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So it’s important to seek the guidance of a dietician if you’re unsure. What are the different types of ketogenic diets? Admittedly, the keto diet can be a bit difficult to follow in the long run. That’s mostly thanks to how different it is than the diet that most Americans are used to. As a result, there are several different types of ketogenic diets you can choose from, ranging from super restrictive to somewhat forgiving. Focuses on minimally-processed whole-foods, including plenty of healthy fats/oils, quality meats/protein in moderation, and lots of non-starchy vegetables, herbs, spices bone broth and probiotic foods. Involves eating very low-carb most days of the week, but intentionally increasing carb intake 1-2 days per week in order to replenish glycogen stores and prevent side effects like fatigue. Includes a bit more protein and carbs than a traditional keto diet, allowing for more flexibility and food variety. One drawback is that it may not be easy to stay in ketosis while following a modified plan, however some feel it’s a healthy and sustainable way to eat long-term. Easing into it slowly can also help. Read the full guide to keto flu symptoms and remedies here. Why do I get frequent headaches on keto? Most commonly this is due to either dehydration or electrolyte imbalance - essentially it can be a mild form of keto flu. You’d treat it the same way, with water and electrolytes. Drinking water is great for anyone, but especially if you are in ketosis. Eating carbs causes us to store more water in our bodies, while a keto diet flushes out more water, so it’s even more crucial to drink enough. Aim for 16 cups per day. 11. Make Easy Keto Recipes For Beginners. Keto recipes are not 100% required to stick to a keto lifestyle, but they sure make it easier and more enjoyable! Once you have the basics down, introducing your old comfort food favorites in keto form, like keto bread or keto casseroles, can help you stick to it long term. It’s all the rage. The internet is filled with stories of how everyone from movie stars to ordinary people have shed stubborn pounds with the ketogenic diet. Some suggest that this eating pattern also may be helpful for managing diabetes and warding off Alzheimer’s disease. So, is it a miracle diet or just the latest fad? The ketogenic diet is a high fat, moderate protein, low carbohydrate eating pattern, which differs from general, healthful eating recommendations. Many nutrient-rich foods are sources of carbohydrates, including fruits, vegetables, whole grains, milk and yogurt. On a keto diet, carbs from all sources are severely restricted. With the goal of keeping carbs below 50 grams per day, keto dieters often consume no breads, grains or cereals. And, even fruits and vegetables are limited because they, too, contain carbs. For most people, the keto diet requires making big shifts in how they usually eat. Why does the Keto diet restrict carbs? Carbs are the main source of energy for our body. 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. What Foods Are Off-Limits on a Keto Diet? What Can You Eat on a Keto Diet? So…what can you eat on the keto diet? The answer is: Plenty. See this comprehensive list of keto foods! The easiest way to get started on a keto diet is to stock your kitchen with keto-friendly foods, and get rid of any foods that may tempt you into deviating from your keto meal plan. If you’re looking for keto recipes, we’ve got you covered. Dishes like slow cooker beef bone broth and keto pizza can fit into just about anyone’s meal plans. If you’ve recently adopted the keto diet, you may be feeling a variety of side effects including nausea, dizziness, constipation, headaches and irritability. This is your body’s natural reaction to removing carbs from your diet, and we promise the symptoms are temporary. Also known as keto flu, it’s a natural reaction that occurs when your body switches from burning glucose as energy to burning fat. Is Following the Ketogenic Diet Dangerous? Ketoacidosis happens when your body fails to produce enough insulin. On the other hand, when done properly, nutritional ketosis can improve insulin function.

The main difference between the five types of Ketogenic Diets is this macronutrient ratio. All Ketogenic Diets are high in fat, adequate in protein and low in carbohydrates. This combination changes the way energy is used in the body, converting fat into fatty acids and ketones in the liver. When there is an elevated level of ketones in the blood, one is in a state of ketosis, which has a variety of therapeutic benefits for the sick and healthy alike. In addition to the macronutrient ratio, the frequency of eating can influence ketosis. More specifically, a practice called intermittent fasting, which reduces the window of time a person eats throughout the day, can help in obtaining and sustaining ketosis. When the eating window is shortened, the body is forced to access energy from its own fat stores rather than calories directly from the diet. An individualized and structured diet that provides specific meal plans. Foods are weighed and meals should be consumed in their entirety for best results. The ketogenic diet is increasingly used to treat metabolic disorder. Because maintaining a ketogenic diet reduces blood sugar levels, it’s a natural strategy for treating diabetes and even potentially reversing pre-diabetes. More research is underway to illuminate the effectiveness of keto for those with metabolic disorders. In cancer patients, a keto diet preserves lean mass and causes fat loss. Many researchers are exploring the use of ketogenic diets in preventing and treating cancer, although results are very preliminary. Being keto-adapted has several advantages for anyone interested in physical performance. It increases energy efficiency. It also spares glycogen. Glycogen is high-octane fuel for intense efforts. We store it in the muscles and liver, but only about 2400 calories-worth-enough for a couple hours of intense activity at most. Once it’s gone, we have to carb up to replenish it. Keto-adaptation allows us to do more work using fat and ketones for fuel, thereby saving glycogen for when we really need it. Since even the leanest among us carry tens of thousands of calories of body fat, our energy stores become virtually limitless on a ketogenic diet. The ketogenic diet - better known as “keto” - is having a bit of a moment right now. It’s been wildly popular on social media in recent weeks, and Google searches for keto-related terms have skyrocketed since the new year; celebrities the likes of Tim Tebow and Kourtney Kardashian have touted it as a detox, or a “reset button” for the body. The idea is that you can lose weight by replacing the body’s typical go-to energy source - carbs - with fats. That means its followers are downing things like whipped cream, mayonnaise, butter, and cheese. If that sounds too good to be true, that’s because, well, it just might be. We talked to an expert about how it works, how it’s done, and whether or not it’s worth a try. What exactly is a ketogenic diet? The keto diet is an eating plan that consists of 80 percent fat and little to no carbohydrates. But if you like eating a normal breakfast, then it’s still fairly simple: bacons, eggs, avocado, and then one or two keto coffees. If you have 3 eggs, that’s 15g of fat. Your goal is to get at least one third of your fat for the day first thing in the morning so you don’t have to worry about it as much later. To figure out that number, you can calculate your TDEE and then figure out what 70% of that is in grams of fat… Since most of the breakfast foods we’ve looked at are in the 15g of fat range, we can make the rule simpler: divide your goal weight by 30, round up, and thats how many “fat servings” you should have for breakfast. This seems like a lot of thinking right now, but once you figure out what your number is and find a breakfast mix that you like you never have to think about it again.|Keto dieters drastically cut carbohydrates to about 10 percent of their daily diet, which in some cases can be just 20 grams of carbohydrates per day. That amount of carbohydrates is equivalent to one slice of white bread per day, according to Feller. Nutritionists also stress that followers of a keto diet should get their fat intake from healthy fats like olive oils and nuts. Samantha Kafedzic, 31, has lost 17 pounds since starting on a keto diet four weeks ago. Kafedzic, who admits she now eats “very different” meals from her daughter, said she feels better overall in addition to the weight loss. “I have more energy with this one running around,” Kafedzic said, pointing to her daughter. “My workouts are so much better. The key to being successful on the keto diet is getting about 20 percent of your calories from protein and eating lots of fat. For some keto followers, the amount of fat could equal more than 70 percent of their diet. The amount of fat someone following the keto diet may consume in one day could be more than five times the recommended intake for daily fat for the average American, according to Feller. The diet’s critics argue that it is nearly impossible to follow long-term, could lead to muscle loss and could deprive your brain of its preferred source of fuel, carbohydrates. Feller agrees that the keto diet is not a diet she would recommend following for an extended period of time. “The jury is out on if that is safe for the long term,” she said. “What most studies say is that you can follow a ketogenic diet for some months. 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 .

