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There are three main reasons to stay away from the keto diet. If the keto diet may help you lose weight or improve certain health markers, why wouldn’t you do it? The answer is simple: It’s very restrictive, so it’s not ideal for long-term for weight loss. 1. It is not sustainable for most people. Asche agrees that the diet is sustainable for some people long-term, but unless you are content with never eating carbs again, it’s just not realistic. 2. It can hurt your relationship with food. The keto diet can also impact your enjoyment of food and how you experience food-centric events, like family dinners, brunch with friends, or happy hour with coworkers. Because keto requires strict adherence that doesn’t allow wiggle room for occasional splurges, it can get in the way of enjoying everyday life. This type of restriction might even make you a bit obsessive, “where you have to track every last gram, macro, never allowing yourself to ‘splurge’ on anything containing carbs or sugar in fear of knocking you out of ketosis,” Asche says. 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 . There are five variations of the Ketogenic Diet which have been published in medical literature as effective treatments for diseases that have an underlying metabolic dysregulation, such as epilepsy, cancer, and Alzheimer’s. The original Ketogenic Therapy, known as the classic Ketogenic Diet, or classic Keto for short, was designed in 1923 by Dr. Russell Wilder at the Mayo Clinic for the treatment of epilepsy. All Ketogenic Diets are a variation of classic Keto, which is the most strict, seen by it’s ratio of fat to protein and carbs, also called the macronutrient ratio. Classic Keto carries a 4:1 ratio, which means that there are four parts fat for every one part protein and carb. Since fat has a higher caloric content versus protein and carb (fat has 9 calories per gram, while both protein and carb have just 4 calories per gram), 90% of calories come from fat in a classic Ketogenic Diet, while 6% come from protein, and 4% come from carb. There has been some speculation that higher dietary protein intake may prevent nutritional ketosis, but the literature does not support this. However, when you examine the data across all studies examining protein intake and blood ketone levels, there is no strong correlation. It appears as those dietary protein does not substantially affect blood ketone levels. One can also increase blood ketone levels through the use of supplementation. For example, one can consume exogenous ketones or high amounts of medium-chain triglycerides to increase blood ketone levels to a state of nutritional ketosis. There are two primary approaches to following a ketogenic diet. 65% of total calories). 75% of total calories). What Foods are Ketogenic? One of the most common questions surrounding ketogenic diets is, "what foods are ketogenic"? The answer to this question is that there are not ketogenic foods or non-ketogenic foods. The totality of your diet will dictate whether or not you are in a ketogenic state. Instead of looking for specific ketogenic foods, look at each food in the context of your overall intake, and decide if that food is in line with the overall objective.

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. 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. These fats are solid at room temperature while monounsaturated and polyunsaturated fatty acids remain a liquid at room temperature. Just because you’re following a ketogenic diet doesn’t mean you should indulge in every fat you come across. All fats are not created equal. 1: Hydrogenated and partially hydrogenated oils. These fats are found in packaged foods. They increase inflammation and your risk of developing heart disease, cancer, and high cholesterol. If you’re relying on packaged foods to get you through keto, check the label and ditch any foods with these. 2: Highly processed vegetable oils. Corn oil, peanut oil, canola oil, soybean oil, sunflower, and grapeseed oil are all fats that sound healthier than they actually are. 1. Are usually made with genetically modified seeds that are potential allergens. 2. Are cooked well above their smoke point, which makes the oils go rancid. This puts you at risk of developing certain cancers, obesity, and depression. While the vegan keto diet may benefit your health, it has some potential drawbacks. Vegan diets tend to be low in important nutrients, especially if not carefully planned. Because the vegan keto diet is more restrictive than normal vegan diets, it’s critical that those following it supplement with high-quality vitamins and minerals and plan their meals to ensure a nutritionally adequate diet. Eating fortified foods, focusing on whole-foods and enhancing nutrient availability, for example through fermenting and sprouting, is important for people following a vegan keto diet. However, it may be difficult for vegan keto dieters to meet their micronutrient needs through food alone. Supplementing with certain vitamins and minerals commonly lacking in vegan diets is a smart way to prevent potential deficiencies and ensure that your daily requirements are met. Transitioning to a ketogenic diet can be difficult. Often referred to as the keto flu, the transition period from a higher-carb diet to a keto diet can be challenging on your body.|1. Alcohol contains empty calories and may cause you to overeat as your inhibitions are lowered, which can lead to weight gain. 2. Alcohol also turns off your body’s ability to burn fat. 3. You may also get drunk faster in keto, and experience a worse hangover, since your body is not running on carbs anymore. To help you navigate the menu better, check out the chart below to see which alcoholic drinks are the lowest in carbs and calories. Cocktails and mixed drinks like mojitos, mimosas, cosmopolitans, rum and Cokes, Moscow mules, screwdrivers, gin and tonics, and Long Island iced tea. Frozen drinks like pina coladas, margaritas, and daiquiris. Beers and even non-alcoholic beers may have as much as 17-18g of carbs per drink. Sweet wines like riesling, moscato, sherry, and port can each have as many as 20g of carbs per glass. Sauces contain sugar and can be a bad idea on a keto diet.

The main risk from any diet based on supplements is boredom, but then nobody is suggesting you live on nothing but supplements. That's why they're called 'supplements' and not 'dinner'. So, to summarise, keto diet is safe and beneficial for your health and weight loss if you are careful and mindful enough about it. The easiest way to track your keto effort is to use a nutrition-tracker app like MyFitnessPal, where you can simply set your desired macro nutrient percentage/macro split (on keto, it will most likely be 75% fat, 5% carbs and 20% protein) and scan the barcodes of the food you would like to ingest. Most importantly, as with any lifestyle change, give yourself some time to adjust. As Simon mentioned, you will see some rapid results almost straight away, but in order to keep that weight off, you'll have to stick with the diet, even if progress slows down a bit. Slowing down doesn't mean the new diet stopped working; it only means your body is re-adjusting itself to accommodate the new diet. Weight loss, or more like shedding the unnecessary extra weight, is only a side effect of a new, healthier lifestyle, which will benefit you on a long run, not only short term.|On the other hand, not eating for days doesn't sound much fun. But it turns out you don't need to starve yourself to get into ketosis. All you need to do is remove carbohydrate from the diet (not just refined carbs, such as sucrose or high fructose corn syrup, but all carbs, including complex carbs and starches too). Once the body has no source of glucose, it has to switch to ketosis because the brain needs either glucose or ketone bodies to survive. So no matter how much protein or fat you eat, the body still has to break down fat to ketone bodies to keep you going. A ketogenic diet, then, is any diet that switches your metabolism to ketosis. And the ones doing the rounds at the moment aren’t the first or the only diets to do that. It is several decades since the Atkins Diet rose to prominence - and I witnessed first-hand the weight loss some friends achieved on Atkins. The Atkins diet is a ketogenic diet, because it removes carbs from the diet and replaces them with protein. The surprising finding was that Atkins followers discovered they were much less hungry than they expected, suggesting that calories from protein made you feel more satisfied for longer. Feeling fuller translates to willingly eating less, and in the end impressive weight loss. In dieting, though, there is no such thing as a free lunch (or so I thought). Adherence to the Atkins diet has side-effects, and most worrying is the impact on nitrogen balance from taking in so much protein. There is a very real risk of dehydration, and over the longer term, kidney stones from the need to excrete so much excess nitrogen as urea. So what about the 21st century version? Keto today replaces the carbs with fats rather than protein. All meals should be planned in advance, evaluating the nutritional value of each of them. It is important not to deprive your body of fiber. Fiber is extremely important for intestinal health and can help you get into ketosis without experiencing symptoms of keto flu. If you can’t rigidly track your carb intake, you can try a gradual elimination method. Remove onethe source of carbohydrates from your diet every week. 1. Remove all desserts and sweet snacks such as cakes, pastries, and chocolate bars. 2. The third week is the time to say goodbye to starchy foods like pasta, pizza and packaged snacks. 3. Remove all bread, rolls and starchy vegetables. 4. By Week 5 you are probably down to 50 g of carbs a day. If you want to restrict carbohydrates further, then cut out fruit and sauces that contain carbs. Looking for a way to break the vicious cycle of weight loss and tone up all the jiggly parts? It’s not a diet that you can do part time. As we talked about above, you spend the first week on keto losing your glycogen stores and water weight. Only after your glycogen is used up do you enter ketosis. So it’s something you need to commit to for at least a month to see results. Once you have been on keto for 5-6 weeks You may want to try ‘carb refeeds’ as we talk about in the Keto Family Class. This off-and-on will prevent you from really entering the incredibly beneficial phase of being fat adapted. What if I don’t feel good on the keto diet? If you’ve tried keto and felt brain foggy, low energy, and/or had headaches, there are three main reasons for this: First, your electrolytes are off. This is what we’ll discuss next. Second, you aren’t eating real food! With the popularity of the keto diet, comes tons of fake sweeteners, packaged keto shakes and bars, and treats.|The Atkins diet is one of the most famous low-carb, high-protein diets that’s often associated with the keto diet. However, the two diets have some major differences. Dr. Robert C. Atkins created the Atkins diet in the 1970s. It’s often promoted as a way to lose weight that also controls numerous health issues, including type 2 diabetes. While cutting excess carbs is a healthy step, it’s not clear if this diet alone can help diabetes. Weight loss of any kind is beneficial for diabetes and high blood sugar levels, whether it’s from the Atkins diet or another program. Unlike the keto diet, the Atkins diet doesn’t necessarily advocate increased fat consumption. Still, you might increase your fat intake by limiting carbohydrates and eating more animal protein. The potential drawbacks are similar. Aside from a high saturated fat intake, there’s the possibility of low blood sugar, or hypoglycemia, from restricting carbs too much. This is especially true if you take medications that increase insulin levels in the body and don’t change your dosage. Cutting carbs on the Atkins diet can potentially aid weight loss and help you control diabetes symptoms. However, there aren’t enough studies to suggest that Atkins and diabetes control go hand-in-hand. A keto diet forces the body into a state called ketosis, meaning that the body's cells depend largely on ketones for energy. It's not entirely clear why that leads to weight loss, said Jo Ann Carson, a professor of clinical nutrition at the University of Texas Southwest Medical Center and the chair of the American Heart Association's (AHA) Nutrition Committee, but ketosis seems to blunt the appetite and may affect hormones like insulin that regulate hunger. Fats and proteins may also keep people fuller than carbohydrates, leading to lower calorie intake overall, Carson told Live Science. Still, studies of low-carb diets don't paint them in a particularly revolutionary light. When researchers pit branded diets head-to-head in studies, they find that no particular diet, be it low-carb or low-fat, stands out as a winner. In one head-to-head comparison published in the Journal of the American Medical Association in 2014, researchers analyzed 48 separate diet experiments in which participants were randomly assigned to one of several popular diets. Because most folks live on a high carb diet, our bodies normally run on glucose (or sugar) for energy. We cannot make glucose and only have about 24 hours’ worth stored in our muscle tissue and liver. Once glucose is no longer available from food sources, we begin to burn stored fat instead, or fat from our food. Therefore, when you’re following a ketogenic diet plan for beginners, your body is burning fat for energy rather than carbohydrates, so in the process most people lose weight and excess body fat rapidly, even when consuming lots of fat and adequate calories through their daily food intake. Another major benefit of the keto diet is that there’s no need to count calories, feel hungry or attempt to burn loads of calories through hours of intense exercise. In some ways, it’s similar to the Atkins diet, which similarly boosts the body’s fat-burning abilities through eating only low-carb foods, along with getting rid of foods high in carbs and sugar.|When we eat more carbohydrates than we need, our body stores them for later use. Stored glucose is packed tightly into molecules called glycogen which can be used to maintain our body in case we go too long without eating a meal. These reserves can only last about one day; and once depleted, the body must switch to a different fuel source called ketones. Ketones are produced in the liver. In response to low levels of glucose, the body begins breaking down fat tissue for fuel in the form of free fatty acids. Free fatty acids can be used as a fuel source throughout the body except for in the brain. The chart above indicates that the keto diet requires eating macronutrients at a ratio of 60% fat, 30-35% protein and 5-10% carbs. This causes the brain to hit the metabolic panic button in demand for a source of fuel. In response, the liver begins to repackage fatty acids into ketones, which are allowed access into the brain for fuel.

