Friday, March 13, 2020

What is keto diet and how does it works?



In the world of weight-loss diets, low-carbohydrate, high-protein eating plans often grab attention. The Paleo, South Beach, and Atkins diets all fit into that category. They are sometimes referred to as ketogenic or "keto" diets.

But a true ketogenic diet is different. Unlike other low-carb diets, which focus on protein, a keto plan centers on fat, which supplies as much as 90% of daily calories. And it's not the type of diet to try as an experiment.

"The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don't know if it works in the long term, nor whether it's safe," warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.

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How does it work?

The keto diet aims to force your body into using a different type of fuel. Instead of relying on sugar (glucose) that comes from carbohydrates (such as grains, legumes, vegetables, and fruits), the keto diet relies on ketone bodies, a type of fuel that the liver produces from stored fat.

Burning fat seems like an ideal way to lose pounds. But getting the liver to make ketone bodies is tricky:

• It requires that you deprive yourself of carbohydrates, fewer than 20 to 50 grams of carbs per day (keep in mind that a medium-sized banana has about 27 grams of carbs).
• It typically takes a few days to reach a state of ketosis.
• Eating too much protein can interfere with ketosis.
What do you eat?

Because the keto diet has such a high fat requirement, followers must eat fat at each meal. In a daily 2,000-calorie diet, that might look like 165 grams of fat, 40 grams of carbs, and 75 grams of protein.

 However, the exact ratio depends on your particular needs.

Some healthy unsaturated fats are allowed on the keto diet — like nuts (almonds, walnuts), seeds, avocados, tofu, and olive oil. But saturated fats from oils (palm, coconut), lard, butter, and cocoa butter are encouraged in high amounts.

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Protein is part of the keto diet, but it doesn't typically discriminate between lean protein foods and protein sources high in saturated fat such as beef, pork, and bacon.

What about fruits and vegetables? All fruits are rich in carbs, but you can have certain fruits (usually berries) in small portions. Vegetables (also rich in carbs) are restricted to leafy greens (such as kale, Swiss chard, spinach), cauliflower, broccoli, Brussels sprouts, asparagus, bell peppers, onions, garlic, mushrooms, cucumber, celery, and summer squashes. A cup of chopped broccoli has about six carbs.

Keto risks

A ketogenic diet has numerous risks. Top of the list: it's high in saturated fat. McManus recommends that you keep saturated fats to no more than 7% of your daily calories because of the link to heart disease. And indeed, the keto diet is associated with an increase in "bad" LDL cholesterol, which is also linked to heart disease.
Other potential keto risks include these:
Nutrient deficiency. "If you're not eating a wide variety of vegetables, fruits, and grains, you may be at risk for deficiencies in micronutrients, including selenium, magnesium, phosphorus, and vitamins B and C,"
 
Liver problems. With so much fat to metabolize, the diet could make any existing liver conditions worse.

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Kidney problems. The kidneys help metabolize protein, and McManus says the keto diet may overload them. (The current recommended intake for protein averages 46 grams per day for women, and 56 grams for men).

Constipation. The keto diet is low in fibrous foods like grains and legumes.

Fuzzy thinking and mood swings. "The brain needs sugar from healthy carbohydrates to function. Low-carb diets may cause confusion and irritability," McManus says.

Those risks add up — so make sure that you talk to a doctor and a registered dietitian before ever attempting a ketogenic diet.

What about the other diets?

The popular low-carb diets (such as Atkins or Paleo) modify a true keto diet. But they come with the same risks if you overdo it on fats and proteins and lay off the carbs. So why do people follow the diets? "They're everywhere, and people hear anecdotally that they work," McManus says. Theories about short-term low-carb diet success include lower appetite because fat burns slower than carbs. "But again, we don't know about the long term," she says. "And eating a restrictive diet, no matter what the plan, is difficult to sustain. Once you resume a normal diet, the weight will likely return."

