The ketogenic diet is a high-fat, adequate-protein, low-carbohydrate diet that in medicine is used primarily to treat difficult-to-control (refractory) epilepsy in children. The diet forces the body to burn fats rather than carbohydrates. Normally, the carbohydrates contained in food are converted into glucose, which is then transported around the body and is particularly important in fueling brain-function. However, if there is little carbohydrate in the diet, the liver converts fat into fatty acids and ketone bodies. The ketone bodies pass into the brain and replace glucose as an energy source. An elevated level of ketone bodies in the blood, a state known as ketosis, leads to a reduction in the frequency of epileptic seizures. Almost half of children, and young people, with epilepsy who have tried some form of this diet saw the number of seizures drop by at least half, and the effect persists even after discontinuing the diet. There is some evidence that adults with epilepsy may benefit from the diet, and that a less strict regimen, such as a modified Atkins diet, is similarly effective. The most common adverse effect is constipation, affecting about 30% of patients—this was due to fluid restriction, which was once a feature of the diet, but this led to increased risk of kidney stones and is no longer considered beneficial.
Unfortunately, on the ketogenic diet you can’t eat whatever you want. However, unlike many other diets, once you find yourself in ketosis your cravings for the things you can’t eat usually disappear and if they don’t?
The modified Atkins diet reduces seizure frequency by more than 50% in 43% of patients who try it and by more than 90% in 27% of patients. Few adverse effects have been reported, though cholesterol is increased and the diet has not been studied long term. Although based on a smaller data set (126 adults and children from 11 studies over five centres), these results from 2009 compare favourably with the traditional ketogenic diet.
The ketogenic diet reduces seizure frequency by more than 50% in half of the patients who try it and by more than 90% in a third of patients. Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective. Children with refractory epilepsy are more likely to benefit from the ketogenic diet than from trying another anticonvulsant drug. There is some evidence that adolescents and adults may also benefit from the diet.
Disclaimer: Bulletproof products have been provided to me for the purpose of this review by Bulletproof as free samples. This has not influenced my review and the opinions expressed in this post are my own. Bulletproof is one of the sponsors in our KetoDiet Challenges contributing a package of Ground Coffee, Brain Octane Oil, protein powder, mug and t-shirt to all 5 winners.
You may notice that if you’re an avid gym goer, you lost some strength and endurance. A temporary decrease in physical performance is typical. Once your body becomes keto-adapted, your body will be able to fully utilize fat as its primary source of energy.
Some supplement their keto diets with MCT oil (MCT stands for medium-chain triglycerides). Jadin’s opinion: It may help boost ketosis, but it’s not necessary and some people can’t tolerate the supplement.
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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.
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.
Dieters adhere to a strict 800-calorie high-protein, no-carb diet administered through the tube by a slow-drip pump mechanism. Only black coffee, tea, or water is allowed in addition to the liquid diet.
Leftovers will be another thing we will take into consideration. Not only is it easier on you, but why put yourself through the hassle to cook the same food more than once? Breakfast is something I normally do leftover style, where I don’t have to worry about it in the morning and I certainly don’t have to stress about it. Grab some food out the fridge, pre-made for me, and head out the door. It doesn’t get much easier than that, does it?
The high fat aspect of this diet is what pulls it all together. Fat is what makes you full, gives you energy(when in ketosis), and tastes delicious. Weeks of eating a high fat diet has a way of naturally correcting eating patterns to better align with when your body is actually hungry. It’s easy to get caught up on the “low carb” part of this and not give enough attention the the “high fat” part.
