In 1999 I was asked to initiate the diet in a girl who had been in intensive care for three months. She was suffering constant seizures and had been placed in a drug-induced coma several times in efforts to arrest her seizures. When those snack cravings hit, make sure you reach for something that is keto-friendly, so as to maintain the state of ketosis achieved through your regular meals. When dining out, it’s usually pretty easy to make most restaurant meals keto-friendly. Most restaurants feature meat or fish-based dishes. Order one of these plates and substitute any high-carb side dishes for vegetables. Egg-based meals, such as omelets or eggs and bacon, are also a great choice. They’re not just good for breakfast-they can be dinner, too! Another keto favorite is the bun-less burger. Try swapping a side of fries for vegetables and adding avocado, bacon, or extra cheese to the burger. At Mexican restaurants, you can eat any type of meat on the menu. You can also add extra cheeses, salsa, guacamole, or sour cream. For dessert, try a mixed cheese place or berries and cream. Keto can help you lose weight and make some positive changes to your life. The high-fat, low-carb diet has gained a lot of popularity in recent years, creating an entire community of keto-praising eaters.

“Both alcoholic ketoacidosis and diabetic ketoacidosis create medical emergencies due to the rapid change in the body’s acid-base balance,” Dr. Gonzalez-Campoy says. Common complications of diabetic ketoacidosis include very low blood sugar, or hypoglycemia, and swelling of the brain (cerebral edema). As such, when a person is in ketoacidosis, there is such a high level of ketones produced that can push a person into cardiac arrest (heart attack) or kidney failure. Hence, the very important reason for taking occasional keto breaks go give your body a bit more nourishing carbs. The ketogenic diet was originally formulated by doctors to help treat people with epilepsy, and it was found especially effective in children who didn’t respond to medication.1,2 Indeed, the keto diet has been found to reduce the frequency and intensity of seizures, which are common complications of this condition. This high fat/low carb diet may also help improve certain other neurological disorders like Alzheimer’s disease and Parkinson’s disease,3 according to the Epilepsy Foundation. That said, long-term compliance with these diets can be challenging, and the long-term risks-and benefits-of low-carb diets, especially keto, are not yet fully understood, noted Kirkpatrick and Maki. Starting very low-carb diets like keto can also come with some serious side effects. People may experience symptoms known as the “keto flu,” which includes lightheadedness, dizziness, fatigue, difficulty exercising, poor sleep, and constipation, said Kirkpatrick and Maki. When it comes to cholesterol, the effect of very low-carb and ketogenic diets on LDL (“bad”) cholesterol is variable. Some individuals may see an increase in LDL levels with these diets, especially due to high intakes of saturated fatty acids and dietary cholesterol. Thus, baseline and follow-up lipid/lipoprotein assessments are recommended for individuals choosing to follow these diets, said Kirkpatrick and Maki. It’s also important to note that very low-carb or keto diets are not for everyone. People with type 2 diabetes may experience hypoglycemia (low blood sugar) if they don’t adjust their medication, and those who take vitamin K-dependent anticoagulants may need more frequent monitoring due to a potential change in vitamin K intake. Minimal fruits but berries and avocado (yes, it’s a fruit) are definitely allowed. Want some sweet without the carbs or artificial sweeteners? Go with stevia and monk fruit. Avoid processed and ultra-processed foods high in calories and bankrupt in terms of nutrients: those made with white flour or wheat flour products, added table sugar, conventional dairy, bread and other processed grains like pasta, sweetened snacks like cookies and cakes, most boxed cereals, sweetened drinks, ice cream and pizza. Remember, the ketogenic diet will actually change your metabolism, put you into ketosis and turn you from a sugar burner to a fat burner. Those are significant changes for your body, and you’re bound to notice some symptoms of the so-called keto flu. Keto flu symptoms and side effects can include feeling tired, having difficulty sleeping, digestive issues like constipation, weakness during workouts, being moody, losing libido and having bad breath. Fortunately, these side effects don’t affect everyone and often only last for 1-2 weeks. Overall, symptoms go away as your body adjusts to being in ketosis. If a ketogenic diet is being used for a child to treat epilepsy, close medical monitoring is necessary. If you’re very active and without much body fat, consider trying carb cycling or at least eating a modified keto diet that does not severely restrict carb intake. Ketogenic diets were originally developed to help improve symptoms of epilepsy (specifically in children who didn’t improve from other treatments), but today very low-carb diets are used to help adults, too, including those suffering from many other chronic health problems like obesity, cancer and diabetes. Does the keto diet work? Yes! Rapid