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That's because of how the brain processes ketones differently compared to glucose. The key difference is how much energy ketones provide the brain in the form of ATP. ATP is basically your brain's version of food, and ketones offer more ATP per molecule compared to glucose. For example, 100 grams of glucose generates 8.7 kilograms of ATP whereas the same amount of a ketone, called acetoacetate, generates 9.4 kilograms of ATP. Ketones are a more efficient fuel source for the brain. This may help partly explain why some research has found a helpful link between keto diets and certain neurological diseases like epilepsy and Alzheimer's. Other evidence suggests that the keto diet helps with protein build up in the brain that reduces its capacity as well as helps with inflammation in brain cells. There are many possible explanations that continue to be studied. The ketogenic diet gets a lot of attention for its purported weight-loss benefits, but it can also be beneficial for those suffering from neurological disorders like epilepsy and insulin disorders like type 2 diabetes . This means you want to reach this number each day, so try not to go below the goal. Going over a little bit is also okay, but a large excess in protein might convert to glucose and kick you out of ketosis; how easily this happens varies from person to person. Fat is a lever. After your carb limit and protein goal, the remaining calories you need for the day come from fat. This is what keeps you satisfied and provides the majority of your energy source. You can use fat as a lever, increasing it up or down, based on your goals. Increase it if you’re hungry, decrease it to lose weight, but remember you can’t go too low (don’t get caught in the outdated “fat is bad” trap), since it’s your main energy source.

Beginning a new weight loss diet is not always a simple transition. And the ketogenic diet - a trendy low-carbohydrate, high-fat plan that may produce quick results - is no exception. One of the biggest hurdles of going keto is putting and keeping your body in ketosis. Ketosis is a natural metabolic state that results in your body burning fat instead of carbs for fuel (when it doesn’t have enough carbs). So, naturally, to achieve ketosis, you’ll have to say goodbye to most carbs and hello to fat - and lots of it. It depends on which version of keto you’re doing, but generally, you’ll aim to get 5 to 10 percent of your total calories from carbs on the diet. The goal is to consume only 20 to 50 grams (g) of net carbs per day - or less than the equivalent of œ cup of long-grain brown rice, which contains 25 g of total carbs (and about 23 g net carbs), according to the U.S. This difference in metabolism has made brain disorders a target of ketogenic diets. The ketogenic diet was initially used in medicine as a potential therapeutic approach for people, specifically children, with incurable epilepsy. High levels of ketones in the blood can slightly alter metabolism in the brain. 3 months) for it to be effective. The adherence to these lacks in the long-term. It often comes with a long list of side effects such as dehydration, hypoglycemia, lethargy, metabolic acidosis, gastrointestinal symptoms, high levels of low-density lipoprotein, and elevated total cholesterol. I used the previous example to contrast with what we see with the ketogenic diet in the real world. Generally, in the real world, we see ketogenic diets used as a tool for weight loss. These diets are often not similar to the diets used for medical purposes. The "regular" ketogenic diet often looks like a diet that has moderate protein (10-20% of total calories), higher fat (50-70% of calories), and lower carbohydrate (10-30% carbohydrate). A person’s experience depends on many factors like metabolic flexibility, health status, and lifestyle. The adaptation period depends a lot on your metabolic flexibility which is how well you can adapt to using different fuel sources (i.e., carbs, fats, protein, and ketones). How To Reduce The Symptoms Of Keto Flu? Drink plenty of water (with a pinch of crude salt.) It’s extremely important to stay hydrated during the day, especially, during the transition period in order to avoid keto flu. Supplement your diet with sodium, potassium, and magnesium. This will help you to replace electrolyte loss, therefore reduce the symptoms of keto flu. Do regular low-intensity workouts in the morning (swimming, yoga, jogging). When you work out, you force your body to look for an alternative source of energy. Your liver then produces more ketones, and your body adjusts to the new source of fuel. Remember that stress, high-intensity exercises, and eating too much protein can make the process of keto-adaptation harder. Snacking-wise, nuts are a good source protein and fat, so they can be eaten more, as well as cottage cheese and Greek yogurt. Mainly the plain variety, though, as reduced sugar intake is essential for the success of ketogenic diet. What are the main benefits of keto diet? As well as these, keto can reduce acne and it might also improve heart health and protect brain functioning, although these benefits have not been proven by rigorous lab tests yet, so we can't say for sure that is a benefit. Is keto diet safe? Either way, before you start buying crates of avocados, and especially if you have issues with obesity, you should consult a medical professional and get their advice and guidance. Everyone's needs are different and what works for the vast majority of people might not work for you personally. Be safe and sensible, and always ask for help if unsure.

All of these electrolytes, and water, are necessary for your body to function properly- electrolytes are necessary for important things like muscle use, energy, and heart rate! If you’re feeling blah and low energy, it may be a simple pinch of salt that could turn that around. Thankfully, electrolytes are a tightly-controlled substance in your body with mechanisms in place to keep levels perfect. Provide your body with electrolytes daily, and it’ll figure out what to do. While you don’t want to take excessive amounts, your body should help you excrete extra sodium, potassium, and magnesium into your urine if you’ve taken too much. For best results, take daily, or even twice a day, rather than one big hit of electrolytes all at once when you are on the keto diet. Sea salt! It’s relatively easy to salt your food to taste and get enough sodium- just don’t skimp on the salt! Salt requirements for people in ketosis also goes up, with 3000-5000 mg of sodium recommended to support this different way of metabolism.|To overcome challenges like these, it’s apparent that what a keto dieter really needs is resourceful information and tons of encouragement. “One reason why the keto diet has continued to be popular is that it fosters a sense of community,” says Melissa Mitri, RD, owner of Melissa Mitri Nutrition in Milford, Connecticut. Keto blogs can help you feel as if you’re supported in the diet, which you need, since it can be restrictive and there are many hurdles to overcome when starting. One thing to keep in mind, says Mitri, is that these blogs are limited in that the authors are not medical or nutrition experts but are speaking from their own experience. “Remember that everyone is different and there is no one diet that works for everyone,” she says. While it seems as if everyone is on the keto diet, a low-carb, high-fat plan isn’t necessarily better than another diet for weight loss or managing type 2 diabetes, notes a review published in the September-October 2019 issue of the Journal of Clinical Lipidology. Don't be afraid to place a couple of slices atop your next (bun-free) burger. A diet that welcomes bacon may sound too good to be true, but it is a reality for the ketogenic diet. With zero carbohydrates and no sugar, feel free to enjoy this breakfast staple at all hours of the day (or night). Pick this nut butter over the peanut variety if you're trying to minimize your carb intake. An equal portion of peanut butter has two extra grams of carbs and not as much healthy monounsaturated fat. Fish is a go-to for most diets and the keto diet is no exception. Stick with wild varieties of this pink-hued fish which are more sustainable and nutrient-dense than their farmed counterparts. Leafy greens have fewer carbs than other forms of produce, a serious plus when you're crafting your keto diet foods list. Spinach is also rich in iron, potassium, and fiber, all of which have major health benefits.