But whether runners, specifically, should put their bodies in a state of ketosis depends on your goals. One study of five endurance athletes, published in the Journal of the International Society of Sports Nutrition, showed that a 10-week keto diet improved the athletes’ body composition and well-being but not their performance. In fact, the athletes initially experienced reduced energy levels and an inability to undertake high-intensity bouts of exercise. Another recent study in the journal Medicine & Science in Sports & Exercise looked at the effects of the keto diet on exercise efficiency in eight trained athletes. After following the diet, the athletes saw a decline in running speed and power-running speed at VO2max declined by 5 percent. However, both studies were small, and experts acknowledge more research is needed to study keto’s full, long-term effects. “There isn’t really a lot of good research that shows those people can perform better, and that’s really what runners care about,” Kasparek says. 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. Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost 100 years to treat drug-resistant epilepsy, especially in children. In the 1970s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss. What is a ketogenic (keto) diet? In essence, it is a diet that causes the body to release ketones into the bloodstream. Most cells prefer to use blood sugar, which comes from carbohydrates, as the body’s main source of energy. In the absence of circulating blood sugar from food, we start breaking down stored fat into molecules called ketone bodies (the process is called ketosis). Once you reach ketosis, most cells will use ketone bodies to generate energy until we start eating carbohydrates again. 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 ratio of fat to carbs and protein is 4:1. The goal of the ketogenic diet is to burn fat for energy rather than carbohydrates, resulting in weight loss. And, advocates claim there are many benefits beyond the number on the scale going down. Health & WellnessI tried the ketogenic diet for 30 days. What are the pros and cons? Those following keto tend to have a higher level of satiety and reduced cravings during the day. A few studies have shown that the diet may promote weight loss, lower blood sugar and increase insulin sensitivity in diabetics. It has also shown to improve LDL cholesterol levels and regulate insulin, increase mental focus and boost energy. On the flip side, it’s very hard to 100 percent commit to the diet, and for it to properly become a lifestyle change. Going out to eat, attending events and parties will be a lot more difficult - and this means that (similar to Atkins!) many people gain weight back.

This will require some work but your muscle mass gain should come with less fat gain it would if you were to consume a normal about of carbohydrates. Research results are mixed when it comes to the true long term effects of the maintenance of a keto diet for strength and performance. Your results will depend on how your body reacts, what you are training for, and how you train. Because glycogen is required for these explosive sports, those who do explosive sports such as weightlifting and sprinting are not likely to benefit as much as the typical gym goer. To keep things in check, I recommend having a re-feed day every two to four weeks to keep your hormone levels in check and to keep your fuel levels high. Some people (usually naturally lean individuals) can even get away with having a re-feed every week. Who Should Avoid the Keto Diet? This makes certain vegetables easier to digest than in their raw form. Cooking also gives you the chance to add fat and flavor. A little oil, plus some pink Himalayan salt and pepper, can radically transform a tasteless raw vegetable into something more crave-worthy. In the end, it’s smart to enjoy vegetables both ways. During the summer, you may want a nice cold salad with spinach, while in the winter sauteed spinach with garlic may sound better. Check out the Best Vegetables to Eat on a Keto Diet for more information when it comes to eating your veggies. Many new keto dieters are surprised to learn that fruits and fruit juices contain as many grams of carbs and sugar as some desserts. Bananas and apples, two of the most popular fruits in the United States, contain 24g and 20g of net carbs, respectively. That’s your entire carb count for the day in just one fruit! 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. Aside from being an energy source, ketones are also important neural signaling molecules and gene transcription facilitators. Ketones also seem to modulate the stress response in neurons and make them more resilient to excitatory nerve transmissions-the kind that can cause seizures. D’Agostino also found that ketones can elevate levels of the calming neurotransmitter GABA. Theories aside, when he treated SEALs with a keto diet, their seizures stopped. But brain diseases aren’t the only illnesses doctors are beginning to think are metabolic rather than purely genetic in origin. Many common types of cancer- esophageal, pancreatic, colon, kidney, thyroid-are associated with obesity and diabetes, and D’Agostino believes he’s on the path to understanding why. Cancer cells thrive in high-sugar environments because they rely on glycogen (sugar burned for energy) to survive; type-2 diabetes, especially, provides potential cancer cells with a high-sugar environment. This suggests not only that glycogen may contribute to cancer, but also that it may be cancer’s Achilles’ heel: If cancer cells become compromised when their host is in a ketogenic state, the body’s own immune responses may be able to effectively fight the disease.|Claims of benefits of the ketogenic diet for cancer, dementia, and Parkinson disease are not scientifically substantiated. Do Ketogenic Diets Improve Health? Ketogenic diets result in weight loss for those who successfully use this strategy to reduce overall caloric intake by limiting all carbohydrate-rich foods like breads, pasta, rice, cakes, cookies, and colas. Most fruits, legumes, and whole grains are also essentially off limit. Currently, long-term data on keto diets and cardiovascular, cancer, and other chronic disease risks are lacking, and low-carbohydrate diets have been linked to increased mortality. Who May Benefit From a Ketogenic Diet? Individuals wishing to lose weight using a very structured approach may benefit from a keto diet. For patients with prediabetes or type 2 diabetes, limiting carbohydrates to 5% of calories can help control blood glucose if it contributes to weight loss and weight maintenance. It is common to experience fatigue during exercise, poor mental energy, increased hunger, sleep disturbance, muscle cramps, constipation, nausea, and stomach discomfort. Over the long term, a diet in which only 5% of total calories come from carbohydrates makes it impossible to obtain optimum amounts of antioxidant phytonutrients from fruits and vegetables. In the first 2 weeks of the diet, there may be significant increases in urine production and fluid shifts that may require adjustment of medications for hypertension, heart failure, and diabetes. It is important to consult with a physician before trying a ketogenic diet. You should change your diet only under the supervision of a physician and a registered dietitian. Conflict of Interest Disclosures: Dr Heber reported receiving personal fees from Herbalife Nutrition. No other disclosures were reported. Source: Abbasi J. Interest in the ketogenic diet grows for weight loss and type 2 diabetes. 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’s why they’re not typically on the approved keto food list. You’re better off making your own sauces to control the calories, ingredients, sugars, and carbs. There are also plenty of pre-made options that are safe to use if you don’t have time to whip up something homemade to drizzle on your meals. Salad dressings and sauces can also have extra sugar you wouldn’t expect. If you’re out at a restaurant, avoid balsamics, vinaigrettes, honey mustard, and French or Thousand Island dressings since they tend to have more sugar in them. Since many traditional seasonings and sauces aren’t keto-friendly, herbs and spices will become your new best friends in the kitchen. Just make sure they don’t contain any sugars or high-carb fillers - some mixed spice blends do - and are purely the herb or spice itself before you take the spice jar home with you. As mentioned earlier, these sauces are usually packed with sugar and should be avoided at the grocery store and anytime you eat out. If you are among the minority of people who have a healthy metabolism and good insulin response, then you don't have to worry about your carb intake. Good metabolic health means you don't struggle with some combination of issues with blood pressure, blood sugar, cholesterol, weight, or low energy. Low-carb diets can lead to weight loss, research suggests, since they can help to manage appetite and reduce sources of added calories such as sugar and refined grains. But the primary benefit of keto is restoring metabolic health, improving insulin response, and reducing inflammation, Cucuzzella said. And while weight-loss diets work by restricting calories, Cucuzzella said that could backfire if you're doing keto for the first time, making it tougher to transition to burning fat for fuel if you aren't eating enough overall. Finally, a significant amount of the quick weight loss that people can have on short-term keto diets is water, and those pounds can return when you reintroduce carbs into your diet. Low-carb diets can also be problematic if you have a difficult relationship with food, including current or previous disordered eating habits. These include feelings of anxiety about gaining weight and a compulsive need to monitor or limit food, as well as binge eating, emotional eating, or addictive eating behaviors. Any diet that restricts what you can eat can be extremely triggering for anyone with these or other forms of disordered eating, which experts say can be risky if left untreated. It's best to seek professional support when considering a new diet. It may be tempting to make a dramatic change during a tough time. But if you can't manage your stress, you're not getting enough sleep, or you recently had an upsetting life event, it's the worst time to change your diet, Cucuzzella said.

