Sorry to hear about this Cristy! There are changes that take place in your microbiome when you go keto that could have contributed to this as well as a food sensitivity. I would recommend reaching out to a keto coach such as Michael Dugan FDN-P here and setting up a coaching plan to get to the bottom of this: https://drjockers.com/michael-fdn-p/
A: The short answer is yes. Aside from the broad guidelines stated above, there are no real “rules” so long as you’re low carb, moderate protein and getting the rest of your calories from fat. If it fits within your macros, then you’re fine.
Rather than relying on counting calories, limiting portion sizes, resorting to extreme exercise or requiring lots of willpower (even in the face of drastically low energy levels), the ketogenic, low-carb diet takes an entirely different approach to weight loss and health improvements. It works because it changes the very “fuel source” that the body uses to stay energized: Namely, from burning glucose (or sugar) to dietary fat, courtesy of keto recipes and the ketogenic diet food list items, including high-fat, low-carb foods.
There are three instances where there’s research to back up a ketogenic diet, including to help control type 2 diabetes, as part of epilepsy treatment, or for weight loss, says Mattinson. “In terms of diabetes, there is some promising research showing that the ketogenic diet may improve glycemic control. It may cause a reduction in A1C — a key test for diabetes that measures a person’s average blood sugar control over two to three months — something that may help you reduce medication use,” she says.
The exogenous ketone product that I personally use, have had the most success with and recommend for my coaching clients is Keto Edge.  This product combines exogenous ketones with 6 powerful adaptogens such as cordyceps, reishi and lion’s mane that help support the HPA Axis, blood sugar stability and mental energy levels.
If you want to slam a protein shake post-workout, that’s probably fine as long as you’ve got room for it in your macros. But shoot for one that is very low—like, zero—in carbohydrates. If you struggle to fit fat in during the day, toss a tablespoon of olive oil in with your shake. You won’t taste it, and it gives a quick 13-14 grams of fat.
A low carb, high fat diet can be intimidating at first, but it is a truly empowering way of life once you get used to it. If there is anything not covered in this post that you still have questions about, feel free to comment below and we will do our best to answer you. Subscribe to our weekly newsletter for keto recipes delivered to your inbox on a weekly basis. What could be better?
There are many ways in which epilepsy occurs. Examples of pathological physiology include: unusual excitatory connections within the neuronal network of the brain; abnormal neuron structure leading to altered current flow; decreased inhibitory neurotransmitter synthesis; ineffective receptors for inhibitory neurotransmitters; insufficient breakdown of excitatory neurotransmitters leading to excess; immature synapse development; and impaired function of ionic channels.[7]
After initiation, the child regularly visits the hospital outpatient clinic where he or she is seen by the dietitian and neurologist, and various tests and examinations are performed. These are held every three months for the first year and then every six months thereafter. Infants under one year old are seen more frequently, with the initial visit held after just two to four weeks.[9] A period of minor adjustments is necessary to ensure consistent ketosis is maintained and to better adapt the meal plans to the patient. This fine-tuning is typically done over the telephone with the hospital dietitian[18] and includes changing the number of calories, altering the ketogenic ratio, or adding some MCT or coconut oils to a classic diet.[3] Urinary ketone levels are checked daily to detect whether ketosis has been achieved and to confirm that the patient is following the diet, though the level of ketones does not correlate with an anticonvulsant effect.[18] This is performed using ketone test strips containing nitroprusside, which change colour from buff-pink to maroon in the presence of acetoacetate (one of the three ketone bodies).[44]
A: Some people want to go off keto once they’ve reached their goal weight, others choose to stay on keto or take up a clean-eating diet. I’ve been on keto for almost a decade now. One thing to always remember – if you go back to your old habits you will put the weight back on.
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.
If this is an issue for you, you may consider brushing your teeth more frequently and using natural breath fresheners throughout the day. It is also important to maintain proper hydration during this time as a dry mouth can drastically exacerbate this side effect.
Early studies reported high success rates: in one study in 1925, 60% of patients became seizure-free, and another 35% of patients had a 50% reduction in seizure frequency. These studies generally examined a cohort of patients recently treated by the physician (what is known as a retrospective study) and selected patients who had successfully maintained the dietary restrictions. However, these studies are difficult to compare to modern trials. One reason is that these older trials suffered from selection bias, as they excluded patients who were unable to start or maintain the diet and thereby selected from patients who would generate better results. In an attempt to control for this bias, modern study design prefers a prospective cohort (the patients in the study are chosen before therapy begins) in which the results are presented for all patients regardless of whether they started or completed the treatment (known as intent-to-treat analysis).[18]
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]
Of course, behind every popular diet there’s controversy. Among the criticisms of the keto diet, skeptics say the plan is too restrictive, lacks nutritional balance, and hasn’t been studied for long-term effects (the keto diet ranked 39th out of 40 for Best Diets Overall 2017 by a U.S. News report).