Now that you’ve cleaned out everything you don’t need, it’s time to restock your pantry and fridge with delicious and wholesome, keto-friendly foods that will help you lose weight, become healthier, and feel amazing! With these basics in your home, you’ll always be ready to make healthy, keto-friendly meals. Just about every type of fresh meat and fish is good for a ketogenic diet including beef, chicken, lamb, pork, salmon, tuna, etc. Eat grass-fed and/or organic meat and wild-caught fish whenever possible. Eat as many eggs as you like, preferably organic from free-range chickens. Eat plenty of non-starchy veggies including asparagus, mushrooms, broccoli, cucumber, lettuce, onions, peppers, cauliflower, tomatoes, garlic, Brussels sprouts and zucchini. You can eat full-fat dairy like sour cream, heavy (whipping) cream, butter, cheeses and unsweetened yogurt. Although not dairy, unsweetened almond milk and coconut milk are both good milk substitutes. Stay away from regular milk, skim milk and sweetened yogurts because they contain a lot of sugar. Avoid all fat-free and low-fat dairy products. Olive oil, avocado oil, butter and bacon fat are great for cooking and consuming. Avocado oil is best for searing due to its very high smoke point (520°F). Coconut oil is also widely used in keto recipes and works particularly well in keto-friendly desserts. Berries like strawberries, blueberries, raspberries, etc. are allowed in small amounts. Avocados are great because they’re low carb and very high in fat! Stevia and erythritol are our great choices for low-carb friendly sweeteners. Learn more in our full guide to erythritol. There's no denying that the ketogenic diet (keto for short) is the hottest new nutrition trend. And although it's still controversial among dietitians, doctors, and other nutrition experts, there is some scientific research to back it up. In fact, a study published in the International Journal of Environmental Research and Public Health found that following a ketogenic diet can help control hunger levels and improve metabolic rate. If you want in on these weight-loss benefits, you need to make sure you are adhering to the diet's key principles, which begins by stocking up on the best keto diet foods. First and foremost, the keto diet is all about ratios: you want to make sure that carbohydrates make up 10 percent or less of your total caloric intake, with 15-25 percent from protein, and the remainder from healthy fats. Eating in this manner will help your body achieve ketosis, a metabolic process that occurs when the body resorts to burning fat for fuel, which only happens when glucose reserves are depleted. Citrus marinated grilled chicken-Citrus has a way of adding an abundance of juicy flavor to meat, which is why this citrus marinated grilled chicken is one of the best keto recipes in our opinion. What are the best keto diet breakfasts? Start your day off right the keto way with a few of our recommendations for the best keto diet breakfasts. Low-carb breakfast casserole-Cheese, bacon and mushrooms combine for a perfectly delicious and filling keto-approved breakfast casserole. Keto almond flour pancakes-Bet you didn’t know you can still enjoy this breakfast classic on the keto diet, but you can! Here, almond flour is the perfect substitute for unhealthy enriched flour. Keto pumpkin muffins-Whether you’re welcoming fall or just a huge fan of muffins (and who’s not?) we love these keto-approved pumpkin muffins that whip up in a jiffy! What are the best keto diet snacks? It’s hard enough to follow a diet plan, but when the munchies hit? All bets are off!|With Keto 2.0, the amount of fat is decreased, while carbs and protein are increased - with the idea that you’ll be able to eat a wider variety of carbs, such as fruit, vegetables, beans, and whole grains. Leaner cuts of meat, as well as seafood, are also emphasized in Keto 2.0. The breakdown here is 50 percent fat, 30 percent protein, and 20 percent carbs. “In general, this diet allows for more variety when compared with the traditional keto diet,” says Scholl. One caveat is that there doesn't seem to be any research yet that indicates this is effective for weight loss. Who It's Best For This approach is intended for people who are looking to lose weight, but have a hard time sticking to the very low carb amounts in the standard keto diet, says Scholl. “The only effective diet for weight loss is one you can follow long term,” she adds.

The low-carb, high-fat keto diet has become popular for weight loss. Keto can be helpful for improving metabolic health, but it isn't for everyone. Avoid low-carb diets if you're stressed or seeking quick results, or have a history of disordered eating. Visit Insider's homepage for more stories. Keto diets have increased in popularity in recent years as people have turned to high-fat, low-carb eating plans to lose weight and improve their health. There's evidence to support the keto diet as a tool for certain people to improve their health, but it isn't for everyone, according to Dr. Mark Cucuzzella, a professor at West Virginia University's School of Medicine who has published research on low-carb diets. Here are six reasons you may want to think twice about starting or continuing a low-carb diet. Research suggests that a high percentage of Americans deal with some level of metabolic dysfunction. That includes people with obesity, insulin resistance, prediabetes, or Type 2 diabetes , which can happen regardless of weight. 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. There’s a lot of confusion about just how much fat, protein, and carbohydrates you should eat, and that’s because there are now several types of keto diet plans. Most of the research has focused on the very high fat (standard) keto diet. But if you’re looking for weight loss benefits then a high-protein variation of the keto diet might be better for you. The ketogenic diet (or keto, as we call it now) was originally designed by Dr. Russell Wilder at the Mayo Clinic to help treat kids with epilepsy seizures. During the 1920s and 1930s, it got very popular as an effective way to treat epilepsy, but as anti-seizure medication became more prevalent during the 1940s, the keto diet was shelved (despite its effectiveness). In more recent years, the popularity of the low carb (or Atkins) diet has prompted a resurgence of interest into the keto diet plan, this time as a highly effective method of losing weight - and losing fat, in particular. Is the Custom Keto Diet optimal for everyone? Any adult can use this diet plan if they want to adopt the ketogenic diet in their lifestyle. This diet, however, is best avoided by pregnant and nursing women who might need extra nutrition. This diet plan can be used by anyone interested in eating healthier and improving their quality of life via the ketogenic diet. The diet isn’t a bad way to start living healthy. Whether you’re young or old, you can implement it in your life. However, it is advised that if you have a medical condition existing, it is best to consult your doctor before you start the diet as it may otherwise affect your health. It is also advised that anyone below the age of 18 keep away from the diet. This plan is not designed for minors and they require a different level of nutrients. It increases the fat-burning process.

