Burgers. Everyone loves burgers, right? Even once I made the switch to Keto, I would still make an occasional allowance, as one bun wasn’t going to break the carb bank. But I came to learn that buns, much like other wheat based products, are in essence, just a delivery mechanism, they hold very little flavor, and in the quest for the best replacement, I made these delightful burger boats.
Add exercise in. It’s a known fact that exercise is healthy. If you want to get the most out of your ketogenic diet, consider adding in 20-30 minutes of exercise a day. Even just a small walk can help regulate weight loss and blood sugar levels.
Jump up ^ Temkin O. The falling sickness: a history of epilepsy from the Greeks to the beginnings of modern neurology. 2nd ed. Baltimore: Johns Hopkins University Press; 1971. p. 33, 57, 66, 67, 71, 78. ISBN 0-8018-4849-0.
On the other hand, the types of foods you’ll avoid eating on the keto, low-carb diet are likely the same ones you are, or previously were, accustomed to getting lots of your daily calories from before starting this way of eating. This includes items like fruit, processed foods or drinks high in sugar, those made with any grains or white/wheat flour, conventional dairy products, desserts, and many other high-carb foods (especially those that are sources of “empty calories”).
^ Jump up to: a b c d e Hartman AL, Gasior M, Vining EP, Rogawski MA. The neuropharmacology of the ketogenic diet. Pediatr Neurol. 2007 May;36(5):281–292. doi:10.1016/j.pediatrneurol.2007.02.008. PMID 17509459
You can also simply toss leftovers in salads as long as the combinations make sense. Time and time again we make cheeseburger salad with our leftover cooked ground beef. It’s such an easy way to make lunch!
Take a multivitamin. “Because you are removing grains, the majority of fruit, some vegetables, and a significant amount of dairy from your menu, a multivitamin is good insurance against any micronutrient deficiencies,” says Jadin. Depending on what your individual overall diet looks like, Jadin says you might also need to add a calcium, vitamin D, and potassium supplement.
Some people believe that eating keto is more expensive but this isn’t true. Initially, you might find yourself needing to restock the pantry with keto-friendly items but beyond that, eating keto isn’t more expensive than eating normally.
Around this time, Bernarr Macfadden, an American exponent of physical culture, popularised the use of fasting to restore health. His disciple, the osteopathic physician Hugh Conklin, of Battle Creek, Michigan, began to treat his epilepsy patients by recommending fasting. Conklin conjectured that epileptic seizures were caused when a toxin, secreted from the Peyer’s patches in the intestines, was discharged into the bloodstream. He recommended a fast lasting 18 to 25 days to allow this toxin to dissipate. Conklin probably treated hundreds of epilepsy patients with his “water diet” and boasted of a 90% cure rate in children, falling to 50% in adults. Later analysis of Conklin’s case records showed 20% of his patients achieved freedom from seizures and 50% had some improvement.[10]
I also like to add a sprinkle of cinnamon and cardamom to the coffee mix before blending. then sprinkle with cinnamon. This has replaced my old coffee and it is even better than getting coffee out somewhere. Thanks Dr Axe!
A “moderate keto diet” is an option that can still encourage substantial weight loss and other improvements in symptoms. A moderate keto diet includes more foods with carbs and, therefore, more fiber too. Carbs are usually increased to about  30–50 net grams per day, which means foods like more high-fiber veggies, some fruit or some starchy veggies can also be included.
Instead, research shows that low-fat diets high in refined sugar and carbs are far more destructive to the heart and arteries than fat, and have a greater ability to raise blood pressure and cause inflammation (12).
Melinda Hemmelgarn, a registered dietitian in Columbia, Missouri, and host of the Food Sleuth radio show, told Healthline, “It’s crazy to consider sticking a tube down your nose to lose weight. It sounds to me like somebody is making a lot of money on someone else’s vulnerabilities. Just say no to this idea.”
The biggest shifts in your daily habits will be how you food shop and how you cook, and recipes that are ketogenic need to be followed rather than just low-carb. You will require the healthy fats in order to get into ketosis and have enough energy without the carbs. And you will be considerably more energetic and healthier when cooking your own keto-friendly food rather than buying supposedly keto foods off the shelf. So visit my page on keto recipes as well as keto snacks (including fat bombs!), and get started on a ketogenic meal plan!
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?
This Spanish twist on a jalapeño popper is keto-friendly and delicious. Filling jalapeño peppers with manchego cheese and a paprika-laden cream cheese gives this traditional dish a deeper flavor profile, and is an easy stretch for a less adventurous eater. Manchego cheese has gained popularity the past few years and for good reason: It’s salty and nutty and basically perfect. Wrapping the pepper in prosciutto keeps the filling inside and gives the dish a crunchy bite. For more protein and taste, add chorizo to the filling. Makes 12.