All of the food above sticks to the strict 5% carbohydrate allowance that we use on keto. In general, you can eat from the following food groups:

• Fats & Oils. Try to get your fat from natural sources like meat and nuts. Supplement with saturated and monounsaturated fats like coconut oil, butter, and olive oil.
• Protein. Try to stick with organic, pasture-raised and grass-fed meat where possible. Most meats don’t have added sugar in them, so they can be consumed in moderate quantity. Remember that too much protein on a ketogenic diet is not a good thing.
• Vegetables. Fresh or frozen doesn’t matter. Stick with above ground vegetables, leaning toward leafy/green items.
• Dairy. Most dairy is fine, but make sure to buy full-fat dairy items. Harder cheeses typically have fewer carbs.
• Nuts and Seeds. In moderation, nuts and seeds can be used to create some fantastic textures. Try to use fattier nuts like macadamias and almonds.
• Beverages. Stay simple and stick to mostly water. You can flavor it if needed with stevia-based flavorings or lemon/lime juice.
If you scroll down, you can see in-depth breakdowns of each section along with some ideas on what types of food to eat! If you’re not much of the planning type and would rather follow along to get meal ideas, take a look at out
Fats and Oils

Fats will be the majority of your daily calorie intake when you are on a ketogenic diet, so choices should be made with your likes and dislikes in mind. They can be combined in many different ways to add to your meals – sauces, dressings, or just simply topping off a piece of meat with butter.

Fats are vital to our bodies, but they can also be dangerous if you are consuming too much of the wrong types of fats. There are a few different types of fat that are involved in a ketogenic diet. Different foods usually have various combinations of fats, but the unhealthy fats are easy to avoid. Here’s a brief overview:

• Saturated Fats. Eat these. Some examples of these are butter, ghee, coconut oil, and lard.
• Monounsaturated Fats. Eat these. Some examples of these are olive, avocado, and macadamia nut oils.
• Polyunsaturated Fats. Know the difference. Naturally occurring polyunsaturated fats in animal protein and fatty fish are great for you, and you should eat these. Processed polyunsaturated fats in “heart healthy” margarine spreads are bad for you.
• Trans Fats. Completely avoid. These are processed fats that are chemically altered (hydrogenated) to improve shelf life. Avoid all hydrogenated fats, such as margarine, as they’re linked to heart disease.

Saturated and monounsaturated fats such as butter, macadamia nuts, avocado, egg yolks, and coconut oil are more chemically stable and less inflammatory to most people, so they are preferred. Below, you can see some common ways to increase the amounts of fat you eat on a ketogenic diet.

You also want to have a balance between your omega 3’s and omega 6’s, so eating things like wild salmon, tuna, trout, and shellfish can help provide a balanced diet of Omega-3’s. If you don’t like fish, or just prefer not to eat it, we suggest taking a small fish oil supplement. You can also take krill oil for omega 3’s if you are allergic.

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Keep an eye on your intake for nut or seed based foods, as they can be quite high in inflammatory omega 6’s. These include items like almonds, walnuts, pine nuts, sunflower oil and corn oil. Eating fatty fish and animal meat, keeping snacking to a minimum, and not over-indulging in dessert items that are dense in almond flour is usually enough to keep your omega’s at normal ranges.

Essential fatty acids (the omegas) provide core functions to the human body, but they are often times out of balance when on a standard diet. On keto, with a little bit of preparation, your omega fatty acids are easily manageable. If you want to know more about essential fatty acids, omegas, and how they interact with our body on a ketogenic diet,

Some ketogenic diet foods that are ideal for fats and oils (organic and grass-fed sources are preferred):
• Fatty Fish
• Animal Fat (non-hydrogenated)
• Lard
• Tallow
• Avocados
• Egg Yolks
• Macadamia/Brazil Nuts
• Butter/Ghee
• Mayonnaise
• Coconut Butter
• Cocoa Butter
• Olive Oil
• Coconut Oil
• Avocado Oil
• Macadamia Oil
• MCT Oil
If you’re using vegetable oils (olive, soybean, flax, or safflower) choose the “cold pressed” options if they are available.

If you tend to fry things up, try to go after non-hydrogenated lards, beef tallow, ghee, or coconut oil since they have higher smoke points than other oils. This allows less oxidization of the oils, which means you get more of the essential fatty acids.

