Hemingway, C, J. M. Freeman, D. J. Pillas, and P. L. Pyzik. “The Ketogenic Diet: A 3- to 6-Year Follow-up of 150 Children Enrolled Prospectively. Pediatrics 108, no. 4 (October 2001): 898–905. www.ncbi.nlm.nih.gov/pubmed/11581442/.
Avocados are rich in monounsaturated fats, which have shown to help lower LDL (bad) cholesterol and triglycerides. They’re also a great source of vitamin C and potassium so they can typically help with electrolyte issues.
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”).
Intermittent fasting is very good for the gallbladder in all kinds of ways. Gallstones are caused by two things: high insulin and low bile. IF lowers insulin spikes and concentrates bile to make it easier to digest fats and absorb nutrients from the foods you eat. If you’re eating five times a day, you’re using up your bile reserves like crazy.
36 Sakhaee, K., et. al. (1983). Contrasting effects of potassium citrate and sodium citrate therapies on urinary chemistries and crystallization of stone-forming salts. Kidney International, 24:348–352.
Thank you so much for the article. For me it came at the right time. I’ve just started the keto diet past 1 week and I already have some of the side effects popping up. Thank you thank you thank you so much… I’ll try these and hope to successfully complete the 3 months weight loss challenge.
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.
Are you unhappy with a few things (or maybe several) and feel like you are just surviving? It’s also because of your daily routine. This is the great news though because it means while we may be the problem, we are also the solution.
Although there can be many different side effects that manifest while becoming keto-adapted, many of them stem from similar underlying issues. In this article, I outline what those underlying issues are, their related keto side effects, and simple strategies to overcome them so you can become keto-adapted as smoothly as possible.
Although they are both very effective at stimulating fat-burning hormones, intermittent fasting is superior, with its ability to release 2,000 percent more GH; whereas exercise can only raise it by 450 percent.41
“Thanks Raj, I started your keto plan on 3/9/18 and as of today 5/20/18 I lost 26lbs and 5 inches of my body, I had stalled for a few weeks, adjusting a few workouts like added jump roping and bicycle and the weight started dropping I am 12 lbs from my goal of 205 ,thank you for awesome keto plan and advice regards Glenn.*”
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:
The downside to a ketogenic diet for weight loss is the difficulty maintaining it. “Studies show that weight loss results from being on a low-carb diet for more than 12 months tend to be the same as being on a normal, healthy diet,” says Mattinson. While you may be eating more satiating fats (like peanut butter, regular butter, or avocado), you’re also way more limited in what’s allowed on the diet, which can make everyday situations, like eating dinner with family or going out with friends, far more difficult. Because people often find it tough to sustain, it’s easy to rely on it as a short-term diet rather than a long-term lifestyle.
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.

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You may be thinking, “but eating a lot of fat is bad!” The truth is, dozens of studies and meta studies with over 900,000 subjects have arrived at similar conclusions: eating saturated and monounsaturated fats has no effects on heart disease risks7,8.
Although egg yolks are high in cholesterol, consuming them doesn’t raise blood cholesterol levels in most people. In fact, eggs appear to modify the shape of LDL in a way that reduces the risk of heart disease (37).
There’s an underlying reason we don’t want to test ourselves. We might not get the answer we want. Pride and shame conspire to tell us we don’t need to check our results. The key is to not take yourself so seriously and just go for it. The two possible outcomes are
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.
When you get to one meal a day, just make sure the meal is a robust one, containing all the needed nutrients to fortify your body with vitamins, minerals, amino acids, those important fatty acids, trace minerals—all of it. (This can be aided with green drink powders and high-quality electrolyte supplements that will help you get your daily requirements for potassium.)
Search for deals. There’s always a sale or a coupon to be found for keto-friendly items out there. Typically you can find significant savings in magazines and newspapers that are sent to your house, but they can also be combined with in-store specials and manager cuts. When combined, you can save a significant amount of your keto groceries.
“Keto diets should only be used under clinical supervision and only for brief periods,” Francine Blinten, R.D., a certified clinical nutritionist and public health consultant in Old Greenwich, Connecticut, told Healthline. “They have worked successfully on some cancer patients in conjunction with chemotherapy to shrink tumors and to reduce seizures among people suffering from epilepsy.”
