My point here is that the warnings about the ketogenic principles are well taken and well documented. My concern is implications that this is a fad. I don’t use the word diet with my patients and I’m concerned that the principles behind the label and the real results that these readers have commented on might get minimized. I have found it best to encourage patients to read authors like: Stephen Phinney, Jeff Volek, Patricia Daly, and Charles Gant and the be partners with their doctors and check blood work as they move along. I am not for or against the article. If ketogenic principles offer people enduring, satisfying, and cohesive change then why not read about its potential and flexilbity?
If you're a protein-lover, you may think this diet is for you considering all the other foods that are eliminated. But the diet requires that protein make up 20 to 25 percent of total calories—so eating too many eggs or chicken breasts can make you top this protein amount pretty easily. (Related: 8 Common Keto Diet Mistakes You Could Be Getting Wrong)
This means that if you have risk factors for heart disease — such as elevated cholesterol levels, high blood pressure (hypertension), or a strong family history of the disease — you should use caution when following this diet. The diet's heavy reliance on fat, especially saturated fat, can elevate cholesterol levels, further increasing your chances of developing heart disease in the future. (7)

Just this week, a 25,000-person study presented at the European Society of Cardiology Congress in Munich suggested that people on the lowest-carb diets had the highest risk of dying from cancer, cardiovascular conditions, and all other causes. Another study, published this month in the Lancet, also found that people who followed diets that were low in carbs and high in animal proteins had a higher risk of early death compared to those who consumed carbs in moderation. (The opposite was true, however, for low-carb dieters who opted for plant-based proteins over meat and dairy.)
This keto-compliant soup by The Castaway Kitchen is an easy weekday meal. Just cook it in a pressure cooker for 50 minutes or a slow cooker for 4-6 hours, for a dinner that doesn’t require a lot of prep time. A serving has only 3 grams of net carbs and 23 grams of fat. And you can freeze leftovers in an airtight container for future meals if you’re not a big fan of leftovers.
First reported in 2003, the idea of using a form of the Atkins diet to treat epilepsy came about after parents and patients discovered that the induction phase of the Atkins diet controlled seizures. The ketogenic diet team at Johns Hopkins Hospital modified the Atkins diet by removing the aim of achieving weight loss, extending the induction phase indefinitely, and specifically encouraging fat consumption. Compared with the ketogenic diet, the modified Atkins diet (MAD) places no limit on calories or protein, and the lower overall ketogenic ratio (approximately 1:1) does not need to be consistently maintained by all meals of the day. The MAD does not begin with a fast or with a stay in hospital and requires less dietitian support than the ketogenic diet. Carbohydrates are initially limited to 10 g per day in children or 20 g per day in adults, and are increased to 20–30 g per day after a month or so, depending on the effect on seizure control or tolerance of the restrictions. Like the ketogenic diet, the MAD requires vitamin and mineral supplements and children are carefully and periodically monitored at outpatient clinics.[47]
Thanks for this inputs. 20 years ago I gain 17 pounds a year for 5 years. I was healthy but my dr told me start diet, any diet just come back in a month I want to see you start loosing… I started Atkins and lost 7 pound in a month. She was checking my progress every six months and checking my condition. I lost 64 pounds in 3 years. Now I started eating out of control. I am eating healthy but too much… I gain 40 pound back after 20 years. Now I will start again my Atkins to take off 30 pounds…
Burgers. Everyone loves burgers, right? Even once I made the switch to Keto, I would still make an occasional allowance, as one bun wasn’t going to break the carb bank. But I came to learn that buns, much like other wheat based products, are in essence, just a delivery mechanism, they hold very little flavor, and in the quest for the best replacement, I made these delightful burger boats.
First real post! Bear with me lol. I’m just hoping I did it right. I started keto in early September after losing about 50 pounds counting calories. I was happy with the loss but it took so long and I couldn’t stick with it. I felt yucky most days and I was always hungry. Then a girl I worked with told me about keto. I started researching it and found reddit and y’all. You guys are by far the most supportive, enthusiastic, and kindest group on reddit! I come here every morning and every evening to check out your pics, progress, and tips. Everyone is so inspiring. Your enthusiasm is contagious. I do lazy keto. Very. I don’t really count anything. I just eat keto foods and I’m full all day. I still have a long way to go. But I’m sure this time, it’s last time I’m losing weight. Rock on fellow keto peeps! I’m thankful for all of you😀
How often you eat is also up to your personal preference. "For most people, I recommend three to four meals per day with a few healthy keto snacks in between," says Dr. Axe. "This ensures that you're getting a good mix of protein and fat all day long to keep you feeling energized and satisfied." That being said, he encourages people to listen to their bodies and tune in to when they're truly hungry. "If you find that you feel better eating five to six smaller meals spread throughout the day, do what works best for you."
When in the hospital, glucose levels are checked several times daily and the patient is monitored for signs of symptomatic ketosis (which can be treated with a small quantity of orange juice). Lack of energy and lethargy are common but disappear within two weeks.[17] The parents attend classes over the first three full days, which cover nutrition, managing the diet, preparing meals, avoiding sugar and handling illness.[18] The level of parental education and commitment required is higher than with medication.[43]
Most carbs you consume are broken down into sugar that enters the bloodstream. When you rein in carbohydrates on the keto diet, you have lower levels of blood glucose (high blood glucose can lead to diabetes). A study in the journal Nutrition reveals that a ketogenic diet improves blood glucose levels in type 2 diabetics more significantly than a low-calorie diet and can also decrease the dosage of your diabetes meds.
There is nothing inherently difficult about following a ketogenic diet. We have many patients who do this very easily over many years. The metabolic benefits significantly outway any perceived challenges from limiting particular food types. Uptake would be far more widespread if nutrition professionals left their predujical opinions of SFA’s behind. Finally, given the expertise in Ketogenic Diets at Harvard, Dr David Ludwig, for one springs to mind, I am surprised the author did not avail themselves of the local expertise.
And although in the short term, ketogenic diets seem safe for healthy people, we also lack long-term data on the diet, so it’s hard to confirm long-term safety with certainty. Complications seen with kids maintaining a ketogenic diet for epilepsy, for example, included kidney stones, constipation, gastrointestinal issues, pancreatitis, and vitamin D and calcium deficiencies.
All in all, the biggest takeaway I got from trying the keto diet for a month (other than losing 11 pounds and 3 percent body fat) is this: Life is hard enough, so if you decide to go on a "diet" or drastically change your eating patterns, don't make it harder on yourself. That's a surefire way to fall off the wagon or give up. If you're hell-bent on trying keto but meticulous meal planning isn't your thing, that doesn't mean it isn't going to work for you—just that you need a little help. If that comes in the form of meal kits, so be it.