For more on what to eat and avoid, check out the Keto Food page and this Keto Shopping List. Ketogenic dieting is a big jump for some people. You’re literally switching over to a new metabolic substrate. That can take some getting used to. Make sure you are well-prepared with a Primal-aligned eating pattern in place for ideally several weeks before you ponder a journey into nutritional ketosis. Make a minimum commitment to six weeks of nutritional ketosis. You’ll want to allow ample time for the transition to new fuel sources. Six weeks will put the metabolic machinery in place and allow you to begin experiencing the most dramatic benefits of keto living. Get plenty of electrolytes. You’ll want lots of sodium, magnesium, and potassium. Try 3-5 grams sodium, 300-500 mg magnesium, and 1-3.5 grams of potassium each day on top of your normal food. Going keto really flushes out water weight, and tons of electrolytes leave with it. It’s not recommended that people who have elevated blood levels of cholesterol try the diet, and those who have atherosclerotic cardiovascular disease, a history of atrial fibrillation, or the presence or history of heart failure, kidney disease, or liver disease should talk with their doctor before trying the diet. On the flip side, low and very low-carb diets lowered triglyceride levels in study participants compared to those following high-carb, low-fat diets. And while these low-carb diets increased HDL (good) cholesterol levels in the short term, the beneficial effect diminished after six months or longer, especially in people with type 2 or pre-diabetes, said Kirkpatrick and Maki. There was also a reduction in the use of diabetes medication when people with type 2 diabetes followed low-carb diets, but the carb intake was not low enough to be considered a keto diet. Want to start running? While fitness or physical activity performance was not reviewed for this statement, current evidence does not support that very low-carb or ketogenic diets are more beneficial for fitness or physical activity performance in either recreational or elite athletes and, in fact, have resulted in decreased performance in some athletes, explained Kirkpatrick and Maki. The ideal dietary pattern to promote weight loss, as well as cardiovascular health, fitness, and general health depends on the person striving to lose weight. It’s important to take into consideration personal preferences and behavioral, family, cultural, and social dynamics, as well as ethnic or economic influences, the researchers added. Some studies even point to the elimination of gluten as a possible reason for improved symptoms, as researchers observed that patients with schizophrenia tended to eat more carbohydrates immediately before a psychotic episode. Although the exact role of the keto diet in mental and brain disorders is unclear, there has been proof of its efficacy in patients with schizophrenia. And, to boot, it works to reverse many conditions that develop as a side effect of conventional medications for brain disorders, like weight gain, type 2 diabetes and cardiovascular risks. More research is needed to understand the role of the ketogenic diet in treating or improving schizophrenia, as the current available studies are either animal studies or case studies, but the benefits of a low carbohydrate, high-fat diet in neurology is promising. Related: Can the Ketogenic Diet Treat Depression and Anxiety, Even Schizophrenia? Now, there’s even evidence that a low-carb, high-fat regimen (as the keto diet is) helps you live longer, compared to a low-fat diet.|The keto diet was created by Dr. Gianfranco Cappello, an associate professor of surgery at the Sapienza University in Rome, Italy. He claims great success among thousands of users. In his study, more than 19,000 dieters experienced significant, rapid weight loss, few side effects, and most kept the weight off after a year. According to the reported results, patients lost an average of 10.2 kilograms, or about 22 pounds, after 2.5 cycles of the keto diet. Cappello concluded that the diet was a successful way for overweight and obese people to lose weight, and the few side effects, such as fatigue, are easily managed. Bette Klein, a registered dietitian at Cleveland Clinic Children’s Hospital, has used the keto diet for years to help ease the symptoms of children with epilepsy. She told Healthline it is particularly effective with children with refractory epilepsy who have not responded well to at least two different drug treatments. Klein said about half of these children who go on the diet see a reduction in the number of seizures they have. Department of Agriculture (USDA). Net carbs, which are an unofficial term, are defined as total carbs minus fiber and sugar alcohols, according to the website for the Atkins diet, another low-carb plan. For most people, going that low won’t be easy: The typical American woman over age 20 gets nearly 50 percent of her calories from carbs, according to the Centers for Disease Control and Prevention (CDC). For example, on a 1,400-calorie diet, this would be equivalent to about 175 g of carbs daily. Meanwhile, you’ll need to reach for lots of healthy high-fat foods, like fatty fish, avocado, olive oil, nuts, and eggs. Butter, bacon, and cheese are also allowed, though these are among the less-healthy choices for fat. The goal is to get about 70 to 80 percent of your daily calories from fats overall. That’s just part of the struggle when following keto. You’ll likely also see various side effects, especially in the first few weeks, such as headaches, fatigue, and drowsiness - all signs of the so-called keto flu. 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.

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Trans fats, such as margarine and other spreads, which contribute to weight gain, increase stroke risk. Meat and offal (e.g., tongue, liver, heart) from grass-fed or pasture-raised animals-it’s low in calories and contains vitamins like A and E along with tons of antioxidants. Wild-caught and sustainably harvested seafood, which is higher in omega-3 fatty acids and better for the environment than farmed fish. Free-range organic eggs, which contain higher levels of vitamin A and E, beta carotene, and omega-3 fatty acids than the farmed variety. Factory-farmed animal products and seafoods, which are lower in nutrients and often worse for the environment than their healthier counterparts; and processed sausages and hot dogs, which, more often than not, have preservatives called nitrates that have been linked to cancer. Dark leafy greens, like Swiss chard, spinach, kale, and lettuce. Lower-carb veggies, like cucumber, celery, asparagus, squash, and zucchini; cruciferous veggies, like cabbage, cauliflower, broccoli, and Brussels sprouts; nightshades, like eggplant, tomatoes, and peppers; root vegetables, like onion, garlic, and radishes, and sea veggies, like nori and kombu. Uptick is a periodic feature that investigates fads, follies and fetishes new and old that are spurring conversation. The hype: Who would have guessed that a high-fat diet that encourages you to double-down on veal shanks and blue cheese would kick up much of a fuss? Kidding! With a nudge from Hollywood and Silicon Valley influencers, the explosively popular ketogenic diet (better known as keto) is the latest low-carb regimen (see Atkins, Paleo, South Beach) to promise a beach-worthy physique with a side order of bacon. Up or down: Trending up, way up. Elevator pitch: Think of it as streamlined Atkins. That low-carb diet, developed by Dr. Robert Atkins in the 1970s, urged followers to gorge on steak and eggs until they achieved ketosis: a state in which the body theoretically burns fat for energy. But it was anything but simple. Devotees had to follow four calibrated stages, starting with quitting carbs cold-turkey, before methodically adding back the apples and brown rice (later variations are less structured). According to Craig Clarke, a keto evangelist and author, the keto diet cuts out the phases but never eases up on the carbs, limiting them to a mere 5 percent of a person’s daily calorie intake (compared to the 50 to 65 percent in the typical American diet). In theory, this hard-line approach turns the body into fat-burning furnace that can smolder for years.|Watch the extra pounds fly off and your muscles firm up with the BetterMe app! What To Eat On A Keto Diet? If you’ve decided to follow a keto diet, then you should know that there are specific foods that are to be avoided in order to stay in ketosis and lose weight effectively. A keto diet restricts more than 100 foods that can lead to metabolism slow-down and limit the fat-burning abilities of the body. Let’s find out what foods are to be included and avoided to get yourself on track for success. The best thing about the keto diet is that it reduces hunger pangs since you are eating high-fat foods that promote a feeling of satiety (2). This low-carb diet is nutritious, so snacking is The low-carb diet is nutritious but due to the high-fat content of foods, regular snacking is not a good idea as it may lead to overconsumption of calories.

And ketosis, the process by which the body uses those fuels, is essential for survival. Here’s how it works: The body-even that of a very lean athlete- stores about 40,000 calories of fat compared with just 2,000 calories of the carbohydrate glycogen. When those carbs have been depleted, the body taps its fat stores for energy. The same is true for athletes who “bonk” during exercise-it’s because they’ve used up all their stored carbs. To go on, they must either eat more carbs (to burn as sugar) or start burning fat. When marathoners break through the so-called “wall” late in a race, they’ve begun to burn fat. Thanks to Noakes and other Keto Diet supporters, a growing number of athletes today prefer to be in that state at all times. Once they make the switch, they say, not only are their race results and game-day performances better, they report sustained energy, better moods, and clearer thinking.|Pure alcohol products like rum, vodka, gin, tequila and whiskey all contain no carbs. In addition, light beer and wine can be relatively low in carbs. Keto-friendly mixers are just as important as the alcohol itself. Watch out for common mixers like juice, soda, sweeteners and energy drinks - they can quickly turn a carb-free drink into a high-calorie carb bomb. Instead, opt for low-carb mixers like diet soda, sugar-free tonic water, seltzer or powdered flavor packets. These mixers can keep your carb intake low while boosting your beverage’s taste. Low-carb mixers like seltzer, sugar-free tonic water, diet soda and powdered flavor packets can keep your drink’s carb content minimal. Many alcoholic beverages are loaded with carbs, some varieties packing over 30 grams in a single serving. For example, cocktails and mixed drinks usually rely on high-carb, sugary ingredients like juice, soda, sweeteners or syrups. Meanwhile, regular beer is produced from starch and can contain upwards of 12 grams of carbs in just one can. Regular beer, cocktails and mixed drinks are often high in carbs, loading 10-32 grams per serving. These are best avoided if you’re on a keto diet. Dinner could be a bunless Big Mac with a Diet Pepsi. Moderate keto: Eat high fat with approximately 100-150 grams of net carbs daily. People who experience problems with other forms of keto sometimes do better with this diet because restricting carbs can sometimes mess with hormonal function and energy levels. Don’t ditch the carbs all at once. Keto for beginners is all about a slow, but steady transition. Keep reading to learn if the keto lifestyle is right for you. To get the best idea of which style of keto works for you, try a different style of keto for at least a month. This will make it easy to set goals based on fat and carb intake instead of worrying about calories. Eat until you’re full, and listen to your body. Adding additional tactics, such as meal prep to help you stay on track, can also be helpful. Some people do well with slightly more carbs in their diets, and that’s perfectly okay. Standard keto: This is typically 75% fat, 20% protein and 5% net carbs a day, every day. Some keto followers eat as few as 20 grams of net carbs per day. Cyclical keto: You follow a standard keto diet most of the week. One to two days a week, you have a “carb refeed” in which you eat slightly more carbs. For example, you might eat approximately 150 grams of net carbs during carb refeed days. Targeted keto: You follow the standard keto diet, but eat more carbs 30 minutes to an hour around workouts. The glucose is meant to boost performance, and you return to ketosis after the workout. If your energy is suffering in the gym during keto, this style of eating might work for you. Dirty keto: Dirty keto follows the same ratio of dietary fats, proteins and carbs as the regular keto diet, but with a twist: It doesn’t matter where those macronutrients come from. What can I expect on the keto diet? You’ll likely experience a rocky start as the liver begins to turn fat into ketones to be used as energy. “At the beginning, it is very uncomfortable, since our body is not used to this form of fuel,” Sharp says. “You tend to experience brain fog, headaches, nausea, and fatigue, along with bad-smelling breath, sweat, and urine. As your body levels out over time, many of these symptoms will subside, and things get better. Some research even points to enhanced cognitive activity and focus as the brain gets used to running on ketones. In the first days of the diet, your regular workout might prove exhausting without carbs to keep you going. Should I try it? Let’s put it this way: as popular diets go, it doesn’t have a great track record. The Atkins diet, hugely popular in the early aughts, has since been proven more or less ineffective for significant weight loss. When the body burns ketone bodies, tissue-protective gamma delta T-cells expand throughout the body. This reduces diabetes risk and inflammation, and improves the body's metabolism, said Dixit, the Waldemar Von Zedtwitz Professor of Comparative Medicine and of Immunobiology. After a week on the keto diet, he said, mice show a reduction in blood sugar levels and inflammation. But when the body is in this "starving-not-starving" mode, fat storage is also happening simultaneously with fat breakdown, the researchers found. When mice continue to eat the high-fat, low-carb diet beyond one week, Dixit said, they consume more fat than they can burn, and develop diabetes and obesity. Long-term clinical studies in humans are still necessary to validate the anecdotal claims of keto's health benefits. There are good reasons to pursue further study: According to the Centers for Disease Control, approximately 84 million American adults -- or more than one out of three -- have prediabetes (increased blood sugar levels), putting them at higher risk of developing type 2 diabetes, heart disease, and stroke. More than 90% of people with this condition don't know they have it. Who It's Best For This is for those who want a flexible approach to healthy eating that is sustainable long term, notes McDonough, and who want more emphasis on Mediterranean elements like nonprocessed food and high nutrient density. If you’re a huge fan of salmon and sardines, this may be your favorite keto choice. Risks to Note The standard Mediterranean diet - which is not keto, thanks to its amount of whole grains and fruits - has many elements that are worth shuttling into a keto plan, so the risks are minimal, says McDonough. If you want to get truly Mediterranean, incorporate social time into your meals, rest after eating, and get regular physical activity. How It Works The latest revamp of the keto diet is Keto 2.0, which is gaining traction for those who feel the standard keto diet is too restrictive and difficult to sustain in the long run, says Penny Scholl, RD, in Avon, Massachusetts, who covers keto approaches on her blog, Remake My Plate.

