William S. Yancy Jr., MD, MHS; Maren K. Olsen, PhD; John R. Guyton, MD; Ronna P. Bakst, RD; and Eric C. Westman, MD, MHS, “A Low-Carbohydrate, Ketogenic Diet versus a Low-Fat Diet To Treat Obesity and Hyperlipidemia: A Randomized, Controlled Trial,” Ann Intern Med. 2004;140(10):769-777. http://annals.org/article.aspx?articleid=717451.
The key to finding keto-friendly dairy is to look at the carb and sugar content. Regular cows milk is generally out as it’s fairly carb heavy, but heavy creams are a great and tasty substitute. Experiment with new cheese findings!
This is perhaps one of the most well-known ketogenic diet side effects. Keto flu is exactly what it sounds like, the onset of flu-like symptoms that arises shortly after beginning a ketogenic diet. This includes symptoms like fatigue, runny nose, nausea, and headache.
There are four main types of ketogenic diets. Each one takes a slightly different approach to fat vs. carb intake. When deciding which method works best for you, take into account your goals, fitness level and lifestyle.
Nutrition data from the 1970s told us saturated fats are bad, causing the United States to enter the era of low fat. During this time, obesity in America soared while consumption of fat (particularly saturated fats) plummeted. Fad, low-fat diet products became the norm at grocery stores as a high-carb, low-fat diet became the preferred method for weight loss. Yet, people kept gaining weight.
Studies show multiple long-term benefits of a keto diet on an individual’s weight and health. Keto significantly decreased body weight, body fat and body mass of individuals in various studies[*]. Keto has been shown to kick your body into a high-performing metabolic state, increasing fat metabolism during exercise[*]. As long as you continue to consume 1-1.2 grams of protein per pound of body mass, you can preserve muscle mass while still burning fat.
Sluijs I, Forouhi NG, Beulens J WJ, et al. The Amount and Type of Dairy Product Intake and Incident Type 2 Diabetes: Results From the EPIC-InterAct Study. The American Journal of Clinical Nutrition. July 2012.
Option 1: BLT roll-ups with turkey and avocado. “Create a roll using bacon, lettuce, tomato, turkey, and avocado for the perfect mix of fat and protein,” says Dr. Axe. (You Could Also Try This Kale Avocado BLT Salad.)
Wilder’s colleague, paediatrician Mynie Peterman, later formulated the classic diet, with a ratio of one gram of protein per kilogram of body weight in children, 10–15 g of carbohydrate per day, and the remainder of calories from fat. Peterman’s work in the 1920s established the techniques for induction and maintenance of the diet. Peterman documented positive effects (improved alertness, behaviour and sleep) and adverse effects (nausea and vomiting due to excess ketosis). The diet proved to be very successful in children: Peterman reported in 1925 that 95% of 37 young patients had improved seizure control on the diet and 60% became seizure-free. By 1930, the diet had also been studied in 100 teenagers and adults. Clifford Barborka, also from the Mayo Clinic, reported that 56% of those older patients improved on the diet and 12% became seizure-free. Although the adult results are similar to modern studies of children, they did not compare as well to contemporary studies. Barborka concluded that adults were least likely to benefit from the diet, and the use of the ketogenic diet in adults was not studied again until 1999.
Dark green and leafy is always the best choice for vegetables. Most of your meals should be a protein with vegetables, and an extra side of fat. Chicken breast basted in olive oil, with broccoli and cheese. Steak topped with a knob of butter, and a side of spinach sauteed in olive oil.
One major downside to the ketogenic diet regarding diabetes is that you’re eating a lot of fat, and that fat may be saturated, which is unhealthy. Because people with type 2 diabetes are at an increased risk for cardiovascular disease, there’s concern that the saturated fat in the diet may drive up LDL, or “bad,” cholesterol levels, and further increase the odds of heart problems. If you have type 2 diabetes, talk to your doctor before attempting a ketogenic diet. They may recommend a different weight-loss diet for you, like a reduced-calorie diet. Those with epilepsy should also consult their doctor before using this as part of their treatment plan.
After you calculate the percentage of daily calories that should come from protein and carbs, total the two numbers, and subtract from 100. That number is the percent of calories which should come from fat.
“Macros” is an abbreviated term of macronutrients. Your macros are your daily intake of “the big 3” nutrients: fats, protein, and carbohydrates. You can use the following calculator to see what your daily needs will be. If you want to learn more about macros and how they work in relation to keto and our bodies, click here to read more >
To start a keto diet, you will want to plan ahead. That means having a viable diet plan ready and waiting. What you eat depends on how fast you want to get into a ketogenic state. The more restrictive you are on your carbohydrates (less than 15g per day), the faster you will enter ketosis.
Option 3: “Make your own keto ‘lunchable’ with cubes of grilled chicken, a slice of nitrate-free ham, cheese cubes, pickle slices, a hard-boiled egg, a few raw grape tomatoes, raw veggies like cauliflower or broccoli, a few almonds or walnuts, guacamole, and ranch dressing,” says Stefanski. (Looking for something meat-free? Here are 29 Vegetarian Keto Recipes for Plant-Based Eaters.)
On a ketogenic diet, you’re generally eating a diet that’s high in fat (roughly 70 percent of your total calories come from fat), moderate in protein (about 20 percent of your calories), and low in carbohydrate (about 5 percent of calories). By limiting carbohydrates (to usually less than 45 grams for the average person), your body lacks the glucose (from carbs) that it normally uses for energy, so it eventually switches over to burning fat as its primary fuel source instead; through a metabolic process called ketosis, the liver converts the fat into fragments of fatty acids called ketones, which power the brain and other organs and tissues.
Supplements are a popular way to maximize the benefits of a ketogenic diet. Used in conjunction with a nutritious, whole-food based ketogenic diet, these supplements can help you get into ketosis quickly and easily.
To decrease calories, you will have to think about what you need. Most likely, you will need less protein as well. So, keep in mind the portions of sizes of meals. Decrease them as you need to, or see fit.
If you have type 1 diabetes, consult with your doctor before starting a keto diet. Diabetic ketoacidosis (DKA) is a dangerous condition that can occur if you have type 1 diabetes due to a shortage of insulin.
A preface: this is an article on nbcnews.com about a fellow, Sean Anderson, who lost 300 pounds by treating his sugar addiction like an addiction. He lost weight, gained it back, and then lost it again. I found the story extremely interesting – not that he does keto per se, but that his weight loss journey addresses key points that we see referenced on this sub time and time again:
During HPA axis dysregulation, cortisol can become abnormally high. If it remains high, the body will develop cortisol resistance. To compensate the body begins to secrete higher amounts of adrenaline which can then cause irregular heart rhythms.
Pimpin L, Wu J, Haskelberg H, et al. Is Butter Back? A Systematic Review and Meta-analysis of Butter Consumption and Risk of Cardiovascular Disease, Diabetes, and Total Mortality. PLoS ONE. June 2016.
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!