The original therapeutic diet for paediatric epilepsy provides just enough protein for body growth and repair, and sufficient calories[Note 1] to maintain the correct weight for age and height. The classic therapeutic ketogenic diet was developed for treatment of paediatric epilepsy in the 1920s and was widely used into the next decade, but its popularity waned with the introduction of effective anticonvulsant medications. This classic ketogenic diet contains a 4:1 ratio by weight of fat to combined protein and carbohydrate. This is achieved by excluding high-carbohydrate foods such as starchy fruits and vegetables, bread, pasta, grains and sugar, while increasing the consumption of foods high in fat such as nuts, cream, and butter. Most dietary fat is made of molecules called long-chain triglycerides (LCTs). However, medium-chain triglycerides (MCTs)—made from fatty acids with shorter carbon chains than LCTs—are more ketogenic. A variant of the classic diet known as the MCT ketogenic diet uses a form of coconut oil, which is rich in MCTs, to provide around half the calories. As less overall fat is needed in this variant of the diet, a greater proportion of carbohydrate and protein can be consumed, allowing a greater variety of food choices.
As a precaution, you should always check with your physician if you have any concerns about starting a keto diet. You should especially be wary if you’re currently taking medications for a pre-existing condition as extra monitoring may be needed. Be careful when breastfeeding as you may need to increase carb intake.
Exogenous ketones help you get back into ketosis at any time, instead of having to wait a couple of days. You can take them between meals for a quick punch of ketones or before a workout to help you slay gym day.
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.
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.
Below, these percentages are broken down into grams. Remember, these should be used as a guideline only. Each individual’s macronutrient goals will vary depending on your particular lifestyle. To calculate your specific macronutrients, use the Perfect Keto Macro Calculator.
My free Keto Diet menu plans (also Atkins, and Low Carb Diet friendly) do all of the hard work for you! These Keto Diet Menu Plans include not only nutrition information and recipes, but also shopping and prep lists!
MCT is short for medium chain triglyceride. MCTs are precursors to ketones and help your body burn fat instead of burning carbs. They’re beneficial for weight loss, energy and digestion because they can be readily used for energy by your body and do not have to be shuttled around your digestive system first.
The first modern study of fasting as a treatment for epilepsy was in France in 1911. 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.
You want to load up on fats and protein, and keep your carb intake low—but all fats and proteins aren’t alike, and there are some veggies higher in carbohydrates than others. Oh, and fruit is pretty much banned.
Use a Magnesium Supplement: Unless you are experiencing diarrhea, a magnesium supplement can work great for helping balance electrolytes and hydration levels. As you can see, magnesium can help keto-adaptation in many ways. Using 1 gram of the L-threonate form 3x daily is my general recommendation. If diarrhea occurs, lower to once or twice a day until it subsides.
Pretty much all of the side effects you’ll hear about happen in those first four weeks—or even in the first 4-5 days—and experienced ketogenic dieters like Wittrock swear that most of them can be chalked up to a single cause: lack of electrolytes.
I started drinking coffee blended with butter and coconut oil for breakfast over a year ago. I loved it. Then about six months ago, I decided I wanted to go even healthier and started making it with match green tea instead of the coffee. I have a slightly sluggish thyroid and thought maybe less caffeine would be beneficial with that. My question is, what type of blender do people use for this? I have gone thru two Nutribullets and recently bought a Ninja blender. In reading the directions for the Ninja, it says in several places not to use hot liquids. In hindsight, I think that is probably why I went thru two Nutribullets in less than a year. Now I am using an immersion blender, but it doesn’t make it very frothy, plus it is messier. Any suggestions? For me, one of the joys of my morning beverage is the hotter the better, so I don’t want to let it cool before blending. Thanks.
^ Jump up to: a b Kossoff EH, Laux LC, Blackford R, Morrison PF, Pyzik PL, Hamdy RM, et al. When do seizures usually improve with the ketogenic diet? (PDF). Epilepsia. 2008 Feb;49(2):329–33. doi:10.1111/j.1528-1167.2007.01417.x. PMID 18028405
Keto requires a healthy amount of protein to support organ function, red blood cells and muscles. Note that your protein macro also depends on your daily physical activities. Make sure you know your ideal protein macro and stick to it.