There are five variations of the Ketogenic Diet which have been published in medical literature as effective treatments for diseases that have an underlying metabolic dysregulation, such as epilepsy, cancer, and Alzheimer’s. The original Ketogenic Therapy, known as the classic Ketogenic Diet, or classic Keto for short, was designed in 1923 by Dr. Russell Wilder at the Mayo Clinic for the treatment of epilepsy. All Ketogenic Diets are a variation of classic Keto, which is the most strict, seen by it’s ratio of fat to protein and carbs, also called the macronutrient ratio. Classic Keto carries a 4:1 ratio, which means that there are four parts fat for every one part protein and carb. Since fat has a higher caloric content versus protein and carb (fat has 9 calories per gram, while both protein and carb have just 4 calories per gram), 90% of calories come from fat in a classic Ketogenic Diet, while 6% come from protein, and 4% come from carb. The idea is that all of that fat-burning will help you lose weight, says Kizer. Is Paleo or Keto stricter? ESSENTIALLY ALL legumes, dairy, refined sugar, potatoes, processed foods, refined vegetable oils, and salt (yes, you read that right), are off-limits on the Paleo Diet. Grass-fed meat, seafood, fresh fruits and vegetables, eggs, nuts and seeds, and certain oils like coconut, avocado, and olive oils. A paleo-friendly dinner might include grilled chicken with steamed vegetables, avocado and fruit. If you think paleo is rigid, keto is even less flexible. Generally speaking, dieters are advised to eat between 20 to 30 grams of carbohydrates per day in order to maintain ketosis. To put this into perspective, a quarter cup of steel cut oats has 29 grams of carbs and a banana has roughly 27 grams of carbs. So if you have a few bites of oatmeal or a small piece of fruit, whoops. That's your carb intake for the day.

Q: What do you eat on a ketogenic diet? A: A true keto diet contains 80 percent fat, fewer than 5 percent carbs and 15 to 20 percent protein. In order to achieve that, dieters have to ditch a few major carbohydrate-heavy food groups including grains, dairy, beans and fruits. When you remove those, you find yourself loading up on meat, fish, butter, eggs, avocados, oils, nuts, seeds and non-starchy vegetables. The keto diet looks very different from the diet recommended in the government’s Dietary Guidelines for Americans, which is about 20 to 30 percent protein, 45 to 65 percent carbohydrates and 10 to 35 percent fat. Q: Does it help dieters lose weight? A: Since a ketogenic diet effectively eliminates major food groups, you’re likely to lose weight - at least at first. Eating higher amounts of protein may help keep hunger pangs at bay and that’s good for dieters who want to lose weight.|Yet regardless of the doubtful outpouring, my will to enter the magical state of ketosis remained unsullied. After reading countless blog posts about fellow dieters reporting exhaustion and fatigue during the first few days, I actually noticed my energy levels soar. In fact, I felt as if I had downed three cups of coffee sans cream. At one point, the restlessness and jitters were a bit overwhelming. Though, after a few days progressed, my energy levels began to balance, and I felt more productive and clear-minded. You know when you wake up with a noticeably flatter stomach and wish it would remain that toned all day? Well, that normally transient state became quite permanent on keto. My bloating subsided, and I was convinced my abs would uncover after just a few more days on the diet-and it wasn't just all in my head. Jim White, RD, ACSM, and owner of Jim White Fitness Nutrition Studios, shares with us. When you start relying on it very heavily, you begin to accumulate acetyl-CoA. At some point, your body starts turning those into a different molecule called ketone bodies, which we colloquially call "ketones." This process of turning things like fatty acids into ketone bodies is called "ketogenesis," and interestingly only occurs in the liver. These ketone bodies then get packaged up by your liver and sent out into the bloodstream, where the rest of your body can use them for fuel. We can return from Biochemistry Town and return to the real world and explore a few things about the ketogenic diet. The first place to start is to go back in time a bit. The brain's metabolism is slightly different from the rest of the body in that it relies much more heavily on glucose metabolism than the rest of the body. While skeletal muscle depends quite heavily on fatty acid at rest, the brain depends quite heavily on glucose metabolism. The keto, or ketogenic, diet, cuts carbohydrates in your diet and promotes fat and protein. Many people who start the keto diet will lose weight in the first month. The keto diet isn't for everyone and can lead to nutrient deficiencies if done long-term. Read on to learn more. Visit Insider's Health Reference library for more advice. Compared to the low-fat craze in the '90s, the ketogenic diet seems to go against all diet logic. Because instead of cutting out fat, you eat large amounts of it for every meal. Research shows that the ketogenic diet can be effective at helping to fight diseases related to obesity. That said, the keto diet is not for everyone. Here's what you need to know. What is the ketogenic diet? The ketogenic diet - keto for short - is a restrictive diet where you replace carbs with fatty foods. For example, carb-rich foods like bread, rice, and potatoes are usually eliminated, or severely reduced, because they'll easily tip you over the limit of 20-50 grams of carbs per day. This process is known as ketosis: It’s like when a hybrid car runs out of gas and reverts to pure electricity. “Your liver produces ketones all the time, but the rate depends on carbohydrate and protein intake,” says Jeff Volek, Ph.D., R.D., a professor of human sciences at Ohio State University. When the majority of your diet is made up of of carbs and protein, ketogenesis slows. Replacing carbs and protein with fat will put your body into ketosis, thus ramping up ketone production. Essentially, you're burning fat instead of carbs for energy. This process takes about three days to induce. Can’t you take ketone supplements? No. While it is possible to elevate ketones by taking them, “without the low-carb stimulus, there is no net increase in ketone production, no decrease in insulin, and no net increase in fat oxidation,” says Volek. Don’t trust trainers or “body hackers” who say you can induce ketosis quickly without changing your diet. What can you eat on the keto diet?|Can it promote weight loss? There are several proposed weight loss mechanisms associated with the ketogenic diet, though long-term studies are lacking. Thus, the keto diet may be an effective strategy to regulate your hunger levels, though its long-term safety must be taken into consideration. Another potential weight loss mechanism of the keto diet is the loss of water weight that accompanies the significant reduction in carb intake. Thus, when you reduce your carb intake, such as during the initiation phase of the keto diet, stored carbs are released along with additional fluid, resulting in weight loss of varying amounts. To determine whether the keto diet can aid weight loss, it’s important to review how weight loss is traditionally achieved. To lose weight, you must eat fewer calories than you burn, which is also referred to as a calorie deficit. One study in 17 men with obesity or excess weight found that the keto diet was associated with a small increase in the number of calories burned. These results suggest that the ketogenic diet is not necessarily superior to a traditional diet for weight loss when calorie intake is matched. The keto diet’s weight loss effects are therefore much more likely to be a result of reduced calorie intake due to changes in satiety signals associated with high fat, very low carb diets. The keto diet has been associated with weight loss, though the exact mechanisms remain unclear. Studies suggest that weight loss related to the keto diet is likely due to a calorie deficit, reduction in hunger levels, and water weight loss.

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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. These ketones - beta-hydroxybutyrate (BHB), acetoacetate, and acetone - are released into the bloodstream, used by the brain and other organs, and then shuttled into the "energy factory" (aka mitochondria) to be used as fuel (stay with us). What Are the Side Effects? As mentioned, keto breath is a thing, and it's not awesome. Weak bones and stress fractures. Ketones are acidic, and one of their jobs is to pull phosphorous and calcium out of your bones. When ketones are your sole source of energy, you have a buildup, and thus, you deplete your phosphorous and calcium. This can lead to stress fractures and bone problems. Headaches, bad mood, and bad memory. Because carbs are the "optimal energy source for the brain," the keto diet starves your brain of fuel. Lisa said. The result? Fatigue, moodiness, and possible anxiety. Increased risk of disease. The ketogenic diet encourages you to eat an excess of fatty foods - and not the good kind of fat. Caffeine is fine for most people-just don’t go pouring in sugar or milk; the same goes for tea and nut milk. Lower-carb alcohol in moderation is OK, especially if you’re at the point where you’re just trying to maintain weight. Soft drinks, fruit juices, sweet wines, craft beers, and flavored liquor are filled with way too much sugar and/or carbs to be allowed if you’re serious about keto. Some people will drink diet, or “zero,” soft drinks, but avoid them if you can because the citric acid and aspartame often found in them may derail your trip to ketosis. Sweeteners like stevia, erythritol, and xylitol can be made a part of your keto diet, but try to buy only the pure versions, as the powdered products usually have a small amount of sugar added as a bulking agent. Inulin is a sweet and starchy plant fiber that helps regulate blood sugar. Monk fruit powder is 300 times sweeter than sugar and doesn’t have a bitter aftertaste like stevia. 70% cocoa dark chocolate and cocoa powder are packed with antioxidants. Sugar, high-fructose corn syrup, honey, and agave nectar need to be ditched. Even if honey and agave are healthy whole foods, sugar is still sugar and will bump you out of ketosis. 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. The keto-buzz is everywhere you look these days. Nutrition coaches are offering keto plans, meal prep companies have debuted keto food lines, and well-renowned blogs are digging in to what this diet is and why people are so dang curious about it. A lot of celebrities are raving about the benefits they’ve seen from shifting to a ketogenic diet, including a few Kardashians, runway models, actors, and athletes. Naturally, when people in the spotlight adopt a specific lifestyle habit, the rest of society becomes interested to try it out too. As a compliment to our stance on keto, I’m hoping to help clear some noise around the keto diet with an exploration of its history, what (and who) it helps, what the long-term prognosis of a ketogenic diet looks like, and how the diet might fit into your life. FIRST THING’S FIRST: WHAT’S KETO? The ketogenic diet is an extremely high fat and low carb diet in which people methodically consume 75% of their calories from fat, 15-20% from protein, and 5-10% from carbohydrates. 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.