You can learn more here. On keto you can eat fat, protein, and to a certain extent vegetables, nuts, and low-carb sweeteners. Fats like butter, olive oil, coconut oil, and bacon grease add flavor and help you feel full on keto meals. Meat, cheese, and eggs provide protein and vitamins and minerals, and essential fatty acids on a ketogenic diet. These all are nearly no-carbohydrate foods, and will make up most of your meals. Steak, burgers, deviled eggs, baked chicken (with the skin!), meatballs, and more. Vegetables should be included as desired, in general green vegetables are lower in carbohydrate than other veggies. Carb counts should be tracked with your vegetables. Nuts can be included, but should be carefully measured and limited especially if you are doing keto for weight loss. Nuts are delicious, and can be used to make low-carbohydrate baked goods, but also are packed with calories and contain some carbohydrates. The classic keto macros have been 75% fat, 5 % carbs and 25% protein. Many people have seen weight loss using this macro amount. But there are just as many people who have tried this classic keto approach, eating a lot of dietary fat and NOT seeing weight loss like others. I was one of those people who in 2015 tried eating all the fat and thought I’d lose weight just like I saw so many other people losing weight. It didn’t work for me and I wondered what I was doing wrong. I decided to go very strict keto in 2018 and you can read about my 6 week results here. I did lose some body fat, but not nearly has much as I had hoped for being strict keto for 6 weeks. I knew something had to change if I wanted to see the weight and fat loss I desired. From your brain to your blood cells, glucose is typically the most readily available source of energy. We get glucose from the foods that we eat - whether that’s breads and refined sugars or those found naturally in nature, like fructose from fruits. But to keep the body and brain functioning in times of starvation when carbohydrates weren’t available, the human body can adapt to using ketones, instead of carbs for fuel. While the shift from using glucose to ketones might seem unnatural, your brain actually processes ketones more efficiently than glucose. Your brain is like a luxury car - why put in economy fuel if you can afford premium? But don’t just take our word for it. The keto diet was originally created to treat epilepsy in children, and is still used today in treatment for children and adults with drug-resistant forms of epilepsy. Does the ketogenic diet work? According to the NIH, there is, “no doubt that there is strong supportive evidence that the use of ketogenic diets in weight loss therapy is effective.” In fact they agree that there are many other positive benefits too, like improved mood and protection from cognitive impairment caused by obesity.

Most people aren’t really on a strict ketogenic diet, there are no real definitions or set levels outlined. Maybe someone is eating 10 g of carbs daily, maybe 25, 50, 80-it’s all very inconsistent. And most people, while they’re eating much fewer carbs and lots of fat, they’re also eating a lot of protein, which can be converted to glucose. That sort of defeats the purpose of the diet. Yes - ketogenic diets appear to have an advantage for weight loss, short term weight loss that is - there are very few long-term studies. Why is there at least short-term weight loss? There are several potential factors at play. Any diet that restricts entire food groups also restricts variety in your diet leads to reduced calorie intake. 1. Reduction in appetite is a frequently noted effect of the ketogenic diet. This could be because of the satisfying/fullness effect of fat. Or, something about the diet-possibly the ketones themselves-may increase levels of appetite control hormones. The shift, from using circulating glucose to breaking down stored fat as a source of energy, usually happens over two to four days of eating fewer than 20 to 50 grams of carbohydrates per day. Keep in mind that this is a highly individualized process, and some people need a more restricted diet to start producing enough ketones. Because it lacks carbohydrates, a ketogenic diet is rich in proteins and fats. It typically includes plenty of meats, eggs, processed meats, sausages, cheeses, fish, nuts, butter, oils, seeds, and fibrous vegetables. Because it is so restrictive, it is really hard to follow over the long run. Carbohydrates normally account for at least 50% of the typical American diet. One of the main criticisms of this diet is that many people tend to eat too much protein and poor-quality fats from processed foods, with very few fruits and vegetables. Patients with kidney disease need to be cautious because this diet could worsen their condition. 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. There’s also growing interest in whether high-fat diets could help with brain injuries or neurodegenerative diseases, Lowe said. For the everyday dieter, Lowe said, it’s important to consult a registered dietitian. “The main problem with it is that it’s not nutritionally adequate,” Lowe said. She often tells her patients to supplement it with fresh vegetables and fruit. Building on Cohen’s concern, Lowe said it’s also unclear how long term keto dieting could affect bone health. Then there’s the whole ketosis thing. “It is not dangerous. We just do not have an understanding as to what the long term impact of ketosis is on one’s long-term health,” Lowe said. Michael Goran, a Keck School of Medicine obesity researcher, said you can get the same results as the keto diet without being so extreme. He advises his patients to cut out added sugars - sodas, juices, processed foods - and simple carbohydrates that metabolize into sugar faster and lack fiber. Although Paleo is not strictly low-carb, eliminating processed foods makes it lower in carbohydrates than the average American diet. Most of your carbs will come from fruits and vegetables on this plan. What is the Ketogenic Diet? LIKE THE PALEO Diet, the Keto Diet restricts grains, rice, and other high-carb foods. But the primary goal of the Keto Diet is to put your body into a state of ketosis, which is when your body uses fat instead of carbohydrates as its primary energy source. When your body enters ketosis, fat travels to the liver and makes an acid called ketones, which enter your bloodstream and are converted into energy. Unlike Paleo, Keto severely limits carbs and eliminates fruit and some starchy vegetables. For your body to enter ketosis, a good percentage of your calories (generally, somewhere between 60 to 80 percent, according to keto experts) needs to come from fats (this is why people frequently associate the Keto Diet with foods like bacon, even though most nutritionists say it's better to eat healthier items like avocados, nuts and seeds, eggs, and lean meats). Eating this way puts the body into a metabolic state called ketosis, which burns fat for energy as opposed to burning carbohydrates. There are several different versions of the keto diet; however, the “classic” or standard one - and the one backed by the most research - calls for a diet that is at least 75 percent fat, 20 percent protein, and 5 percent carbohydrates, and it requires weighing and measuring foods. 1972 by Dr. Robert Atkins as a weight-loss therapy, does not limit protein, and foods are not weighed or measured as in the keto diet. As a result, ketosis may not be achieved due to excess protein intake. What is ketosis and why is it effective in helping people lose weight? Ketosis results from decreasing carbohydrate intake and increasing fat intake; this changes our metabolism from using glucose for energy to using fat. The body is then forced to burn stored fat for energy, accelerating weight loss. A ketogenic diet, for those who want to lose weight, is typically part of a low-calorie way of eating.

The first few days are extremely difficult as your body tries to acclimate to such a low level of carbs. During this adjustment to burning fat instead of glucose, the side effects will make you feel awful; hence the term, keto flu. You’ll need to prepare meals ahead and take them with you since you are confined to eating specific foods. Use Fat Wisely Rather Than Excessively. While the keto diet means your food choices are geared to a low carb/high fat intake, it does not mean adding fat to everything you eat. You do not need to fall for one of the most trendy keto tricks- adding a pat of butter to your coffee. This might be useful at the very beginning as you transition away from a high carb diet but should not be continued once you are past the initial shift once your body has adapted to this new eating rhythm. A quick search on Amazon turns up beautifully photographed ketogenic diet cookbooks, along with urine test strips and food products including ketogenic cocoa and ketogenic cookies. Meal delivery services-a trend in itself-are increasingly offering ketogenic meal options. Ayesta says. "There are 'cults' in a certain sense that I'm not a fan of and not supportive of." Although he rarely suggests the ketogenic diet to clients, if they come to him wanting to try the diet, Ayesta first does a full nutrition assessment. This includes evaluating any comorbidities that might indicate the ketogenic diet isn't safe for them, such as individuals who are pregnant-there's a lack of research on the ketogenic diet during pregnancy-or have fat malabsorption. He also makes it clear that the ketogenic diet isn't the only way to lose weight. When one of his clients does choose to do a ketogenic diet, Ayesta insists on seeing them weekly so he can monitor ketone levels, energy levels, and cognitive function. 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. How wide is the divide between the hype and the research? 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 and as a means to reduce cardiometabolic risk factors-but not without controversy. Today's Dietitian looks at what the ketogenic diet is, what's known about its risks and benefits, and whether patients who say they're "doing keto" are actually following a ketogenic diet. The ketogenic diet isn't just any low-carbohydrate diet, and it's not necessarily similar to the Atkins or Paleo diets. 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. The ketogenic diet is very low in carbohydrates and very high in fat, putting the body into ketosis-the burning of fat instead of glucose for fuel. 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. What Is A Keto Diet? How Does It Work? What Is A Keto Diet? A keto diet is a nutrition trend that has become extremely popular in recent years. It is a very low-carbohydrate, high-fat eating plan that helps put the body into nutritional ketosis. This low-carb diet involves eating high-fat foods like cheeses, oils, dairy products, avocados, eggs, bacon and more. At the same time, it excludes high carbohydrate foods that can be found in most fruits and vegetables, bread, pasta, alcohol, grains, and sugars. Although ketogenic dieters eat a lot of high-calorie foods, it is considered to be an extremely effective way to lose weight. The standard ketogenic diet recommends limiting your intake of carbohydrates to 50 grams or 5% of your daily calorie intake. When people stick to a regular diet plan that includes carbohydrates, the body converts them into glucose (blood sugar) which is then used as a source of energy. Glucose is the primary source of energy in our bodies and if we are lacking it, then it starts using stored fat for fuel.