Wednesday, March 4, 2020

Keto Diet for Diabetes



The ketogenic, or keto, diet is popular as a way to help people lose weight. But is it a safe, effective method to keep diabetes under control? Scientists are still studying how the diet affects people with the condition, but here’s what we know.

What Is the Keto Diet?

It’s a low-carb, high-fat eating plan. Most of what you eat is fat, whether that’s unsaturated fats like nuts, seeds, and avocados, or saturated fats like butter and coconut oil. About 20%-30% of your diet is protein, either lean (like chicken breast) or fatty (like bacon). You’re supposed to strictly limit carbs, even those that are typically considered healthy, such as beans, whole grains, milk, and many types of fruits and vegetables. On the keto diet, you eat less than 50 grams of carbs a day. To put that in perspective, one medium apple has 25 grams of carbs.

How does it work? Normally, your body fuels itself from sugar, or glucose, that it gets from carbs. After a few days of the keto diet, your body runs out of glucose. So it starts burning body fat instead. This is called nutritional ketosis. It creates fatty acid substances called ketones, which your body can use for energy.

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Ketosis vs. Ketoacidosis

If you have diabetes, it’s important to understand the difference between nutritional ketosis and ketoacidosis. Both involve ketones. But ketoacidosis is a dangerous condition that happens when your body doesn’t have enough insulin and ketones build up too much. Symptoms include excessive thirst, urinating often, confusion, and weakness or fatigue. It’s more common for people with type 1 than type 2.
Ketosis happens with much lower, safer levels of ketones than ketoacidosis. In fact, this process happens in the course of everyday life, depending on the amount of carbs and protein you eat. It’s the state that can lead to weight loss, especially belly fat, and lower A1c for many people with diabetes.

Does Keto Work if You Have Diabetes?

Research suggests that people with type 2 diabetes can slim down and lower their blood sugar levels with the keto diet. In one study, people with type 2 lost weight, needed less medication, and lowered their A1c when they followed the keto diet for a year.

If you’re insulin resistant -- which means you have higher blood sugar levels because your body isn’t responding properly to the hormone insulin -- you could benefit from nutritional ketosis, because your body will need and make less insulin.

There are fewer studies looking at the keto diet for people with type 1 diabetes. One small study found that it helped people with type 1 lower their A1c levels, but we need a lot more research to get the full picture of the diet’s effects.

Keep in mind that most studies have only looked at the short-term results of the keto diet. It’s unclear if it works as a long-term way to manage your diabetes.

If you decide to try the keto diet, be aware that it may be hard to stick to. The very low amount of carbs in the plan is a big change for many people. It also can make you feel tired for a few weeks until your body adapts. To make it a success, it’s a good idea to make a meal plan you can follow, including keto-friendly meals and snacks to keep on hand.

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Is Keto Safe if You Have Diabetes?

That depends on the type of diabetes you have. In general, people with type 2 who are overweight seem to get good results safely. If you have type 1 and want to try the keto diet, it’s essential that you talk to your doctor first. You’ll need to carefully monitor your health and watch for signs of ketoacidosis. For either type, it’s a good idea to work closely with your doctor, since you may need to change your medications.

The keto diet has some side effects that are worth knowing about, too:
Hypoglycemia: Though the diet can lower A1c levels, that may mean you’re at a higher risk of blood sugar that dips too low, especially if you’re also taking medicine for your diabetes. Let your doctor or diabetes educator know if you try the keto diet. They can advise you about checking your blood sugar, taking your medicines, and what to do when your blood sugar drops too low.

Heart disease: The diet emphasizes eating a lot of fat. If you eat too much saturated fat (the kind in foods like bacon and butter), that could raise your cholesterol, especially LDL, which is linked to heart disease. This is a special concern for people with diabetes, since the condition itself makes you more likely to get heart disease. Make sure that healthier sources are providing your fats -- the mono- and polyunsaturated kinds, such as those in foods like avocados, nuts, and olive and canola oils. If you do it right, your LDL cholesterol and triglyceride levels could go down. If you take medicine for heart problems, such as high blood pressure, check with your doctor to see if you need to make changes to your medications.