What is the keto diet? The ketogenic diet is a high-fat, low-carbohydrate diet. It also includes non-starchy vegetables, like brussels sprouts, cauliflower, squash, and many others. The diet limits high carbohydrate foods, including grains, root vegetables, fruits, and sugar. In the early 1920s, medical doctors created the diet as a treatment for epilepsy in children. The word ketogenic means the body produces ketones. Ketones are a type of acid that your body produces when you don’t have enough insulin in your body to use glucose for energy. Instead, your body uses fat for energy and produces ketones. The primary goal of the diet is ketosis, which is when your body uses fat for energy instead of carbs. How many carbs do you eat on the keto diet? Generally, a low-carb diet is when you eat 100-150 grams of carbs per day. The keto diet goes even lower because the goal is to get into ketosis. Most people reach ketosis if they eat 50 grams or less of carbs per day.|Calories still count on the keto diet. However most dieters report reduced appetite and are able to “feel full” while eating less. Feeing full while eating less? Yup, you read that right. Are bananas keto friendly? While bananas are not an “unhealthy” food, their high carbohydrate count (28 net carbs for a small banana!) make them suboptimal for those on a keto diet. If you’re trying out keto and love bananas, consider eating only a small portion of a banana and slicing it very thinly, or substitute bananas for banana-flavored extracts instead. Can I still have cheat days? Yes you can! Many people who are “keto-adapted” (have consistently maintained deep ketosis) report being able to stay in ketosis despite having a rare high-carb treat like beer, sushi or cake. But proceed with caution - “cheating” on a regular basis or designating a weekly cheat day is highly discouraged on keto. Due to the high fat concentration of keto foods you can easily regain the weight (or gain more weight) if you’re not actually in ketosis and cheating regularly. Like all diets - the better you adhere to the diet the better (and faster!) your results. But won’t eating fat make me… Nope! That’s a common misconception. But don’t just take our word for it. There is no literature or long-term evidence that implies keto is not a safe lifestyle or diet. After 20 years of January diets, my own experience suggested that nothing made any difference: you only lost weight if you took in less calories than you used, and if you took in less calories than you used then you were hungry. Simple as that. Could it be that a ketogenic diet really was different? Well, the principle makes sense. Bizarrely named “ketone bodies” are actually molecules that act as the body’s natural back-up fuel supply when glucose is scarce. Normally, we only enter ketosis (where ketone bodies accumulate in the blood) when we starve ourselves - not just overnight or by missing a meal, but for several days at time. Our metabolism then switches to fat-burning, and converts stored fat molecules into ketone bodies that can power our muscles and brain because the glucose has run out. Being in ketosis, then, does sound like a great way to burn off the fat. The ketogenic (keto) diet started to gain popularity in the 1990s, but the interest has really spiked in the last couple of years. This eating pattern was originally developed and used to treat severe epilepsy in infants and children under medical supervision. Today, the diet is gaining attention because of its promise for quick weight loss without the nagging feeling of hunger. Keto refers to any diet that creates the metabolic state of ketosis, which is when the body burns fat for fuel instead of glucose. In normal metabolism, carbohydrates are broken down into glucose and absorbed through the small intestine, then they travel to the liver and are stored as glycogen where the body uses this for fuel as needed. In order for your body to burn fat instead of glucose, a high-fat low-carbohydrate diet is emphasized. Read on to learn more about the keto diet and if it’s right for you. The aim of the diet is to keep up the state of ketosis for longer periods, by not eating much carbohydrate. And when we say not much, we mean almost nothing at all. For an effective keto diet, you must cover no more than 5% of your daily calorie intake from carbs. Keto vs low carb diet: which one is better for weight loss and exercising? What do you eat on a keto diet? The tricky part is, for an average person, carbs tend to form the majority of their energy intake and switching from a high-carb diet to a high-fat diet will require some willpower. Good news is, you can gorge yourself on good fats during keto diet, like certain types of cheese and avocados. Also, if you are a fan of seafood, you are up for a treat: foodstuff like clams, oysters and squid contain very little carbs and therefore can be consumed more freely when doing keto.|The Keto Diet, or Ketogenic Diet is a high-fat diet that is moderate in protein and low in carbohydrates. This macro-nutrient ratio allows the body to switch from using carbohydrates (converted into glycogen in the liver) for energy, to using fat (converted into fatty acids and ketone bodies in the liver). The human body is like a hybrid vehicle, relying on either carbohydrates or fat for fuel. For the most part, it cannot use both fuels simultaneously. Consuming fat allows the body to access hundreds of thousands of calories of stored fats that have been locked away during carbohydrate metabolism. In addition to burning fat reserves and super charging weight loss, ketosis produces a clean burning metabolic fuel that has many benefits. Ketones lower production of reactive oxygen species (ROS),1 enhance mitochondrial biogenesis,2 3 and induce positive epigenetic expression.4 Because of its neurological benefits, I went on a Keto Diet in 2014, and it has been helpful in moderating my MS symptoms. While the vegan keto diet may benefit your health, it has some potential drawbacks. Vegan diets tend to be low in important nutrients, especially if not carefully planned. Because the vegan keto diet is more restrictive than normal vegan diets, it’s critical that those following it supplement with high-quality vitamins and minerals and plan their meals to ensure a nutritionally adequate diet. Eating fortified foods, focusing on whole-foods and enhancing nutrient availability, for example through fermenting and sprouting, is important for people following a vegan keto diet. However, it may be difficult for vegan keto dieters to meet their micronutrient needs through food alone. Supplementing with certain vitamins and minerals commonly lacking in vegan diets is a smart way to prevent potential deficiencies and ensure that your daily requirements are met. Transitioning to a ketogenic diet can be difficult. Often referred to as the keto flu, the transition period from a higher-carb diet to a keto diet can be challenging on your body.|1. Alcohol contains empty calories and may cause you to overeat as your inhibitions are lowered, which can lead to weight gain. 2. Alcohol also turns off your body’s ability to burn fat. 3. You may also get drunk faster in keto, and experience a worse hangover, since your body is not running on carbs anymore. To help you navigate the menu better, check out the chart below to see which alcoholic drinks are the lowest in carbs and calories. Cocktails and mixed drinks like mojitos, mimosas, cosmopolitans, rum and Cokes, Moscow mules, screwdrivers, gin and tonics, and Long Island iced tea. Frozen drinks like pina coladas, margaritas, and daiquiris. Beers and even non-alcoholic beers may have as much as 17-18g of carbs per drink. Sweet wines like riesling, moscato, sherry, and port can each have as many as 20g of carbs per glass. Sauces contain sugar and can be a bad idea on a keto diet. There's no shortage of keto-inspired diets. The Atkins, South Beach, and Paleo diets are some of the best-known examples. But a true ketogenic diet is different and calls for up to 90% of your daily calories to come from fat. That is often hard for people to maintain. However, research has shown that people can achieve faster weight loss with a keto diet compared with a calorie-reduction diet. In the short term, a keto diet is probably safe. But over time, it's tough to keep off the weight this way. If you do try a keto diet to jump-start weight reduction, choose healthier sources of fat and protein, such as olive oil, avocados, and nuts (almonds, walnuts). But after a few weeks, switch to a reduced-calorie Mediterranean-style diet and increase your physical activity. This will help manage your weight loss for the long term. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.|A ketogenic diet - which provides 99% of calories from fat and protein and only 1% from carbohydrates - produces health benefits in the short term, but negative effects after about a week, Yale researchers found in a study of mice. The results offer early indications that the keto diet could, over limited time periods, improve human health by lowering diabetes risk and inflammation. They also represent an important first step toward possible clinical trials in humans. The keto diet has become increasingly popular as celebrities, including Gwyneth Paltrow, Lebron James, and Kim Kardashian, have touted it as a weight-loss regimen. In the Yale study, published in the Jan. 20 issue of Nature Metabolism, researchers found that the positive and negative effects of the diet both relate to immune cells called gamma delta T-cells, tissue-protective cells that lower diabetes risk and inflammation. A keto diet tricks the body into burning fat, said lead author Vishwa Deep Dixit of the Yale School of Medicine.

There’s evidence that ketogenic diets can help with weight loss. In one older study, people on a ketogenic diet lost 2.2 times more weight than those on a low calorie, low fat diet. Another 2007 study compared a low carb diet to the Diabetes UK’s dietary guidelines. It found the low-carb group lost 15.2 pounds (6.9 kg), while the low fat group lost only 4.6 pounds (2.1 kg). However, there was no difference in HbA1c, ketone, or lipid levels between the groups. Also, those on the low-carb diet also decreased their calorie intake. Finally, there was no difference in fat or protein intake between the two groups. This is important to note if people are increasing their fat intake because they are following a keto diet. However, there are contrasting theories for these findings. Other ketogenic diet studies have found that the ketogenic diet may lead to reductions in appetite and food intake. If you dislike counting calories, the data suggests a ketogenic diet may be a good option for you. You can eliminate certain foods and don’t have to track calories. If you follow the keto diet, you still have to check labels and keep track of your total grams of carbs each day, which requires paying attention to food choices. However, keep in mind that many of the studies mentioned above had small sample sizes and only evaluated the short-term effects of the diet. Additional research is needed to determine how the diet may impact weight loss in the long run and whether weight is regained once a normal diet is resumed. Bottom Line: The ketogenic diet is an effective weight loss diet that’s well-supported by evidence. It is very filling and usually does not require calorie counting. Burning fat seems like an ideal way to lose pounds. It requires that you deprive yourself of carbohydrates, fewer than 20 to 50 grams of carbs per day (keep in mind that a medium-sized banana has about 27 grams of carbs). It typically takes a few days to reach a state of ketosis. Eating too much protein can interfere with ketosis. What do you eat? Because the keto diet has such a high fat requirement, followers must eat fat at each meal. In a daily 2,000-calorie diet, that might look like 165 grams of fat, 40 grams of carbs, and 75 grams of protein. However, the exact ratio depends on your particular needs. Some healthy unsaturated fats are allowed on the keto diet - like nuts (almonds, walnuts), seeds, avocados, tofu, and olive oil. But saturated fats from oils (palm, coconut), lard, butter, and cocoa butter are encouraged in high amounts.|For some the keto diet can be easier to maintain than other diets because you get to eat delicious foods like nuts, avocados and cheese, while still feeling full. Unlike many other diets that are hard to upkeep socially, keto also allows for moderate consumption of wine and other alcohol. The keto diet is a great way to look, and feel great. What do you eat on the keto diet? With keto you should aim to have 70% of your calories come from fats, 25% from protein and 5% or less from carbs. This means you’ll need to exclude sweet or starchy foods from your diet - not just sweets but also grains, potatoes and high-carb fruits like grapes or bananas. With keto you should get the majority of your calories from fat and some protein. This means eating high-fat proteins and choosing low-carb vegetables like cauliflower. Cheeses - all kinds! 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.