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A ketogenic diet can work wonders for people who are overweight, diabetic and prediabetic or just looking to improve their metabolism. It may not be as suitable for elite athletes or bodybuilders looking to add significant muscle mass. As with any diet, keto will only work if you are consistent and stick with your plan. The powerful health, nutritional, and weight loss benefits of a ketogenic diet have been proven through extensive research. Keto may also improve HDL cholesterol levels, often referred to as “good” cholesterol, better than diets that allow moderate carbohydrate consumption. The loss of extra weight and addition of healthier foods is also a driving force behind improved health. How does your DNA factor in? Unfortunately, not everyone metabolizes fats efficiently enough to experience the benefits of the ketogenic diet. A DNA health test can tell you how efficiently you metabolize fats and if the ketogenic diet is right for you. Click here to grab my new phone number! What can I eat on a keto diet? Changing up your food lifestyle can seem overwhelming. Cutting out certain fruits and vegetables and replacing them with fat-filled foods like bacon, cream, and ribeye steaks can get a little confusing as well. To help get you started, I’ve put together a ketogenic diet food list just for you! You can download the full keto foods list HERE or view it below. Watch for meats with added high-carb fillers like hot dogs, sausage, meatballs, and cold cuts. Most shellfish is fine for keto but watch for higher carb counts in clams and mussels. Always avoid breaded fish and seafood that is pre-made due to possible high carb content. When in doubt, check the food label if buying in store. You can also eat the eggs that come from these animals in any prepared fashion, such as hard-boiled, fried, scrambled, poached, or omelet.

Although Paleo is not strictly low-carb, eliminating processed foods makes it lower in carbohydrates than the average American diet. Most of your carbs will come from fruits and vegetables on this plan. What is the Ketogenic Diet? LIKE THE PALEO Diet, the Keto Diet restricts grains, rice, and other high-carb foods. But the primary goal of the Keto Diet is to put your body into a state of ketosis, which is when your body uses fat instead of carbohydrates as its primary energy source. When your body enters ketosis, fat travels to the liver and makes an acid called ketones, which enter your bloodstream and are converted into energy. Unlike Paleo, Keto severely limits carbs and eliminates fruit and some starchy vegetables. For your body to enter ketosis, a good percentage of your calories (generally, somewhere between 60 to 80 percent, according to keto experts) needs to come from fats (this is why people frequently associate the Keto Diet with foods like bacon, even though most nutritionists say it's better to eat healthier items like avocados, nuts and seeds, eggs, and lean meats). Tell them your plan. You may not be able to eat what they’re eating during family mealtimes, so you'll want to prepare them (and yourself) for what your new habits will look like. Because this diet is often done only short term (three to six months), you can assure them that it's temporary. If you get pushback, announce: “I’ve done my research, I’ve figured out it’s safe, and I really want to try this,” recommends Mancinelli. They don’t have to like what you’re doing, but it does help if they have your back. In a study published in September 2014 research in Obesity, having the support of friends and coworkers helped dieters more successfully lose weight and maintain that loss over a two-year period. 4) It also can’t hurt if everyone knows your goals on a keto diet so they’re less likely to push office treats or suggest splitting a side of fries when you're out to dinner.|A study published in 2019 in the Journal of Sports Medicine found that 28 days of a keto diet helped to increase some athletic endurance. But researchers added that the diet's benefits were mainly seen in short-duration, vigorous-intensity exercise, and that results were inconsistent, so it may not be the go-to approach for all athletes. Who It's Best For This approach is intended for people who frequently engage in intense, muscle-building workouts, according to Torchia. We’re talking high-intensity exercise, like running, swimming, or playing tennis for hours on end, Torchia says. Hitting the gym at a moderate pace a couple of times a week likely won’t cut it. Risks to Note Torchia says not to try targeted keto until you’ve been following a standard keto diet for a month or two. “This idea is called ‘keto adaptive,’ and once your body is used to using fat as fuel, it can go back and forth more readily with moderate carbs,” she says. Butter, heavy cream, sour cream, organic cheese, full-fat/unsweetened yogurt, kefir, milk. What foods should you avoid on a keto diet? Hot topic alert! There’s quite a bit of debate when it comes to foods to avoid on a keto diet. That’s because many followers struggle with the restrictive nature of the diet, so they sometimes turn to processed food that’s technically “allowed” since it’s high in fat but low in carbs. Other followers, like Sisson, vehemently oppose this practice, insisting that it misses the entire point of the keto diet. “The Internet buzz about ‘dirty keto’ is a great example of how NOT to do keto. Blending diet orange soda, heavy cream and ice into a slushy might be zero carb, but it offers little nutritional value and will not necessarily support internal ketone production. The prevalence of processed and packaged snacks labeled keto is pause for reflection, as we should better emphasize whole foods as close to their original state as possible,” he says. The ketogenic diet, or keto diet, consists primarily of low carb foods and high fat foods, and numerous studies point to the diet’s health benefits. The reduction in carb intake associated with the keto diet induces a metabolic state called ketosis. While in ketosis, the body becomes more efficient at burning fat and turning it into energy. The liver turns fat into ketones, which supply energy for the brain. What are the health benefits of keto? Lose weight without counting calories. Reduce blood sugar and insulin levels. Keto may also have benefits for people with the following health conditions: diabetes, heart disease, cancer, Alzheimer’s disease, epilepsy, Parkinson’s disease, brain injuries, and acne. What supplements can enhance the keto diet? MCT oil can be added to drinks and shakes to provide energy and increase ketone levels. Caffeine, from sources such as keto coffee, also increases energy and accelerates fat loss. Minerals such as magnesium to promote dietary health. Bone broth is extremely rich in nutrients, and has been shown to protect joint, as well as promote gut health. Creatine to support workouts and lean muscle growth. Keto protein powders to build muscle without added carbs. Multivitamins to fill nutritional gaps left by a change in diet. Keto is a great diet for those looking to shed weight, feel better, and live a more prosperous life. Walmart is your one stop shop for all keto supplements. Save money. Live better. Essentially, the keto diet for beginners works by “tricking” the body into acting as if its fasting (while reaping intermittent fasting benefits), through a strict elimination of glucose that is found in carbohydrate foods. Today the standard keto diet goes by several different names, including the “low-carbohydrate” or “very-low-carbohydrate ketogenic diet”(LCKD or VLCKD for short). At the core of the classic keto diet is severely restricting intake of all or most foods with sugar and starch (carbohydrates). These foods are broken down into sugar (insulin and glucose) in our blood once we eat them, and if these levels become too high, extra calories are much more easily stored as body fat and results in unwanted weight gain. However, when glucose levels are cut off due to low-carb intake, the body starts to burn fat instead and produces ketones that can be measured in the blood (using urine strips, for example). Keto diets, like most low carb diets, work through the elimination of glucose. That’s why it is important to eat the right amount of protein, do low-intensity exercises, sleep well and meditate to help get rid of keto flu. If you tend to let yourself off the hook, raise the white flag when things get tougher than you expected, send yourself on an unconscious binge-eating trip - BetterMe app is here to help you leave all of these sabotaging habits in the past! How To Lose Weight On This Diet? This low-carb diet is an effective way to lose weight. However, it is important to follow all recommendations to succeed. Here are a few tips that will help you stay in ketosis and achieve your weight-loss goal. Watch out for hidden carbs. Even a small amount of carbohydrate can raise your blood and insulin levels and kick you out of ketosis. Make sure to read the food labels before buying any products. Intermittent fasting is an effective way to get into ketosis faster. When you combine a ketogenic diet with intermittent fasting, your body produces more ketone bodies.

