Great article Doc! Question: One of the world top experts in high fat low carb diet, Dr Tim Noakes has stated that top level athletes actually perform better on keto, as himself an extreme marathoner , cured his type 2 diabetes by going keto. In the light of what we know today about keto, would you still assert that athletes shouldn’t adopt ketosis as their desired state?
For ideas and inspiration on how to reach your macros, take a look at our ever-growing library of keto recipes. If you don’t want to do all of the planning yourself, consider getting detailed shopping lists and months of meal plans made for you with Our Keto Academy >
On a keto diet, about 65 to 75 percent of the calories you consume daily should come from fat. About 20 to 30 percent should come from protein. The remaining 5 percent or so should come from carbohydrates.
“For sodium, I recommend salting your food, eating salty snacks, and using chicken broth,” Wittrock says. “Increasing sodium is hard for people to grasp, because they associate sodium intake with water retention and fat loss. But replacing your lost sodium is critical, especially when you’re working out.”
At the initial consultation, patients are screened for conditions that may contraindicate the diet. A dietary history is obtained and the parameters of the diet selected: the ketogenic ratio of fat to combined protein and carbohydrate, the calorie requirements and the fluid intake.[18]
On a ketogenic diet, you’re generally eating a diet that’s high in fat (roughly 70 percent of your total calories come from fat), moderate in protein (about 20 percent of your calories), and low in carbohydrate (about 5 percent of calories). By limiting carbohydrates (to usually less than 45 grams for the average person), your body lacks the glucose (from carbs) that it normally uses for energy, so it eventually switches over to burning fat as its primary fuel source instead; through a metabolic process called ketosis, the liver converts the fat into fragments of fatty acids called ketones, which power the brain and other organs and tissues.
^ Jump up to: a b Kossoff EH, Laux LC, Blackford R, Morrison PF, Pyzik PL, Hamdy RM, et al. When do seizures usually improve with the ketogenic diet? (PDF). Epilepsia. 2008 Feb;49(2):329–33. doi:10.1111/j.1528-1167.2007.01417.x. PMID 18028405
We really want to drive home this point. Keeping your fat intake high makes everything easier. It contributes to your energy levels, keeps you satiated, and helps automatically correct a lot of bad eating habits you might have picked up over the years.
In these cases, exogenous ketones can be powerful. Exogenous ketones are a supplement that can be used to supply the body with a source of ketones that require almost no processing by the digestive tract and liver. This makes them great not only for helping someone get into ketosis, but also as a quick energy source and performance enhancer for brain and body.
You may experience rapid weight loss in the first week due to fluid loss, but then after a few weeks, you’ll likely notice more pounds peeling away. Many reasons for this weight loss are being investigated, but the journal Obesity Reviews, reveals that ketosis suppresses your appetite, which squashes the desire to eat.
On average people will lose 1-2 lbs. a week, but that doesn’t mean the scale will drop consistently. Take measurements as well as tracking your weight via scale, as often there can be changes in size but no change on the scale. If you’re still experiencing problems after 4-5 weeks, start looking into your dietary choices.
One of the terrible symptoms of diabetes is peripheral neuropathy. That’s a condition where the nerves in the feet and hands are destroyed, leading to burning pain and numbness. The diabetic may experience a sensation of pins and needles in their hands and feet. This is a B1 and B12 deficiency.23
For example, if you were to compare 100 calories of carbs to 100 calories of fat, the fat would be less than half the volume of the carbs. This is because the density of calories is more than double the density of fat. Make sense?
The ketone bodies are possibly anticonvulsant; in animal models, acetoacetate and acetone protect against seizures. The ketogenic diet results in adaptive changes to brain energy metabolism that increase the energy reserves; ketone bodies are a more efficient fuel than glucose, and the number of mitochondria is increased. This may help the neurons to remain stable in the face of increased energy demand during a seizure, and may confer a neuroprotective effect.[55]

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There are several healthy supplements that I recommend, most of which can be found on my website. These can help you avoid the side effects that may develop when you start burning your own fat. For example, you can find the following on www.DrBerg.com:
I use an Oster blender. I have used the long arm on my Kitchen Aid hand mixer (works well) and an immersion blender (slightly messier). I believe a portable frother is a good option, as well. I hope this helps.
^ Jump up to: a b c d e Martin K, Jackson CF, Levy RG, Cooper PN. Ketogenic diet and other dietary treatments for epilepsy. Cochrane Database Syst Rev. 2016 Feb 9;2:CD001903. doi:10.1002/14651858.CD001903.pub3. PMID 22419282.
There are four main types of ketogenic diets. Each one takes a slightly different approach to fat vs. carb intake. When deciding which method works best for you, take into account your goals, fitness level and lifestyle.
Stay away from processed meats (salami, hot dogs and charcuterie) that contain suspect ingredients, sauces or added sugars. These can unknowingly increase your carb and sugar intake and derail your efforts.
Athletes who follow a high-intensity, high-volume training schedule would be best suited for this approach. The goal of CKD is to completely deplete muscle glycogen between the carb loads while the TKD has a goal of maintaining muscle glycogen at a moderate level.
Hi Judy, I recommend consulting your local healthcare provider as they know your medical history. If you need help finding a like-minded practitioner, here is a website to do so: http://maximizedliving.com/get-started/find-a-clinic/.
Avoid unhealthy fats like seed oils and vegetable oils, which can become rancid when heated. Unhealthy fats and oils you should avoid on keto include canola oil, soybean oil, corn oil and grapeseed oil. Also avoid reduced-fat or grain-fed dairy products, as they can have added carbs and sugar.
You want to keep your carbohydrate amounts between 20 and 50 grams per day. Many people use 30 grams as a simple guideline. Remember: the lower your carbohydrates, the more rapid your fat burning will be. 
Shirataki noodles contain less than 1 gram of carbs per serving. Their viscous fiber helps slow down the movement of food through your digestive tract, which promotes fullness and stable blood sugar levels.
Here are a few of the most common side effects that I come across when people first start keto. Frequently the issues relate to dehydration or lack of micronutrients (vitamins) in the body. Make sure that you’re drinking enough water (close to a gallon a day) and eating foods with good sources of micronutrients. To read more on micronutrients, click here >
Many people choose to use a mixture of the higher carb vegetables with lower carb ingredients. It’s a great flavor enhancer, but you don’t want over-saturate your diet with carby vegetables. Next time you’re in the mood for something a bit more on the sweet side, consider making one of the following:
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