Dinner, again, will be pretty simplistic. Meats, vegetables, high fat dressings are the center of our life. Maybe even a slathering of butter on our vegetables since we’re getting friskier. Don’t over think things in the first 2 weeks; simple is success.
Jump up ^ Mastriani KS, Williams VC, Hulsey TC, Wheless JW, Maria BL. Evidence-based versus reported epilepsy management practices. J Child Neurol. 2008 Feb 15;23(5):507–14. doi:10.1177/0883073807309785. PMID 18281618
Blanket statement: It’s always best to check with your doctor before starting on this regimen. With that said, “the keto diet isn’t recommended for those with liver or kidney disease, or someone with a medical condition, such as a gastrointestinal issue, who can’t metabolize high amounts of dietary fat,” says Sarah Jadin, a Los-Angeles based registered dietitian and founder of Keto Consulting, LLC. If you’ve had your gallbladder removed, the keto diet may be a no-go. Women who are pregnant or breastfeeding and people with certain rare genetic disorders shouldn’t try this diet.
^ Jump up to: a b c Neal EG, Chaffe H, Schwartz RH, Lawson MS, Edwards N, Fitzsimmons G, et al. The ketogenic diet for the treatment of childhood epilepsy: a randomised controlled trial. Lancet Neurol. 2008 Jun;7(6):500–6. doi:10.1016/S1474-4422(08)70092-9. PMID 18456557
The common keto side effects that people experience come down to three primary culprits: Hypoglycemia, HPA axis dysfunction, and poor hydration/mineral balance. The following strategies will help prevent these underlying issues and their respective side effects:
If you’ve recently adopted the keto diet, you may be feeling a variety of side effects including nausea, dizziness, constipation, headaches and irritability. This is your body’s natural reaction to removing carbs from your diet, and we promise the symptoms are temporary. Also known as keto flu, it’s a natural reaction that occurs when your body switches from burning glucose as energy to burning fat.
“I recommend only 5 percent of calories coming from carbs, which usually averages out to less than 30 grams,” he says. “So, I understand why people get nervous and panic, thinking ‘Can I even eat a salad?’ This is why I recommend tracking only ‘net carbs’, which is total carbs minus fiber. For example, an avocado has 12 grams of carbs but 10 grams of fiber, which means it has 2 grams of net carbs. Also, green leafy vegetables are very nutritious and contain a lot of fiber, so you can almost eat them as much as you want and stay below your limit.”
Avoid unhealthy fats like seed oils and vegetable oils, which can become rancid when heated. Unhealthy fats and oils you should avoid on keto include canola oil, soybean oil, corn oil and grapeseed oil. Also avoid reduced-fat or grain-fed dairy products, as they can have added carbs and sugar.
Use Organic Broths: Sipping on broths throughout the day is a great way to stay hydrated while also getting additional minerals and amino acids into your system. Try a good organic, free-range or pasture-raised chicken or beef broth. This can be a traditional broth or even bone broth.
One 2008 study compared the effects of the low-carb ketogenic diet (LCKD) vs a low-glycemic index diet (LGID)[*]. Subjects in the LCKD group had significantly greater improvements in weight loss, hemoglobin A1c and high density lipoprotein (HDL) cholesterol compared to the low-glycemic index diet group. Results showed the following:
On the other hand, ketoacidosis, typically seen in diabetics and sometimes others who follow the keto diet, can be life-threatening. Ketoacidosis is a “condition resulting from dangerously high levels of ketones and blood sugar,” according to Healthline, which causes the blood to become too acidic and affects organ function.
During this time, you will likely feel a significant drop in strength and ability to exert physical energy. Luckily, once you become adapted you should see drastic improvements in these areas that are even greater than when you were sugar-adapted!
Animal meats have certain readily absorbed forms of these nutrients, which plants do not. Therefore, I recommend that you get these vitamins by consuming animal protein with fat. Just make sure the animal foods are grass-fed and organic.
The ketogenic diet has been studied for potential therapeutic use in various neurological disorders other than epilepsy: Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), autism, headache, neurotrauma, pain, Parkinson’s disease (PD) and sleep disorders.