and reliable weight loss will occur in even a keto for beginners diet, due to lowered insulin levels and the body being forced to burn stored body fat for energy. Lentils, chickpeas, and beans need to be banished from the keto diet. Walk away from starchy vegetables like potatoes, yams, or carrots. Ditch any food that’s been processed. Hotdogs, chips, or junk foods all fall into this category. Sugar and all things nice don’t cut it on the keto diet. Get rid of candy, desserts, and any baked goods. Cast to the side any type of drink that has high sugar content; this also means fruits juices. Most fruit, especially dried fruits like raisins, dates, and banana chips, are not allowed on the keto diet. Certain alcoholic beverages are laden with sugar, so pass on the cocktails or the beers at the party. Traditional low fat “diet” foods do not form part of the high fat keto mantra therefore leave well alone. The keto diet can provide many benefits to specific health conditions as well as general well being. How to tell when you hit Ketosis? What is the Keto Diet? The keto (or ketogenic) diet is a meal plan which emphasizes heavily on a low carb regime. Cutting out carbs means it’s backed by a high fat and moderate protein intake. The keto diet is said to help you effectively lose weight with health benefits. You may have heard of the Atkins diet. This diet plan follows some of the basic principles of keto at the offset although it gradually introduces more carbs towards the final phases. So what’s the deal with the keto diet? In simple terms, the keto diet switches the body’s fuel supply. Reducing your carb intake encourages your body to divert from its conventional source and instead burns fat for energy. So has this got you wondering how this is all possible? Well, it’s with a little help from a metabolic process called ketosis. How Does the Keto Diet Work? Standard keto diet: this is the most common and involves a continuous routine of very low carb, high fat, and moderate protein intake.|Which Type of the Keto Diet Is Right for You? If you’re already trying a keto diet or are interested in starting one, you may be wondering which version is for you. That depends on a few factors, including your goals, activity level, and health history. Here, dive into six of the most popular types of the ketogenic diet. Kizer says to keep in mind that while there are many studies involving ketosis, these variations of the diet have not yet been researched. How It Works When people say they’re on the strict version of keto, they’re likely referring to the one that’s been shown to help treat epilepsy. Sometimes called the “therapeutic keto diet,” this is the original version of keto, which was created in the 1920s to help treat seizures, according to a study published in Current Treatment Options in Neurology. The original study found that sticking to the keto diet for one year led to improvements for 44 percent of study participants, with another 12 percent becoming seizure-free, per a study published in June 2016 in Practical Neurology. You may have heard of the Ketogenic (keto) diet and have had it explained to you as a no carb diet or high fat diet with the intention of it is to lose weight. But the keto diet was not developed for weight loss purposes. It was originally developed to treat severe epilepsy in infants and children under medical supervision, today the ketogenic diet is moving to the mainstream as a low-carbohydrate tool for weight loss-but not without controversy. Before we start it’s important to know that our one and only rule is you have to find what works for you. Let’s take a look at what the ketogenic diet is and what’s known about its risks and benefits. The ketogenic diet may be referred to as similar to the Atkins or Paleo diets, but it’s not. The Atkins diet restricts carbohydrates while emphasizing protein and limiting fat, and while the Paleo diet restricts some carbohydrate-rich foods-primarily grains and pulses-it isn’t necessarily low carb. One concern voiced in some studies is loss of muscle tissue beyond what might be expected from any calorie-restricted weight loss diet, possibly because the body is attempting to break down protein to create glucose, but Volek says this isn't an issue when the ketogenic diet is followed correctly. Could the ketogenic diet's extreme restriction of carbohydrates contribute to micronutrient deficiencies and impact gut health? Ketogenic diets don't just eliminate sugar and refined carbohydrates; they also curtail pulses, whole grains, fruit, and starchy vegetables. All of these foods contribute vitamins, minerals, antioxidants, phytochemicals, and fiber-including prebiotic fiber that promotes a healthy gut microbiota. Numerous studies have demonstrated that the ketogenic diet alters the gut microbiota in ways that have benefit for reduction of epileptic seizures,15 but research is lacking on the impact in populations using the diet for weight loss or diabetes management. Somerville, Massachusetts-based Jessi Haggerty, RDN. She also points out that when people on a ketogenic diet are consuming large quantities of nonstarchy vegetables, the excessive amounts of insoluble fiber also can lead to nutrient malabsorption. The internet is abuzz with anecdotes telling of the amazing