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So if your goal is weight loss, eat enough fat to be satisfied, but there’s no need to “get your fats in” once you’re satisfied. Drink lots of water. This is especially crucial on a low carb or keto diet. Why? When you eat carbohydrates, your body stores the extra as glycogen in the liver, where they are bound to water molecules. Eating low carb depletes this glycogen, which allows you to burn fat - but it also means you are storing less water, making it easier to get dehydrated. Instead of the traditional recommendation of 8 cups of water per day, aim for 16 cups when following a low carb lifestyle. Keep up electrolytes. The major electrolytes in our bodies are sodium, potassium and magnesium. Because a low carb diet (especially a keto diet!) reduces the amount of water you store, this can flush out electrolytes and make you feel sick (called “keto flu”). This is temporary, but you can avoid or eliminate it by salting your food liberally, drinking broth (especially bone broth), and eating pickled vegetables. You may have heard all the buzz surrounding bulletproof coffee and its claims to supercharge brain power and bless you with newfound mental clarity. Unfortunately, lacing my morning cup of joe with unsalted grass-fed butter and MCT oil didn't result in the wondrous effects Silicon Valley execs and Hollywood stars report. The best benefit, personally, was that the brew provided some serious lip moisturizing benefits with every sip. This must've been the most striking side effect of them all. My once-ravenous appetite decreased dramatically. Enter: I stopped incessantly snacking at my desk, quit pouring bowls of cereal after dark, and remained unscathed by my colleagues spooning Ben & Jerry's new low-cal ice cream right in front of my face. The self-proclaimed Carb Queen has been officially dethroned. Prepping your meals in advance is one of the essential tactics to maintaining ketosis. Allowing your willpower to make food decisions when you're hungry will seriously increase your chances of grabbing any grub in sight, potentially kicking you out of ketosis.|The good news is that once adapted to the diet, tastes change, and sweets are typically not desired. There are many keto foods now on the market that can make life much easier, as well as dozens of websites with delicious keto recipes and meal ideas. What are some health benefits of the keto diet? Any evidence or studies out there that prove it is beneficial? The keto diet can decrease inflammation and reduce oxidative stress in the body. According to multiple studies, it is an effective treatment for some epilepsy disorders; since about 35 percent of people with epilepsy do not respond to medications, the keto diet provides another option for treatment of seizures. The diet is also effective at treating people with type 2 diabetes and is showing promise for improving other neurological conditions and metabolic disorders. It can prevent or reverse some chronic diseases, improve memory and cognition, and reduce body fat. There are also very early studies suggesting that combining a keto diet with chemotherapy during cancer treatment could even help stop tumor growth, but more research is needed. In the world of nutrition, the ketogenic diet is enjoying its moment as diet du jour. Google trends show a sharp uptick in searches for the ketogenic diet since 2016. Almost 550,000 people subscribe to the r/keto subreddit. Twitter, I found an endless stream of modified keto recipes and stories claiming successful weight loss. Alicia Vikander, the new Lara Croft in Tomb Raider, and Silicon Valley bros have reportedly used the diet to change their bodies. You can even buy keto dog food. According to some advocates, keto diets are a one-size-fits-all solution for obesity and the hunger that comes from traditional weight loss diets. On the other hand, a panel of nutrition experts ranked the ketogenic last (along with the Dukan Diet) among 38 other diets in US News and World Report’s annual diet rankings. Increases energy, allowing those who typically don’t like to exercise to be excited about it. An insulin response is associated with fatigue, and when we keep our carbohydrate load down below 30-40 g/day, we just don’t have that much of an insulin response. Gives you a quick-win with a 5-15 pound weight loss the first week. Yes, this is water weight, but seeing the number drop so drastically, with bloating go down, provides a boost of self confidence. Reduces anxiety, depression, and gives a general sense of well being within the first week (source), which can help those tremendously who typically stress eat. Tames hunger because the body’s process of running on fat, not carbs, acts as a natural appetite suppressant. Reduces insulin response and blood sugar crashes. It’s common for those who previously self-described themselves as the type of people who ‘never skipped a meal’ to now realize they completely forgot to eat lunch, or they can skip breakfast and still go work out - no problem. As Silicon Valley trendsetters, famous actors, and online health sites tout the low-carbohydrate, high-fat ketogenic, or “keto,” diet, scientists are working to study it - from how it impacts inflammation in the brain to its effects on weight and heart health, as well as any other potential health risks. Among the researchers studying the diet’s effectiveness and safety are Ethan Weiss, MD, and Raymond Swanson, MD, two UC San Francisco physician-scientists who have studied different aspects of the ketogenic diet. The ketogenic diet tries to bring carbohydrates down to less than 5 percent of a person’s daily caloric intake - which means eliminating most grains, fruit, starchy vegetables, legumes and sweets. Instead, it replaces those calories with fat. That fat is turned into ketone bodies, which are an alternative energy source: besides glucose derived from carbohydrates, ketones from fat are the only fuel the brain can use. Weiss and Swanson helped break down the keto diet.|But many health and fitness experts have pointed out that weight loss that may occur while following the keto diet actually stems from being in a calorie deficit (consuming less energy than you expend) overall, which can be achieved while eating a more balanced diet including all foods. The keto diet is not recommended for people who work out a lot because the body needs carbs for energy. The keto diet can also lead to nutritional deficiencies when followed long term, but most people don't manage to stick to it for a long period because they enjoy eating carbs, feel too low on energy, or find they can't have a social life. While you'll lose a significant amount of water weight when you first go keto, if a diet is unsustainable the results will be too. Which is exactly what many people have found. Shelle Kearney tried keto for a month after a friend had a positive experience on the diet, but the Australian developed keto flu so she called it quits. Kearney lost some weight during her keto month, but it wasn't worth it for how bad she felt. Kearney said, adding that she found it "too hard" to do keto when living a normal life and socializing. Keto was one of various diets Sarah Laurence tried over 15 years, none of which lasted long. Laurence found keto unsustainable because it was overly restrictive, particularly as someone diagnosed with CFS/ME (chronic fatigue syndrome) and fibromyalgia. She struggled because there was no way to find a healthy balance and ease out of keto into a livable life.