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Hi Dr. Jockers. Your article is very thorough, thank you. I’ve been moving slowly into the keto diet and so far everything is good except for my stools now float. Is the higher increase in fats to blame? I’m taking digestive enzymes before each meal and I still have my gallbladder.
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, leading to more food choices and larger portion sizes. The original MCT diet developed by Peter Huttenlocher in the 1970s derived 60% of its calories from MCT oil. 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. 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.
Here’s one study that shows drops in lesions and skin inflammation when switching to a low-carb diet. Another study that shows a probable connection between high-carb eating and increased acne, so it’s likely that keto can help.
I really like this made with matcha green tea in the morning. It took me a few months to grow to like it as much as my morning coffee, but now I look forward to it each morning. I think there are lots of nutrient benefits to matcha green tea, but not the same ones as with the coffee. I guess it depends on what you’re going for. I did make buttered tea a couple times with an herbal tea in the afternoon when I wanted to eat everything in sight. The fat in it totally worked to stop my cravings, but it just doesn’t taste that great with herbal tea. I would only do that when I’m desperate.
National Institutes of Health: “Danger in the Pipeline for the Ketogenic Diet?” “Ketogenic Diet for Obesity: Friend or Foe?” “Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets,” “The Effects of a Ketogenic Diet on Exercise Metabolism and Physical Performance in Off-Road Cyclists.”
Dai X, Stanilka JM, Rowe CA, et al. Consuming Lentinula edodes (Shiitake) Mushrooms Daily Improves Human Immunity: A Randomized Dietary Intervention in Healthy Young Adults. Journal of the American College of Nutrition. May 2014.
This is based on another principle that I talked about in previous books: You don’t lose weight and get healthy. Rather, you get healthy to lose weight. More than just losing weight or reducing your blood sugar, your goals should be getting healthy, making sure you get as much nutrients as you can from what you eat, and making sure you only eat quality food. I look at ketosis as ONE strategy or piece of the puzzle. Ketosis is healthy because it allows you to run your body on a cleaner fuel.
The last thing I suggest doing is buying the speciality items prior to needing them. Normally some of these items you can only find online, and by the time you need them, you’ll actually have them. There are no speciality items used in Week 1 for that reason. Make sure you order what you need and have it by the time you need it.
I changed the way I ate in 2011, when I was diagnosed with Hashimoto’s, an autoimmune disease that affects the thyroid. I had no energy, and I found it more and more difficult to maintain a healthy weight.
Jump up ^ Henderson CB, Filloux FM, Alder SC, Lyon JL, Caplin DA. Efficacy of the ketogenic diet as a treatment option for epilepsy: meta-analysis. J Child Neurol. 2006 Mar;21(3):193–8. doi:10.2310/7010.2006.00044. PMID 16901419
Finally are there any strategies you can recommend for someone like myself who deals with chronic sleep debt via jet lag and night work schedules that I can further address with supplements and/or a Keto lifestyle. I also do IF but am a little stumped as to how to proceed when I’m dealing in multiple time zones.
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.
These affect your brain and spine, as well as the nerves that link them together. Epilepsy is one, but others may be helped by a ketogenic diet as well, including Alzheimer’s disease, Parkinson’s disease, and sleep disorders. Scientists aren’t sure why, but it may be that the ketones your body makes when it breaks down fat for energy help protect your brain cells from damage.
I am beside myself. I’m at the point that I’m afraid to eat anything. It goes right through me!! I’ve had liquid diarrhea for 3 weeks now and don’t know what to do. I’m up through the night and it’s really messing with my sleep. I have breast cancer and I really need to do this diet. I’m very worried. I have been taking psyllium husks but I’m afraid to go overboard. Is it ok to take that every day? Thanks you!
Ketoacidosis happens when your body fails to produce enough insulin, which is more commonly seen in those with Type 1 diabetes. It can also occur in those with Type 2 diabetes if diet and insulin levels aren’t being properly monitored (31).