All of a sudden your body has to deal with the lack of glucose and increase in fats, which means building up a new supply of enzymes. As your body becomes induced into a ketogenic state, your body will naturally use what’s left of your glucose.
While these three causes are seemingly different, they are actually all related. When becoming keto-adapted initially, your body has been running on sugar for years. When you suddenly switch to fats, your body has to essentially build the cellular machinery necessary to generate and utilize ketone bodies as a fuel source.
The before pic was taken last March (2017) when I was approx. 295lbs because I don’t have one at my heaviest! I lost 26lbs in the latter part of the year just by reducing calories a bit, but started keto on jan.26th this year and have lost 53lbs since! I am hoping to get down to 150lbs 🙂 And for ref. I am just under 5ft8!
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.
The biggest shifts in your daily habits will be how you food shop and how you cook, and recipes that are ketogenic need to be followed rather than just low-carb. You will require the healthy fats in order to get into ketosis and have enough energy without the carbs. And you will be considerably more energetic and healthier when cooking your own keto-friendly food rather than buying supposedly keto foods off the shelf. So visit my page on keto recipes as well as keto snacks (including fat bombs!), and get started on a ketogenic meal plan!
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.
I am beside myself. I’m at the point that I’m afraid to eat anything. It goes right through me!! I’ve had liquid diarrhea for 3 weeks now and don’t know what to do. I’m up through the night and it’s really messing with my sleep. I have breast cancer and I really need to do this diet. I’m very worried. I have been taking psyllium husks but I’m afraid to go overboard. Is it ok to take that every day? Thanks you!

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For patients who benefit, half achieve a seizure reduction within five days (if the diet starts with an initial fast of one to two days), three-quarters achieve a reduction within two weeks, and 90% achieve a reduction within 23 days. If the diet does not begin with a fast, the time for half of the patients to achieve an improvement is longer (two weeks) but the long-term seizure reduction rates are unaffected.[43] Parents are encouraged to persist with the diet for at least three months before any final consideration is made regarding efficacy.[9]
I’m in ketogenesis now – 3 weeks in. Lost over 10kg. Protein shakes. Great. But what I wanted to add was that i’m Diabetic (2) and quite badly so. I was Injecting insulin twice a day – Novomix (part immediate, part slow acting). But since I went into keto, my blood sugar has been steady between 5-9, normal range. No injections needed. And no hypo attacks either – that occurs below a reading of 4, for me. This is NOT a cure of course – it’s directly related to low carb intake. But I do wonder if discontinuing insulin is partly responsible for my improvement in alertness, activity level and so on. Magnesium tabs, 1000 units twice a day, have also been helpful – I suffer leg and foot cramps due to spinal arthritis – but they had worsened until I upped the dose.
In terms of protein, it is often recommended that ketogenic athletes set protein between 0.6 and 1.0 grams per pound of lean mass—not per pound of body weight. Below is an example of how you could calculate the protein needs of a 180-pound lifter who has 15 percent body fat:
If you find yourself beginning to get muscle cramps or headaches, toss a bouillon cube into a mug of hot water with a tablespoon or two of salted butter. Not only will this relieve some of the symptoms, but it also provides an easy avenue for upping fat intake.
Keto meals also need all sorts of non-starchy vegetables. What vegetables can you eat on a ketogenic diet without worrying about increasing your carb intake too much? Some of the most popular choices include broccoli and other cruciferous veggies, all types of leafy greens, asparagus, cucumber, and zucchini.
Hey Darlene, sorry to hear about this. Start with making sure you are consuming plenty of water with electrolytes from a natural salt as outlined in this article. Using a multi vitamin could be beneficial too. If it resides I would suggest working with one of our coaches to see what is going on.
Cups made of bacon are something I never knew I needed. Since you can’t have bread on keto, finding a vessel for a BLT becomes a fun challenge. This BLT comes in the form of a chicken salad, using chicken as an added protein. The mayonnaise and avocado make the chicken salad creamy and adds delicious fat. This recipe is great for making ahead to ensure lunch success or as a new cookout addition. Serves 8.
Below you’ll find a list of vegetables based on how low carb they are, so if you need help finding a certain one use the Find function (Ctrl + F). These are based on 1/2 cup (~4 oz.) or 100g servings, which is the general recommended serving size for vegetables.
Before starting, ask yourself what is really realistic for you, Mattinson suggests. Then get your doctor’s okay. You may also work with a local registered dietitian nutritionist to limit potential nutrient deficiencies and talk about vitamin supplementation, as you won’t be eating whole grains, dairy, or fruit, and will eliminate many veggies. “A diet that eliminates entire food groups is a red flag to me. This isn’t something to take lightly or dive into headfirst with no medical supervision,” she says.
On the flip side, others—including some medical experts—believe a well-formulated keto diet is sustainable and meets essential nutrient needs; they also point to increasing research linking the diet to potential health benefits.