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. It’s not recommended that people who have elevated blood levels of cholesterol try the diet, and those who have atherosclerotic cardiovascular disease, a history of atrial fibrillation, or the presence or history of heart failure, kidney disease, or liver disease should talk with their doctor before trying the diet. On the flip side, low and very low-carb diets lowered triglyceride levels in study participants compared to those following high-carb, low-fat diets. And while these low-carb diets increased HDL (good) cholesterol levels in the short term, the beneficial effect diminished after six months or longer, especially in people with type 2 or pre-diabetes, said Kirkpatrick and Maki. There was also a reduction in the use of diabetes medication when people with type 2 diabetes followed low-carb diets, but the carb intake was not low enough to be considered a keto diet. Want to start running? While fitness or physical activity performance was not reviewed for this statement, current evidence does not support that very low-carb or ketogenic diets are more beneficial for fitness or physical activity performance in either recreational or elite athletes and, in fact, have resulted in decreased performance in some athletes, explained Kirkpatrick and Maki. The ideal dietary pattern to promote weight loss, as well as cardiovascular health, fitness, and general health depends on the person striving to lose weight. It’s important to take into consideration personal preferences and behavioral, family, cultural, and social dynamics, as well as ethnic or economic influences, the researchers added. After 20 years of January diets, my own experience suggested that nothing made any difference: you only lost weight if you took in less calories than you used, and if you took in less calories than you used then you were hungry. Simple as that. Could it be that a ketogenic diet really was different? Well, the principle makes sense. Bizarrely named “ketone bodies” are actually molecules that act as the body’s natural back-up fuel supply when glucose is scarce. Normally, we only enter ketosis (where ketone bodies accumulate in the blood) when we starve ourselves - not just overnight or by missing a meal, but for several days at time. Our metabolism then switches to fat-burning, and converts stored fat molecules into ketone bodies that can power our muscles and brain because the glucose has run out. Being in ketosis, then, does sound like a great way to burn off the fat. These fats are solid at room temperature while monounsaturated and polyunsaturated fatty acids remain a liquid at room temperature. Just because you’re following a ketogenic diet doesn’t mean you should indulge in every fat you come across. All fats are not created equal. 1: Hydrogenated and partially hydrogenated oils. These fats are found in packaged foods. They increase inflammation and your risk of developing heart disease, cancer, and high cholesterol. If you’re relying on packaged foods to get you through keto, check the label and ditch any foods with these. 2: Highly processed vegetable oils. Corn oil, peanut oil, canola oil, soybean oil, sunflower, and grapeseed oil are all fats that sound healthier than they actually are. 1. Are usually made with genetically modified seeds that are potential allergens. 2. Are cooked well above their smoke point, which makes the oils go rancid. This puts you at risk of developing certain cancers, obesity, and depression. Research shows that cutting off glucose levels with a very low-carb diet makes your body produce ketones for fuel. This change can help to reverse neurological disorders and cognitive impairment, including inducing seizure control. The brain is able to use this alternative source of energy instead of the cellular energy pathways that aren’t functioning normally in patients with brain disorders. A related clinical diet for drug-resistant epilepsy is called the medium-chain triglyceride ketogenic diet, in which MCT oil is extensively used because it’s more ketogenic than long-chain triglycerides. 13) Another dietary therapy for epilepsy called Low Glycemic Index Treatment (LGIT) was developed in 2002 as an alternative to the keto diet. Clinical improvement was observed in Alzheimer’s patients fed a ketogenic diet, and this was marked by improved mitochondrial function. 15) In fact, a European Journal of Clinical Nutrition study pointed to emerging data that suggested the therapeutic use of ketogenic diets for multiple neurological disorders beyond epilepsy and Alzheimer’s, including headaches, neurotrauma, Parkinson’s disease, sleep disorders, brain cancer, autism and multiple sclerosis. What is the ketogenic diet? The ketogenic diet is a diet that produces reactions in the body similar to those that occur during fasting. This is a type of extreme low-carb diet that was first developed in 1921 due to the ability of this type of diet to reduce or suppress seizures. As new medications to treat seizures were developed, the ketogenic diet became less popular as a way to manage seizure disorders. However, in 2008, a clinical trial showed that a ketogenic diet could help children with treatment-resistant epilepsy become seizure-free. A ketogenic diet is often prescribed for people who have failed two mainline antiseizure drugs, with studies showing seizure-reduction rates as high as 85% after this treatment. It can be effective for patients of any age or seizure type. The reasons why a ketogenic diet works to help reduce seizures are unclear, but it is believed to induce metabolic changes that lower the risk of seizures. The diet itself is a low-carb, high-fat diet that involves extreme reduction of carbohydrate consumption and replacing it with fat, up to a concentration of 70%-80% of calories from fat. 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. The internet is filled with testimonials from people who have supposedly stuck with it long enough to lose 50 lbs or more in just a few months. Combined with the perception of scientific validity, it’s no wonder why this is the latest fad. But take a closer look and you will see that it isn’t all it claims to be. First, if one is trying to lose weight, they should be striving to lose fat weight. The scale does not tell us what kind of weight we are losing. Our body is about 60% water by weight. Carbohydrate is stored in our body as a substance called glycogen, which is found mostly in muscle and liver cells. Each gram of glycogen we store is accompanied by two grams of water. When we restrict carbohydrate intake, glycogen levels are depleted, and we rapidly lose a lot of water weight via increased urination. This does not make us healthier, but it does make us somewhat dehydrated.|This article was medically reviewed by Rachel Lustgarten, R.D., C.D.N., a clinical dietitian and member of the Prevention Medical Review Board. The keto diet has blown up as an ultra-low carb eating plan that can help you drop pounds fast-but its effects on your body go beyond weight loss. A typical keto diet is comprised of 80% fat, 15% protein, and a mere 5% of calories from carbohydrates. If you consume 2,000 calories a day, that means just 100 of them are coming from carbs-including healthy carbs like fruits and vegetables. When you eat this way, it triggers ketosis, which means your body has burned through all its carbs and needs to begin burning fat for energy. It’s true: Following a strict high-fat, low-carb regimen can help move the number on the scale, but there might be some other keto diet side effects that you aren’t aware of. Some of them are positives, but a few could be unpleasant-or even dangerous. Here’s what you should know about keto diet dangers before you decide to try it for yourself. The plan provides a list of recipes, the grocery list, and the portion size of each meal. What does the Custom Keto Diet include? When you purchase the Custom Keto Diet, you will get an 8-week customized meal plan designed specially by experts. There is a panel of fitness trainers, chefs, and nutritionists making sure that the plan is designed only after taking into account your overall health, and your choice of foods. The plan includes foods you can eat and avoid. And no, it is not about eating less. It is about eating food properly, and avoiding carbs, and sticking to healthier alternatives in your diet. This makes your diet more enjoyable and you are likely to stick to it for longer. The meal plan is customizable as per your taste. It comes with instructions that help you keep your diet in order and make it free from any sort of confusion. There are several recipes in the Custom Keto Diet program, and each recipe that is designed comes with detailed instructions. That means two-thirds experienced no symptoms at all. Important: For people who do experience the keto-flu, it's most likely you'll notice them during the first 24 to 48 hours of starting the keto diet, says Keatley. On average symptoms will last between a few days to a week. However, in rare cases, symptoms can last up to a month. See a doctor if you are still feeling under the weather after a week or two of starting the diet. The good news is that there are measures you can take before and during keto to avoid and treat keto flu symptoms. Going keto puts you at an increased risk of dehydration. That's because you may need to go to the bathroom more as your body burns ketones instead of carbs. Even being mildly dehydrated will cause or exacerbate keto flu symptoms like fatigue and dizziness, says Shemek. Therefore, it's important to drink plenty of water throughout to replenish lost fluids. Quick tip: An easy way to check on your hydration levels is to check the color of your urine. Because most folks live on a high carb diet, our bodies normally run on glucose (or sugar) for energy. We cannot make glucose and only have about 24 hours’ worth stored in our muscle tissue and liver. Once glucose is no longer available from food sources, we begin to burn stored fat instead, or fat from our food. Therefore, when you’re following a ketogenic diet plan for beginners, your body is burning fat for energy rather than carbohydrates, so in the process most people lose weight and excess body fat rapidly, even when consuming lots of fat and adequate calories through their daily food intake. Another major benefit of the keto diet is that there’s no need to count calories, feel hungry or attempt to burn loads of calories through hours of intense exercise. In some ways, it’s similar to the Atkins diet, which similarly boosts the body’s fat-burning abilities through eating only low-carb foods, along with getting rid of foods high in carbs and sugar.|When we eat more carbohydrates than we need, our body stores them for later use. Stored glucose is packed tightly into molecules called glycogen which can be used to maintain our body in case we go too long without eating a meal. These reserves can only last about one day; and once depleted, the body must switch to a different fuel source called ketones. Ketones are produced in the liver. In response to low levels of glucose, the body begins breaking down fat tissue for fuel in the form of free fatty acids. Free fatty acids can be used as a fuel source throughout the body except for in the brain. The chart above indicates that the keto diet requires eating macronutrients at a ratio of 60% fat, 30-35% protein and 5-10% carbs. This causes the brain to hit the metabolic panic button in demand for a source of fuel. In response, the liver begins to repackage fatty acids into ketones, which are allowed access into the brain for fuel. Targeted ketogenic diet (TKD): This eating plan simply tells you to follow the keto diet BUT allows you to add carbs around workouts. So on the days you exercise, you will be eating carbohydrates. Restricted ketogenic diet (RKD): Designed to treat cancer, this ketogenic meal plan restricts calories as well as carbohydrates. Some studies indicate that calorie restriction and ketosis may help treat cancer. High-protein ketogenic diet (HPKD): This version of the keto diet is often followed by folks who want to preserve their muscle mass like bodybuilders and older people. Rather than protein making up 20 percent of the diet, here it’s 30 percent. Meanwhile, fat goes down to 65 percent of the diet and carbs stay at 5 percent. Vegan ketogenic diet or vegetarian diet: Yes, both are possible. Instead of animal products, plenty of low-carb, nutrient-dense vegan and/or vegetarian foods are included. Nuts, seeds, low-carb fruits and veggies, leafy greens, healthy fats and fermented foods are all excellent choices on a plant-based keto diet. You’ll feel better, improve your health, and if your goal is weight loss, it will happen faster! To set yourself up for success, read over these keto diet tips for beginners, too. The above list will give you the basics for how to start a keto diet plan or low carb diet plan. But, if you really want to be sure that you are eating the right amounts, you need a low carb or keto macro calculator. Most calculators work for just one or the other, but the Wholesome Yum macro calculator will do it for each diet type! As a general guideline, below are the recommended macro percentages to aim for. These are the percentages of your total calorie intake that would be from fat, protein, and carbs. As you can see, these can vary. Our macro calculator tailors recommendations for you specifically! Click here to calculate your macros!|Keto entails a significant portion of calories from fat, but not all fats are created equal. Consuming a lot of saturated fats, like the ones found in fast food and red meat, increases a person’s risk for atherosclerosis, which promotes coronary disease and heart attacks. Healthier fats - called monounsaturated and polyunsaturated fats - are found in foods like eggs, fish, and nuts. Additionally, keto can lead to a sudden surge in LDL and triglycerides, the “bad” cholesterol, when the diet is initiated, a surge that may level out after weeks and months. One of Chokshi’s patients who was doing keto rigorously saw his LDL cholesterol shoot up for a few months. But, in the short term, having elevated LDL and triglycerides probably doesn’t do much in term of increasing a person’s risk of cardiovascular disease, Chokshi says. There is one recent long-term study suggesting a risk for heart disease. This only allows about 20 to 50 grams of carbs per day! The overall premise of the ketogenic diet is to produce ketone bodies, which are metabolites of fatty acids, and use them instead of glucose to fuel your cells. The ketogenic diet was first adopted as a treatment for people with epilepsy in the 1920s, since it was shown to reduce seizure activity in some patients. Today, most people opt for anti-seizure medication (because the diet is challenging to adhere to), but some still use this diet to help manage their condition. How is it supposed to work? Let’s zoom into the GI tract for a minute. When you eat a carbohydrate, which are found in anything from oatmeal to soda to tomatoes, it is broken down into glucose. The main role of glucose is to supply energy for all of our bodily processes. Our bodies are actually a lot less discriminatory toward the source of glucose than we might think - it uses the carbs from a tomato, a cracker, or a jellybean the same way: to make energy! Research findings on the benefits of the keto diet for these health conditions are extremely limited. Studies on effectiveness of the keto diet were conducted with small groups of people. And, most of the research about Alzheimer’s disease relies on research done on lab animals. To fully assess the safety of this eating pattern, more research is needed. Plus, studies must be done on the long-term health effects of the keto diet. Body mass index and individual metabolic rates impact how quickly different individuals produce ketones. This means that on the keto diet, some people lose weight more slowly than others - even if they are following the same exact keto diet plan. For this group of people, the keto diet can be frustrating and may impact their motivation for making healthy dietary changes. Plus, many people are not able to stick with the keto diet and gain back the weight after returning to their previous pattern of eating. The ketogenic diet is quite restrictive. Research supports this eating pattern for epilepsy when managed along with a health care team, since its treatment can be very complex. However, with regards to the keto diet as a tool for weight loss and other health benefits, the jury is still out. For a personalized weight management plan that meets your individual needs, consult a registered dietitian nutritionist. An RDN can create a personalized weight loss program based on your unique health and nutrition needs and goals. To find a dietitian in your area, search the Academy's Find an Expert database.