Thanks Dr. Jockey…very informative article. Im into pure keto diet almost a week now but started illiminating sugar and carbs 3weeks ago and the side effects that i’ve encountered are frequently urinating and light headache only. Is it good or not? I’ve never consult a specialist before doing keto diet but i do my research, is it okay? As of now i’ve loose almost 11lbs. Im just curious how can i get the percentage of fats, protein etc in my meals? Do i need to measure it all? How can i measure the percentage of foods that i need to eat?is there any ways?
Implementing the diet can present difficulties for caregivers and the patient due to the time commitment involved in measuring and planning meals. Since any unplanned eating can potentially break the nutritional balance required, some people find the discipline needed to maintain the diet challenging and unpleasant. Some people terminate the diet or switch to a less demanding diet, like the modified Atkins diet (MAD) or the low-glycaemic index treatment (LGIT) diet, because they find the difficulties too great.[41]
Added texture alone is enough to validate adding green beans to your dish, but the health benefits include improved brain function during aging.  That makes these an excellent choice of vegetable on the ketogenic diet. For more flavor, consider pairing it with some pecans for crunch >
For women that suffer from estrogen dominance (I’ve been diagnosed with adenomyosis), I’d like to know if I should substitute the coffee with matcha green tea powder? Read that matcha contains less caffeine. Feedback would be greatly appreciated. And I have tried regular coffee with mct oil as well as ghee.
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Sweeteners can be tricky on keto, but they do exist. Stick to low glycemic index sweeteners that won’t affect your blood sugar levels, and avoid sugar alcohols (even low or no-sugar ones). These include maltitol, dextrose or maltodextrin.
I started drinking coffee blended with butter and coconut oil for breakfast over a year ago. I loved it. Then about six months ago, I decided I wanted to go even healthier and started making it with match green tea instead of the coffee. I have a slightly sluggish thyroid and thought maybe less caffeine would be beneficial with that. My question is, what type of blender do people use for this? I have gone thru two Nutribullets and recently bought a Ninja blender. In reading the directions for the Ninja, it says in several places not to use hot liquids. In hindsight, I think that is probably why I went thru two Nutribullets in less than a year. Now I am using an immersion blender, but it doesn’t make it very frothy, plus it is messier. Any suggestions? For me, one of the joys of my morning beverage is the hotter the better, so I don’t want to let it cool before blending. Thanks.
A randomized control study examined the effects of a ketogenic diet combined with Crossfit training on body composition and performance[*]. Subjects following a ketogenic diet lost more weight, body fat percentage, fat mass and BMI compared to the control group who did Crossfit without dietary changes. The study showed the following:
Avoid eating synthetic ingredients in processed foods. Also try to limit “low-carb foods” that are still unhealthy and difficult to digest, even those that many ketogenic diet programs might recommend or include. These include cold cuts, processed meats (especially pork) or cured meats, bacon, and processed cheeses.
The targeted ketogenic diet allows you to add extra carbs around workouts, surpassing the SKD 5 percent carb rule, and may be a better option for those who are extremely active and train more than twice per week. The easiest way to see if this is working for you is to keep testing your ketone levels when you add carbs after workouts and make sure that they don’t kick you out of ketosis.
Hi Dr. Jockers. Your article is very thorough, thank you. I’ve been moving slowly into the keto diet and so far everything is good except for my stools now float. Is the higher increase in fats to blame? I’m taking digestive enzymes before each meal and I still have my gallbladder.
Achieving ketosis is a pretty straightforward, but it can seem complicated and confusing with all of the information out there. Here’s the bottom line on what you need to do, ordered in levels of importance:
Within just a couple days of cutting out carbs and raising fats, ketone concentrations in the blood rise and the brain will begin using them for energy preferentially. This initial keto-adaptation process usually takes about four weeks to complete, at which point you’ll reach peak fat-burning adaptations.
Avocados are high in several vitamins and minerals, including potassium, an important mineral many people may not get enough of. What’s more, a higher potassium intake may help make the transition to a ketogenic diet easier (26, 27).

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Another difference between older and newer studies is that the type of patients treated with the ketogenic diet has changed over time. When first developed and used, the ketogenic diet was not a treatment of last resort; in contrast, the children in modern studies have already tried and failed a number of anticonvulsant drugs, so may be assumed to have more difficult-to-treat epilepsy. Early and modern studies also differ because the treatment protocol has changed. In older protocols, the diet was initiated with a prolonged fast, designed to lose 5–10% body weight, and heavily restricted the calorie intake. Concerns over child health and growth led to a relaxation of the diet’s restrictions.[18] Fluid restriction was once a feature of the diet, but this led to increased risk of constipation and kidney stones, and is no longer considered beneficial.[3]
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