“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. Since most people following a western diet are not proficient at metabolizing fat optimally, this period allows the body time to become “fat-adapted”, utilizing dietary fat efficiently and effectively. There are a variety of nutritional plans that will enable a ketogenic lifestyle, and flexibility is one of the hallmarks of the diet that make it easy to adopt as a life-long tool to enhance your health. Our nutritionists can help figure out both the short and long-term options best suited for you and your lifestyle. In my 33 years of working with nutrition therapies, none comes close to the remarkable results I’ve seen achieved with ketogenic diets. I’ve had the honor of working with hundreds of people on the diet, which has taken me all over the world where together with The Charlie Foundation we have trained over 200 hospitals in ten countries. The ketogenic diet was used in several major U.S. 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. However, Dr Atkins knew about ketosis and promoted it. He never measured blood ketone production by his patients, but he did use urine ketone testing strips “for every patient on every visit” - according to Registered Nurse Jackie Eberstein, who worked with Dr Atkins, and as Jimmy Moore reports in Keto Clarity, Dr Atkins later added a machine for analyzing ketones in the breath as well to his clinic. However, many people do call the more modern form of the keto diet (where you eat higher carbs and protein than in the traditional epilepsy studies) a Modified Atkins Diet. How is Paleo different from Keto? In some respects Paleo is very similar to the Keto diet, and if I was going to give a very basic definition of a keto diet, I’d say it’s a lower carb version of Paleo. If you cut out the sweet potatoes, honey, starchy tubers and sugary fruits from Paleo, then you’re left with a pretty healthy keto diet.|The study found that while all vegans experienced a reduced risk of heart conditions and mortality from cardiovascular problems, the risk reductions were more significant in males than in females. Individuals following a vegan diet also tend to have a lower body mass index (BMI) than nonvegans, with research indicating that BMI gets higher as the number of animal foods in the diet increases. Research has also shown that vegans gain less weight than omnivores as they age. A review of 12 studies found that those following a vegetarian or vegan diet for an average of 18 weeks lost about 4.4 pounds (2 kilograms) more than nonvegetarians. Vegans also lost more weight than vegetarians, who ate dairy and eggs. When it comes to the keto diet, the main benefit appears to be rapid weight loss. A 2012 study involving children and adolescents with obesity found that other benefits include reductions in fat mass, waist circumference, and fasting insulin levels.

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. Or if you prefer to start with a shorter list to not be overwhelmed, grab the keto grocery list for what to get in 1-2 trips. Stock your pantry with all the dry keto staples. Get discounts on keto products here - exclusive for Wholesome Yum readers! Check out the keto low carb sweetener guide and calculator to help you choose the best ones and convert from one sweetener to another. You may or may not want to start with sweeteners right away, but it’s there when you’re ready. Buy keto ingredients here, including sweeteners, flours, syrups, baking mixes, and more. If you are looking for low carb recipes and keto diet recipes, you’ve come to the right place! Every single recipe on Wholesome Yum is low carb and keto friendly. And, each has 10 ingredients or less, because I’m on a mission to show you that keto and low carb recipes don’t have to be difficult, time consuming, or taste like “diet food”. I love sharing just how delicious and easy keto/low carb can be! Maintaining proper electrolyte balance is important while following a keto diet. Depending on a person’s activity levels, it is recommended that 2 to 7 grams of salt be added to the diet daily. Many people add a cup of high-sodium broth twice a day to meet sodium needs. Would you consider keto a long-term, sustainable diet? A well-formulated ketogenic diet with adequate protein, proper supplements (such as a multivitamin, calcium with vitamin D, phosphorous, and levocarnitine), and regular labs would be sustainable. If people are curious and want to try the keto diet, I recommend working with a registered dietitian who understands what is necessary to successfully follow the diet and who can help monitor their health. Mary Montgomery, MS, RD, CDN, is a pediatric clinical dietitian at the Epilepsy Center at NewYork-Presbyterian/Weill Cornell Medical Center. She specializes in the ketogenic diet for her pediatric patients suffering from epilepsy as well as for adults with epilepsy and cancer. Want more stories like this? Subscribe to receive the Health Matters monthly newsletter of curated stories about science, care, and wellness delivered straight to your inbox. Check out our Newsletter.|When only fat is available for the body to burn, the body converts the fats into fatty acids, and then into compounds called ketones, which can be taken up and used to fuel the body's cells. For reasons not entirely understood even today, fueling the body on primarily ketones reduces seizures. However, with the development of anti-seizure medications, few people with epilepsy rely on ketogenic diets today, according to a 2008 paper in the journal Current Treatment Options in Neurology, but some people who don't respond to medications can still benefit. For weight loss, today's keto diets are the descendants of low-carb diets like the Atkins diet, which peaked in popularity in the early 2000s. Both types of diets reject carbs in favor of meatier meals. There is no single blueprint for the keto diet, but plans usually call for eating fewer than 50 grams of carbohydrates a day. Celebrity adherents to the diet include Halle Berry and Kourtney Kardashian. For the keto success tips below to make the most sense and to give you context, make sure you read my guide on how to start a keto diet first. Keep it simple, especially when you are starting out. One of the easiest keto diet tips to implement is to get rid of foods you need to avoid. It’s much easier to stick to your goals if you’re not constantly fighting temptation. If your family is not on board with low carb eating, getting rid of everything may not be possible, and that’s okay! 3. Stock Your Fridge. Get the full keto food list for beginners here, including more details and a handy printable version. Notice the main focus is real, whole foods. Pin it to save for later! 4. Stock Your Pantry. Don’t forget to stock your pantry with keto staples, too! And one big thing you don’t need in your pantry? Exogenous ketones, diet supplements, and processed products labeled “keto”.|It’s the same process that happens when people starve. In ketosis, the body switches from its default mode - burning carbs and sugars for fuel first - and begins breaking down fatty acids. Entering ketosis usually takes at least a few days. Dr. Priyanka Wali previously told Business Insider that most people use up leftover glycogen stores in about five days, and experts agree it takes at least one to three months to see and feel the benefits of the restrictive plan. The keto diet wasn't originally developed for weight loss . Physicians started prescribing the diet in the 1920s to help with tough-to-control epileptic seizures that weren’t responsive to other drugs. The diet can significantly reduce the instance of seizures in children, and in some cases, stops them completely. It can also help control blood glucose levels in adults with Type 2 diabetes. Many keto fans who don't have epilepsy or diabetes report feeling sharper and more energetic on the diet. So, where does that glucose to supply our brain come from when we fast for a week? And as Dr. Peter Attia puts it, “The reason a starving person can live for 40-60 days is precisely because we can turn fat into ketones and convert ketones into substrate for the Krebs Cycle in the mitochondria of our neurons. I’m not saying here that carbohydrates are necessarily bad for us, but they’re not essential. Listen to our podcast with Dani Conway about how to create a keto plan based on your own body. Who Shouldn’t Follow a Keto Diet Plan? While carbohydrates are not essential for our bodies, there are some people for whom a keto diet plan isn’t ideal. If you fall into one of those categories, then please be extra cautious when trying keto. The ketogenic diet is a tool, but that doesn’t mean it should be used all the time and by everyone.

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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. The ketogenic diet has been often misconstrued by several persons in its meaning, nutritive process, and most especially, in its results. There are several opinions about ketogenic diets and how they are ideal for weight loss and whatnot. We see and hear all of these myths on ketogenic diets. That’s why we have taken the burden of providing you with all the myth-busting facts that you need to know about Ketogenic diets. We have compiled five of the most common keto myths, debunking them and showing you the best way out of the previous misinformation. We have written five facts on ketogenic diets for you to know. Whoever started this misbelief must be a bit lazy to come to this conclusion. The keto diet regime will certainly require a bit of discipline to stick to the regiment of low carbohydrate diet and get the desired results. It is almost the same amount of dedication and hard work that you’ll put into other commitments in your life.