MCT Oil: MCT stands for medium-chain triglycerides, a form of saturated fatty acid that has numerous health benefits, ranging from improved cognitive function to better weight management. Coconut oil is a great source of MCTs — roughly 62 to 65 percent of the fatty acids in coconut oil are MCTs.  More concentrated “MCT oils” have also been growing in popularity so this recipe gives you the option of using coconut oil or a MCT oil.
Most of you are familiar with Bulletproof coffee aka BPC – Instagram and other social media are flooded with pictures of mugs filled with frothy coffee. For those who are new to it, it’s a blend of coffee and healthy fats, including grass-fed butter (more omega 3s than grain-fed) and MCTs.
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.
A business that doesn’t take a regular inventory usually goes broke – and it’s no different with us and the way we eat. Starting up on the ketogenic diet basically means we have to check in on what we need to start, what we need to stop and what we need to continue to make progress! It may be in the,
Bulk buy and cook. If you’re someone who doesn’t like to spend a lot of time in the kitchen, this is the best of both worlds. Buying your food at bulk (specifically from wholesalers) can reduce the cost per pound tremendously. Plus, you can make ahead food (bulk cook chicken thighs for pre-made meat, or cook entire meals) that are used as leftovers, so you spend less time cooking.
All leafy greens, including dandelion or beet greens, collards, mustard, turnip, arugula, chicory, endive, escarole, fennel, radicchio, romaine, sorrel, spinach, kale, chard, etc. — range from 0.5–5 net carbs per 1 cup
Because consuming even up to 30–50 grams of net carbs daily is still dramatically less than what most people eating a “standard Western diet” are used to, many will still experience weight loss eating slightly more carbs.
^ Jump up to: a b c Vining EP, Freeman JM, Ballaban-Gil K, Camfield CS, Camfield PR, Holmes GL, et al. A multicenter study of the efficacy of the ketogenic diet. Arch Neurol. 1998 Nov;55(11):1433–7. doi:10.1001/archneur.55.11.1433. PMID 9823827
Love ❤️ Bulletproof coffee. I used to get the big brown box of individually wrapped pods but when I went to reorder they were discontinued.  I read a ton of reviews & decided to order an organic coffee pod instead.  The next after received it, I placed an overnight order for the Bulletproof pods which were in a different packaging.    Morale of the story, buy Bulletproof because nothing else compares!!
^ Jump up to: a b c d e f g h i j k l m n o p q r s Kossoff EH, Zupec-Kania BA, Amark PE, Ballaban-Gil KR, Bergqvist AG, Blackford R, et al. Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group. Epilepsia. 2009 Feb;50(2):304–17. doi:10.1111/j.1528-1167.2008.01765.x. PMID 18823325
Try using a lid (from a tumbler) that has a hole in it for the straw. If you have a hand mixer or an immersion blender that has a detachable beater, slide the rod of the blender through the lid, then just hold down the lid while you “blend.” It doesn’t matter if the lid doesn’t “fit” the container you are using as long as it fully covers it. Just hold it down to contain the spray and be sure you are using a tall enough container so that the level of the liquid is not to close to the top edge to be swirled over it by the centrifugal force of the beater pushing it around and up the sides.
Dai X, Stanilka JM, Rowe CA, et al. Consuming Lentinula edodes (Shiitake) Mushrooms Daily Improves Human Immunity: A Randomized Dietary Intervention in Healthy Young Adults. Journal of the American College of Nutrition. May 2014.
Ask your questions here to help yourself and everyone else who’s in your situation and might benefit! And conversely, all you /r/keto veterans – let’s do our best to help people here. There are no dumb questions!
^ Jump up to: a b c d e f g h Wheless JW. History and origin of the ketogenic diet (PDF). In: Stafstrom CE, Rho JM, editors. Epilepsy and the ketogenic diet. Totowa: Humana Press; 2004. ISBN 1-58829-295-9.
This has been my entire breakfast, daily, for over a year. At one point I felt like I needed a little more, so I tried eating a hard boiled egg too. That didn’t really help, so I tried adding extra butter and coconut oil to the beverage and that did the trick – no egg or anything else needed. When I read this today, I ordered some of Dr. Axe’s bone broth collagen, though. I’m excited to try adding this in as I think it will up the nutrients and satiation as well. Maybe I’ll be able to cut back on the butter and oil a bit.
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.
“Chicken broth is absolutely critical on this diet as a way to ensure you are getting enough sodium,” Wittrock explains. “Any time a client calls me and feels bad, I immediately tell them to drink a cup of chicken broth, and their symptoms usually go away.”
Hi Ruth, I typically recommend beef. I don’t use porcine gelatin because it’s made from pork products, which I avoid. You can read why here: https://draxe.com/why-you-should-avoid-pork/. I hope this helps!
A: First you have to find out whether you’re constipated or just not shitting as much. If you’re constipated as in you feel like you need to go but you can’t and it’s painful, some fibre supplements may help. Otherwise, if you don’t feel the need to go, you just don’t need to go lol. Since you’re eating nutrient-dense food there is probably less waste to be excreted. This is also the case if you’re eating much less food than before. Don’t worry about it unless it’s causing discomfort.