This version of the diet allows for the lowest amount of carbs (hence being the strictest). According to the Practical Neurology study, 90 percent of daily calories come from fat, 6 percent from protein, and just 4 percent from carbs. Risks to Note The most common side effects among children who followed the diet were constipation, weight loss, and growth problems or anorexia, found the Practical Neurology study. The growth problems among children may be the result of limited protein intake, Spritzler says. There’s also a risk for developing hypercalciuria (high calcium levels in urine), kidney stones, and low blood sugar. Even though the bulk of research has been on children, adults may experience the same issues - plus possibly high cholesterol, though levels should drop once you quit the diet and start eating normally again. Unsurprisingly, this strict version of keto also seems to be the toughest one to stick to: Research shows that the modified versions of the diet have lower drop-out rates.|Certain studies suggest that keto diets may “starve” cancer cells. A highly processed, pro-inflammatory, low-nutrient foods can feed cancer cells causing them to proliferate. What’s the connection between high-sugar consumption and cancer? The regular cells found in our bodies are able to use fat for energy, but it’s believed that cancer cells cannot metabolically shift to use fat rather than glucose. There are several medical studies - such as two conducted by the Department of Radiation Oncology at the Holden Comprehensive Cancer Center for the University of Iowa, and the National Institutes of Health’s National Institute of Neurological Disorders and Stroke, for example - that show the ketogenic diet is an effective treatment for cancer and other serious health problems. Therefore, a keto diet that eliminates excess refined sugar and other processed carbohydrates may be effective in reducing or fighting cancer. It’s not a coincidence that some of the best cancer-fighting foods are on the keto diet food list. Over the past century, ketogenic diets have also been used as natural remedies to treat and even help reverse neurological disorders and cognitive impairments, including epilepsy, Alzheimer’s symptoms, manic depression and anxiety. It’s linked to genetics, but also to diet-particularly sugar and refined carbs-as well as obesity and inactivity. Diabetes experts estimate that the disease speeds up the aging process by roughly a third, damaging the body from the inside out. Too much blood sugar slowly destroys blood vessels, with results ranging from mild-early wrinkling of skin-to catastrophic: heart disease, blindness, stroke, amputations due to poor circulation, and even Alzheimer’s disease (more on that later). Noakes’ father eventually died from type-2, but because Noakes himself followed a low-fat diet, exercised regularly (he’s run upward of 70 marathons, as well as a handful of ultras), and didn’t smoke, he figured he’d be spared. To be sure, as he got older he put on some weight, and his energy sagged, but he was in good shape. Regardless, in 2010, Noakes was diagnosed with type-2 diabetes. Though he didn’t know it yet, a lifetime of well-intentioned carbo- loading for his athletic endeavors had set him up for a fall. 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. Keto meal formula - With specific food ideas, so it's easy to mix-and-match. Keto flu guide - Understand what it is and exactly how to avoid it. Keto Diet Types - Summary of 4 ways to do keto, so you can choose what fits you best. FOUR (4!) Keto Swaps Recipe EBooks - Dozens of recipes to replace bread, rice, potatoes, pasta, desserts, and other carbs you'd otherwise miss. If you want to start a keto diet or low carb diet, it can be intimidating. I get it! I’ve been doing this for almost a decade (and it goes to show this is a sustainable lifestyle!), but it wasn’t always easy. We all have to start somewhere. Just start - you got this! Whether you’re looking for how to start a keto diet or how to start a low carb diet, there are lots of similarities.|This leaves the dieter with the only options of eggs, butter, meat, fish, poultry, salad, nuts, seeds and oily salad dressings. Because dietary carbohydrate is extremely limited on the keto diet, the body cannot rely very much on carbohydrate as a fuel source for energy. This triggers a metabolic state called ketosis - a response by the liver to produce ketones, which are made from fatty acids. The ketones travel through the blood where they are used as a primary fuel source by the central nervous system (brain and spinal cord) and used to a lesser extent as fuel by other tissues. Ketosis will also result in the body’s use of protein (e.g. muscle) as fuel to some extent. The Ketogenic Diet has exploded in popularity recently because it does cause rapid, and sometimes dramatic weight loss. It’s not unusual for people to lose 8-12 pounds during the first couple of weeks.

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“If you have the time, meal prepping can really help you! Knowing that you know exactly what you’re going to eat that day or week is going to make it easier for you to stick to keto and your goals,” she says. Finding keto-friendly foods can be difficult at social gatherings - so consider bringing your own snacks. “If I know the restaurant where I’m meeting my family or friends, I usually look through the menu in advance and see if there’s something I can eat,” says Lele. “Salads are generally safe, with ranch or another low-carb dressing and a non-marinated protein. There are a lot of hidden carbs in restaurant food! “At first with keto, you’ll lose a significant amount of water weight, and this can be really exciting. After a while, you’ll notice that it tapers off and you may get demotivated,” says Lele. Lele is the first to admit that adjusting to a new dietary regimen and making the considerations she needed to in order for it to work took time. “I knew that not injecting insulin meant that I had to really be careful about what I eat from now on,” she says. “The mentality of, ‘Oh, I guess I’ll inject myself extra insulin to cover that carb-loaded food’-that way of thinking was gone for me. Protein is part of the keto diet, but it doesn't typically discriminate between lean protein foods and protein sources high in saturated fat such as beef, pork, and bacon. What about fruits and vegetables? All fruits are rich in carbs, but you can have certain fruits (usually berries) in small portions. Vegetables (also rich in carbs) are restricted to leafy greens (such as kale, Swiss chard, spinach), cauliflower, broccoli, Brussels sprouts, asparagus, bell peppers, onions, garlic, mushrooms, cucumber, celery, and summer squashes. A cup of chopped broccoli has about six carbs. A ketogenic diet has numerous risks. Top of the list: it's high in saturated fat. McManus recommends that you keep saturated fats to no more than 7% of your daily calories because of the link to heart disease. And indeed, the keto diet is associated with an increase in "bad" LDL cholesterol, which is also linked to heart disease. Nutrient deficiency. "If you're not eating a wide variety of vegetables, fruits, and grains, you may be at risk for deficiencies in micronutrients, including selenium, magnesium, phosphorus, and vitamins B and C," McManus says.|By following a keto diet plan, you force your body to burn fat, and you don’t switch back and forth, so your body stays in fat-burning mode all the time. Please note that a low carb or Paleo diet could also be a keto diet! If you’re eating a diet with low enough amount of carbohydrates to trigger ketosis, then that diet is technically keto, even if your plan says it’s paleo or low-carb. This is one of the reasons it can be hard to answer the question “what is a keto diet? ”, because the keto diet can be done several different ways. I highly recommend you check out our Paleo diet vs. ’ll help you understand the difference between the two diets better. I still remember when I used to count calories. I was constantly hungry! My salads didn’t satiate me, and toast just made me hungrier! I used to go to sleep hungry and upset because I could never seem to eat less than 1600 calories.

