MCTs are a type of fat that can be readily used for energy by your body and do not have to be broken down before use. They are precursors to ketones and help your body burn fat instead of burning carbs. The primary whole food source of MCTs are coconuts.
“There are a lot of “fat bomb” recipes you can find on the Internet,” Wittrock says. “These are very good at satisfying your sweet tooth, and a great way to increase fat consumption without going over on protein. Also, I’m a huge fan of salted pumpkin seeds and salted sunflower seed kernels. Believe it or not, pork rinds are also a very good keto snack.”
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Holy smokes what a great article! Thank you for such a thorough read. I have been doing a “keto diet” (keeping carb’s under 40 g/day-I use a tracker) since the beginning of January and felt “fluish” at first like you state. That passed and this past week (It is now Feb 11)my weight loss has stalled so I am experimenting with even lower carb’s (15-20g/day). This change has really interrupted my sleep the past 3 nights, hence me typing this at 4:44 in the am after deciding to do some research the past hour. Will this too pass? Or is it time for a Mg supplement? And if so can I use a pill rather than a drink? Between all the water and the bone broth I am unsure how more I will want to drink ha! But if I have to then I will, just thought I would ask. Again, thank you for all you are doing and such a fantastic read!
Achieving ketosis is a pretty straightforward, but it can seem complicated and confusing with all of the information out there. Here’s the bottom line on what you need to do, ordered in levels of importance:
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).
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.
Medium Chain Triglycerides (MCTs) are extracted from coconut oil. They’re known to improve brain function and support ketosis. In most supplements, the taste is neutral and you won’t be able to detect it when used in recipes. There are three main products on the market: MCT Oil, XCT Oil and Brain Octane Oil.
Blanket statement: It’s always best to check with your doctor before starting on this regimen. With that said, “the keto diet isn’t recommended for those with liver or kidney disease, or someone with a medical condition, such as a gastrointestinal issue, who can’t metabolize high amounts of dietary fat,” says Sarah Jadin, a Los-Angeles based registered dietitian and founder of Keto Consulting, LLC. If you’ve had your gallbladder removed, the keto diet may be a no-go. Women who are pregnant or breastfeeding and people with certain rare genetic disorders shouldn’t try this diet.
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.
Keto flu is a very common experience for new ketoers, but it often goes away after just a few days – and there are ways to minimize or even eliminate it. When transitioning to keto, you may feel some slight discomfort including fatigue, headache, nausea, cramps, etc.
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.
One of the best ways to get your body keto adapted quickly is through the use of exogenous ketones. Exogenous ketones are a supplemental form of ketones that are identical to the ketone bodies (Beta-hydroxybutyrate or BHB) that our body makes.
The remaining calories in the keto diet come from protein — about 1 gram (g) per kilogram of body weight, so a 140-pound woman would need about 64 g of protein total. As for carbs: “Every body is different, but most people maintain ketosis with between 20 and 50 g of net carbs per day,” says Mattinson. Total carbohydrates minus fiber equals net carbs, she explains.
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.
Most other animal-based protein powders can be inflammatory. Casein and whey are known allergens and egg protein can be quite inflammatory. Collagen protein from grass-fed beef is made in the same way that bone broth is made — low and slow heating to preserve the nutrition.
Drink water. Try to drink a gallon of water a day. Make sure that you’re hydrating and staying consistent with the amount of water you drink. It not only helps regulate many vital bodily functions, but it also helps control hunger levels.
In contrast, multivitamins aren’t a good solution as they are synthetic and lack a lot of nutrients like polyphenols, antioxidants and fiber that green powders and whole food sources provide. And the lack of fats and enzymes make the nutrients they do contain very difficult to process properly. Just because you’re putting something in your body doesn’t mean your body can use it.
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?
In these cases, exogenous ketones can be powerful. Exogenous ketones are a supplement that can be used to supply the body with a source of ketones that require almost no processing by the digestive tract and liver. This makes them great not only for helping someone get into ketosis, but also as a quick energy source and performance enhancer for brain and body.
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!
Sometimes there’s issues or problems that aren’t covered in this guide. There are many other articles on the site, so make sure to search. If you’re having trouble with a specific question, we have a very helpful community on the website too!
Think about, say, basketball practice. You wouldn’t shoot the ball towards the hoop but then walk away immediately, failing to wait and see if it actually goes in. Or… you wouldn’t get in your car and drive somewhere new without checking the GPS to make sure you’re headed in the right direction. Right? Same deal here.
Short-term results for the LGIT indicate that at one month approximately half of the patients experience a greater than 50% reduction in seizure frequency, with overall figures approaching that of the ketogenic diet. The data (coming from one centre’s experience with 76 children up to the year 2009) also indicate fewer side effects than the ketogenic diet and that it is better tolerated, with more palatable meals.