Lower in carbs than its colorful counterpart, the green bell pepper (or capsicum) is frequently used in cooking. The good news is that they’re extremely nutritious. They’re filled with vitamin A and have anti-inflammatory properties from carotenoids which they contain.
In 1921, Rollin Woodyatt reviewed the research on diet and diabetes. He reported that three water-soluble compounds, β-hydroxybutyrate, acetoacetate and acetone (known collectively as ketone bodies), were produced by the liver in otherwise healthy people when they were starved or if they consumed a very low-carbohydrate, high-fat diet. Russel Wilder, at the Mayo Clinic, built on this research and coined the term ketogenic diet to describe a diet that produced a high level of ketone bodies in the blood (ketonemia) through an excess of fat and lack of carbohydrate. Wilder hoped to obtain the benefits of fasting in a dietary therapy that could be maintained indefinitely. His trial on a few epilepsy patients in 1921 was the first use of the ketogenic diet as a treatment for epilepsy.[10]
^ Jump up to: a b Martinez CC, Pyzik PL, Kossoff EH. Discontinuing the ketogenic diet in seizure-free children: recurrence and risk factors. Epilepsia. 2007 Jan;48(1):187–90. doi:10.1111/j.1528-1167.2006.00911.x. PMID 17241227
Dorma, u are lactose intolerant cuz im sure u are not taking raw milk, raw butter, etc. If u take them pasteurized, the digestive enzymes that come naturally with milk, are killed so thats why people cannot tolerate milk, cuz the enzymes that God created are not there to digest it.
While the ketogenic diet can be therapeutic for individuals with certain conditions, precautions need to be taken to prevent any severe keto side effects. If you are medications to control your condition, this is especially important.
What’s more, it’s especially important to make sure your diet is well-planned when you’re eating keto-style, because the foods you can choose from are limited. In addition to checking in with a dietitian if you’re able, Stefanski recommends that you “talk to your doctor and make sure she or he is aware that you’ll be starting a diet that completely changes how your body metabolizes energy.” You might also want to check your most recent bloodwork levels for things such as cholesterol, vitamin D, and other indicators of health because these can change while on keto. That’s because for some people, a prolonged keto diet can result in certain nutritional deficiencies or even high cholesterol. But most experts will tell you that the ketogenic diet is not a permanent lifestyle change (as could be the case for something like the 80/20 approach to eating or a Mediterranean eating style).
You want to keep your cheats to none. Be prepared, make sure you’re eating what you need to be satiated (“full”), and make sure you’re satisfied with what you’re eating. If you have to force yourself to eat something, it will never work out in the end. This is just a guideline on how you can eat on a ketogenic diet, so you’re very welcome to change up what kind of foods you eat!
Also Consider: For some individuals, diarrhea may be brought on by low stomach acid and/or a sluggish gallbladder. Another possibility is that you have a low-grade food sensitivity to something you are eating such as eggs, nuts, and cheese.
To be successful, keto has to be treated more as a lifestyle than a diet. It focuses less on how much you can eat and more on what you eat, which is basically anything, as long as it has no or few carbs. 
A systematic review in 2016 found and analysed seven randomized controlled trials of ketogenic diet in children and young people with epilepsy.[2] The trials were done among children and young people for whom drugs failed to control their seizures, and only one of the trials compared a group assigned to ketogenic diet with a group not assigned to one.[16] The other trials compared types of diets or ways of introducing them to make them more tolerable.[2] Nearly 40% of the children and young people had half or fewer seizures with the diet compared with the group not assigned to the diet. Only about 10% were still on the diet after a few years.[2] Adverse effects such as hunger and loss of energy in that trial were common, with about 30% experiencing constipation.[16]
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I’m desperate to find some answers~I have no history of sensitivity to anything, no allergies. I understand allergies can happen at any time. I started the Keto diet and in a one month time I had four separate episodes of my tongue swelling~each episode worse than the one before. I LOVED this diet~felt great, handled it with ease. The last episode almost put me in the hospital~my tongue was so swollen it was coming out of my mouth making it difficult to swollen and breath. I had no choice but to narrow it down to Ketosis. All the foods were the same that I have eaten all my life. No new meds. The last episode I took 2 Benadryl and pulled myself out of Ketosis with consuming a Dr.Pepper, and 2 pieces of white toast. I was terrified. Everyone on Facebook in all these Keto sites tell me it has nothing to do with Ketosis….but I’ve tried literally everything I consumed when a was on that WOE and I’ve had no reaction in days. My body feels horrible, I have no energy, my entire body aches. I want back on the Keto diet because my body was responding really well to it~except for my tongue.
Avocados are high in several vitamins and minerals, including potassium, an important mineral many people may not get enough of. What’s more, a higher potassium intake may help make the transition to a ketogenic diet easier (26, 27).
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