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?
While the ketogenic diet has become popular for weight loss, studies have also shown numerous other health benefits of following a keto diet. It may help reverse Type 2 diabetes and reduce symptoms of Alzheimer’s disease, depression and autism (3)(4). The keto diet was first used in the 1920s not as a weight loss diet, but a natural treatment to prevent seizures in epilepsy patients (5).
One of the best additions I have had is simple: egg yolk. The egg yolk is full of healthy fats, it adds some frothiness to the beverage (which I like). More importantly it is full of choline, which is important for brain health (like memory formation and learning). Because of the added choline I add a brain supplement called aniracetam (https://www.nootropedia.com/aniracetam/ )because that is fat soluble and works synergistically with choline to improve memory. Luckily, it does not have much of a taste so I don’t have to worry about it ruining the flavor of my drink.
This week we’re getting stricter with our fasting. We had a full week of intermittent fasting and now we’re going to skip breakfast and lunch. Water is our BEST friend here! Don’t forget that you can drink coffee, tea, flavored water, and the like to get your liquids in. Keep drinking to make sure you’re not thinking about your stomach. It MIGHT start growling, just ignore it – your body will adjust with time.
Milk—but not cheese—is off the list because it contains a lot of lactose, a form of sugar, which makes it high in carbohydrates. When cheese is made, all the sugar is eaten by bacteria and turned into lactic acid, cutting the carb content way down. Low- and reduced-fat dairy products are to be avoided as they’re overly processed, which strips out nutrients like the fatty acids that make you feel full. Plus, sugar is often added to make up for a loss of flavor and texture, so some actually have more sugar than full-fat dairy. Resist shredded cheese, too, as it contains a carby potato starch that keeps it from sticking together.
I am on the leaky gut diet & it says I can not have coffee. I miss my coffee so much, but have been faithful to not splurge. I got really excited when I saw this recipe. Can I have this on the leaky gut diet?
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I am curious about what has been referred to as “keto rash”. I decided to shift from a GAPS Diet to a ketogenic one. I wasn’t tracking my carbs specifically and was doing well. Then I developed this rash on various parts of my body. I originally thought it might have been either pecan or MCT (C8) that I started having, but I have eliminated both of those. Then I did some research and realized that others have also experienced this rash after starting a strict Ketogenic Diet. There are a few solutions running about–most of which include introducing carbs at higher levels. Antibiotics were also listed. Anyway, I was wondering if you have run across this type of rash as it relates to starting a low-carb diet? Any thoughts, Dr. Jockers?
These individuals would benefit from taking a bulking and binding agent such as psyllium husk, citrus pectin, or my favorite, activated charcoal.  I have people do 2-3 grams of activated charcoal every 3 hours until the diarrhea subsides.
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.

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If you start to feel light-headed or experience heart palpitations, this may be due to a drop in blood pressure. It may be helpful to monitor your blood pressure during this time to quantify your body’s response to the initial adaptation phase.
This is just a simple and barebones version of a ketogenic diet food list.  It will then be your choice to decide whether some things are worth purchasing, like diet sodas, for example. Always read the food labels to make sure they are low in carbs!
Last I posted was about my face gains after the haircut. Am another 2 kilos down since then (in less than 2 weeks). It’s almost like my body only now became fat adapted and started losing fat really quickly. Still far from my target weight (GW: 75 Kilos, CW: 90 kilos, SW: 99 kilos) but got a really pleasant surprise this week!
I make my version of Bullet Proof coffee with the added ingredient of Now Liquid Lecithin, an emulsifier which helps the fat and water to mix, and as i understand it, helps the cholesterol work right in our bodies. I choose not to use soy; i use Sunflower Lecithin. I first pour the coffee, then stir the cup vigorously while i dribble ~ a teaspoon of the lecithin in. it helps to warm the lecithin first. You could also use powdered or granules of lecithin.
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.
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Be aware that it’s not uncommon to experience some negative reactions and side effects when transitioning into this way of eating. Although not everyone, some people will experience the following symptoms, often referred to as the keto flu, but which usually subside within a couple of weeks:
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.
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.
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.[7]
Crack egg into each jar. Heat oven to 400 degrees F. Transfer jars to deep baking dish and pour enough boiling water into baking pan to come halfway up the sides of the jars. Cover entire pan with aluminum foil and bake for 18-20 minutes.
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/
On high carb days, your body will leave a state of ketosis — but these “carb refeeds” may be more effective for muscle growth than the high protein or targeted keto diet, since glycogen is the nutrient that “feeds” muscles (29). Ketogenic carb cycling is also said to be less of a lifestyle stressor for some people, as the two high carb days make the CKD feel less restrictive and easier to follow.
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]
We’re fasting! Black coffee if you’re a caffeine addict like me. Tea, if you are not into the coffee so much. Tea can add great health benefits like coffee also. Some of the great benefits of green tea are:
Here’s a short list of foods that are keto-friendly: Avocados, animal fats, oils, animal protein (including seafood), mayonnaise, plant-based oils, leafy greens, cheese, full-fat dairy, butter and eggs.
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