Higher protein intake is advantageous for weight reduction and metabolic health. Ketosis occurs when the body is denied access to glucose, its main fuel source. In ketosis, stored fat is broken down for energy, producing ketones. Some people use a ketogenic diet to lose weight by forcing their body to burn surplus fat stores. The ketogenic diet was originally developed in the 1920’s to treat epilepsy but was inadvertently discovered to offer many other health benefits. There are multiple variations of the ketogenic diet. Classic Keto: The strictest form of keto, classic keto requires a 4:1 ratio of fats to carbs or protein. This is a structured, individualized plan in which your diet will consist of 90% fat. Foods are usually weighed when following this regimen. Modified Keto: The modified version of the diet is intended to be less restrictive. It might be a good place to start if you’re new to keto, or if you’ve done classic keto for a long time and you’re trying to taper down to a more sustainable, long-term eating regimen.|We highly suggest running medical tests to ensure you don’t have any underlying health conditions before you start any sort of diet or exercise program. Isn’t The Keto Diet The Same As The Atkins Diet? Many people interpret the Atkins diet to be a low carbohydrate plan, and when I tried the Atkins diet, that’s how I understood it. I counted the grams of carbohydrates I ate but didn’t really pay attention to the protein or fat amounts. Some people replace the carbohydrates they would otherwise be eating with more lean meat (thereby increasing the protein intake but not the fat intake). And unfortunately, eating too much protein is one thing that can prevent your body from getting into ketosis, which is the main benefit of keto. Of course, if you think Atkins stands for a high fat diet, then what you think of as Atkins could be much closer to the keto diet. In general, most people on the Atkins diet don’t do ketone testing to make sure they’re in ketosis, whereas that’s a big part of keto. How wide is the divide between the hype and the research? 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 and as a means to reduce cardiometabolic risk factors-but not without controversy. Today's Dietitian looks at what the ketogenic diet is, what's known about its risks and benefits, and whether patients who say they're "doing keto" are actually following a ketogenic diet. The ketogenic diet isn't just any low-carbohydrate diet, and it's not necessarily similar to the Atkins or Paleo diets. 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. The ketogenic diet is very low in carbohydrates and very high in fat, putting the body into ketosis-the burning of fat instead of glucose for fuel.

Butter, heavy cream, sour cream, organic cheese, full-fat/unsweetened yogurt, kefir, milk. What foods should you avoid on a keto diet? Hot topic alert! There’s quite a bit of debate when it comes to foods to avoid on a keto diet. That’s because many followers struggle with the restrictive nature of the diet, so they sometimes turn to processed food that’s technically “allowed” since it’s high in fat but low in carbs. Other followers, like Sisson, vehemently oppose this practice, insisting that it misses the entire point of the keto diet. “The Internet buzz about ‘dirty keto’ is a great example of how NOT to do keto. Blending diet orange soda, heavy cream and ice into a slushy might be zero carb, but it offers little nutritional value and will not necessarily support internal ketone production. The prevalence of processed and packaged snacks labeled keto is pause for reflection, as we should better emphasize whole foods as close to their original state as possible,” he says. 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. Given all the buzz, adopting a ketogenic diet may be the perfect weight loss plan, especially if you have diabetes, or want to try this approach to lose those troublesome extra pounds. After all, it’s a very low-carb meal plan that promises effective weight loss while also lowering your blood sugar to the point where you could possibly stop taking medication. By all accounts, the “keto” diet, as it’s widely known, may even reverse type 2 diabetes, at least for some lucky individuals. Another advantage to the keto diet: It can help reduce systemic inflammation, which can have a variety of negative effects on your entire body. You can create meals that are appealing and delicious when following a keto diet. Unlike some of the other popular low-carb diets, which typically are high in animal protein, the keto diet focuses on getting to the body to burn stored body fat instead of sugar as the main fuel. When body fat is broken down in the liver instead of glucose, s an energy byproduct known as ketones are produced.

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Even healthy, complex carbs such as whole-wheat pasta, rice, potatoes, and fruit are off-limits. Here’s how the keto diet works: When your body no longer has access to fuel from carbohydrates-either because they’ve been cut from your diet or you haven’t eaten in a long time-it goes into a state called ketosis. That means, your body looks for the next best fuel source: fat. And it uses the available fatty acids to produce a compound called ketones, which is why people who are in ketosis and eating more fat will start to burn more fat. While our bodies prefer to feed on carbohydrates, ketones can actually fuel the brain and body, says Lizzie Kasparek, R.D., a sports dietitian with the Sanford Sports Science Institute. So it’s not like you’re depleting your body in a dangerous way. “Being in ketosis does not imply reduced muscle glycogen levels. Over time, the keto-adapted athlete improves his or her ability to burn fat for fuel and still have glycogen available,” says Kenneth Ford, Ph.D., director and CEO of the Institute for Human and Machine Cognition. As with any dietary pattern, the fats don’t have to be animal fats. A study found that a ketogenic diet high in polyunsaturated fats was superior to a saturated fat-rich ketogenic diet by several measures. Getting more plant-based fats from avocados, nuts, seeds, coconut, and olive oil will supply more micronutrients as well as heart-healthy fatty acids. Research on long-term effects of the ketogenic diet are currently lacking, longer-term research studies are in progress. Studying the ketogenic diet for a long time is more difficult than many diets because it is so extreme. Just because the ketogenic diet is trendy doesn’t mean everyone should hop on the bandwagon. There are other dietary patterns that are shown to promote health and a healthy weight, including Mediterranean and vegetarian dietary patterns. And research has demonstrated that some people thrive on lower-fat, higher-carb diets. It’s just a tool in the toolbox that people can implement. Sugar and carbohydrates don't sound like they're part of a healthy meal to most - but in reality, they can be found in some pretty nutritious items you'll have to cut out of your diet entirely. It's why nutritionists and health experts may be critical of the keto diet, especially since deprivation requires tons of willpower that might be counterintuitive to your needs. While the keto diet could result in serious weight loss for those who can stick to the diet's plan, if you know you simply can't give up bread or fruits, it's okay - Stefani Sassos, MS, RD, CDN, a registered dietitian within the Good Housekeeping Institute, says that the Mediterranean diet or 'flexitarian' meal plans could also help you lose weight in the long run. If you've seen a friend transform their body while on the keto diet, read up on what it entails below before you take a swing at achieving ketosis. Like all diets, Sassos points out that the keto program doesn't guarantee sustained weight loss (in fact, some people report ballooning in weight afterwards) and that you should discuss any long term diet changes with your healthcare provider.|As your body switches from burning glucose to fat for fuel, unpleasant symptoms may occur. Staying hydrated, getting enough rest, eating fiber-rich foods and engaging in light activity can help ease keto flu symptoms. What’s more, supplementing with the electrolytes magnesium, sodium and potassium can help reduce certain symptoms, such as muscle aches, headaches and insomnia. As the vegan keto diet restricts many foods, it’s not appropriate for everyone. The vegan keto diet may not be suitable for those with type 1 diabetes, women who are pregnant or breastfeeding, athletes or those with eating disorders or a history of disordered eating. If you consider transitioning to a vegan keto diet, consult your doctor or a qualified health professional first to ensure the diet is safe to follow. Low-carb, high-fat diets may not be suitable for pregnant women, children and people with certain medical conditions. If you’re unsure whether the vegan keto diet is the right choice for you, seek advice from your doctor. The end result of the “ketone diet” is staying fueled off of circulating high ketones (which are also sometimes called ketone bodies) - which is what’s responsible for altering your metabolism in a way that some people like to say turns you into a “fat-burning machine.” Both in terms of how it feels physically and mentally, along with the impact it has on the body, being in ketosis is very different than a “glycolytic state,” where blood glucose (sugar) serves as the body’s energy source. So, is ketosis bad for you? Absolutely not. If anything, it’s the reverse. Many consider burning ketones to be a much “cleaner” way to stay energized compared to running on carbs and sugar day in and day out. And remember, this state is not to be confused with ketoacidosis, which is a serious diabetes complication when the body produces excess ketones (or blood acids). The goal is to keep you in this fat-burning metabolic state, in which you will lose weight until you reach your ideal set point. Besides the obvious benefit of being less rigid, adding back nutritious carbs, like fruit, beans and whole grains, can provide a spectrum of health-protecting substances, including fiber, which is often low on a typical keto menu. How does keto cycling impact weight loss? According to the recently released National Lipid Association’s scientific statement published in "The Journal of Clinical Lipidology", this type of eating pattern is difficult to maintain and while those who follow it often experience an initial weight loss advantage, over time, the keto diet’s weight loss benefits aren’t any better than a more balanced plan. In theory, keto cycling might make it easier to follow this program, but according to Molly Devine, RD, owner and founder of MSD Nutrition Consulting and Eat Your Keto, the reality may be quite different. “Few people have the ability to go on and off keto successfully,” she says, explaining that the main challenge is intense cravings for carbs and sugar, which come back once you reintroduce these foods.|People With Type 1 Diabetes These individuals are insulin-dependent, and a keto diet could lower their blood sugar to dangerous levels, says Moree. People With a History of Eating Disorders Going on a strict diet that eliminates food groups could trigger a relapse if you have a personal history of having an eating disorder. And while there’s a growing popularity in treating binge eating disorder (BED) with keto, experts strongly advise against it. Treatment of BED requires regular, adequate food intake without restriction, says Sumner Brooks, MPH, RDN, a certified eating disorder dietitian in Portland, Oregon. People Who Have Had Their Gallbladder Removed A gallbladder holds bile, which aids in fat digestion. Without this organ, you will not feel your best on a high-fat diet. People With Thyroid Disease A a keto diet may suppress levels of thyroid hormones, says Audrey Fleck, RDN, an integrative and functional nutritionist and certified diabetes educator in Perkasie, Pennsylvania. That means the diet has been touted as a treatment for hyperthyroidism; nonetheless, the approach is controversial.