Supplements are a popular way to maximize the benefits of a ketogenic diet. Used in conjunction with a nutritious, whole-food based ketogenic diet, these supplements can help you get into ketosis quickly and easily.
The keto diet may also help patients with degenerative disorders, such as Alzheimer’s disease (18). Research shows that with the onset of Alzheimer’s, brain cells stop responding to insulin, which causes inflammation in the brain (19). By restricting carbs, the keto diet may help improve insulin sensitivity when it comes to brain function.
The high protein ketogenic diet is close to the standard ketogenic diet, but with a higher ratio of protein. The macro count for the HPK diet is roughly 5 percent carbs, 35 percent protein and 60 percent fat.
Don’t Calorie Restrict – While adapting to a keto diet it may help you adjust by not restricting your calories, even if your only goal is weight loss. Calorie restriction will be easier, and even happen naturally, when your body becomes more accustomed to the diet.
Higher cholesterol is generally due to HDL (the good cholesterol) increasing – lowering your chance of heart disease. You may see increased triglyceride counts, but that’s very common in people losing weight. These increases will subside as weight loss normalizes.
Making sure vegetables have some fiber in will also usually help. Getting in some good quality fiber from non-starchy vegetables can solve this problem. Though if that’s not enough, usually psyllium husk powder will work or taking a probiotic.
Option 2: Whole milk, unsweetened yogurt mixed with full-fat sour cream, a few raspberries, chia seeds, and walnuts. “This type of combo requires careful carb- and portion-counting since all yogurts naturally have lactose, which is a carb,” says Stefanski. “Pairing it with a carb-free protein like two eggs can help balance out the macros.”
“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.”
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.
While vodka has zero net carbs, pairing it with sugary lemonade, soda or tonic water defeats the purpose of choosing vodka for its low carb content. The majority of mixed drinks have at least one ingredient that’s not keto friendly, such as fruit, juice or sour mix.
This week we’re introducing a slight fast. We’re going to get full on fats in the morning and fast all the way until dinner time. Not only are there a myriad of health benefits to this, it’s also easier on our eating schedule (and cooking schedule). I suggest eating (rather, drinking) your breakfast at 7am and then eating dinner at 7pm. Keeping 12 hours between your 2 meals. This will help put your body into a fasted state.
I really like the hazelnut flavor of Teccino coffee substitute. Made from carob, chicory, figs, and dates. I’ve been drinking it for about a month and I really like it. I’m definitely going to try it with the coconut oil and ghee (Carrington Farms Organic).
Dinner, again, will be pretty simplistic. Meats, vegetables, high fat dressings are the center of our life. Maybe even a slathering of butter on our vegetables since we’re getting friskier. Don’t over think things in the first 2 weeks; simple is success.
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 tried to scale the recipes as best as I could in this meal plan, but not every recipe will be scaled, and some recipes will give leftovers. Make sure you look a few days ahead in the meal plan, as some leftovers are used. Freeze things if you have too much leftovers. You can always re-use this food later on!
The first modern study of fasting as a treatment for epilepsy was in France in 1911.[12] Twenty epilepsy patients of all ages were “detoxified” by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients’ mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.[13]
“In the beginning, I was terribly worried that I would lose muscle mass because of the low protein intake,” he says. “But, I lost absolutely no muscle and was able to add lean mass to my physique. How is this possible? It’s because ketones have a ‘protein sparing’ effect. So tons of protein is not necessary.”
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Most carbs you consume are broken down into sugar that enters the bloodstream. When you rein in carbohydrates on the keto diet, you have lower levels of blood glucose (high blood glucose can lead to diabetes). A study in the journal Nutrition reveals that a ketogenic diet improves blood glucose levels in type 2 diabetics more significantly than a low-calorie diet and can also decrease the dosage of your diabetes meds.
About four years ago I realized I was addicted to food. Putting that together and understanding the seriousness of what I was dealing with helped focus me. I set out to lose 100 lbs in a year. I started by counting calories and then eventually transitioned into basically a paleo, clean eating diet along with regular exercise and training. I accomplished my goal. I went from 325 to 225.