benefits of a ketogenic (or “keto”) diet. Nothing new there, then, as every year is marked by the rise and fall of a new diet fad - most amplified by the social media echo-chamber but with little to commend them. This time, though, it caught my attention. Not just because I am a modestly overweight 52 year old whose love for food and drink is slightly stronger than my desire to be skinny, and as a result someone who has been on a diet every January for at least 20 years and now knows he needs he miracle. But because of the science behind it. For a start, I first began reading about ketogenic diets thanks to Ethan Weiss, M.D., a prominent UCSF cardiologist on Twitter, whose scientific acumen I respect. If he believes in the benefits of ketosis, then I should definitely look a little closer. These may only be temporary while your body adjusts, but it’s worth knowing so that you can prepare yourself just in case. This is a general list of side effects that most people experience at one time or another. Everyone does react differently, therefore you may not experience all of them. It’s also worth remembering, most of these can be averted through keeping properly hydrated and ensuring your salt intake is adequate. As mentioned earlier, at first on the keto diet you will likely see a decrease in performance when it comes to strength and endurance. However, once you have adapted to ketosis and use fat for energy, strength and endurance should return to normal. The key is to be patient, let your body adjust and see how it naturally reacts. The ability to build muscle will be much more difficult without carbohydrates, but it is still possible. Make sure you keep your protein intake high and that you still eat a surplus of calories. He acknowledges that a keto-type diet for a limited period of time may work well for some people, but also points out the issues with long-term compliance. Dr. Suzanne Steinbaum, Director of Women’s Cardiovascular Prevention, Health and Wellness at Mount Sinai Heart, Fellow of the American College of Cardiology and American Heart Association, and spokesperson for the American Heart Association’s Go Red for Women campaign, is also in favor of the Mediterranean diet over the keto diet or keto cycling approach. No matter which approach you go for, remember that the idea is to adopt healthier eating habits - not just for the next few weeks or months, but for life, which is the real key to healthy and sustainable weight loss. What is healthier: natural sugar, table sugar or artificial sweeteners? The healthier pick: a hot dog or a hamburger? Want more tips like these? NBC News BETTER is obsessed with finding easier, healthier and smarter ways to live. Sign up for our newsletter and follow us on Facebook, Twitter and Instagram.

Whether you prefer this veggie as a mashed potato stand-in or masquerading as rice, cauliflower is an ideal substitute for many starchy meals and snacks. With just two measly grams of sugar in an entire cup, it is safe to eat with abandon. Scrambled, boiled, poached, or fried, all varieties of eggs are welcome on the keto diet. With a healthy dose of both fat and protein, the ratio of macronutrients makes this protein one of our go-to keto diet foods. Mushrooms' meaty texture makes them one of the most satisfying vegetables around. They also happen to be particularly low in sugar and carbohydrates, a dream come true for people going keto. This tropical oil has faced some controversy in recent years, but its high fat content makes it a staple for keto dieters. Whether you use it in a salad dressing or to saute your favorite cut of steak, coconut oil is a ketogenic mainstay. When it comes to maximizing your fat intake, hard cheeses like cheddar have an edge over softer options like goat or feta. As your body adjusts, it’s common to go through the keto flu during the first week or so. You might experience symptoms like brain fog, muscle aches, constipation, a metallic taste in your mouth or even an acetone odor in your breath (aka “keto breath”). Once you enter ketosis, you’ll notice changes like fewer cravings, clear-headedness and increased energy. Depending on how your body adjusts to this style of eating, you might also notice keto side effects if your electrolytes become imbalanced. If you’re having trouble sleeping or dealing with low energy, you might feel better with slightly more carbs in your diet. Experiment with carb cycling to find what works for you. When you’re starting keto, the list of rules on what you can and can’t eat may seem daunting. It’s important to educate yourself about what high-carb foods can sneak up on you, such as legumes or starchy root vegetables.