The ketogenic diet is a mainstream dietary therapy that was developed to reproduce the success and remove the limitations of the non-mainstream use of fasting to treat epilepsy.[Note 2] Although popular in the 1920s and 30s, it was largely abandoned in favour of new anticonvulsant drugs. Most individuals with epilepsy can successfully control their seizures with medication. However, 20–30% fail to achieve such control despite trying a number of different drugs. For this group, and for children in particular, the diet has once again found a role in epilepsy management.
Many people choose to eat salads as a way to get their greens in for the day. Salads are super quick to make, and you can put almost anything in them. Next time you’re not sure of what to make, get some inspiration from these:
Careful with snacking: One thing you have to keep in mind is that even while eating keto you can suffer from small insulin spikes. Less snacking means less of those giving you a better chance of losing weight.
This has been my entire breakfast, daily, for over a year. At one point I felt like I needed a little more, so I tried eating a hard boiled egg too. That didn’t really help, so I tried adding extra butter and coconut oil to the beverage and that did the trick – no egg or anything else needed. When I read this today, I ordered some of Dr. Axe’s bone broth collagen, though. I’m excited to try adding this in as I think it will up the nutrients and satiation as well. Maybe I’ll be able to cut back on the butter and oil a bit.
This may be more of a maybe, but recent studies on mice fed a ketogenic diet lived longer, according to Cell Metabolism. “Not only did these mice live longer, they had expanded health in terms of physical and cognitive functioning,” says Volek. “Meaning, they lived happy, healthy lives.” Obviously, human studies need to be performed.
Jump up ^ Porta N, Vallée L, Lecointe C, Bouchaert E, Staels B, Bordet R, Auvin S. Fenofibrate, a peroxisome proliferator-activated receptor-alpha agonist, exerts anticonvulsive properties. Epilepsia. 2009 Apr;50(4):943–8. doi:10.1111/j.1528-1167.2008.01901.x. PMID 19054409.
Water, water, and then some more water. You don’t get to eat lunch and you don’t get to eat breakfast. So make sure you keep yourself VERY hydrated. It’s imperative here that you do a good job with your hydration. Remember – I recommend 4 liters a day.
A study with an intent-to-treat prospective design was published in 1998 by a team from the Johns Hopkins Hospital and followed-up by a report published in 2001. As with most studies of the ketogenic diet, there was no control group (patients who did not receive the treatment). The study enrolled 150 children. After three months, 83% of them were still on the diet, 26% had experienced a good reduction in seizures, 31% had had an excellent reduction and 3% were seizure-free.[Note 7] At twelve months, 55% were still on the diet, 23% had a good response, 20% had an excellent response and 7% were seizure-free. Those who had discontinued the diet by this stage did so because it was ineffective, too restrictive or due to illness, and most of those who remained were benefiting from it. The percentage of those still on the diet at two, three and four years was 39%, 20% and 12% respectively. During this period the most common reason for discontinuing the diet was because the children had become seizure-free or significantly better. At four years, 16% of the original 150 children had a good reduction in seizure frequency, 14% had an excellent reduction and 13% were seizure-free, though these figures include many who were no longer on the diet. Those remaining on the diet after this duration were typically not seizure-free but had had an excellent response.
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?
Advocates for the diet recommend that it be seriously considered after two medications have failed, as the chance of other drugs succeeding is only 10%. The diet can be considered earlier for some epilepsy and genetic syndromes where it has shown particular usefulness. These include Dravet syndrome, infantile spasms, myoclonic-astatic epilepsy and tuberous sclerosis complex.
When you eat foods high in carbohydrates and fat, your body naturally produces glucose. Carbohydrates are the easiest thing for the body to process, and therefore it will use them first – resulting in the excess fats to be stored immediately. In turn, this causes weight gain and health problems that are associated with high fat, high carbohydrate diets (NOT keto).
The ketogenic (“keto”) diet is a high-fat, low carb diet currently on the rise as more people recognize its benefits for reaching health and fitness goals. You might be wondering, “What is the ketogenic diet all about, and can it work for me?”
In the 1960s, it was discovered that medium-chain triglycerides (MCTs) produce more ketone bodies per unit of energy than normal dietary fats (which are mostly long-chain triglycerides). MCTs are more efficiently absorbed and are rapidly transported to the liver via the hepatic portal system rather than the lymphatic system. The severe carbohydrate restrictions of the classic ketogenic diet made it difficult for parents to produce palatable meals that their children would tolerate. In 1971, Peter Huttenlocher devised a ketogenic diet where about 60% of the calories came from the MCT oil, and this allowed more protein and up to three times as much carbohydrate as the classic ketogenic diet. The oil was mixed with at least twice its volume of skimmed milk, chilled, and sipped during the meal or incorporated into food. He tested it on twelve children and adolescents with intractable seizures. Most children improved in both seizure control and alertness, results that were similar to the classic ketogenic diet. Gastrointestinal upset was a problem, which led one patient to abandon the diet, but meals were easier to prepare and better accepted by the children. The MCT diet replaced the classic ketogenic diet in many hospitals, though some devised diets that were a combination of the two.
