When I first tried MCT oil a while ago, I didn’t know about the potential side effects and digestive discomfort. If you are new to MCTs, make sure you start with a small amount (such as a teaspoon) and gradually add more to avoid stomachache and/ or diarrhoea.
In terms of weight loss, you may be interested in trying the ketogenic diet because you’ve heard that it can make a big impact right away. And that’s true. “Ketogenic diets will cause you to lose weight within the first week,” says Mattinson. She explains that your body will first use up all of its glycogen stores (the storage form of carbohydrate). With depleted glycogen, you’ll drop water weight. While it can be motivating to see the number on the scale go down (often dramatically), do keep in mind that most of this is water loss initially.
Coconut oil coffee probably sounds tasty, especially if you’re a coconut fan. But, you may be nervous to add things like butter, collagen and gelatin to your morning joe. Please don’t be scared. Collagen powder and gelatin are actually very neutral in their flavor profiles. Meanwhile, grass-fed butter adds a creamy richness that makes additional dairy like milk or cream unnecessary.
For years and years, fat was seen as harmful for heart health and we were told to reduce them as much as possible. However, recent studies have debunked this, showing no significant link between saturated fats, which humans have been eating for thousands of years, and the risk of heart disease.
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.
Intermittent fasting is using the same reasoning – instead of using the fats we are eating to gain energy, we are using our stored fat. That being said, you might think it’s great – you can just fast and lose more weight. You have to take into account that later on, you will need to eat extra fat in order to keep out of a starvation mode state.
Although egg yolks are high in cholesterol, consuming them doesn’t raise blood cholesterol levels in most people. In fact, eggs appear to modify the shape of LDL in a way that reduces the risk of heart disease (37).
Vegetables are tricky on a ketogenic diet because we’ve been raised under the idea that vegetables are healthy and they are. However, almost all of the vegetables that you consume today contain carbs.
On the ketogenic diet, carbohydrates are restricted and so cannot provide for all the metabolic needs of the body. Instead, fatty acids are used as the major source of fuel. These are used through fatty-acid oxidation in the cell’s mitochondria (the energy-producing parts of the cell). Humans can convert some amino acids into glucose by a process called gluconeogenesis, but cannot do this by using fatty acids.[56] Since amino acids are needed to make proteins, which are essential for growth and repair of body tissues, these cannot be used only to produce glucose. This could pose a problem for the brain, since it is normally fuelled solely by glucose, and most fatty acids do not cross the blood–brain barrier. However, the liver can use long-chain fatty acids to synthesise the three ketone bodies β-hydroxybutyrate, acetoacetate and acetone. These ketone bodies enter the brain and partially substitute for blood glucose as a source of energy.[55]
So last month, reading any print book size or smaller I HAD to have my glasses. Now I can read pretty well without them. I don’t need them for general web browsing now at all, and a game I was considering quitting playing (Star Trek Online) cause of the font size is now pretty okay, even without glasses.
Many people choose to eat salads as a way to get their greens in for the day. Salads are super quick to make, and you can put almost anything in them. Next time you’re not sure of what to make, get some inspiration from these:
Even as a short-term solution, ketosis may help improve other blood sugar conditions, such as hyperglycemia and hypoglycemia. With the permission (and supervision) of a qualified healthcare practitioner, the keto diet can also be used safely as a long-term protocol for eliminating Type 2 diabetes (15).
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?
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:
Put another way, keeping your protein intake too high could end up having the same effect as eating too many carbs. That said, once you gain more experience with your personal levels of ketosis, you can start playing with how much protein you consume in a day. Wittrock says he stays right around 20 percent.
Pork on it’s own would never be fatty enough to be near ideal Keto macros, it’s also very clearly not a vegetable, something most of us don’t eat enough of. So to make vegetables less boring and boost the fat quota of the meal I’ve made up a sensational cheese sauce. If you’re just getting started on Keto, this is a great one to kick it off with.
Mineral-Rich Foods: Consuming mineral-rich foods will help maintain proper hydration and support the HPA axis. My favorites are celery, cucumber, and seaweeds. I like Sea Snax which are really tasty, totally keto, and provide a ton of healthy minerals.