|Sometimes, amazingly good things. Two years ago, LeBron James famously lost 25 pounds and upped his late-game endurance by cutting carbs and sugars from his diet. Tim Ferriss, the author of the Four-Hour self-improvement book series, followed a strict keto diet to cure his Lyme disease, and performs a long multi-day fast every four months as a means, he says, of pushing ketosis further and starving incipient pre-cancerous cells of sugar (more on that later). Last summer, Sami Inkinen, the ultrafit co-founder of real estate juggernaut Trulia, rowed with his wife from California to Hawaii in record time on a keto diet, to promote high-fat eating and raise awareness about the dangers of too much sugar. The Keto Diet, say its ardent supporters, is a natural way to literally reprogram your metabolism and transition to an upgraded operating system. You’ll ultimately feel better and perform better, and your body fat will plummet. But this sort of “low-carbohydrate, high-fat” (LCHF) diet, as Noakes calls it, is still far from mainstream. “Both alcoholic ketoacidosis and diabetic ketoacidosis create medical emergencies due to the rapid change in the body’s acid-base balance,” Dr. Gonzalez-Campoy says. Common complications of diabetic ketoacidosis include very low blood sugar, or hypoglycemia, and swelling of the brain (cerebral edema). As such, when a person is in ketoacidosis, there is such a high level of ketones produced that can push a person into cardiac arrest (heart attack) or kidney failure. Hence, the very important reason for taking occasional keto breaks go give your body a bit more nourishing carbs. The ketogenic diet was originally formulated by doctors to help treat people with epilepsy, and it was found especially effective in children who didn’t respond to medication.1,2 Indeed, the keto diet has been found to reduce the frequency and intensity of seizures, which are common complications of this condition. This high fat/low carb diet may also help improve certain other neurological disorders like Alzheimer’s disease and Parkinson’s disease,3 according to the Epilepsy Foundation. Fans of the high fat, low-carb keto diet praise its appetite-crushing benefit, which is why keto dieting is so popular for weight loss. But since we don’t live in a keto-friendly world, the call of carb-rich fare - from healthy options, like fruit, yogurt and oatmeal to less healthy foods, like pizza, French fries and dessert - can make it hard to stick with the keto diet. Even if you’re not craving carbs, a normal social activity, like dinner at a friend’s house, can pose problems. Enter keto cycling. In this fairly new approach, you cycle on and off the keto diet at various intervals. Though this may sound like the best of both worlds, there are some red flags you should know about. The keto diet is designed to encourage your body to adapt to using fat instead of its preferred fuel source, glucose, which is the substance that’s broken down from the carbohydrates you eat.

The keto diet has been shown to help with weight loss - specifically fat reduction - because it can suppress appetite and kick start fat-burning through ketosis. A 2004 study showed that obese patients who underwent ketosis lost 4.5 pounds after a year on the diet. Though this study notes that ketogenic diets proved difficult to follow long-term. A 2008 study found that those on a ketogenic diet who were given no other restrictions than to remain low-carb (i.e. no calorie restrictions) reportedly lost more weight and remained full for longer than those not on a ketogenic diet. A 2014 review found that the ketogenic diet helped reduce weight by controlling hunger levels and boosting fat-burn. A 2000 review of 11 studies showed that the keto diet was beneficial for children who had epilepsy in mitigating the frequency of their seizures. A 2013 review of 38 studies showed that a ketogenic diet was an effective treatment for epileptic patients with a nearly 58% success rate after three months on the diet. Staples of the keto diet are fish, meat, eggs, dairy, oils, and green vegetables. Pasta, rice and other grains, potatoes, and fruits are strictly prohibited. Keto works by changing the way the body turns food into energy. Typically, during digestion, we break down carbohydrates - like those found in the verboten foods above - into molecules of fructose, galactose, and glucose, the last of which serves as the body’s primary source of energy. When the body can’t draw it from carbohydrates - either because they’ve been cut out of the diet or because a person hasn’t eaten for a long time - it looks for other forms of energy. The keto diet deliberately places the body in a state of ketosis, where fat is released from cells and turned into ketones, the body’s plan B for energy production. Where did the keto diet start? The keto diet is most assuredly not a fad, at least not in the usual sense of the word. There’s also a similar plan called ketotarian, which combines keto with vegetarian, vegan and/or pescatarian diets for supposedly greater health benefits. Dirty keto diet: “Dirty” is the apt term, as these version of keto follows the same strict percentages (75/20/5 of fat/protein/carbs) but rather than focusing on healthy versions of fat like coconut oil and wild salmon, you’re free to eat naughty but still keto friendly foods like bacon, sausage, pork rinds, diet sodas and even keto fast food. I do NOT recommend this. Lazy keto diet: Last but not least, the Lazy keto diet often gets confused with dirty keto … ’re different, as the “lazy” refers to simply not carefully tracking the fat and protein macros (or calories, for that matter). Meanwhile, the one aspect that remains strict? Not eating over 20 net carb grams per day. Some people find this version less intimidating to start with or end with … I will caution that your results will be less impressive. Calcium is also lacking. Most