Sometimes people will experience diarrhea during the initial phases of a ketogenic diet. Although constipation is typically more common, diarrhea may also manifest due to the changes in the microbiome that occur when changing your diet.
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.
If you want a more visual representation you can watch our Day of Eating video where we eat 20g of net carbs. Your daily 20g of net carbs should ideally be coming from vegetables. A couple servings of leafy green veggies as well as 1-2 servings of cruciferous veggies like broccoli or cauliflower. You’ll also be picking up trace carbs throughout the day in things like dairy and seasonings. Trace carbs are items that are very low carb(often even listed as 0 carb on the nutrition label) but add up to a couple of carbs per day when tallied up. The remaining daily carbs might come from a handful of nuts or a new keto dessert recipe you wanted to give a try.
For starters, most of the lost weight is water weight, according to Lisa Cimperman, R.D.N., a clinical dietitian at University Hospitals Case Medical Center in Cleveland, Ohio, and a spokesperson for the Academy of Nutrition and Dietetics.
Ok. I have MCT oil. It’s day six. I got a metallic taste in my mouth last night (day 5), and have had 2 hypoglycemia attacks over night (took small amount of OJ and some 2 tbsp of flaxseed meal with half & half). Slowly felt better throughout the day. Bought just about all the adrenal support products you recommend this a.m. My main issue since last night: my heart has been pounding, non stop. I read it might be cortisol induced reflexive hypoglycemia or something? I’ve never been diagnosed with adrenal exhaustion, but I am noticing tiredness and weight gain (I’m 47). So, the adrenal exhaustion perhaps is self diagnosed (I’m know, so annoying for a physician to hear! I hate saying it myself). But, I’m wondering, if I’m just perimenopausal instead, should I continue on keto? If so, will the heart pounding resolve after a certain time? (Days? Weeks?) Plesse excuse how long this is. Just trying to anticipate questions.
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.
Cyclical: Also referred to as “carb-cycling,” this diet involves injecting short periods of high-carb consumption (called “carb refeeds”) into a regular keto diet to replenish glycogen stores for muscle growth. This version isn’t well-studied and is aimed more at serious athletes and bodybuilders.
I’ve read a lot on the whole craze of going organic. If you only care about the nutrition, then you do not have to purchase organic vegetables. Though they are proven to be safer for the body (less residue of pesticides and toxins), they contain about the same nutrients as their non-organic counterpart. Don’t be afraid to stock up on vegetables – both frozen and fresh are great to eat!
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.
Last, but certainly not least, is sticking to the diet! Ketosis is a process that happens in your body. You can’t just have “that one” cheat meal. If you do, it can hamper progress for up to a week before your body is back in ketosis and normally functioning again.
for more options, try my Keto Egg Coffee which includes additional ingredients such as raw pastured egg yolks, collagen and coconut milk. This coffee is creamy, delicious, and filling. Just one cup will help you stay full for longer!
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.
Typically, anywhere between 20-30g of net carbs is recommended for everyday dieting – but the lower you keep your carbohydrate intake and glucose levels, the better the overall results will be. If you’re doing keto for weight loss, it’s a good idea to keep track of both your total carbs and net carbs.
I thought I would post this progress comparison photo my wife put together. I’m far from done my journey but I feel that I am certainly over half way. Thank you /r/keto for all of your kindness and support through this time.
There are so many tricks, shortcuts, and gimmicks out there on achieving optimal ketosis – I’d suggest you don’t bother with any of that. Optimal ketosis can be accomplished through dietary nutrition alone (aka just eating food). You shouldn’t need a magic pill to do it. Just stay strict, remain vigilant, and be focused on recording what you eat (to make sure your carb and protein intake are correct).
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.
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/
Jump up ^ Kossoff EH, Dorward JL, Molinero MR, Holden KR. The modified Atkins diet: a potential treatment for developing countries. Epilepsia. 2008 Sep;49(9):1646–7. doi:10.1111/j.1528-1167.2008.01580_6.x PMID 18782218
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.
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.
The ketone blood monitor is the most accurate ketosis testing method. A blood monitor measures your state of ketosis by detecting the amount of beta-hydroxybutyrate (BHB) in your blood, which is one of the primary ketones.(28)
Both animal fats (saturated fats) and plant-based fats can be consumed on the keto diet. Healthy fat sources include butter, tallow and ghee from animals or coconut oil, olive oil, sustainable palm oil and MCT oil from plants.