Some like how they feel and like how they eat when they’re on a ketogenic diet. If it works for you, great. The diet that works for you is the one you feel good about. The reality is that many people who attempt the ketogenic diet cycle in and out of it. It was ranked second-to-last in the U.S. In short, while there is often at least short-term weight loss; the long-term effects on overall health are still relatively unknown. The potential drawbacks of this complicated diet include kidney damage, constipation, micronutrient deficiencies and social isolation (skipping family or social gatherings because of your diet?!). A strict keto diet requires close management by a health professional. If you feel good on a keto-inspired diet that’s great - just make sure you understand the big nutritional picture too. Vanessa Lennick is private-practice Registered Dietitian in Bismarck, ND. As a working mom-of-three, wife of a shift worker, and member of the ND National Guard, Vanessa is passionate about helping people find the diet that works for them - their goals, their lifestyle, their preferences. Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost 100 years to treat drug-resistant epilepsy, especially in children. In the 1970s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss. What is a ketogenic (keto) diet? In essence, it is a diet that causes the body to release ketones into the bloodstream. Most cells prefer to use blood sugar, which comes from carbohydrates, as the body’s main source of energy. In the absence of circulating blood sugar from food, we start breaking down stored fat into molecules called ketone bodies (the process is called ketosis). Once you reach ketosis, most cells will use ketone bodies to generate energy until we start eating carbohydrates again. Although the main focus of your ketogenic diet should be consuming whole foods that are as close to nature as possible, there are some other healthy options that will support your keto diet. Here’s a guide to some of the common supplements and other products that may help you along your keto journey. The purpose of exogenous ketone supplements is to provide the body with extra ketones for energy. Ketone supplements can be a huge help when just starting out on keto or entering a fasted state. Exogenous ketones help with energy levels and battle brain fog when you’re getting into ketosis. They can also provide you with an extra boost of energy pre- and post-workout - even if you’re already in ketosis. Learn more about exogenous ketones here or try Perfect Keto Base. MCT is short for medium-chain triglyceride. MCTs are a type of fat that are readily used for energy by your body and do not have to be shuttled around your digestive system before use.|In basic terms, successfully following the keto diet means cutting out all sources of sugar and most carbohydrates and loading up on foods with a high fat content. The key to sticking to keto guidelines is focusing on what you can eat, not what you're cutting out. If you're unsure about what's safe to snack on, you are in luck. We have picked out our favorite, keto-friendly foods that will make eating a fat-centric diet easy and, dare we say it, enjoyable. Read on and then bookmark this essential keto diet food list that you'll need to successfully take the ketogenic plunge. And if you're already following the diet, it may be worth checking out these 8 Major Mistakes You're Making on the Keto Diet to ensure you're keeping yourself healthy. Pass the guac! Avocados are one of the best keto diet foods thanks to their high healthy fat content and low carbohydrate count.

Even the USDA has a definitive food database which can help get you started. And it won’t take long for it to become second nature. Make keto easy. Check out our keto calculator. What Can I Eat on the Keto Diet? When starting out on the keto diet, it can take a little while to get used to what foods you can and can’t eat. Therefore, it’s always best to plan ahead. Remember to focus on foods that are high in fat, moderate in protein, but most importantly - low in carbs. When opting for meat, you pretty much have the green light on what to choose but grass-fed varieties are the best option. The same applies to poultry as carb content is non-existent. Fatty fish like salmon, tuna, or mackerel are all good sources of fatty acids, protein and low carbs. Not only are eggs a “go-to” for any dieter, they are also a keto-friendly food you can enjoy. On a keto diet you need to ditch the low fat yogurts and go full fat. Always read labels and check if the actual ingredients are keto friendly. While ketones are a controversial topic and some people have found that they help a little, they are absolutely not necessary to have success. Your body will produce ketones on its own if you restrict carbs enough. Get the full keto pantry shopping list here with more details on what you do need. Pin it to save for later! 5. Ease Into It. If you’re starting a keto diet coming from eating a lot of carbs and sugar, cutting it all out cold turkey may be a shock. It can cause (temporary) keto flu symptoms and cravings, and while these can be manageable, it doesn’t mean that’s the only way. Apply a couple of these keto tips and tricks at a time. This gives you time to adjust. Cut out foods gradually. Eliminate all sugars first, such as soda and candy, then complex carbs like bread and pasta, and starchy veggies and fruit last. According to the authors, this may be dependent on circulating ketone levels, but a threshold level had yet to be determined. Research also shows benefits for improving insulin sensitivity and glycemic control, although the mechanisms aren't clear.1 A 12-month study that randomized 34 adults with HbA1c levels above 6% and BMIs above 25 to a very low-carb ketogenic diet or a moderate-carb, calorie-restricted, low-fat diet found that the low-carb group had greater weight loss and reduction of HbA1c. The low-carb subjects also were more likely to be able to reduce use of diabetes medications, with three discontinuing metformin. Studies-most of which compare ketogenic diets with low-fat diets-also have found that while LDL cholesterol tends to increase for some people following a ketogenic diet, small, dense LDLs tend to decrease.1,13,14 Triglyceride and HDL cholesterol levels also tend to improve. The ketogenic diet is popular because it works, at least in the short term. Just as Paleo books, cookbooks, and blog posts have flooded the market, today keto is picking up speed. The ketogenic diet is increasingly used to treat metabolic disorder. Because maintaining a ketogenic diet reduces blood sugar levels, it’s a natural strategy for treating diabetes and even potentially reversing pre-diabetes. More research is underway to illuminate the effectiveness of keto for those with metabolic disorders. In cancer patients, a keto diet preserves lean mass and causes fat loss. Many researchers are exploring the use of ketogenic diets in preventing and treating cancer, although results are very preliminary. Being keto-adapted has several advantages for anyone interested in physical performance. It increases energy efficiency. It also spares glycogen. Glycogen is high-octane fuel for intense efforts. We store it in the muscles and liver, but only about 2400 calories-worth-enough for a couple hours of intense activity at most. Once it’s gone, we have to carb up to replenish it. Keto-adaptation allows us to do more work using fat and ketones for fuel, thereby saving glycogen for when we really need it. Since even the leanest among us carry tens of thousands of calories of body fat, our energy stores become virtually limitless on a ketogenic diet. The clearer the color, the more hydrated you are. Eating keto-friendly foods rich in fiber can help keep digestive issues like constipation at bay. Fiber promotes a healthy gut by providing bulk and water to your stools, making them easier to pass. Adults should aim to consume at least 25-30 grams of fiber per day. This can be difficult to achieve while going keto as high-fiber foods like whole grains, fruits, and starchy vegetables are limited. While you only have 50 grams of carbohydrates a day on keto, it's important to make sure these carbs count, says Keatley. Not only are you using the bathroom more on keto, but you're going to excrete sodium and potassium through your urine, which are two electrolytes essential for staying hydrated. Depending on the type of exercise you are doing, the activity can exacerbate keto-flu symptoms like fatigue and digestive issues. That's because our bodies are used to pulling energy from carbohydrates during an intense activity like HITT workouts or running, says Keatley. While you're transitioning to ketosis, opt for low to moderate activities like walking or leisurely biking as your body adjusts to a new fuel source. This may help you avoid uncomfortable symptoms associated with the keto-flu, like digestive issues. Consider starting with a less intense moderate- to low-carb diet or making small keto-friendly swaps to your normal meals. The keto-flu is a natural response to switching your primary energy source from carbs to fats. Not everyone will experience keto-flu symptoms, but those that do usually experience them in the first few days of starting the diet and begin to feel better within a week. The keto diet is not for everyone and can cause health issues, like nutrient deficiencies, if it's not done properly. For this reason, consider consulting a registered dietitian or health professional before going keto. For example, instead of getting healthy fats and low carbs from almonds, you can hit your macro amounts with BBQ pork rinds instead. “The main point of dirty keto is that, since the macronutrient amounts it follows support a ketogenic state, it doesn’t matter where those macros come from,” she says. Who It's Best For This variation is for those who need a high level of convenience and lack the time or interest for cooking and meal prep, Nieves says. This may also be the easiest route to follow for those just getting into keto, she adds, since you can stick to keto even when traveling or dealing with a busy schedule - you just need to read package labels carefully rather than going deep into meal planning. Risks to Note Although it does sound fun to get dirty, Nieves cautions that too many ultraprocessed foods - which have additives like sugar, preservatives, and artificial flavors - can lead to nutritional deficiencies over time, and load you up with too much sodium and unhealthy fats.