The main difference between keto and low carb is the macronutrient levels. In most keto variations, 45% of your calories or more will come from fat, to help transition your body into ketosis. In a low carb diet, there’s no specified daily intake of fat (or other macronutrients).
The ketogenic diet is calculated by a dietitian for each child. Age, weight, activity levels, culture and food preferences all affect the meal plan. First, the energy requirements are set at 80–90% of the recommended daily amounts (RDA) for the child’s age (the high-fat diet requires less energy to process than a typical high-carbohydrate diet). Highly active children or those with muscle spasticity require more calories than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein. This is typically 4:1, but children who are younger than 18 months, older than 12 years, or who are obese may be started on a 3:1 ratio. Fat is energy-rich, with 9 kcal/g (38 kJ/g) compared to 4 kcal/g (17 kJ/g) for carbohydrate or protein, so portions on the ketogenic diet are smaller than normal. The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Next, the protein levels are set to allow for growth and body maintenance, and are around 1 g protein for each kg of body weight. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio. Any carbohydrate in medications or supplements must be subtracted from this allowance. The total daily amount of fat, protein and carbohydrate is then evenly divided across the meals.[36]
Thank you Dr Jockers! I recently came across your website and i absolutely love what you do. I am an advanced practice nurse and just started a part time keto coaching practice.I am already amazed by the changes i see in my clients. Do you have by chance a training program for keto coaches. If not, is there one out there that you recommend? Thank you in advance.
About 20% of children on the ketogenic diet achieve freedom from seizures, and many are able to reduce the use of anticonvulsant drugs or eliminate them altogether.[3] Commonly, at around two years on the diet, or after six months of being seizure-free, the diet may be gradually discontinued over two or three months. This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions.[45] This timing and method of discontinuation mimics that of anticonvulsant drug therapy in children, where the child has become seizure free. When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial.[9]
If you’re new to /r/keto and need some info, start with Keto in a Nutshell and the FAQ. Or, if you have a question that doesn’t seem to be covered, head on over to the Community Support thread (pinned to the top of the subreddit) and ask the community!
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.
If you stumble on a recipe without a macro count, you can enter the ingredients into a diet app like KetoDietApp or MyFitnessPal to get the macros and calorie count of any meal sans complicated math equation.
As a general rule of thumb, the sweeter the vegetable is – the more sugar it has in it. You have to be very careful with the amount you consume from things such as carrots, onions, and squash. You can easily see the difference in carb counts between the above and below ground vegetables above. Of course, you can eat these in moderation, but you need to watch your intake.
“It was extremely difficult,” he recalls. “You spend your entire life hearing that fat makes you fat and causes heart attacks and strokes. Now, all of a sudden, you’re eating 200 grams of fat per day. There is a huge psychological component to conquer before you can become successful with the keto diet. In the beginning, it’s like trying to convince people 1,000 years ago that the world is in fact round, not flat.”
As of today, I have been on Strict Keto for 20 days straight and I feel great! 20 Days is nothing compared to where I see you guys (3Months/ 6months etc) But 20 is a huge accomplishment and I look forward to saying that I completed a full month of Keto.
When we experience hypoglycemia, as I mentioned before, the brain goes into an emergency response to starvation. In addition to sugar cravings, the adrenals will release cortisol. Cortisol signals the release of stored glucose in the body (glycogen stores) to provide immediate energy.
The most difficult part of starting any new diet is learning what foods are and aren’t acceptable.  That is why I have formulated this ketogenic diet food list to help you along the way.  Stick this on your refrigerator or print out a copy to take with you to the grocery store!
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.
A: No body is the same, variables can include height, weight, age, gender, metabolism etc. Most of the people who lost huge amounts their first weeks probably started off much heavier than you. There’s no need to compare yourself to others and as long as you’re losing, not gaining, it’s a win.
Jump up ^ Kossoff E. Is there a role for the ketogenic diet beyond childhood? In: Freeman J, Veggiotti P, Lanzi G, Tagliabue A, Perucca E. The ketogenic diet: from molecular mechanisms to clinical effects. Epilepsy Res. 2006 Feb;68(2):145–80. doi:10.1016/j.eplepsyres.2005.10.003. PMID 16523530
Beef gelatin: Similar to collagen, gelatin is beneficial for preventing intestinal damage and improving the lining of the digestive tract, thereby preventing permeability and leaky gut syndrome. (9) Similar to high protein foods, studies have found that taking gelatin supplements helps increase satiety and control hunger hormones. (10)

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The keto diet has been used for preventing seizures in epileptic patients, especially those who don’t respond well to medication. While it’s not entirely clear how this process works, research suggests removing carbs and mimicking the effect of starvation may block the neuron channels that lead to seizures (17).