There are many different ways to follow a keto diet. Here are the four of the most common. This standard ketogenic diet is one of the most researched versions of the keto diet and is what we’re referring to throughout this article (although, the same principles we’ve discussed apply to most of the other forms). The SKD generally includes 5 percent carbs, 20 percent protein and 75 percent fat. The targeted ketogenic diet allows you to add extra carbs around workouts, surpassing the SKD 5 percent carb rule, and may be a better option for those who are extremely active and train more than twice per week. The easiest way to see if this is working for you is to keep testing your ketone levels when you add carbs after workouts and make sure that they don’t kick you out of ketosis. The high protein ketogenic diet is close to the standard ketogenic diet, but with a higher ratio of protein. The keto diet is made up of mostly fats, moderate protein and a small amount of carbs. Eating a lot of fat and very few carbs puts you in ketosis, a metabolic state where your body burns fat instead of carbs for fuel. There are different types of keto diets, including the standard diet, cyclical keto and dirty keto. Get the details on the benefits of keto and how to start the keto diet below. Eat fat to burn fat? It sounds counterintuitive, but that’s what makes the ketogenic diet so unique. Also called the keto diet, this high-fat, low-carb style of eating can help you feel energized and laser-sharp. It can even help you stay at a healthy weight-all while enjoying delicious, satisfying foods. Read on to learn everything you want to know about this style of eating with our keto diet for beginners guide. We’ll cover the science behind how it works, detail the amazing benefits of the keto diet and offer tweaks that can help you manage keto side effects and stay in a state of ketosis. Kizer. People are free to eat starchy vegetables and fruit, as well as foods rich in healthy fats like avocados. Is Paleo or Keto better long-term? WHAT DIFFERENTIATES a fad diet from a healthy one is whether you can maintain your health and keep the weight off in the long run. So where do Paleo and Keto stack up? The Paleo Diet: Because this diet doesn't require you to maintain ketosis, there's no need to weigh your food, as some do on the Keto Diet; nor do you have to closely monitor your carbohydrate intake. Plus, most people think of Paleo as a lifestyle rather than a diet, according to Kizer, so it's easier to stick to in the long run. The Keto Diet: Eating a banana or too many nuts could knock you out of ketosis, which makes tracking your food intake necessary to stay on track for your weight loss goals.|10. Sumithran P, Prendergast LA, Delbridge E, et al. Ketosis and appetite-mediating nutrients and hormones after weight loss. Eur J Clin Nutr. 11. Gibson AA, Seimon RV, Lee CM, et al. Do ketogenic diets really suppress appetite? A systematic review and meta-analysis. 12. Saslow LR, Daubenmier JJ, Moskowitz JT, et al. Twelve-month outcomes of a randomized trial of moderate-carbohydrate versus very low-carbohydrate diet in overweight adults with type 2 diabetes mellitus or prediabetes. 13. Kosinski C and Jornayvaz FR. Effects of ketogenic diets on cardiovascular risk factors: evidence from animal and human studies. 14. Volek JS, Sharman MJ, Forsythe CE. Modification of lipoproteins by very low-carbohydrate diets. 15. Olson CA, Vuong HE, Yano JM, Liang QY, Nusbaum DJ, Hsiao EY. The gut microbiota mediates the anti-seizure effects of the ketogenic diet. 16. Fuehrlein BS, Rutenberg MS, Silver JN et al. Differential metabolic effects of saturated versus polyunsaturated fats in ketogenic diets. J Clin Endocrinol Metab. 17. Ullah W, Hamid M, Mohammad Ammar Abdullah H, Ur Rashid M, Inayat F. Another "D" in MUDPILES? A review of diet-associated nondiabetic ketoacidosis. J Investig Med High Impact Case Rep. 18. Gardner CD, Trepanowski JF, Del Gobbo LC, et al. Effect of low-fat vs low-carbohydrate diet on 12-month weight loss in overweight adults and the association with genotype pattern or insulin secretion: The DIETFITS Randomized Clinical Trial. 19. Keto diet. U.S. News & World Report. 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. The keto diet does promote eating meat from various sources, as well as eggs, fish, avocados, coconut and olive oils and non-starchy vegetables. The good: Beyond weight loss, the ketogenic diet has been in use for conditions like epilepsy since the 1920s and obesity treatment since the 1960s.“ The keto diet really alters energy metabolism in the brain, so that’s why it’s thought to stabilize the functions of the neurons exposed to seizures in people with epilepsy,” says Junella Chin, DO, who uses the keto diet as a tool for treating children with intractable epilepsy in her integrative medical practice. “It helps children with seizures decrease their episodes and shorten their recovery time from seizures.” The keto diet has also been implicated for therapeutic use in chronic diseases such as heart disease, neurological conditions, polycystic ovary syndrome, and cancer. There’s also limited evidence that insulin sensitivity improves on the diet, which bodes well for managing diabetes. The bad: The downside of a ketogenic diet is that there is no well-established evidence to support its sustainability on a long-term basis, and further well-controlled trials are recommended, says Dr. Zhu. Recent research published by The Lancet found that restricting carbs and replacing them with animal-based protein and fat could lead to a shorter lifespan. For children with epilepsy, the biggest challenge of the keto diet is compliance, says Dr. Chin. “We struggle with compliance with kids and then parents because, of course, parents need to be on board too. While studies of the ketogenic diet have shown short-term benefits for people that include weight loss and improvements in blood sugar and blood pressure, the jury is still out on whether these benefits can be sustained long-term. “The ketogenic diet has the potential to be a game-changer,” says Dr. Zhu, “but a lot depends on whether its benefits pan out in large-scale trials and whether individuals can tolerate its dietary restrictions over the long haul. Half failed this nutrition quiz. Similarly, is it possible to prevent certain types of epilepsy simply by eating differently? It would seem that a clue may be found in the type of epilepsy. And if we evaluate those who become seizure-free on ketogenic diets, could we determine the metabolic link to their epilepsy? Could they achieve seizure control or even prevent their epilepsy by following a special diet (without going to the extreme of a high-fat, low-carbohydrate ketogenic diet)? My educated guess is this “special diet” would be based on whole (unprocessed) foods including fats and would eliminate sweets and added sugars. The Charlie Foundation has recently published guidelines on how to follow this type of special diet. I feel privileged to be involved in the lives of people who have tried ketogenic diet therapies. Their cooperation and diligence has fueled my efforts to educate the community and professionals to make the diet more available, easier to manage and more delicious. With research underway on the impact of ketogenic diets in many different conditions, it is my greatest hope that these special diets evolve to the level of disease prevention.|The keto diet is all about the fat. So in an eating plan in which up to 80 percent of the calories come from fat - which shifts your body into ketosis, or a state in which you burn fat for your main source of energy (instead of carbohydrates) - it’s going to be the nutrient you focus on most. But some picks are healthier than others. “Many people boil it down too simply and think they just need to eat a lot of fat and avoid carbs, but you can quickly eat an excessive amount of unhealthy fat on the keto diet,” says Kendra Whitmire, a nutritionist and dietitian with Sunshine Nutrition and Wellness in Laguna Beach, California, who practices functional and therapeutic nutrition. Keto’s leap onto the scene as a trendy diet is unique. “There’s never been a push for a high-fat diet before,” says Scott Keatley, RDN, of Keatley Medical Nutrition Therapy in New York City. On the other hand, you may be skipping veggies altogether if counting every baby carrot is getting too complicated. But it’s important to get in vegetables (these contain fiber that prevent constipation, a potential side effect of keto) while minding portions and properly counting carbs. Go for nonstarchy options in a rainbow of colors for a variety of nutrients, says Tucci, like leafy greens, cucumber, tomato, broccoli, cauliflower, bell peppers, and asparagus. When it seems as if the sole goal of keto is to drastically cut carbs, the rest can feel like an afterthought. “Reducing your carbohydrate intake is great, but focusing on higher-quality products when budget allows will help improve your health, too,” says Clevenger. That means choosing omega 3-rich foods, like wild salmon, grass-fed, local, or organic meats, and snacking on whole foods rather than processed keto-approved treats. It also means trying to follow a balanced diet as best you can by incorporating as many nutrient-rich fruits and veggies as you can. Many registered dietitians aren’t a fan of keto because it may lead to nutrient deficiencies. You can help avoid these by working with an RD yourself as you follow keto.