There are non legit sites that try to steal your money and personal information. It is advised to stay away from these sites and purchase only from their official page. There have been no complaints as of now in regards to the program. The customer reviews also shed a positive light on the Custom Keto Diet plan and talk about how the plan has helped people find a great deal of success in maintaining their diet. The Keto diet is pretty popular in the US due to its successful weight loss effect. The diet has been followed by many individuals as they do not have to go through drastic changes. The diet is easy to customize as well. For a fresher, it can be a little overwhelming if they do not have a proper guide. With a Custom Keto Diet plan, this is made easy. As explained in this Custom Keto Diet review, you get to improve your diet and lose weight rapidly if you are consistent with the plan. While fat reigns supreme on the diet, don’t just turn to bacon, cheese, and cream. When choosing your fats, aim to include more anti-inflammatory omega-3s, particularly EPA and DHA, the type that are found in salmon, sardines, oysters, herring, and mussels, says Clevenger. Other healthy fats are a good choice, too; if you haven’t stocked up on avocado, olive oil, and seeds such as chia seeds and flaxseed, definitely do. They’re not only keto friendly - they also offer healthy polyunsaturated and monounsaturated fat that your body needs to perform at its best. With people consuming more sodium than ever in a diet rich in processed food, you’re probably not used to hearing the call to eat more salt. But on keto, it’s necessary. Not only does the clearance of ketones cause the body to lose sodium, but you may be getting much less table salt (which is comprised of 40 percent sodium and 60 percent chloride) now that you’ve kicked out the top source of salt in the standard American diet: packaged, processed foods, including bread, chips, crackers, and cookies.

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A few years ago, Dominic D’Agostino, a Ph.D. University of San Francisco, was trying to solve a big problem for the Navy SEALs. Military divers, he learned, use a device called a rebreather, which is silent and allows for extra-long dives- but, for reasons that are not yet fully understood, makes divers prone to unpredictable, life-threatening oxygen toxicity seizures. While looking for a way to treat these seizures, D’Agostino stumbled upon the Ketogenic Diet, which also happens to be a proven treatment for a possibly related malady: epileptic seizures in kids. Why? D’Agostino believes the diet remedies a metabolism imbalance in which brain cells are starved of, or unable to process, glucose, causing the brain to go haywire. Live brain cells are extremely difficult to study (for obvious reasons), but researchers have been able to tease out some clues from the petri dish about why keto diets are good for the brain. As your body adjusts, it’s common to go through the keto flu during the first week or so. You might experience symptoms like brain fog, muscle aches, constipation, a metallic taste in your mouth or even an acetone odor in your breath (aka “keto breath”). Once you enter ketosis, you’ll notice changes like fewer cravings, clear-headedness and increased energy. Depending on how your body adjusts to this style of eating, you might also notice keto side effects if your electrolytes become imbalanced. If you’re having trouble sleeping or dealing with low energy, you might feel better with slightly more carbs in your diet. Experiment with carb cycling to find what works for you. When you’re starting keto, the list of rules on what you can and can’t eat may seem daunting. It’s important to educate yourself about what high-carb foods can sneak up on you, such as legumes or starchy root vegetables.|Sometimes, amazingly good things. Two years ago, LeBron James famously lost 25 pounds and upped his late-game endurance by cutting carbs and sugars from his diet. Tim Ferriss, the author of the Four-Hour self-improvement book series, followed a strict keto diet to cure his Lyme disease, and performs a long multi-day fast every four months as a means, he says, of pushing ketosis further and starving incipient pre-cancerous cells of sugar (more on that later). Last summer, Sami Inkinen, the ultrafit co-founder of real estate juggernaut Trulia, rowed with his wife from California to Hawaii in record time on a keto diet, to promote high-fat eating and raise awareness about the dangers of too much sugar. The Keto Diet, say its ardent supporters, is a natural way to literally reprogram your metabolism and transition to an upgraded operating system. You’ll ultimately feel better and perform better, and your body fat will plummet. But this sort of “low-carbohydrate, high-fat” (LCHF) diet, as Noakes calls it, is still far from mainstream. 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. The ketogenic diet has been around for a LONG time. It’s popular. It’s controversial. Some love it. Some hate it. Some even say it can help your blood sugars stay in better control. After thoroughly reviewing the scientific literature and trying the ketogenic diet myself for over 6 months, I am ready to unfold everything you’ve been hearing and let you decide for yourself what you think about the diet that has taken the world and diabetes community by storm. What is a ketogenic diet? What the science says… This guide is relevant for people with any type of diabetes. I will mainly talk about insulin when I discuss how a keto diet affects blood sugar, but some studies also show a possible reduction in certain type 2 medications. Disclaimer: Please always consult with your medical team before you start a new diet, adjust your medication or change your diabetes management routine. What is a ketogenic diet? Once upon a time, keto was the original “diabetes diet” prescribed to type 1 diabetes patients before the advent of insulin, as this would prolong their lives as it has less of an impact on blood sugar levels. 5% of your daily caloric intake from carbohydrates. By restricting your carbohydrate intake so severely, you force your body to get most of its energy from fat. A byproduct of this fat burning is the production of natural ketones in the body, hence the name of the diet. Burning ketones supplies the body with an alternative form of energy rather than quickly accessible energy from carbs (glucose) and is what makes the ketogenic diet work. IMPORTANT: natural ketones are different from the “bad” ketones that can lead to diabetic ketoacidosis (DKA).|People with diabetes who follow a keto diet need to monitor their ketone levels carefully. If levels get too high, ketoacidosis can occur. DKA is a condition wherein the levels of ketones become extremely high, poisoning the body. It is a severe and dangerous condition that can develop rapidly, sometimes within the space of 24 hours. There are several potential triggers for ketoacidosis. However, it most often occurs due to illnesses that cause higher levels of hormones that work against insulin. It can also result from problems with insulin therapy, either through missing scheduled treatments or not receiving enough insulin. Ketoacidosis most commonly occurs in people with type 1 diabetes. It can also occur in people with type 2 diabetes, though this is much less common. High levels of ketones in the urine and high blood sugar levels are both signs of ketoacidosis. A person can test for ketoacidosis using a kit at home.