Ketogenic diet enthusiasts remain unaware that complex carbohydrates contain hundreds of beneficial substances called phytochemicals; which are naturally occurring non-nutrients that help to prevent disease. Not a long-term solution. The weight loss from the Ketogenic approach is typically temporary, not permanent. When you change your eating habits short-term, your weight will also change short-term. The goal should not be short-term weight loss, but rather, long-term weight control. Fatigue and irritability. A Ketogenic diet increases the likelihood of hypoglycemia (low blood glucose levels) and can trigger what is known as the keto-flu. Symptoms may include headaches, fatigue, irritability and more unpleasant symptoms. Inability to perform regular sustained exercise. Carbohydrate is a major fuel source for muscles during exercise. When carbohydrate stores are low and/or hypoglycemia is present, it’s very difficult to exercise. Diet plus regular exercise is far more effective for long-term weight control than either one by itself. We gladly acknowledge that ketogenic diets have been shown to be helpful in treating severe epilepsy, and that a few people will be able to sustain their weight loss using this approach. Even for those dedicated few, long-term weight control will mean cycling in and out of ketosis. Unfortunately, more and more studies suggest that low-carb diets may actually increase your risk for all-cause mortality, as well as cardiovascular disease and cancer mortality. For the majority of the population though, the strict macro tracking, dietary limitations, and unpleasant side effects are enough reason to drop this fad and aim for making healthier lifestyle changes. The ketogenic diet has been around for a LONG time. It’s popular. It’s controversial. Some love it. Some hate it. Some even say it can help your blood sugars stay in better control. After thoroughly reviewing the scientific literature and trying the ketogenic diet myself for over 6 months, I am ready to unfold everything you’ve been hearing and let you decide for yourself what you think about the diet that has taken the world and diabetes community by storm. What is a ketogenic diet? What the science says… This guide is relevant for people with any type of diabetes. I will mainly talk about insulin when I discuss how a keto diet affects blood sugar, but some studies also show a possible reduction in certain type 2 medications. Disclaimer: Please always consult with your medical team before you start a new diet, adjust your medication or change your diabetes management routine. What is a ketogenic diet? Once upon a time, keto was the original “diabetes diet” prescribed to type 1 diabetes patients before the advent of insulin, as this would prolong their lives as it has less of an impact on blood sugar levels. 5% of your daily caloric intake from carbohydrates. By restricting your carbohydrate intake so severely, you force your body to get most of its energy from fat. A byproduct of this fat burning is the production of natural ketones in the body, hence the name of the diet. Burning ketones supplies the body with an alternative form of energy rather than quickly accessible energy from carbs (glucose) and is what makes the ketogenic diet work. IMPORTANT: natural ketones are different from the “bad” ketones that can lead to diabetic ketoacidosis (DKA).|People with diabetes who follow a keto diet need to monitor their ketone levels carefully. If levels get too high, ketoacidosis can occur. DKA is a condition wherein the levels of ketones become extremely high, poisoning the body. It is a severe and dangerous condition that can develop rapidly, sometimes within the space of 24 hours. There are several potential triggers for ketoacidosis. However, it most often occurs due to illnesses that cause higher levels of hormones that work against insulin. It can also result from problems with insulin therapy, either through missing scheduled treatments or not receiving enough insulin. Ketoacidosis most commonly occurs in people with type 1 diabetes. It can also occur in people with type 2 diabetes, though this is much less common. High levels of ketones in the urine and high blood sugar levels are both signs of ketoacidosis. A person can test for ketoacidosis using a kit at home. Burn fat more efficiently. Speed up your metabolism. If you’re struggling to lose those last 5 pounds or wondering why the muffin top just won’t budge (despite eating clean and exercising), you may find the answers you’re looking for in this keto diet master guide. What Is the Keto Diet? This is done by heavily restricting carbs and focusing on high-fat, moderate protein meals. The standard ketogenic diet contains a 4:1 ratio of fat to proteins and carbs. The keto diet is often grouped with other high-fat, low-carb diets such as the paleo or Atkins diets. But the reason these diets boast fat-burning benefits in the first place is because they promote ketosis. Therefore, the ketogenic diet isn’t so much a diet, but moreso the basis of these diets, and the biochemical reaction that occurs when you train your body to burn fat for fuel instead of carbs. While the ketogenic diet has become popular for weight loss, studies have also shown numerous other benefits of following a keto diet.