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.[18] On admission, only calorie- and caffeine-free fluids[36] 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.[18]
Carbohydrates (carbs) are a macronutrient found in things like starches, grains and foods high in sugar. This includes, but isn’t limited to, bread, flour, rice, pasta, beans, potatoes, sugar, syrup, cereals, fruits, bagels and soda.
I would recommend using Organic Valley cream, as it is made from pastured cows. It doesn’t taste as rich to me and I don’t know if it has the same level of nutrients as KG butter but it is a great alternative and easier to make.
Healthy fats include saturated fats, monounsaturated fats and certain types of polyunsaturated fats (PUFAs), especially omega-3 fatty acids. It’s best to include all types in your diet, with an emphasis on saturated fats, especially compared to PUFAs.
For example; if you get into ketosis and release your stored fat in your fat cells, there is a chance you could end up with a fatty liver since all these fat flowing out has to come out through the liver.  The way to prevent this is to consume larger quantities of vegetables or salad as a way of keeping your liver flushed of fat. A recent study, in fact, found that the ketogenic diet reduced fat on the liver, inflammation, and fibrosis.6 
Jump up ^ Ketogenic “eggnog” is used during induction and is a drink with the required ketogenic ratio. For example, a 4:1 ratio eggnog would contain 60 g of 36% heavy whipping cream, 25 g pasteurised raw egg, saccharin and vanilla flavour. This contains 245 kcal (1,025 kJ), 4 g protein, 2 g carbohydrate and 24 g fat (24:6 = 4:1).[17] The eggnog may also be cooked to make a custard, or frozen to make ice cream.[36]
I get many questions about intermittent fasting, the health benefits, the weight loss benefits, and the like. People normally use intermittent fasting for both the energy and mental clarity it can offer. But it’s not just good for that. It can offer breakthroughs of plateaus and even benefits in nutrient uptake in exercise. We go more in depth to intermittent fasting in Week 3 and 4, so keep your eyes peeled!
I get asked this question a lot. Generally speaking, the answer is no. As long as you avoid vegetables like corn, beets, and carrots, which are high in starch and sugar, especially carrot JUICE, which is packed with sugar, for example, you don’t have to worry about the vegetable family. In fact, you want to eat lots of green leafy vegetables, cruciferous vegetables, Brussel sprouts—make big kale salads with bacon bits and a full fat dressing. Or make a big beet green sauté in coconut oil with some bacon, garlic, and onion stirred in. These will be dishes PACKED with potassium which will quiet food cravings much like fat does. Often, food cravings are nothing more than your body crying out for NUTRIENTS and MINERALS you’re not giving it. Your body doesn’t really want chips and sugar—it wants more potassium, magnesium, vitamin A, K2, and B vitamins.
The Targeted Ketogenic Diet (TKD): Used by athletes seeking a performance boost who are not as interested in fat loss. This is where you eat 20 to 50 grams of net carbs per day. Carb intake usually happens prior to exercise.
My son started the Keto Diet (not perfectly) with the ok of his Dr and a Different Oral Chemo at the same time. Last Tuesday an MRI indicated no new growth or no new tumors. We don’t know if the new Chemo, Keto diet, lots of prays or what has stopped the tumors from growing.I found your site after looking for possible adverse reactions to Keto Diets, and appreciate your research. His platelets are low now and never have been low before. This is stopping the next Chemo treatment. I understand that being on Chemo for 12 months could have created the low platelets and now the possibility that the Keto Diet could also be causing low platelets is frustrating. They will do a new blood test Tuesday to see if the platelets have increased. Any suggestions about how if possible to increase the platelets on the Keto Diet would be helpful.
Achieving optimal ketosis hinges on finding the right balance of macronutrients (or “macros” in keto-speak); these are the elements in your diet that account for the majority of your calories, a.k.a. energy—namely, fat, protein, and carbohydrates. By the way, it’s often “net grams” of carbohydrates that are counted toward your daily intake; “net” deducts the amount of fiber in a food from its carbohydrate total.
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