People with pancreatic or liver problems, or problems with fat metabolism should also avoid the ketogenic diet. This is because the diet is so high in fat that it puts added pressure on both organs, which are essential for fat metabolism . It is also worth considering that eating a well balanced, keto diet is actually very expensive. For most people, following a low carbohydrate diet, rather than a no carbohydrate diet, is much more practical - as it will also allow for the inclusion of fruit and all vegetables. This represents much better dietary balance and usually leads to people sticking with it for longer. As always with weight loss, in the end it all comes down to taking less energy in than you burn. In the UK, the National Diet and Nutrition Survey says that on average, people get about half of their energy from carbohydrates. So by cutting out the source of half of your energy from your diet - even if some of that energy is replaced by fat - you are likely to reduce your energy intake, which leads to weight loss. But if you can’t sustain the keto diet, don’t worry, you are in the majority. Try considering why you eat, rather than what you eat. Tackling convenience buying and emotional eating is the key to successful weight loss for most people.|There are seven steps to starting a successful targeted keto diet. First, you must follow a standard keto diet for at least four to six weeks. Then, you must determine your unique carb count. Third, minimize carbs. Fourth, eat carbs before or during exercise. Fifth, eat fast-absorbing carbs. Sixth, keep calories constant. 14. How Do I Start the Standard Keto Diet? A successful targeted keto diet starts with first following a standard keto diet for four to six weeks. This ensures your body is fat-adapted and will slip back into ketosis easily after you eat carbs. To start a standard keto diet, keep carbs under 20 grams per day and drink plenty of water. Measure your ketone and glucose levels every day until you have entered ketosis. To kick-start your keto diet, you can fast for 48 to 72 hours and exercise. You won’t enter ketosis until your body has consumed all its stored glycogen. When you exercise, your body burns more energy, and when you don’t eat anything, your body can only get fuel from its glycogen and fat stores. 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. The diets included the low-carb Atkins, South Beach and Zone diets as well as low-fat diets like the Ornish diet and portion-control diets like Jenny Craig and Weight Watchers. They found that any diet resulted in more weight loss than no diet at all after six months. Low-fat and low-carb diets were pretty much indistinguishable, with low-carb dieters losing 19 pounds (8.73 kilograms), on average, and low-fat dieters losing an average of 17.6 pounds (7.99 kg), both compared to non-dieters. At 12 months, the benefits showed signs of leveling off for both types of diets, with both low-fat and low-carb dieters reporting being 16 pounds (7.27 kg) lighter, on average, than non-dieters. Another analysis of popular diets published in the Annals of Internal Medicine in April 2015 found the Atkins diet to result in more weight loss than simply educating people on portion control, but also noted that most of the studies of this low-carb diet involved registered dieticians helping participants make food choices, rather than the self-directed process by which most people pick up the diets.

Tracking your macros and net carbs can be tricky, so I advise you download a keto app that includes a keto diet calculator. It will help keep you on track. A popular keto supplement are exogenous ketones (popularly called “keto diet pills”) that may help you achieve results earlier as well as remain in that state. Also, consider supplementing with the amino acid leucine, as it can be broken down directly into acetyl-CoA, making it one of the most important ketogenic amino acids in the body. While most other amino acids are converted into glucose, the acetyl-CoA formed from leucine can be used to make ketone bodies. It’s also present in keto friendly foods like eggs and cottage cheese. It’s important to also drink lots of water, the most important of all keto drinks. Getting enough water helps keep you from feeling fatigued, is important for digestion and aids in hunger suppression. When you consider all of the grain-based foods and sneaky sources of added sugar, it's easy eat a lot more than the recommended amount. Contrary to what social media hashtags would have you believe, there's not much to suggest that it will improve athletic performance. Keto also ranked dead-last (down with another joy-stealer, the Whole 30 Diet) on the U.S. News and World Report's Best Diets list. The lack of research on long-term outcomes, hard-to-follow regimen, and potential health hazards all alarmed the panel of experts. Science simply doesn't support the notion that keto diets keep weight off in the long run, unlike the evidence-backed Mediterranean-style plans. Ketogenic eating may actually increase your risk for kidney and liver problems, plus osteoporosis. Since carb-filled foods contain the highest amount of water and dietary fiber, it's crucial to consider both the immediate side effects (constipation) and future ones (increased risk of GI cancers and decreased immune function) of cutting them out.

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By slowly lowering your carbohydrate intake, while gradually increasing your intake of dietary fat over time, you can transition with less of a negative impact and potentially prevent the keto flu. The removal of many grains and fruits with such a large emphasis on fats can bring about its own set of gastrointestinal side effects. Keto constipation and diarrhea aren't uncommon. Further, eliminating food groups can be problematic. “Ketogenic diets are often low in calcium, vitamin D, potassium, magnesium, and folic acid, which over time can lead to nutrient deficiencies if the diet is not planned carefully,” adds Marie Spano, RD, CSCS, who is based in Atlanta. Reliance on a diet rich in animal fats and proteins may also have a negative impact on heart health, research shows. 6) “This diet is not for anyone who is at risk of developing cardiovascular disease or who has already been diagnosed with it,” Spano cautions. This means that if you have risk factors for heart disease - such as elevated cholesterol levels, high blood pressure (hypertension), or a strong family history of the disease - you should use caution when following this diet. The main issue is that ketosis is arguably a backup mechanism for fuel and energy for the body, he says. There have been many positive effects reported, but researchers don’t understand the long-term effects of sustained keto-based nutrition. Even though he isn’t a fan of diets in general - “I prefer habits,” he says - Chokshi recognizes the benefits of keto for some patients looking to lose weight and make a healthy change in the short term. Many have had success with dropping pounds, he says, and reported feeling “healthier and more fit.” It’s even better if it kickstarts a more sustainable heathy lifestyle. He also suspects there are some benefits for the heart and reversing diabetes since it has been shown to improve insulin sensitivity. “I can see a potential benefit because diabetes is exacerbated by excessive carbohydrate intake,” he says. Higher HDL cholesterol levels and lowering blood sugar are also associated with lower risk of heart disease. Still, there are potential downsides that patients need to watch out for, Chokshi says.|During ketosis, chemical molecules called “ketones” are produced in the liver when fat is burned, and they are sent into your bloodstream to be used as fuel for the brain, muscles, and tissues. The keto diet deliberately reduces carbohydrate intake to encourage the body to burn fat instead. Meat, vegetables, cheese, nuts, and other dairy products are a great way to get started. Limit fruits to 2x day. Fruits are naturally high in sugars, so they should be eaten sparingly. Some fruits are lower in natural sugars and are easier to fit into your macros. Generally, berries such as strawberries, blueberries, blackberries, and raspberries are a good option when you're living a low carb lifestyle. The first week is mainly water loss. But the more you have to lose, the faster you will lose. If you only have a little to lose, it may take a few weeks to start seeing real weight loss. Keto weight loss will fluctuate from week to week and depending on how much they have to lose.