^ Jump up to: a b c Vining EP, Freeman JM, Ballaban-Gil K, Camfield CS, Camfield PR, Holmes GL, et al. A multicenter study of the efficacy of the ketogenic diet. Arch Neurol. 1998 Nov;55(11):1433–7. doi:10.1001/archneur.55.11.1433. PMID 9823827
Elevated levels of ketones (the acetoacetate group, to be specific) can be instantly detected in your urine using strips such as KetoStrips. After dipping one of these strips into your urine stream, you’ll be able to find out which stage of ketosis you’re in based on the color guide provided.
Feel free to add sweetener and spices to this if you’re not the biggest fan of the taste. Cinnamon, stevia, vanilla extract. Whatever you’d like to make it great tasting. You can even switch up the taste each and every day so you don’t get bored!
So you’ve decided you want to try out the high-fat, low-carb diet, better-known as the fat-burning ketogenic diet. Whether it’s to lose weight, have more energy, or fuel workouts differently, going keto is a popular choice right now. But figuring out a keto meal plan on your own is no easy feat, especially since eating a diet super high in fats doesn’t come naturally to many people who are accustomed to the traditionally carb-heavy American diet. (It’s especially hard if you’re vegan and want to try keto.) But this should help: Keto experts explain how to set yourself up for success, plus provide ideas for exactly what keto foods to eat when you’re first getting started. (While you’re at it, check out these Low-Carb Keto drinks That Will Keep You in Ketosis.)
Also Consider: Certain foods can tend to be more conducive to constipation. Foods like eggs, cheese, and nuts may be contributing to constipation. Reduce intake of these at least during the initial phases of keto adaptation and see if that makes a difference. You want your stool to pass easily and resemble type 3 or 4 on the chart below.
Dry Mouth: The more fluids your body is releasing, the more you may experience dry mouth. This is your body telling you that you need more electrolytes. This is why we add MiO with Electrolytes to our water. Also keeping salty things around helps like pickles.
Thank you Dr Jockers! I recently came across your website and i absolutely love what you do. I am an advanced practice nurse and just started a part time keto coaching practice.I am already amazed by the changes i see in my clients. Do you have by chance a training program for keto coaches. If not, is there one out there that you recommend? Thank you in advance.
It’s no surprise that spinach is one of the most eaten leafy green vegetables on a ketogenic diet. Spinach has only 3g net carbs per cooked cup of spinach, and almost no digestible carbs raw. This veggie is a great way to bulk up lunches with salads You can make high-fat side dishes like creamed spinach to go along with any meal, too!
Lower in carbs than its colorful counterpart, the green bell pepper (or capsicum) is frequently used in cooking. The good news is that they’re extremely nutritious. They’re filled with vitamin A and have anti-inflammatory properties from carotenoids which they contain.
I am in shock. I have been feeling bad because I had plateaued a couple of months back, and had actually started to gain weight. I’m up 10 lbs fro the last time I bought pants, and I was a 46 then. Apparently, my weight is shifting around because even though I’m up in weight, I’m down in the waist.
In gluconeogenesis, your blood sugar and insulin levels rise. This halts the production of ketones, which could then be used for energy. On keto, the goal is to simply eat enough protein to maintain muscle mass.
Jump up ^ Wang D, Pascual JM, De Vivo D. Glucose Transporter Type 1 Deficiency Syndrome. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Stephens K, Amemiya A, editors. GeneReviews. Seattle (WA): University of Washington, Seattle; 1993-2018. 2002 Jul 30 [updated 2018 Mar 1]. PMID 20301603.
If you need to, drink water with a sprinkling of salt in it. Just keep drinking water (I recommend 4 liters a day), and keep eating salt. It will help, trust me. If you’re worried about high blood pressure and salt, don’t be! Recent studies show that the sodium intake and blood pressure are not as correlated as we so once believed.
A ketogenic diet may be more expensive than a standard American diet, but it’s no different than other clean eating lifestyles. That said, there’s still numerous ways to save money while cooking keto. The best ways to save money is the same as with any other budgeting:
Add bone broth to your diet, which can help restore electrolytes that are lost during ketosis. When you follow a keto diet, even if you’re drinking a lot of water, you will lose a lot of water weight and also flush essential electrolytes out of our system, including magnesium, potassium or sodium. Adding bone broth is a great way to replenish these naturally, in addition to getting other nutrients and amino acids.
Use Organic Broths: Sipping on broths throughout the day is a great way to stay hydrated while also getting additional minerals and amino acids into your system. Try a good organic, free-range or pasture-raised chicken or beef broth. This can be a traditional broth or even bone broth.
For starters, most of the lost weight is water weight, according to Lisa Cimperman, R.D.N., a clinical dietitian at University Hospitals Case Medical Center in Cleveland, Ohio, and a spokesperson for the Academy of Nutrition and Dietetics.
