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]
The ’90s engrained the fear of fat in all of our brains. Eating fat will not make you fat, but rather using fat as your body’s primary fuel source can actually keep you full of energy and keep your hunger at bay.
This is caused by the loss of electrolytes so it’s important that you continue to replace them throughout the day. Keeping your sodium (don’t hesitate to salt things up) intake up throughout the day can prevent all of these side effects.
Regardless if you are a beginner or have been eating a strict ketogenic diet for years, take a step back and ask yourself where you stand on The Ketogenic Diet Hierarchy of Needs and then take the next action! Let’s get it!
Macronutrients (macros) are molecules that our bodies use to create energy for themselves – primarily fat, protein and carbs. They are found in all food and are measured in grams (g) on nutrition labels.
Macronutrient ratios are very important on a ketogenic diet. The macro ratios on a keto diet typically look like this (for simplicity’s sake, the following percentages are based on the standard ketogenic diet approach):

Keto

Keto Diet

Keto Diet Plan

Keto Diet Menu

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.
In the mid-1990s, Hollywood producer Jim Abrahams, whose son’s severe epilepsy was effectively controlled by the diet, created the Charlie Foundation to promote it. Publicity included an appearance on NBC’s Dateline programme and …First Do No Harm (1997), a made-for-television film starring Meryl Streep. The foundation sponsored a multicentre research study, the results of which—announced in 1996—marked the beginning of renewed scientific interest in the diet.[1]
As for branched-chain amino acids, you’ll find smart people who swear that they’re keto-friendly, and others who won’t. One of the BCAAs, valine, can be glucogenic, meaning that it can lead to glucose production and potentially contribute to leaving ketosis behind.1 But does that mean it will happen? Not necessarily, particularly if you’re just an occasional supplement user.
The only real time where ketosis can give performance loss is in exercises that need an explosive action. If you need a little boost in your performance during these, you can “carb-up” by eating 25-50g of carbs about 30 minutes before you train.
Of the few studies done on keto and gallstones, most people have either improved or cured gallstone problems. The only downside is that many reported an increase in discomfort when starting out on low-carb. If you stick with it, you should notice a vast improvement.
Yancy WS Jr, Westman EC, McDuffie JR, Grambow SC, Jeffreys AS, Bolton J, Chalecki A, Oddone EZ, “A randomized trial of a low-carbohydrate diet vs orlistat plus a lowfat diet for weight loss,” Arch Intern Med. 2010 Jan 25;170(2):136-45. http://www.ncbi.nlm.nih.gov/pubmed/20101008?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=2.
Net carbs are used because dietary fiber does not have a significant metabolic effect. We are trying to get as accurate of a picture as possible when tracking macros, therefor net carbs is what makes the most sense.
On the flip side, others—including some medical experts—believe a well-formulated keto diet is sustainable and meets essential nutrient needs; they also point to increasing research linking the diet to potential health benefits.
Many studies have been done on exercise. A study was done on trained cyclists who were on a ketogenic diet for four weeks. The results show that aerobic endurance was not compromised at all, and their muscle mass was the same as when they started.
If the problem persists, make sure that you’re drinking plenty of fluid and eating enough salt. Typically this is sufficient to get rid of the problem right away. Though if the issue persists, it may be worth taking a potassium supplement once a day.
The most difficult part of starting any new diet is learning what foods are and aren’t acceptable.  That is why I have formulated this ketogenic diet food list to help you along the way.  Stick this on your refrigerator or print out a copy to take with you to the grocery store!
Hi Ruth, I typically recommend beef. I don’t use porcine gelatin because it’s made from pork products, which I avoid. You can read why here: https://draxe.com/why-you-should-avoid-pork/. I hope this helps!
Use High Quality Salt:  Use a high-quality salt in generous amounts in all of your meals, This will add back in sodium and other trace minerals that are excreted more rapidly during keto-adaptation. I like either Himalayan pink or a Celtic (gray) sea salt as they are the highest in trace minerals.
Since this is my full-time job, donations really help me keep afloat and allow me to post as much to the website as I do. While I do really appreciate any donation you want to give, you can enter $0 in the amount given to download it for free! I’ve added in $5 as the suggested price. I think that’s a very fair price considering other websites are charging in the hundreds of dollars and I’ve seen what they are like on the inside.
Vegetables are tricky on a ketogenic diet because we’ve been raised under the idea that vegetables are healthy and they are. However, almost all of the vegetables that you consume today contain carbs.
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.
One of the best additions I have had is simple: egg yolk. The egg yolk is full of healthy fats, it adds some frothiness to the beverage (which I like). More importantly it is full of choline, which is important for brain health (like memory formation and learning). Because of the added choline I add a brain supplement called aniracetam (https://www.nootropedia.com/aniracetam/ )because that is fat soluble and works synergistically with choline to improve memory. Luckily, it does not have much of a taste so I don’t have to worry about it ruining the flavor of my drink.