What is the keto diet? How does keto work? Does the ketogenic diet work? What do you eat on the keto diet? Are there any ketogenic diet side effects? Is keto like other low-carb diets? How can I start the keto diet? What is the keto diet? The keto diet, also known as the ketogenic diet, is a low-carb, high-fat and moderate-protein diet. The goal of the keto diet is to shift in to a nutritional state called ketosis - where your body changes from using carbohydrates to fat to fuel weight loss. How does keto work? The ketogenic (keto) diet works by starving the body of carbohydrates. When only fat is available, your liver uses fat as an alternative fuel and turns fatty acids in to ketones. These ketones are then used by your body and brain for clean, effective energy that keeps you full - without slowing you down.|Are beans keto at all? What are some ways you can (or can’t) incorporate them? All of these inquiries are totally understandable, especially considering there is a plethora of conflicting nutrition information out there on the Internet. For answers to all of these questions and more-all according to RDs-keep reading. Tell me: Can you eat beans on a low-carb diet like keto? “Beans are a powerhouse in terms of nutrition,” says Vandana Sheth, RDN, author of My Indian Table: Quick & Tasty Vegetarian Recipes. So, even though they’re pretty darn good for you in general, can you eat beans on a daily basis when you’re doing a low-carb diet? Well, technically yes, but it’s hard. “Incorporating beans into a low-carb, high-fat keto diet could be challenging,” Sheth explains. Why? Well, while you can have them, technically, they will take up a significant portion of your allowed carb intake on the diet. The internet is abuzz with anecdotes telling of the amazing benefits of a ketogenic (or “keto”) diet. Nothing new there, then, as every year is marked by the rise and fall of a new diet fad - most amplified by the social media echo-chamber but with little to commend them. This time, though, it caught my attention. Not just because I am a modestly overweight 52 year old whose love for food and drink is slightly stronger than my desire to be skinny, and as a result someone who has been on a diet every January for at least 20 years and now knows he needs he miracle. But because of the science behind it. For a start, I first began reading about ketogenic diets thanks to Ethan Weiss, M.D., a prominent UCSF cardiologist on Twitter, whose scientific acumen I respect. If he believes in the benefits of ketosis, then I should definitely look a little closer. And they are-just leveling with you here-pretty difficult diets to maintain long-term, both in terms of general enjoyment and food-related sanity. If you're interested in either of these diets (and you are aware that you don't need to go on a diet to have a healthy diet), it's important to know the basics of each, and how they compare to one another. To help you sort out the nuances between Keto and Paleo, we talked with registered dietitian Kristen Kizer, of Houston Methodist Hospital in Texas. What is the Paleo Diet? THE PALEO DIET focuses on foods that are high in protein and rich with fiber. There's a strong emphasis on meat, fruits, and vegetables-basically, anything our ancestors would have consumed more than 10,000 years ago during the Paleolithic era. Because hunter-gatherers like Otzi had limited technology, obviously things like frozen pizza aren't allowed on the diet. But many foods that are considered healthy, like whole grains and legumes, are also not allowed.|Acne - can keto or low-carb diets cure it? Alzheimer’s prevention and treatment - can a keto diet help? Blood pressure - what is normal blood pressure? Bone health - are low-carb and keto diets good? Brain - does it need carbs? Brain cancer - can a keto diet treat it? Calories on a keto diet - should you count them? CGM - is it right for you? Coronavirus - are you at higher risk of complications? Dirty, lazy keto: Is it for you? Electrolyte supplementation on a keto diet - do you need it? Exogenous ketones - do they work? Fasting blood glucose - is it higher for you on keto? Fat - how much fat should you eat on low carb or keto? Gestational diabetes in pregnancy - can keto help? How low carb is keto? Fat - how much should you eat on keto? Ketone meters - which one is the best? Ketosis - what is it? Kids and keto: could it help with ADHD, autism and more? Is a low-carb or keto diet right for you? Lung disease - can low carb help? No. However, you will need to significantly cut back on your carb intake at first. After two to three months, you can have carbs on special occasions-as long as you return to the diet right after. Will I lose muscle mass? There is some risk of losing muscle mass in any diet. However, high protein intake and ketone levels can minimize muscle loss, particularly if you strength train. What if I am constantly fatigued? If you’re constantly feeling tired or fatigued, you may not be in full ketosis. Your body might not be using ketones and fats in the most effective way. You should try lowering your carb intake or adding supplements to your diet. MCT oil or exogenous ketones can help battle fatigue. I have digestion issues. What should I do? Digestive disturbances are a common side effect of switching to a ketogenic diet. Symptoms should pass in three to four weeks. In the meantime, try eating more high-fiber vegetables or supplementing with magnesium to relieve constipation. If you are among the minority of people who have a healthy metabolism and good insulin response, then you don't have to worry about your carb intake. Good metabolic health means you don't struggle with some combination of issues with blood pressure, blood sugar, cholesterol, weight, or low energy. Low-carb diets can lead to weight loss, research suggests, since they can help to manage appetite and reduce sources of added calories such as sugar and refined grains. But the primary benefit of keto is restoring metabolic health, improving insulin response, and reducing inflammation, Cucuzzella said. And while weight-loss diets work by restricting calories, Cucuzzella said that could backfire if you're doing keto for the first time, making it tougher to transition to burning fat for fuel if you aren't eating enough overall. Finally, a significant amount of the quick weight loss that people can have on short-term keto diets is water, and those pounds can return when you reintroduce carbs into your diet. Low-carb diets can also be problematic if you have a difficult relationship with food, including current or previous disordered eating habits. These include feelings of anxiety about gaining weight and a compulsive need to monitor or limit food, as well as binge eating, emotional eating, or addictive eating behaviors. Any diet that restricts what you can eat can be extremely triggering for anyone with these or other forms of disordered eating, which experts say can be risky if left untreated. It's best to seek professional support when considering a new diet. It may be tempting to make a dramatic change during a tough time. But if you can't manage your stress, you're not getting enough sleep, or you recently had an upsetting life event, it's the worst time to change your diet, Cucuzzella said. While like any diet, you need to find the right proportion and balance of macronutrients (ie, fat, protein, carbs) in order for your body to begin burning accumulated fat rather than stored glucose. The amount of fat you eat when following a keto diet is quite a bit higher than on most other diets. You’ll want to aim to consume about 60 to 75% of your calories come from dietary fat and 15 to 30% protein, with the remaining calories for carbs, says Sharon Zarabi, RD, director of the bariatric program at Lenox Hill Hospital in New York City. It's really the trans fats that you'll want to avoid completely. The best low-carb foods include peppers, cauliflower, greens (eg, spinach, arugula, kale), and zucchini. When starting a keto diet, your goal should be to gradually reduce your carb intake to about 20 grams for at least two weeks but aim for six weeks in order to allow your body to adjust to this fat-burning process.|This year, the popularity of the ketogenic way of eating hasn’t waned - in fact, it seems stronger than ever, despite getting its annual knockdown by U.S. News and World Report. Keto devotees stay true to the diet 100 percent of the time, while others have found they need a little more carbohydrates or protein. That’s inspired some to tweak the low-carb, high-fat diet to meet their needs. As a result, several spins on the keto diet have emerged. Kristen Kizer, RD, a registered clinical dietitian at Houston Methodist Hospital in Texas, says that all of these diets have one thing in common. “A keto diet to me would be any diet that gets a body into ketosis,” she says. RELATED: What Are the Benefits and Risks of the Keto Diet? Ketosis occurs when the body turns to fat as its main source of energy instead of carbohydrates, says Amy Shapiro, RD, the New York City-based founder of Real Nutrition. Keeping the body in ketosis for extended periods of time may lead to weight loss, according to a study published in the Fall 2014 issue of Experimental & Critical Cardiology. For example, instead of getting healthy fats and low carbs from almonds, you can hit your macro amounts with BBQ pork rinds instead. “The main point of dirty keto is that, since the macronutrient amounts it follows support a ketogenic state, it doesn’t matter where those macros come from,” she says. Who It's Best For This variation is for those who need a high level of convenience and lack the time or interest for cooking and meal prep, Nieves says. This may also be the easiest route to follow for those just getting into keto, she adds, since you can stick to keto even when traveling or dealing with a busy schedule - you just need to read package labels carefully rather than going deep into meal planning. Risks to Note Although it does sound fun to get dirty, Nieves cautions that too many ultraprocessed foods - which have additives like sugar, preservatives, and artificial flavors - can lead to nutritional deficiencies over time, and load you up with too much sodium and unhealthy fats.

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. This will determine the nutrient density of the ketogenic diet as well as how to follow it, as different foods will have different effects on insulin and blood sugar levels. There are a number of different types of ketogenic diet with variations in the level of carbohydrates and protein allowed in the diet and/or the amount of time someone is looking to spend in ketosis. Note that some of the types of ketogenic have been designed specifically for people that are athletes or are otherwise working out very hard and often. Ketone bodies produced from burning fat for fuel have been shown to have potent weight loss effects, help lower blood glucose levels and reduce people’s reliance on diabetes medication. In addition to that, there has been a lot of interest in therapeutic ketosis for other long-term conditions, such as cancer, epilepsy, Alzheimer’s disease or dementia. Do I need to measure ketones? Significant weight loss and blood glucose control benefits can be derived from even a mild state of ketosis. There are a few methods you can use to measure the levels of ketones in your blood, urine or breath - each having their pros and cons. With every change in the diet comes an adaptation period. With a ketogenic diet, the adaption is significant as the body has to switch its fuel source from glucose to fat. When this happens, it is not uncommon to experience a collection of side effects called ‘keto-flu’. This usually goes away within about four weeks. The keto - or ketogenic - diet is popular but unsustainable for many people. It involves eating high fat and low-carb foods, with the aim of burning body fat for fuel instead of glucose. Common reasons for quitting the diet include getting "keto flu," lacking energy, and being too deprived. Visit Insider's homepage for more stories. The keto diet is one of the most popular weight-loss strategies of the moment, despite having been ranked among the worst by the US News & World Report, where it scored particularly low for heart health and sustainability. The keto - or ketogenic - diet requires eating high-fat and low-carb foods: about 20 to 50 grams of carbs a day. To stay under this threshold, followers of the keto diet don't eat traditional carbs like bread, pasta, rice, or potatoes, but also generally avoid fruit, beans, lentils, and starchy vegetables as they are all too high in carbohydrates. The idea is that by cutting out carbs, your body enters ketosis and burns fat for fuel, rather than glucose.