From the sound of it, you might think leaky gut only affects the digestive system, but in reality it can affect more. Because Leaky Gut is so common, and such an enigma, I’m offering a free webinar on all things leaky gut. Click here to learn more about the webinar.
Spinach has been shown to protect heart health and reduce the risk of common eye diseases. It also provides tons of vitamins and minerals, most noticeably about ten times the recommended about of vitamin K.
Water, sparkling water, seltzer, black coffee, unsweetened and herbal teas, unsweetened nut milks, wine, light beer, and liquor. Caffeine is fine for most people—just don’t go pouring in sugar or milk; the same goes for tea and nut milk. Lower-carb alcohol in moderation is OK, especially if you’re at the point where you’re just trying to maintain weight.
The nerve impulse is characterised by a great influx of sodium ions through channels in the neuron’s cell membrane followed by an efflux of potassium ions through other channels. The neuron is unable to fire again for a short time (known as the refractory period), which is mediated by another potassium channel. The flow through these ion channels is governed by a “gate” which is opened by either a voltage change or a chemical messenger known as a ligand (such as a neurotransmitter). These channels are another target for anticonvulsant drugs.
The key to finding keto-friendly dairy is to look at the carb and sugar content. Regular cows milk is generally out as it’s fairly carb heavy, but heavy creams are a great and tasty substitute. Experiment with new cheese findings!
With inflammation driving most chronic diseases, the keto diet is anti-inflammatory and may help ease some inflammation-related pain conditions, according to researchers at Trinity College. One mechanism at play: The keto diet eliminates sugar and processed foods that can lead to oxidative stress in the body, a cause of chronic inflammation.
Make things yourself. While it’s extremely convenient to buy most things pre-made or pre-cooked, it always adds to the price per pound on items. Try prepping veggies ahead of time instead of buying pre-cut ones. Try making your stew meat from a chuck roast. Or, simply try to make your mayo and salad dressings at home. The simplest of things can work to cut down on your overall grocery shopping.
To prevent these you do the same thing that you’re already doing to prevent keto flu and that is upping your water and sodium intake. If you find that cramps still persist then you might look into taking a magnesium supplement.
“I recommend only 5 percent of calories coming from carbs, which usually averages out to less than 30 grams,” he says. “So, I understand why people get nervous and panic, thinking ‘Can I even eat a salad?’ This is why I recommend tracking only ‘net carbs’, which is total carbs minus fiber. For example, an avocado has 12 grams of carbs but 10 grams of fiber, which means it has 2 grams of net carbs. Also, green leafy vegetables are very nutritious and contain a lot of fiber, so you can almost eat them as much as you want and stay below your limit.”
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.
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
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.
Ketosis has been shown to help reduce seizures in people with epilepsy, especially kids. It may also have benefits for people with Alzheimer’s disease, Parkinson’s, or other degenerative cognitive diseases due to the neuroprotective effects of ketones and, likely, the rich nutrition of a ketogenic diet.
Below you’ll find a quick visual guide on the best (and worst) low-carb vegetables for keto. Keep scrolling down to see a complete list of the most commonly consumed vegetables. At the bottom of this page, you’ll find a list of the top 10 vegetables to consume based on scientific facts.
This includes, but is not limited to, desserts, artificial sweeteners, smoothies, soda and fruit juice. Even condiments are usually filled with sugar, so put down the ketchup and mayo. If you are craving a dessert, try one of the keto-friendly dessert recipes listed on this site instead.
Turning to butter and bacon to lose weight and boost health might not scream “winning plan” to everyone. But it makes perfect sense to those on the ketogenic diet (or “keto diet”), the latest “it” regimen that backs high-fat, moderate-protein, and low-carbohydrate eating.
The day before admission to hospital, the proportion of carbohydrate in the diet may be decreased and the patient begins fasting after his or her evening meal. On admission, only calorie- and caffeine-free fluids are allowed until dinner, which consists of “eggnog”[Note 8] restricted to one-third of the typical calories for a meal. The following breakfast and lunch are similar, and on the second day, the “eggnog” dinner is increased to two-thirds of a typical meal’s caloric content. By the third day, dinner contains the full calorie quota and is a standard ketogenic meal (not “eggnog”). After a ketogenic breakfast on the fourth day, the patient is discharged. Where possible, the patient’s current medicines are changed to carbohydrate-free formulations.
To decrease calories, you will have to think about what you need. Most likely, you will need less protein as well. So, keep in mind the portions of sizes of meals. Decrease them as you need to, or see fit.
Option 2: Grass-fed ground beef sautéed with onions and low-carb tomato sauce. “This can be served with zucchini or shirataki low-carb noodles,” says Stefanski. “In order to get the fat content up in the meal, the zucchini can be sautéed in olive oil or additional garlic-infused oil can be added directly to the sauce.”
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