|Why is the keto diet recommended for people with diabetes or prediabetes? Because the keto diet helps to reduce blood sugar and insulin levels, it is now being used for people with type 2 diabetes and for people with prediabetes to lower their hemoglobin A1C to a healthy level. Who else can benefit from this diet? Women with polycystic ovary syndrome who follow a low-glycemic-index diet - a variation of the keto diet that involves eating based on how foods affect your blood sugar level - have also seen positive results. Recent studies show the diet may treat the following alone or have compounding effects with other medical treatments: migraine headaches, brain tumor/cancer, Alzheimer’s, Parkinson’s disease, mitochondrial disease, Lou Gehrig’s disease (ALS), autism, and traumatic brain injury. Overall, more research is necessary. For the general population, is the keto diet healthy? While this diet has been shown to accelerate weight loss and to improve certain health conditions, it has its fair share of critics. Weight loss isn’t worth anything if you can’t keep it off. Ketogenic diets appear to be good for long-term maintenance of weight loss. The bulk of your food intake (in terms of volume) should come from “above-ground” vegetables-those that grow above the ground like greens, peppers, broccoli, Brussels sprouts, cauliflower, tomatoes, celery, cucumber, kale, cabbage, asparagus, zucchini, mushrooms and avocado. You’re also free to enjoy virtually any fish or meat that doesn’t contain added breading or sweeteners. Eggs are also an ideal choice. In fact, many people often don’t eat enough protein while trying a keto diet. While an overabundance of protein can inhibit ketosis, this isn’t an issue most people would deal with. The average American, particularly older men and women, don’t eat enough protein for their muscle maintenance needs. Bone broth and collagen supplements that don’t contain carb sources like sugars, fillers or binders are also healthy choices while keto. The majority of your calories on a keto diet will come from fat. The keto flu occurs in the first days of going keto as your body adjusts to burning fat for energy. Symptoms of the keto flu include fatigue, irritability, nausea, constipation, and dizziness. To avoid or treat the keto flu, stay hydrated, eat more electrolytes, and avoid intense exercise. Visit Insider's Health Reference library for more advice. The keto diet has won wide acclaim for its ability to help people lose weight quickly or manage diabetes. However, these benefits can come with a price - the keto flu. The keto flu is when you experience flu-like symptoms as your body transitions to the new diet. Here is what you need to know about the keto flu from common symptoms, how long it will last, and prevention tips. What is the keto flu? The keto flu is your body's reaction to the keto diet's extremely low-carb eating plan, says Lori Shemek, PhD, a nutrition and weight loss expert with a virtual private practice. The keto diet - what is it? Little is known on whether or not long-term adherence is safe or if the diet is safe for everyone in the short term, especially those with pre-existing health conditions. Why was the keto diet developed? The ketogenic diet premiered in the medical setting in 1921 by Dr. Russel Wilder. The diet was originally intended to treat children diagnosed with epilepsy. The anti-seizure effects were first noticed in response to fasting. However, the ketogenic diet was crafted to support growth and development in children without long periods of not eating. What are macronutrients and why are they important? Recently the ketogenic diet (also known as the keto diet) has risen to fame as a fad diet that claims to treat obesity. Calories in food come from three different sources: fats, carbohydrates and proteins. These three sources are called macronutrients. According to the USDA, the standard American diet follows a macronutrient composition of 40 percent fat, 11 percent protein and 48 percent carbohydrate.|“Chances are if you’re following a ketogenic diet you will need to prepare most, if not all, of your own meals and snacks from scratch, so simply season with salt,” says Tucci. Many followers of the keto diet try it because they’re hoping to use it therapeutically for a medical condition. If that’s you, talk to your doctor first and make sure they’re on board with your plan - especially if you’re also taking medication, says Clevenger. “Some medications may need to be adjusted by your healthcare practitioner as your signs and symptoms improve,” she says. Just one example is insulin, as a lower dose may be needed now that you’re severely limiting carbohydrates. Vegetables have carbohydrates. And that means that you have to watch how much you eat - even lettuce. If you're not careful or are eating them as a free-for-all, you could overconsume carbs, and thus get kicked out of ketosis. Eat extra fat during the first week to accelerate keto-adaptation. Just be sure to dial fat intake back after the first week or two. Do lots of low level aerobic activity. Walk, hike, jog, cycle, row. Keep things in the aerobic HR zone (under 180 minus age in heart beats per minute), and you’ll increase your utilization of body fat, which will speed up ketone production and adaptation. Eat fiber. Many people on ketogenic diets tend to ignore fiber. That’s a mistake. Fiber doesn’t digest into glucose. It also supports your gut biome. Finally, it’s important to share that, as with any new dietary regimen, it’s important to consult your doctor-particularly if you have an existing health condition. I don’t recommend keto for women who are pregnant or nursing or for teens and young adults who are still growing, unless directed and supervised by a physician. For more on keto precautions, check out this page. Make sure the bulk of your diet still comprises nutrient-dense whole foods whether or not you choose to include sugar alcohols in your keto diet. Is coconut sugar keto? For all intents and purposes, coconut sugar is the same as regular white sugar in the context of a keto diet. They contain similar carbs and calories per serving. The glycemic index of coconut sugar is a bit lower but not enough to really matter. That said, a small amount of sugar, coconut or otherwise, won’t automatically kick you out of ketosis. One teaspoon of sugar has 4 grams of carbs. I add a teaspoon of sugar to my coffee each morning with no ill effects. Is it the best use of your carb allowance from a nutrition perspective? No, but if it’s the sensible indulgence that allows you to reap maximum enjoyment from your keto diet, don’t sweat it. Can you build muscle on keto? Absolutely. Plenty of folks successfully build and maintain muscle mass on a ketogenic diet. What is the keto diet? What is the keto diet? You may have heard the old low-fat weight-loss mantra, “Fat makes you fat.” It’s actually not that simple. Your brain and body benefit from healthy fats, regardless of what diet you follow. Eating keto means eating more fats and fewer carbs, which changes the way your body turns food into energy. Think of your body like a hybrid car. You’re built to rely on carbohydrates, like bread and pasta, for fuel. Your metabolism is designed to turn carbs into glucose for energy, and store the leftovers as glycogen in your cells. But just like a hybrid can run on gas or electricity, your body has another way to make energy: fat. If you eat very few carbs, more fat and moderate protein, your body enters ketosis: a metabolic state where you burn fat instead of carbs for fuel. In ketosis, your body produces ketones, an alternative source of fuel. Snacking-wise, nuts are a good source protein and fat, so they can be eaten more, as well as cottage cheese and Greek yogurt. Mainly the plain variety, though, as reduced sugar intake is essential for the success of ketogenic diet. What are the main benefits of keto diet? As well as these, keto can reduce acne and it might also improve heart health and protect brain functioning, although these benefits have not been proven by rigorous lab tests yet, so we can't say for sure that is a benefit. Is keto diet safe? Either way, before you start buying crates of avocados, and especially if you have issues with obesity, you should consult a medical professional and get their advice and guidance. Everyone's needs are different and what works for the vast majority of people might not work for you personally. Be safe and sensible, and always ask for help if unsure.