There’s no real scientific reasoning/explanation behind why some people start to itch when they start keto. There’s just a handful of experiences that people have written about, and so I’m basing my answer on what I’ve read.
Grant D Brinkworth, Manny Noakes, Jonathan D Buckley, Jennifer B Keogh, and Peter M Clifton, “Long-term Effects of a Very-low-carbohydrate Weight Loss Diet Compared with an Isocaloric Low-fat Diet after 12 Mo,” Am J Clin Nutr July 2009 vol. 90 no. 1 23-32. http://ajcn.nutrition.org/content/90/1/23.long.
Thanks for reading Roxanne! You could try the following: eating more frequently, using MCT oils, consuming plenty of salts, and potentially using an HPA axis supporting formula such as adapt-strong: https://store.drjockers.com/products/adapt-strong we also have an awesome magnesium lotion with melatonin that could be helpful in this case: https://store.drjockers.com/products/magnesium-lotion-goodnight-with-melatonin
Jump up ^ Henderson CB, Filloux FM, Alder SC, Lyon JL, Caplin DA. Efficacy of the ketogenic diet as a treatment option for epilepsy: meta-analysis. J Child Neurol. 2006 Mar;21(3):193–8. doi:10.2310/7010.2006.00044. PMID 16901419
Improved Brain Function – Not only does green tea contain caffeine, it also contains L-theanine, which is an amino acid. L-theanine increases your GABA activity, which improves anxiety, dopamine, and alpha waves.
Don’t Be Afraid – Of fat that is! Make the paradigm shift in your mind. It’s tough to overcome the low-fat indoctrination we’ve all gone through, but make an effort to do it! Fat is good and should be consumed in high amounts on this diet.
Ketone esters: These are the raw ketones (in this case, beta-hydroxybutryate) that are not bound to any other compound. These exogenous ketones can be utilized quicker and potentially have a better effect at raising blood ketone levels as your body doesn’t have to cleave the BHB from any other compound. The downside? They typically have a foul taste and can cause an upset stomach.
I love this recipe! I just tried it myself two days ago and was pretty surprised by the taste. I’ve been drinking butter coffee and tea for some time, but only recently have I started branching out and trying out some other recipes and ingredients.
For most people this figure should be north of 70% of daily calories. A good way to approach things is to start by keeping carbs low, often under 20g per day. Next you want to make sure you’re hitting your protein goal. Once those 2 are covered you can fill in everything else with fat. The approach we like to recommend is to eat fat until you’re full, once the other 2 macros are met. At first you may be overeating calories, but overtime the low carb, high fat way of eating will auto correct that.
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.
The most obvious sign that your electrolyte/mineral balance is being affected is an increase in urination. On a low-carb diet, insulin levels drop which promotes the secretion of sodium in the urine. Sodium pulls more water into the urinary system which then is excreted as well.
Ketones are the fuel source your body is running on when it’s in a state of ketosis. They are produced in the liver when glycogen is depleted and are characterized as a slower burning fuel source when compared to glucose.
For most people, eating less than 20g of net carbs a day will get them on track for ketosis within a matter of days. To ensure the process is sped up some you should aim for less than 15g of net carbs daily.
As a general rule of thumb, the sweeter the vegetable is – the more sugar it has in it. You have to be very careful with the amount you consume from things such as carrots, onions, and squash. You can easily see the difference in carb counts between the above and below ground vegetables above. Of course, you can eat these in moderation, but you need to watch your intake.
The keto diet is often grouped with other high-fat, low-carb diets such as the paleo or Atkins diets. But the reason these diets boast fat-burning benefits in the first place is because they promote ketosis. Therefore, the ketogenic diet isn’t so much a diet, but more so the basis of these diets, and the biochemical reaction that occurs when you train your body to burn fat for fuel instead of carbs.
A common misconception is that the ketogenic diet is more expensive than other diets out there. And, while it may be a little bit more expensive than buying grain-stuffed foods, it’s much cheaper than many people think. To get an idea, I’ve broken down the costs of some of our most favorite recipes that you can read here >
For many years, butter and cream were believed to cause or contribute to heart disease due to their high saturated fat contents. However, several large studies have shown that, for most people, saturated fat isn’t linked to heart disease.
The best way to monitor your ketone levels is through testing, which you can do from home. When you eat a ketogenic diet, excess ketones spill over into several areas of the body. This allows you to measure your ketone levels in various ways:
What if I told you that butter in coffee and coconut oil in coffee is not only healthy, but actually quite tasty? It’s true! Keto coffee gives you all of the coffee benefits plus so much more. No longer will your morning java be a jittery jolt with useless calories.
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