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?
I hear this question a lot. The general answer is no. If you avoid vegetables which are high in starch and sugar like corn, beets and carrots or carrot juice which is packed with sugar, you don’t have to worry about the vegetable family. 
During the 1920s and 1930s, when the only anticonvulsant drugs were the sedative bromides (discovered 1857) and phenobarbital (1912), the ketogenic diet was widely used and studied. This changed in 1938 when H. Houston Merritt and Tracy Putnam discovered phenytoin (Dilantin), and the focus of research shifted to discovering new drugs. With the introduction of sodium valproate in the 1970s, drugs were available to neurologists that were effective across a broad range of epileptic syndromes and seizure types. The use of the ketogenic diet, by this time restricted to difficult cases such as Lennox–Gastaut syndrome, declined further.[10]
We can allow for an additional 5 percent of our total calories to be found in non-starchy vegetable and leafy-green salad-type carbohydrates. The reason I am adding this is to point out that you need to add more vegetables and salad to your diet.
Like I said already, during the initial adaptation phase of a ketogenic diet, there is potential for the HPA axis to become dysregulated. During this time, it would be advantageous to take precautions to support the HPA axis as best as you can.
Long time lurker. I started this WOE on October 15th, 2017 at 235 lbs. I was always active growing up and played soccer through my freshman year of college. I started gaining weight when I was around 22 (currently 26) and couldn’t seem to find a program that worked for me longer than 3 months at a time, even though I continued to go to the gym throughout those 4 years. This WOE has brought me back down to my college soccer weight of 195 and has completely changed the way I view food and hunger. I also implemented intermittent fasting and OMAD after about 2 months. Although I am not on this reddit page as often anymore, it really helped to keep me motivated and informed for the first 6 months of the program. I plan to continue eating this way and hope to share more progress pics in the near future. Thank you to this entire community for being so supportive 🙌🏽 Pics
Option 3: “Make your own keto ‘lunchable’ with cubes of grilled chicken, a slice of nitrate-free ham, cheese cubes, pickle slices, a hard-boiled egg, a few raw grape tomatoes, raw veggies like cauliflower or broccoli, a few almonds or walnuts, guacamole, and ranch dressing,” says Stefanski. (Looking for something meat-free? Here are 29 Vegetarian Keto Recipes for Plant-Based Eaters.)
Keto bombs are fat cookies that ketogenic dieters love because they’re healthy, delicious cheat foods that are virtually devoid of carbs. I have plenty of videos on how to make keto bombs, but you have to eat them with a meal, not as a snack. The goal would be to stick to one a day. Go to my YouTube channel under Playlists, then Recipes; or to www.DrBerg.com under Recipes.

Keto

Keto Diet

Keto Diet Plan

Keto Diet Menu

This sub has been a huge inspiration for me (and although I don’t comment a lot, I’d say it’s instrumental in my success). Here are some things I learned, things that happened, and things I wish would happen.
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.
Evangelizing about keto is like being a Jehovah’s Witness – And no offense to any Witnesses here, but no one wants to be preached at. If people ask, I tell them that I did keto, a brief explanation of what it is, and then I ask: Hey, if you’re interested in more, I’m happy to talk with you about it.
Exogenous ketones provide the body with extra ketones for energy. They help you get back into ketosis at any time, instead of having to wait at least a couple days. Exogenous ketones can also be taken in between meals to provide a quick punch of ketones or before a workout for additional energy.
A high-carb diet (especially when it comes to dairy products and refined sugar) has been shown to trigger sebum (oil) production in the skin, which is a major cause of acne (20). Removing sugar from your diet may also help improve inflammatory skin conditions such as eczema and psoriasis (21). The healthy fat intake on the keto diet also provides the building blocks of healthy skin cells (22).
You have already heard about the scale known as the glycemic index (GI), but you may never have heard of the insulin index. This scale rates all the non-carbohydrate triggers of insulin, and the big one is zero-fat protein. One example is in whey protein powder. 
The ketogenic diet reduces seizure frequency by more than 50% in half of the patients who try it and by more than 90% in a third of patients.[3] Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective.[9] Children with refractory epilepsy are more likely to benefit from the ketogenic diet than from trying another anticonvulsant drug.[1] There is some evidence that adolescents and adults may also benefit from the diet.[9]
Our 28-Day Weight Loss Challenge walks you through how to incorporate the Ketogenic Diet into your lifestyle so you no longer have to worry about giving up on diets and gaining back the weight you keep on trying to lose.
With a ketosis diet, you tend to eliminate more calcium than usual. Additionally, foods such as cruciferous vegetables, spinach, iced tea or chocolate all have a high quantity of oxalates. Oxalates are naturally occurring substances found in a wide variety of foods; they play a supportive role in the metabolism of many plants and animals, including humans. Oxalates combined with calcium can cause kidney stones.
Fat is the cornerstone of the keto diet, making up the bulk of calories. An individual consuming 2,000 calories per day would need to consume 144 to 177 grams of fat. Fats make up 70-80% of your calories. Since fat is the main source of nutrition on a ketogenic diet, it’s important to source high-quality, healthy fats, which you’ll read about below.
And guess what, we get to eat dessert this week! Woo! We’ll be creating some low carb and great tasting treats that will reward you ever so much for doing the fasting. Sweets, treats, and losing weight – lucky us, right?
So, we have a situation where the body has way too much insulin in the blood—yet the insulin is not able to do its job in the cells, either. The cells are resisting it. As a result, the body keeps making more and more insulin. These hormones are on a constant feedback loop, sending and receiving messages of “Sugar is high—release more insulin. . . . Must lower blood sugar for the body to stay alive.”
Low-carb veggies make great substitutes for higher-carb foods. For instance, cauliflower can be used to mimic rice or mashed potatoes, “zoodles” can be created from zucchini and spaghetti squash is a natural substitute for spaghetti.
If you research ketogenic diets, low-carb diets, or even intermittent fasting, you’ll notice they do not put emphasis on fulfilling nutrient requirements. This is where many proponents of keto and IF go wrong—because without enough of the right nutrients you can develop keto side effects.
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