The day before admission to hospital, the proportion of carbohydrate in the diet may be decreased and the patient begins fasting after his or her evening meal.[18] On admission, only calorie- and caffeine-free fluids[36] are allowed until dinner, which consists of “eggnog”[Note 8] restricted to one-third of the typical calories for a meal. The following breakfast and lunch are similar, and on the second day, the “eggnog” dinner is increased to two-thirds of a typical meal’s caloric content. By the third day, dinner contains the full calorie quota and is a standard ketogenic meal (not “eggnog”). After a ketogenic breakfast on the fourth day, the patient is discharged. Where possible, the patient’s current medicines are changed to carbohydrate-free formulations.[18]
Jump up ^ Porta N, Vallée L, Lecointe C, Bouchaert E, Staels B, Bordet R, Auvin S. Fenofibrate, a peroxisome proliferator-activated receptor-alpha agonist, exerts anticonvulsive properties. Epilepsia. 2009 Apr;50(4):943–8. doi:10.1111/j.1528-1167.2008.01901.x. PMID 19054409.
Since carbs are your body’s first choice for energy, the only way to get your body to burn fat for fuel is by getting your body into ketosis. Without stored glucose, your body has no choice but to dip into your fat stores and begin converting those fatty acids to ketones when you need energy (9).
But for every lifter who ends up loving this approach, you’ll find another who had a miserable experience and bailed after just a few days. This is a shame, because they probably could have felt great if they had simply had a better plan—or a plan at all.
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.
For example, say someone requires 2,000 calories per day and is eating 75% fat, 20% protein, and 5% carbs. That would come out to 1,500 calories/167 grams of fat, 400 calories/100 grams of protein, and 100 calories/25 grams of carbs. This person would need to make sure they stay at or below 25 grams of carbs each day.
I am allergic to coconut in all forms. I am having real issues getting into ketosis and staying there and have no idea what I am doing wrong. I am looking for anything that will get me into ketosis and keep me there. I love butter tea, but is there another source of MCTs that isn’t coconut based?
Avoid eating synthetic ingredients in processed foods. Also try to limit “low-carb foods” that are still unhealthy and difficult to digest, even those that many ketogenic diet programs might recommend or include. These include cold cuts, processed meats (especially pork) or cured meats, bacon, and processed cheeses.
Our YouTube Channel – We work hard to provide as much useful info and delicious recipes as we can on our YouTube Channel. Be sure to check it out! We release 3 videos every week and they’re all keto related.
We’re also going to keep it simple here. Most of the time, it’ll be salad and meat, slathered in high fat dressings and calling it a day. We don’t want to get too rowdy here. You can use leftover meat from previous nights or use easy accessible canned chicken/fish. If you do use canned meats, try to read the labels and get the one that uses the least (or no) additives!
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]
^ Jump up to: a b Hemingway C, Freeman JM, Pillas DJ, Pyzik PL. The ketogenic diet: a 3- to 6-year follow-up of 150 children enrolled prospectively. Pediatrics. 2001 Oct;108(4):898–905. doi:10.1542/peds.108.4.898.PMID 11581442
Pregnancy and breastfeeding can be times of extreme physical vulnerability, and unless medically prescribed by a doctor, the ketogenic diet could do more harm than good. Likewise, certain conditions respond better to high carb and lower protein diets (like certain hormone imbalances or autoimmune diseases), so consider your individual circumstances above all else.
If this is your first time drinking ketoproof coffee, I suggest taking 1-2 hours or so to drink it down. Normally when people have a large exposure to coconut oil and they’re not used to it, it can make them go to the bathroom quite often. Make sure you build a tolerance to coconut oil before drinking it within a 20 minute time frame.

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A review of multiple studies in the journal Nutrients found that ketogenic diets are connected to significant reductions in total cholesterol, increases in “good” HDL cholesterol levels, dips in triglycerides levels and decreases in “bad” LDL cholesterol; there are questions as to whether diets high in saturated fat negate these benefits. The same paper reports that a ketogenic may slightly reduce blood pressure, but science is still very scant on this point.
Melinda Hemmelgarn, a registered dietitian in Columbia, Missouri, and host of the Food Sleuth radio show, told Healthline, “It’s crazy to consider sticking a tube down your nose to lose weight. It sounds to me like somebody is making a lot of money on someone else’s vulnerabilities. Just say no to this idea.”
If you aren’t in the mood to plan meals right now then you can just go off of what your body tells you and eat what when you feel hungry although this usually means you fall short of your macro goals.
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.
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