Easing into it slowly can also help. Read the full guide to keto flu symptoms and remedies here. Why do I get frequent headaches on keto? Most commonly this is due to either dehydration or electrolyte imbalance - essentially it can be a mild form of keto flu. You’d treat it the same way, with water and electrolytes. Drinking water is great for anyone, but especially if you are in ketosis. Eating carbs causes us to store more water in our bodies, while a keto diet flushes out more water, so it’s even more crucial to drink enough. Aim for 16 cups per day. 11. Make Easy Keto Recipes For Beginners. Keto recipes are not 100% required to stick to a keto lifestyle, but they sure make it easier and more enjoyable! Once you have the basics down, introducing your old comfort food favorites in keto form, like keto bread or keto casseroles, can help you stick to it long term. “We often don’t have a lot of data to guide us on the positive or negative effects, so I am cautious to say this is the right thing to do and not the right thing to do. In its strictest form, the keto diet consists of 75 percent fats, 20 percent protein, and five percent carbohydrates. That means foods like healthy meats and cheese are fair game, but no more bread, rice, or soda. Under regular circumstances, cells in the body use carbohydrates as a source of energy, which is converted into glucose and sent into the bloodstream. But depriving the body of that source forces it to go after fats, which is known as “ketosis.” During ketosis, the body breaks down fat molecules into something called ketone bodies to generate energy. “It’s a catabolic process in some sense. It breaks down fat and muscle mass if you don’t take on calories,” Chokshi says. On your “days off,” your allowed macronutrient ratio is 25% fat, 25% protein, and 50% carbohydrates. The most common cyclical keto diet has you follow the traditional keto diet from Sunday to Thursday. Then, on Friday and Saturday, you can enjoy carb-heavy meals. On your days off, you may get your carbs from high-carb fruits, starchy vegetables, dairy products, and whole grains. However, as long as a beer or cake fits into your macros, you can consume whatever you want. 10. Can I Drink on the Keto Diet? This is tricky. The keto diet, and all of its variations, is based on three macronutrients. Fat has nine calories per gram. Protein and carbohydrates have four calories per gram each. Fitting alcohol into your macros is difficult because it has seven calories per gram. Moreover, unless you’re sipping straight liquor, alcoholic beverages contain carbohydrates, too. At the end of the day, you can fit alcohol into any variation of the keto diet. What Foods Are Off-Limits on a Keto Diet? What Can You Eat on a Keto Diet? So…what can you eat on the keto diet? The answer is: Plenty. See this comprehensive list of keto foods! The easiest way to get started on a keto diet is to stock your kitchen with keto-friendly foods, and get rid of any foods that may tempt you into deviating from your keto meal plan. If you’re looking for keto recipes, we’ve got you covered. Dishes like slow cooker beef bone broth and keto pizza can fit into just about anyone’s meal plans. If you’ve recently adopted the keto diet, you may be feeling a variety of side effects including nausea, dizziness, constipation, headaches and irritability. This is your body’s natural reaction to removing carbs from your diet, and we promise the symptoms are temporary. Also known as keto flu, it’s a natural reaction that occurs when your body switches from burning glucose as energy to burning fat. Is Following the Ketogenic Diet Dangerous? Ketoacidosis happens when your body fails to produce enough insulin. On the other hand, when done properly, nutritional ketosis can improve insulin function.

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