Unprocessed and nutritious oils, such as coconut oil, virgin olive oil, and macadamia nut oils are great sources of saturated and unsaturated fat. Avoid harmful processed vegetable oils like cottonseed, sunflower, safflower, soybean and canola oils.
Counting net carbs is more critical than counting calories on a ketogenic diet, but alcohol is the exception to the rule.  Alcohol contains 100 percent empty calories and you can easily drink a meal’s worth of calories without realizing you are over your limit.
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!
Below is a list of what we consider the “best of the best” when it comes to vegetables. They’re both low in carbs and very high in micronutrients. Make sure that you frequently include the listed vegetables below in your daily meals.
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.
There are numerous benefits that come with being on keto: from weight loss and increased energy levels to therapeutic medical applications. Most anyone can safely benefit from eating a low-carb, high-fat diet. Below, you’ll find a short list of the benefits you can receive from a ketogenic diet. For a more comprehensive list, you can also read our in-depth article here >
Add bone broth to your diet, which can help restore electrolytes that are lost during ketosis. When you follow a keto diet, even if you’re drinking a lot of water, you will lose a lot of water weight and also flush essential electrolytes out of our system, including magnesium, potassium or sodium. Adding bone broth is a great way to replenish these naturally, in addition to getting other nutrients and amino acids.
One of the best additions I have had is simple: egg yolk. The egg yolk is full of healthy fats, it adds some frothiness to the beverage (which I like). More importantly it is full of choline, which is important for brain health (like memory formation and learning). Because of the added choline I add a brain supplement called aniracetam (https://www.nootropedia.com/aniracetam/ )because that is fat soluble and works synergistically with choline to improve memory. Luckily, it does not have much of a taste so I don’t have to worry about it ruining the flavor of my drink.
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!
Milk—but not cheese—is off the list because it contains a lot of lactose, a form of sugar, which makes it high in carbohydrates. When cheese is made, all the sugar is eaten by bacteria and turned into lactic acid, cutting the carb content way down. Low- and reduced-fat dairy products are to be avoided as they’re overly processed, which strips out nutrients like the fatty acids that make you feel full. Plus, sugar is often added to make up for a loss of flavor and texture, so some actually have more sugar than full-fat dairy. Resist shredded cheese, too, as it contains a carby potato starch that keeps it from sticking together.
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.
Most fruits, unless listed above, should be completely eliminated due to the high quantities of sugar and carbohydrates. Apples, pineapple, watermelon, mango, oranges and most other fruits should be avoided. Dried fruits and fruit juice are also not permitted on keto.
Back to the restaurant analogy, this is the stage where you make a plan how you are going to get from your house to the restaurant. Failing to prepare is preparing to fail. Pull up a spreadsheet, notepad, napkin, anything… and make a plan. The most important questions to ask yourself are,
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.
A: First take a breath, it’s not the end of the world. You may find that your weight goes up temporarily as your body retains water. You may also find that the scale goes down pretty quickly when you lose that water. If you see the scale fluctuating, please keep in mind that there’s a biological reason for it.
It’s important to also drink lots of water. Getting enough water helps keep you from feeling fatigued, is important for digestion and aids in hunger suppression. It’s also needed for detoxification. Aim to drink 10–12 eight-ounce glasses a day.
There’s no real scientific reasoning/explanation behind why some people start to itch when they start keto. There’s just a handful of experiences that people have written about, and so I’m basing my answer on what I’ve read.
Why would you want to eat fat instead of carbs? When you eat high amounts of carbohydrates, these convert into glucose in the liver[*]. This causes your body to produce insulin (commonly referred to as an insulin spike, leading to insulin resistance), to help transport glucose through your bloodstream.
Keep it straightforward and strict. You usually see better results in people who restrict their carb intake further. Try to keep your carbs as low as possible for the first month of keto. Keep it strict by cutting out excess sweets and artificial sweeteners altogether (like diet soda). Cutting these out dramatically decreases sugar cravings.
Some people believe that eating keto is more expensive but this isn’t true. Initially, you might find yourself needing to restock the pantry with keto-friendly items but beyond that, eating keto isn’t more expensive than eating normally.
Now, Week 1’s shopping list is going to be long. I have to make the assumption you have nothing in your house. Many of the items are common items that most people will have already. These are all staples in my everyday cooking for keto, and should be considered an investment for your health. Once you have all of the items from week 1, there won’t be too much else to buy.
Feel free to add sweetener and spices to this if you’re not the biggest fan of the taste. Cinnamon, stevia, vanilla extract. Whatever you’d like to make it great tasting. You can even switch up the taste each and every day so you don’t get bored!
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.
Animal proteins (meat, fish, etc.) have very little, if any, carbs. You can consume them in moderate amounts as needed to control hunger. Overall, choose fattier cuts of meat rather than leaner ones. For example, chicken thighs and legs are preferable to chicken breasts because they contain much more fat.
If you come across other recipes you’d like to use, follow the keto diet cheat sheet at the end of this guide or visit the Ultimate Keto Diet Foods List to plan your ketogenic diet meals. Before you go grocery shopping, consider downloading the Perfect Keto Grocery List.
If you’re new to practicing a keto diet, or you haven’t reached ketosis yet, consider taking a break from alcohol to help you get there. If you decide to imbibe, take it easy. Your alcohol tolerance will be much lower once you’re in ketosis.
Achieving ketosis is a pretty straightforward, but it can seem complicated and confusing with all of the information out there. Here’s the bottom line on what you need to do, ordered in levels of importance:

Keto

Keto Diet

Keto Diet Plan

Keto Diet Menu

The Johns Hopkins Hospital protocol for initiating the ketogenic diet has been widely adopted.[42] It involves a consultation with the patient and their caregivers and, later, a short hospital admission.[18] Because of the risk of complications during ketogenic diet initiation, most centres begin the diet under close medical supervision in the hospital.[9]
So where do you start your calculations? With carbs and protein. When first getting started, it is ideal to keep carbohydrates less than 50 grams per day. Wittrock found that he likes to go even lower.
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.
Athletes who follow a high-intensity, high-volume training schedule would be best suited for this approach. The goal of CKD is to completely deplete muscle glycogen between the carb loads while the TKD has a goal of maintaining muscle glycogen at a moderate level.
If you’re finding yourself hungry throughout the day, you can snack on nuts, seeds, cheeses, or peanut butter to curb your appetite (though snacking can slow weight loss in the long term). Sometimes we can confuse the want to snack with the need of a meal. If you’re in a rush and need a keto fast food option, there are some available.
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
Around this time, Bernarr Macfadden, an American exponent of physical culture, popularised the use of fasting to restore health. His disciple, the osteopathic physician Hugh Conklin, of Battle Creek, Michigan, began to treat his epilepsy patients by recommending fasting. Conklin conjectured that epileptic seizures were caused when a toxin, secreted from the Peyer’s patches in the intestines, was discharged into the bloodstream. He recommended a fast lasting 18 to 25 days to allow this toxin to dissipate. Conklin probably treated hundreds of epilepsy patients with his “water diet” and boasted of a 90% cure rate in children, falling to 50% in adults. Later analysis of Conklin’s case records showed 20% of his patients achieved freedom from seizures and 50% had some improvement.[10]
Option 2: Grass-fed ground beef sautéed with onions and low-carb tomato sauce. “This can be served with zucchini or shirataki low-carb noodles,” says Stefanski. “In order to get the fat content up in the meal, the zucchini can be sautéed in olive oil or additional garlic-infused oil can be added directly to the sauce.”
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