But now, I just treat carbs as my drug. Obviously it’s damn near impossible to just have 0 carbs every day, but keeping it under 20g allows me to basically be carb abstinent. It allows me the freedom to eat other foods without feeling guilty or scared. I hate to be hyperbolic, but I really believed that keto may have saved my life. I was heading in a really bad direction and now I can’t see myself ever going in a different one.
Hey Tyler, this mostly depends on the individual, some can put the pieces together on their own and others like to be guided. I do have an online keto program that lays out everything you need to be successful! https://drjockers.com/ketogenic-program-2/
Finally are there any strategies you can recommend for someone like myself who deals with chronic sleep debt via jet lag and night work schedules that I can further address with supplements and/or a Keto lifestyle. I also do IF but am a little stumped as to how to proceed when I’m dealing in multiple time zones.
Magnesium Supplementation:  This is outlined above but I want to touch on it again here. Magnesium is powerful support for the HPA axis. Magnesium L-threonate in particular is the only form proven to be able to cross the blood-brain barrier which means it can exert its effect on the hypothalamus and pituitary glands.
On a keto meal plan, feel free to fill your plate with low carb vegetables — particularly leafy greens. It’s a great way to get a healthy dose of micronutrients, thus preventing vitamin deficiencies on keto. Options like kale, broccoli, brussels sprouts, asparagus, peppers, spinach and onions are all great options.
Ultimately my initial question is simple… I have purchased a blood glucose meter to start tracking my A1c levels but am currently at a lose to find credible resources for how to target my optimal A1C levels using my glucose meter to measure my Ketosis.
Although I wanted to get as close to the macros as I could, I was off by a little bit. The 28 day average across all days comes out to 1597 Calories – broken down into 136g Fats, 19.6g Carbs, 8.4g Fiber, 11.2g Net Carbs, and 74.9g Protein.
You want to keep your carbohydrates limited, coming mostly from vegetables, nuts, and dairy. Don’t eat any refined carbohydrates such as wheat (bread, pasta, cereals), starch (potatoes, beans, legumes) or fruit. The small exceptions to this are avocado, star fruit, and berries which can be consumed in moderation.
There are mixed and matched studies on keto and breastfeeding, though nothing is well researched at the current moment. Right now it’s understood that ketogenic diets are typically healthy to do while breastfeeding.
Cravings are insanely hard to deal with, and I’m no exception by any means. But it made me think about all the other foods I love but choose not to eat now because I don’t want to feel like a bloated, walking pile of water trash every day anymore. Sugar is like a drug, right? Is it possible that all these foods: bread, pizza crust, chips, fries, pasta- don’t actually taste like anything and aren’t inherently delicious, but its the way our brains receive sugar that makes us think its our favorite? I think I probably answered my own question but it really blew me away. I wish there was a way to share how I feel with people who want to do keto, but end up quitting because they can’t let go of their favorite carbs. I feel like once I realized the truth about my “favorite” foods, it made sticking to keto so much easier.
Pimpin L, Wu J, Haskelberg H, et al. Is Butter Back? A Systematic Review and Meta-analysis of Butter Consumption and Risk of Cardiovascular Disease, Diabetes, and Total Mortality. PLoS ONE. June 2016.
Diabetics: When you are eating less carbs and sugar, you will likely need less insulin or blood-sugar lowering medications to maintain blood sugar balance. Again, speak with your physician about this potential change and work with him to coordinate proper medication dosage.
If you’re still confused about what a net carb is, don’t worry – I’ll explain further. Let’s say for example you want to eat some broccoli (1 cup) – seriously my favorite and most delicious vegetable out there.

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Having high ketone levels (0.5-5.0mmol/L) is not dangerous. Ketosis is a perfectly safe and natural metabolic state, but it is often confused with a highly dangerous metabolic state called ketoacidosis.
If you’re looking to get a jump start on your health and fitness goals this year, you may be thinking about trying the ketogenic diet. Maybe you’ve heard the phrase before — it’s a huge diet buzzword — but aren’t sure what it means. Here’s a primer: The ketogenic diet is an eating plan that drives your body into ketosis, a state where the body uses fat as a primary fuel source (instead of carbohydrates), says Stacey Mattinson, RDN, who is based in Austin, Texas.
People also see good weight loss results on the keto diet because eating a low carb, high fat diet can help you feel less hungry and not have to count calories or portion sizes to lose weight. Plus, cutting out the refined carbs and sugars normally present in a traditional Western diet helps avoid crazy spikes in blood sugar that can lead to the feeling of being hungry again soon after eating.
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