So when we eat a bagel or a peach at lunch, the glucose levels in our blood rise and the pancreas secretes insulin to turn glucose into a usable energy source, so it’s able to move the glucose from the blood into our cells. But our body didn’t evolve to actually keep glucose on storage so we just get it basically after we eat. There’s no long-lasting glucose stores around our body. So, if we stop eating carbs, our body has this amazing ability to adapt to whatever else we’re putting in there and turn that into a usable energy source. It’s kind of like you think about our bodies like flex-fuel vehicles. They can sort of adapt to whatever we’re putting in them. Like a hybrid car. Exactly. One of those adaptations is this process called ketogenesis. And when we’re in ketosis, the liver starts to break fat down both from the food we’re eating and from the fat that’s stored in our body into this usable energy source called ketone bodies, or ketones for short.|Additionally, the healthy fats that are being consumed as part of the diet provide a feeling of fullness, which results in less overeating. What foods can you eat while on the keto diet? Healthy fats - such as avocado and avocado oil, olive oil, and nuts and seeds - and some saturated fats - such as coconut oil, ghee, butter, and heavy whipping cream made from grass-fed cow’s milk - are all encouraged. Lean protein is allowed in specified amounts (too much protein can prevent ketosis). Poultry, lean beef, and cold-water fish (like salmon, herring, mackerel, and tuna) and other seafood are good protein sources. Of course, carbs are limited to dark green leafy vegetables, such as broccoli, spinach, and kale, as well as other low-carb veggies like cauliflower, peppers (red, yellow, and orange), asparagus, and zucchini. Berries are OK in small amounts. What foods should you avoid? Avoid simple sugars like sweetened beverages, juice, cakes, cookies, pasta, breads, cereals, and any carbohydrates that will trigger a rapid glucose increase. 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. 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.

The word "keto" is everywhere nowadays-your IG feed, the grocery store aisles, food labels, cookbooks galore, the list goes on. It’s a super popular diet, and if you’re trying to do it yourself, you might be Googling very specific types of foods to clarify whether you can eat them on the keto diet or not. And since they’re so delicious and protein-rich, you might find yourself asking: Are beans keto? Here’s the answer: It’s complicated. First things first, let’s get a little bit more specific about what the keto diet even is. “A keto diet is a very low carbohydrate diet,” explains Keri Gans, RDN. “The goal is to put your body into ketosis, and that is achieved by reducing your carb consumption to around 20 to 50 grams per day, depending on your size.” Overall, your diet is supposed to consist mainly of calories from fat, says Gans, which is ultimately quite restrictive compared to other eating methods.|Sugar-free sweeteners like allulose, erythritol, monk fruit and stevia. Start with this keto sweetener - it’s natural, acts like sugar, and has the best taste of them all. The main difference between the low carb and keto diet is the macronutrient profile, but the types of foods you eat are mostly the same. These are the basics, and it’s best to start simple - meat, eggs, fats, and veggies primarily. Once you have it down, you can experiment with extras like low carb keto desserts or more advanced recipes, but it’s not necessary. Now, let’s delve deeper into a specific list of low carb & keto foods you can eat! The list above should give you an idea of the best and worst foods for a low carb diet. Start with the complete low carb & keto food list - it has over 230 foods on it! It includes everything you can and can’t eat on the keto diet or low carb diet, and lists the counts of both total carbs and net carbs, too. It’s been around for nearly a century, and has its roots in the medical world: In the 1920s, epilepsy researchers found that increased levels of ketones in their patients resulted in fewer seizures, and the diet is still a widely accepted treatment for epilepsy today. There’s also some evidence that a ketogenic diet has therapeutic potential for a wide array of symptoms and diseases, including cancer, polycystic ovary syndrome, neurological conditions, diabetes, and even acne. So how did it become a trendy weight-loss diet? Though keto has been gaining popularity recently thanks to celebrity endorsements and a wealth of diet-adherent Pinterest recipes, this is not the first time a form of it has gone mainstream. “We have been seeing different variations on the low-carb diet for decades,” says Abbey Sharp, a registered dietician and nutrition blogger. “The Atkins diet and the Dukan diet are two variations of a ketogenic diet. Just enter your info into our keto macro calculator. How much fiber do I need? There is some controversy around this. So, you might actually be fine eating less than the “official” recommendations. Start with 15-20 grams of fiber per day and add more a few grams at a time if needed, based on how you feel. Get as much fiber as possible from whole foods (vegetables, seeds, etc.) before you try a supplement. How to know if my macros are right? You’ll know if your macros are correct based on the results you see. As a few group members said, “measure, measure, measure” and take pictures. Don’t just rely on the scale. Sometimes you might see improvement in how your clothes fit or your body measurements before the scale catches up. If you don’t notice any results after a few weeks, first make sure you are actually in ketosis and not getting carbs sneaking in. If you are, take a look at that fat lever and see if you can nudge that down.

Second, following the Ketogenic Diet means carefully tracking your macronutrients (protein, fats, carbs, and water), in addition to some micronutrients like vitamins and minerals. It can be an arduous task that makes simple calorie counting seem like a breeze. While most proponents of keto tout that calorie counting isn’t the main focus, the fact is that most people on this plan are also restricting calories. Any diet that creates a calorie deficit is likely to induce weight loss. While this makes it somewhat difficult to determine if the weight loss is the result of calorie restriction or from being in ketosis, The Cooper Institute’s position is that it is the former, not the latter. Third, there is a lack of long-term scientific data to support this diet. Most diet studies (as well as testimonials) are short-term, lasting only weeks or months. The short-term studies on Ketogenic diets have shown short-term weight loss as well as temporary improvements in important risk factors like HDL and LDL cholesterol levels, blood glucose, inflammatory markers, and waist circumference. Potassium is used more by people in ketosis (either fasting, or on the ketogenic diet) due to how our bodies metabolize fat. Recommended amounts are 3,000 mg for those in ketosis. People who have a history of, or suspected, kidney problems should be monitored by a physician before and during potassium supplementation and the ketogenic diet. I normally have a ‘DIY’ approach to health, but there are some times that outside monitoring is really important, and this is one of them. Lite-Salt or potassium chloride (salt sub), mixed with sea salt. This is how most people who are doing extended fasts and starting a ketogenic diet make sure they are getting enough potassium. Spinach and avocados both contain a lot of potassium, but in order to meet your daily needs, you would need to eat 4 cups of spinach, or 5 avocados. This might be doable if you’re having a big salad, but most people are going to struggle to get this much, which is why supplementation may be useful. Now that you’ve cleaned out everything you don’t need, it’s time to restock your pantry and fridge with delicious and wholesome, keto-friendly foods that will help you lose weight, become healthier, and feel amazing! With these basics in your home, you’ll always be ready to make healthy, keto-friendly meals. Just about every type of fresh meat and fish is good for a ketogenic diet including beef, chicken, lamb, pork, salmon, tuna, etc. Eat grass-fed and/or organic meat and wild-caught fish whenever possible. Eat as many eggs as you like, preferably organic from free-range chickens. Eat plenty of non-starchy veggies including asparagus, mushrooms, broccoli, cucumber, lettuce, onions, peppers, cauliflower, tomatoes, garlic, Brussels sprouts and zucchini. You can eat full-fat dairy like sour cream, heavy (whipping) cream, butter, cheeses and unsweetened yogurt. Although not dairy, unsweetened almond milk and coconut milk are both good milk substitutes. Stay away from regular milk, skim milk and sweetened yogurts because they contain a lot of sugar. Avoid all fat-free and low-fat dairy products. Olive oil, avocado oil, butter and bacon fat are great for cooking and consuming. Avocado oil is best for searing due to its very high smoke point (520°F). Coconut oil is also widely used in keto recipes and works particularly well in keto-friendly desserts. Berries like strawberries, blueberries, raspberries, etc. are allowed in small amounts. Avocados are great because they’re low carb and very high in fat! Stevia and erythritol are our great choices for low-carb friendly sweeteners. Learn more in our full guide to erythritol. This mechanism has served us for hundreds of years through periods of scarcity or famine. A lack of consistent energy slows our metabolism because our body wants to do one thing: keep us alive. A slowed metabolism is also why it’s hard for people who restrict their intake to continue to lose weight past a certain point or maintain their current weight loss long-term. Moreover, there are some confounding variables worth noting when on a ketogenic diet. First, cutting out an entire food group will consequently reduce your intake. Yes, you can eat more protein and fat, but these nutrients are more satiating and less likely to be overeaten than carbohydrates. To put in simpler terms: you could probably eat 3 bagels before you ate 3 steaks or 3 avocados! Additionally, avoiding carbs may also leave you lacking some key nutrients, like the vitamins and minerals found in fruits and vegetables. Furthermore, the weight loss is probably not permanent. The ketogenic diet may help you (temporarily) lose weight, but the odds of it staying off are slim. Read below about how I busted through my plateau and adjusted my fat to help me lose weight. The ketogenic diet is not a one size fits all and not everyone needs to eat 75% dietary fat. Most women, especially over 40, will see better weight loss results when they eat less dietary fat, prioritize protein and keep total carbs to 20 grams a day. In order to figure out the right amount of macros for your body, use this keto calculator from Maria Emmerich which I think is one of the best out there! In order or figure out your macros, you either have to have a body fat scan done by a professional or you can guess your body far using the graphic above looking for a similar body image of yourself. I don’t know about you but Butter Coffee’s, like Bulletproof coffee, while they were delicious, they never gave me much satiation. I look forward to the smooth, buttery coffee now, and you’ll probably find you enjoy the taste too. Make a fist. That’s how much fatty meat you get, twice a day. For me that comes out to about 1lb or 16oz of steak total, which has exactly the amount of protein I need to hit my ratios. If you’re smaller, it will likely be more like 12oz, which should be around the amount you need. This rule isn’t perfect, but it’s a simple starting point. Instead of constantly trying to figure out how much protein you’re getting, hold your fist up to it, and remember that you get two fists of fatty meat per day. You’ll get most of your fat from your fatty breakfast and your fatty meats, but you still need to add a bit more into each meal to make sure you hit your goal. The easiest way to do this is to add cheese, salad dressing, or nuts.|US News and World Report recently released their annual diet ranking list. Unfortunately, they ranked the Keto diet shockingly low, at number 37. The Low-Carb Action Network (L-CAN) wonders why US News would cite concerns about nutritional imbalances and sustainability, when there are over 65 clinical trials proving its effectiveness. Indeed, L-CAN has a page dedicated to keto and low-carb diet nutritional adequacy. As for how sustainable keto diets are, L-CAN would suggest that US News visit our success story page, which highlights the life-changing and long-term results Americans have seen from adopting a low-carb lifestyle. In fact, this is not the first time US News has shown bias against a low-carb or keto diet. In March, the magazine published an article criticizing the Department of Veteran Affairs (VA) for launching a program that uses a ketogenic diet combined with a mobile app to treat Type 2 diabetes, in partnership with a private company, Virta Health.

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