Although Paleo is not strictly low-carb, eliminating processed foods makes it lower in carbohydrates than the average American diet. Most of your carbs will come from fruits and vegetables on this plan. What is the Ketogenic Diet? LIKE THE PALEO Diet, the Keto Diet restricts grains, rice, and other high-carb foods. But the primary goal of the Keto Diet is to put your body into a state of ketosis, which is when your body uses fat instead of carbohydrates as its primary energy source. When your body enters ketosis, fat travels to the liver and makes an acid called ketones, which enter your bloodstream and are converted into energy. Unlike Paleo, Keto severely limits carbs and eliminates fruit and some starchy vegetables. For your body to enter ketosis, a good percentage of your calories (generally, somewhere between 60 to 80 percent, according to keto experts) needs to come from fats (this is why people frequently associate the Keto Diet with foods like bacon, even though most nutritionists say it's better to eat healthier items like avocados, nuts and seeds, eggs, and lean meats). To date, there is no research examining the benefits or risks of a vegan keto diet. However, several studies have separately explored the effects of a vegan diet and those of a keto diet. A 2014 randomized controlled trial investigated the effects of a vegan Atkins diet (or eco-Atkins diet). The Atkins diet is similar to a keto diet, as they both restrict carbohydrate intake and cause ketosis. In the 6 month study, participants ate either a low carbohydrate vegan diet or a high carbohydrate vegetarian diet, which included eggs and dairy. These diets comprised 26% and 58% of energy from carbohydrates, 31% and 16% from protein, and 43% and 25% from fat, respectively. This finding indicates that very low carb vegan diets may improve the risk factors for heart disease. Learn more about the difference between the keto diet and the Atkins diet here. Other possible benefits of a vegan diet include a reduced risk of diabetes and some cancers. 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. — -- The ketogenic diet, described as “Atkins on steroids” for its focus on foods high in fat and protein and low in carbohydrates, is growing in popularity but some nutritionists warn it may not live up to the hype. The diet’s proponents say that it is the best way to lose weight without feeling hungry and that it increases energy levels. Celebrities including Kim Kardashian and Adriana Lima and athletes from LeBron James to Tim Tebow have all reportedly followed some form of low carb diets. “Absolutely this diet works,” New York-based registered dietitian nutritionist Maya Feller told ABC News. The ketogenic, keto for short, diet was developed in the 1920s after it was noticed that after fasting, epileptics would experience a marked reduction in their seizures. The diet is designed to get your body into a state called ketosis where your body is so low on carbohydrates it starts burning fat for fuel. Ketosis is also what the body does when fasting.

He acknowledges that a keto-type diet for a limited period of time may work well for some people, but also points out the issues with long-term compliance. Dr. Suzanne Steinbaum, Director of Women’s Cardiovascular Prevention, Health and Wellness at Mount Sinai Heart, Fellow of the American College of Cardiology and American Heart Association, and spokesperson for the American Heart Association’s Go Red for Women campaign, is also in favor of the Mediterranean diet over the keto diet or keto cycling approach. No matter which approach you go for, remember that the idea is to adopt healthier eating habits - not just for the next few weeks or months, but for life, which is the real key to healthy and sustainable weight loss. What is healthier: natural sugar, table sugar or artificial sweeteners? The healthier pick: a hot dog or a hamburger? Want more tips like these? NBC News BETTER is obsessed with finding easier, healthier and smarter ways to live. Sign up for our newsletter and follow us on Facebook, Twitter and Instagram. Real sweeteners and sugar: Cane sugar, honey, maple syrup, agave nectar, Splenda, aspartame, saccharin, and corn syrup. You'll have to settle for sugar alternatives, including natural substitutes like this monkfruit sugar replacement. Sweet treats: Candy, chocolate, cakes, buns, pastries, tarts, pies, ice cream, cookies, pudding, and custard. Dieters can shop for dessert alternatives like this keto-friendly ice cream that won't impact your blood sugar levels in a single serving. A selection of cooking oils: Canola oil, soybean oil, grapeseed oil, peanut oil, sesame oil, and sunflower oil. Alcohol: Beer, cider, sweet wines, and sweetened alcoholic drinks. If you're going to spring for wine, keep it as dry as possible - the bottle should have less than 10g of sugar in its entirety. Bottled condiments: Ketchup, BBQ sauce, tomato sauce, some salad dressings and hot sauces that contain added sugar. Low-fat dairy: Things like skim milk, skim mozzarella, fat-free yogurt, low-fat cheese and cream cheese should be swapped for higher-fat counterparts. If you're tempted to go keto, consult with your doctor before embarking on any extreme weight loss plan. While the ketogenic diet can include some healthful foods (we're all about broccoli), many others get nixed (bye, bananas and sweet potatoes).|One aspect of losing weight that many people don’t talk about is that your existing health conditions may be making it really tough to lose weight. That may well be why your friend or spouse can do a diet for a month and drop 20 pounds while you gain 5 pounds following the same plan. It’s not that you’re doing anything wrong with, and there may not even be anything wrong with that way of eating (for weight-loss purposes), but there may be some underlying health conditions that are making your body cling onto that extra weight. A keto diet plan may help certain health conditions (like type 2 diabetes, gut dysbiosis, sleep disorders, fatigue, etc.) and may make it easier for you to lose weight. There’s also research into using a keto diet to cure/prevent cancer (see Dr Seyfried’s research for more) and brain disorders like Alzheimer’s (see Dr. D’Agostino’s research for more). Just because the ketogenic diet is trendy doesn't mean everyone needs to-or 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. So, if someone chooses the ketogenic diet, should they approach it with the intention of following it long term? The reality is that many people who attempt the ketogenic diet cycle in and out of it-it ranked second-to-last on U.S. Because the diet can have health benefits for some individuals, Ayesta thinks training and certification should be options for dietitians. Carrie Dennett, MPH, RDN, CD, is the nutrition columnist for The Seattle Times, owner of Nutrition By Carrie, and author of Healthy For Your Life: A Holistic Guide to Optimal Wellness. 1. Abbasi J. Interest in the ketogenic diet grows for weight loss and type 2 diabetes. 2. Brouns F. Overweight and diabetes prevention: is a low-carbohydrate - high-fat diet recommendable? Eur J Nutr. 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. Meaning: Research on choosing fats in the context of a high-fat diet is scarce. What’s clear is that sources of unsaturated fat are still recommended over saturated fats, says Keatley, even though both are considered keto-friendly. These unsaturated fats have been shown to be anti-inflammatory and heart-healthy. That only adds to the potential anti-inflammatory properties of the diet. In a study, people following the ketogenic diet for eight weeks experienced a shift in the gut microbiome that reduced inflammation, likely due to the ketone bodies produced during ketosis, per research published in June 2020 in the journal Cell. That said, research is also conflicting. In a small study, published in June 2019 in the journal Obesity, switching to a keto diet was associated with higher inflammatory markers and cholesterol. More data needs to be accumulated to determine the effects that a keto diet, as well as the specific fats eaten, has on one’s health. You can eat higher-fat foods that contain protein, like bacon and sausage, but you’re better off adding fat to foods, says Keatley, as it’s easier to control. 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?

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