In many developing countries, the ketogenic diet is expensive because dairy fats and meat are more expensive than grain, fruit and vegetables. The modified Atkins diet has been proposed as a lower-cost alternative for those countries; the slightly more expensive food bill can be offset by a reduction in pharmaceutical costs if the diet is successful. The modified Atkins diet is less complex to explain and prepare and requires less support from a dietitian.[54]


Although many hypotheses have been put forward to explain how the ketogenic diet works, it remains a mystery. Disproven hypotheses include systemic acidosis (high levels of acid in the blood), electrolyte changes and hypoglycaemia (low blood glucose).[18] Although many biochemical changes are known to occur in the brain of a patient on the ketogenic diet, it is not known which of these has an anticonvulsant effect. The lack of understanding in this area is similar to the situation with many anticonvulsant drugs.[55]
Like most diets, the ketogenic diet is not a one-size-fits-all answer to all of our health and weight hopes and dreams. It might be enjoyable for some people, especially in the short term, but that doesn't mean it will be a fit for everyone. The experts we talked to for this post agreed that although it may lead to short term (water) weight loss, it might not be optimal as a sustainable weight loss solution. St. Pierre explains the way he sums it up for his clients: “I let them know that there isn't a universal approach that works for everyone, and that restrictive diets like keto can be hard for folks to stick to long-term.”
I’ve been sugar free for 14 years, but sugar free doesn’t necessarily mean low carb or keto. For me back then it meant no white sugar, white flour or anything white or refined. I still enjoyed sweet potatoes and even honey. As the years went on I discovered even natural sugars caused me to continue to crave and I eventually went low carb back in 2013. I started my blog in 2011 so prior to 2013, some of the recipes are not low carb just sugar free. Here’s a post I wrote about the Differences between a Sugar Free and a Low Carb Diet.
Bulk buy and cook. If you’re someone who doesn’t like to spend a lot of time in the kitchen, this is the best of both worlds. Buying your food at bulk (specifically from wholesalers) can reduce the cost per pound tremendously. Plus, you can make ahead food (bulk cook chicken thighs for pre-made meat, or cook entire meals) that are used as leftovers, so you spend less time cooking.
This week we’re introducing a slight fast. We’re going to get full on fats in the morning and fast all the way until dinner time. Not only are there a myriad of health benefits to this, it’s also easier on our eating schedule (and cooking schedule). I suggest eating (rather, drinking) your breakfast at 7am and then eating dinner at 7pm. Keeping 12 hours between your 2 meals. This will help put your body into a fasted state.
It is possible to combine the results of several small studies to produce evidence that is stronger than that available from each study alone—a statistical method known as meta-analysis. One of four such analyses, conducted in 2006, looked at 19 studies on a total of 1,084 patients.[22] It concluded that a third achieved an excellent reduction in seizure frequency and half the patients achieved a good reduction.[3]

When you’re eating the foods that get you there (more on that in a minute), your body can enter a state of ketosis in one to three days, she adds. During the diet, the majority of calories you consume come from fat, with a little protein and very little carbohydrates. Ketosis also happens if you eat a very low-calorie diet — think doctor-supervised, only when medically recommended diets of 600 to 800 total calories.
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