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. Starting out on a new way of eating isn’t easy, and you don’t have to do it alone! Join our private Facebook support group here! There are hundreds of thousands of us in the group waiting to help you. We have people at all stages of the journey, so whether you need a place for keto for beginners, or you’re a more seasoned keto-er looking for others who get it, we’d love to have you in our community. 14. Plan Your Meals. One of the best keto tips and tricks I always tell people is that meal planning is a game changer. Grabbing a bag of chips, a candy bar, or a box of pasta may be easy on a high-carb diet, but sticking to a low carb lifestyle requires more planning. And that’s okay! It’s totally doable and does not have to take hours out of your day. You can make your own plan, whether that’s planning for the week ahead like I do or simply looking at the day ahead in the morning.

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. Let’s look closer at how the ketogenic diet can promote fat-burning and increases energy levels, plus other benefits. 2. increase fat intake. Most of us easily replenish our carb stores by eating fruit, vegetables, grains and legumes, so our carb “fuel tanks” rarely get low and we continue burning glucose for energy. This is why the ketogenic diet is known to support weight loss. Instead of starving yourself, you’re training your body to burn fat for energy. Since carbs are your body’s first choice for energy, the only way to get your body to burn fat for fuel is by getting your body into ketosis. The amount of fat your body can utilize for energy will depend on your body composition and fat percentage. Keeping your body in ketosis for prolonged periods of time teaches your body to burn fat for energy more efficiently, which is how the keto diet can reduce your overall fat mass.|There are several ways to measure ketones in your body. Elevated levels of ketones (the acetoacetate group, to be specific) can be instantly detected in your urine using strips such as KetoStrips. After dipping one of these strips into your urine stream, you’ll be able to find out which stage of ketosis you’re in based on the color guide provided. You can find keto strips at nearly any drugstore and online through Amazon. Ketone breath analyzers allow you to measure your state of ketosis by detecting acetoacetates. A popular brand is Ketonix, which is a rechargeable ketone monitor that can be used over and over again. The ketone blood monitor is the most accurate ketosis testing method. It’s a little more invasive than the other keto testing methods, as it requires a prick of blood from your finger. Test kits are around $40, and blood ketone test strips go for roughly $5 each (you’ll need one for every time you test). If you would like to eat fruit, try to stick to low glycemic varieties like berries. Eat whatever you want for meats, eggs, vegetables, cheese, nuts, avocados, and fats. Eat meat, nuts, and cheese for snacks. Cheese sticks wrapped in turkey or ham, salami or pepperoni, nuts, and avocados make the best keto snacks to keep on hand as keto diet snacks. Have as much as you need of these to stave off hunger. The Best Keto Meal Plan For Week 1 | What Do You Eat The First Week Of Keto? So many of you asked for a starting keto meal plan, that I just created one packed with keto diet recipes and easy keto meals for you to start off with. I've put together a very affordable keto meal plan to help you keep on your way to ketosis. You'll find keto dinner ideas Instantly Download and print this 1-week Meal plan to make cooking fast, easy, flexible, and delicious!

So, where does that glucose to supply our brain come from when we fast for a week? And as Dr. Peter Attia puts it, “The reason a starving person can live for 40-60 days is precisely because we can turn fat into ketones and convert ketones into substrate for the Krebs Cycle in the mitochondria of our neurons. I’m not saying here that carbohydrates are necessarily bad for us, but they’re not essential. Listen to our podcast with Dani Conway about how to create a keto plan based on your own body. Who Shouldn’t Follow a Keto Diet Plan? While carbohydrates are not essential for our bodies, there are some people for whom a keto diet plan isn’t ideal. If you fall into one of those categories, then please be extra cautious when trying keto. The ketogenic diet is a tool, but that doesn’t mean it should be used all the time and by everyone. Avoid those middle shelves to avoid more processed, packaged foods. Look for ingredients you recognize. If you do opt for packaged foods, read the labels. And if you don’t recognize more than 2-3 ingredients, put it back on the shelf. Check both the nutrition label and ingredients to make sure there aren’t any sneaky carbs, sugars, or fake ingredients that may mess up your hard work and compromise your health. When it comes to the keto food list, healthy fats form the cornerstone of the diet. To keep your body in a state of ketosis - breaking down fat instead of carbs for fuel - you have to eat enough fat. But the quality of your dietary fat matters. Keep in mind that you want a good balance of omega-3s and omega-6s to support overall health, including proper nerve and brain function, and reduce the risk for heart disease, Alzheimer’s disease, and Type 2 diabetes.|Watch the video below to learn more about the Keto Reset approach to ketogenic eating
 The ketogenic diet first emerged as a tool for clinicians to treat their patients with epilepsy. It was-and remains-the only thing with the consistent ability to prevent seizures. Keto’s effects on neuronal function and health, along with the ability of aging or degenerating brains to accept and utilize ketone bodies, also have implications for other brain conditions, such as Parkinson’s, Alzheimer’s and even certain psychiatric disorders. A ketogenic diet also appears to improve memory and cognition in those with minor declines in these area. Since ketosis can help with major brain disorders, many have wondered whether it can improve cognitive function in otherwise healthy people. Although research is still scant in that area, many people report a profound sense of mental clarity once they’ve successfully transitioned to a keto diet. Unfortunately, researchers haven’t studied the nootropic effects of ketogenic diets in healthy people-yet. They have looked at people with “milder” cognitive deficits, though, finding some promising effects. About half said that they were and subsequently began a strict low-carbohydrate, high-fat routine. The other men and women continued with a high-carbohydrate diet. Everyone’s meals were matched in terms of how many calories, relative to body weight, they ate. Before the diets kicked off, though, the researchers drew blood from the athletes before and after a workout, to establish their baseline bone health and other markers of their health and fitness. Bone is an active tissue, constantly breaking down slightly and remodeling itself in response to the demands we place on it. Knowing this, the researchers checked for the levels of specific substances in the athletes’ blood known to be associated with bone breakdown, rebuilding and overall metabolism. Then the athletes embarked on three and a half weeks of intense training, while eating mostly fat or mostly carbs. Afterward, the researchers again drew their blood and rechecked the markers of bone health. They found differences. The markers of bone breakdown were higher now among the athletes on the keto diet than at the start of the study, while those indicating bone formation and overall metabolism were lower. These same markers were generally unchanged in the high-carb athletes. The athletes on the ketogenic diet, in other words, showed signs of impaired bone health. How their bones might have been affected by their eating is still unclear, says Louise Burke, the head of sports nutrition at the Australian Institute of Sport in Canberra and one of the lead authors of the new study. “We believe that the keto diet may affect bone metabolism due to the downstream effects of low-carbohydrate availability on certain hormones, along with other factors,” she says. But more study, of course, is needed.


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