Caffeine: 50 milligrams of the compound found in coffee and tea, causing alertness without the negative effects you’ll typically experience from your morning cup of coffee (primarily blood pressure and heart rate elevation).
Add exercise: A simple 20-30 minute walk everyday can help regulate weight loss and your blood sugar levels. An increased workout routine usually means an adjustment in macros so just because keto gives you more energy don’t assume that things can stay the same when you run a marathon.
The exact ratio of recommended macronutrients in your diet (grams of carbs vs. fat vs. protein) will differ depending on your specific goals and current state of health. Your age, gender, level of activity and current body composition can also play a role in determining your carb versus fat intake.
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.
“In an otherwise healthy individual it can create serious complications, including infections if the tube gets contaminated, increased sodium levels, and it can cause dehydration and constipation,” Cimperman added. “What would even possess people to want to walk around with a tube up their nose?”
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:
You want to keep your carbohydrates limited, coming mostly from vegetables, nuts, and dairy. Don’t eat any refined carbohydrates such as wheat (bread, pasta, cereals), starch (potatoes, beans, legumes) or fruit. The small exceptions to this are avocado, star fruit, and berries which can be consumed in moderation.
Water, sparkling water, seltzer, black coffee, unsweetened and herbal teas, unsweetened nut milks, wine, light beer, and liquor. Caffeine is fine for most people—just don’t go pouring in sugar or milk; the same goes for tea and nut milk. Lower-carb alcohol in moderation is OK, especially if you’re at the point where you’re just trying to maintain weight.
I would recommend using Organic Valley cream, as it is made from pastured cows. It doesn’t taste as rich to me and I don’t know if it has the same level of nutrients as KG butter but it is a great alternative and easier to make.
Jump up ^ Wang D, Pascual JM, De Vivo D. Glucose Transporter Type 1 Deficiency Syndrome. In: Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Stephens K, Amemiya A, editors. GeneReviews. Seattle (WA): University of Washington, Seattle; 1993-2018. 2002 Jul 30 [updated 2018 Mar 1]. PMID 20301603.
This is where the magic happens. Eating a high carb diet means you’re always producing insulin to transport the glucose around your body. The fat can just sit around and watch because insulin is doing all the work. The fat is eventually stored, which leads to weight gain.
Coconut Oil: Coconut oil is high in medium-chain fatty acids (MCFAs) like caprylic acid, lauric acid and capric acid that provide an excellent source of energy. Animal studies have also revealed that coconut oil can improve antioxidant levels and reduce stress on the liver. (11)
Eggs and full-fat milk are excellent protein sources on a plant-based diet. A single egg contains six grams of protein. If you can tolerate dairy, full-fat, grass-fed dairy products provide beneficial fats and protein.
^ 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
Normal dietary fat contains mostly long-chain triglycerides (LCT). Medium-chain triglycerides are more ketogenic than LCTs because they generate more ketones per unit of energy when metabolised. Their use allows for a diet with a lower proportion of fat and a greater proportion of protein and carbohydrate,[3] leading to more food choices and larger portion sizes.[4] The original MCT diet developed by Peter Huttenlocher in the 1970s derived 60% of its calories from MCT oil.[15] Consuming that quantity of MCT oil caused abdominal cramps, diarrhoea and vomiting in some children. A figure of 45% is regarded as a balance between achieving good ketosis and minimising gastrointestinal complaints. The classical and modified MCT ketogenic diets are equally effective and differences in tolerability are not statistically significant.[9] The MCT diet is less popular in the United States; MCT oil is more expensive than other dietary fats and is not covered by insurance companies.[3]
Now you are aware of the physiological changes that contribute to frequent urination, constipation, diarrhea, muscle cramps, and heart palpitations. Fortunately, the strategies to mitigate these side effects are quite simple. With a little proactivity and planning, these keto side effects will likely be less of an issue.
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