Lack of nutrients: Since many foods are off-limits, including some fruits, vegetables, and dairy products, you could miss out on the important nutrients you’d get from them. Work with a nutritionist familiar with nutritional ketosis to make sure your body gets what it needs.
Liver and kidney problems: These organs help your body process fat and protein. Some experts worry that the keto diet could overwork them. Others say that if your organs are healthy, you’re probably fine.
Constipation: Since you’re not eating foods like whole grains and beans, you could miss key sources of fiber.

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Gallstones: If you lose weight quickly, you could be more likely to get gallstones. Some foods, like those high in fiber and those with healthy fats, could help you prevent them. Talk to your doctor about other ways to avoid gallbladder trouble.

Should You Try It?

Talk to your doctor before you sign up for the keto diet. For some people with diabetes, especially those who need to lose weight, this way of eating can help improve symptoms and lessen the need for medication. But for others, the keto diet could make diabetes worse.
You’ll want to be careful when you transition off of it; adding carbs back in all at once can cause blood sugar spikes and weight gain. Your best bet is to start slowly with carbs that are high in protein and fiber.

Ketogenic diet plan and guides for beginners



Turning to butter and bacon to lose weight and boost health might not scream “winning plan” to everyone. But it makes perfect sense to those on the ketogenic diet (or “keto diet”), the latest “it” regimen that backs high-fat, moderate-protein, and low-carbohydrate eating.

Of course, behind every popular diet there’s controversy. Among the criticisms of the keto diet, skeptics say the plan is too restrictive, lacks nutritional balance, and hasn’t been studied for long-term effects (the keto diet ranked 39th out of 40 for Best Diets Overall 2017 by a U.S. News report).

On the flip side, others—including some medical experts—believe a well-formulated keto diet is sustainable and meets essential nutrient needs; they also point to increasing research linking the diet to potential health benefits.

While it may be new to you, the keto diet has actually been around since the 1920’s, when the Mayo Clinic reported its effectiveness for helping epilepsy (that is still the case). Since then, there’s strong evidence that the keto diet helps with weight loss as well as type 2 diabetes, prediabetes, and metabolic syndrome, says Jeff Volek, Ph.D., RD, professor in the department of Human Sciences at The Ohio State University in Columbus, Ohio and co-author of The Art and Science of Low Carbohydrate Living.

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What Is a Ketogenic Diet?

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.

Everyone has to find their nutritional sweet spot for producing enough ketones and staying in ketosis, but “the core principle of the diet is to keep carbohydrate intake low enough, so your body continues producing ketones at elevated levels,” says Volek. “Your body adapts to this alternative fuel and becomes very efficient at breaking down and burning fat.”

Different Types of Ketogenic Diets

1. Standard: This version—the type we’re discussing in this article—is consistently low-carb, moderate protein and high-fat, and the one that has been the most widely studied and shown to be beneficial for therapeutic uses, such as diabetes.
2. Cyclical: Also referred to as “carb-cycling,” this diet involves injecting short periods of high-carb consumption (called “carb refeeds”) into a regular keto diet to replenish glycogen stores for muscle growth. This version isn’t well-studied and is aimed more at serious athletes and bodybuilders.
3. Targeted: On a targeted keto diet, you consume carbohydrates around your workouts to improve athletic performance without knocking yourself out of ketosis for too long. This version is also geared toward hardcore exercisers.

Who Should Not Be on the Keto Diet?

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.

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“If you’re using the keto diet for medical nutrition therapy, you definitely need medical oversight to be successful," says Jadin. “Though anyone considering the keto diet would benefit from partnering with a medical professional, such as a dietitian, who is well-versed in this diet.”

Ketogenic Diet Benefits

Positive science on ketosis coupled with personal successes passed by word-of-mouth have driven more people to explore the ketogenic diet, says Volek. More recently, the keto diet hints at having a promising therapeutic role in cancer, Alzheimer’s, Parkinson’s and polycystic ovary syndrome (PCOS). Research is still early in many areas, but Volek suspects there will more definitive answers on the wider scope of the diet’s benefits within the next decade.

Benefit #1: Weight Loss

You may experience rapid weight loss in the first week due to fluid loss, but then after a few weeks, you’ll likely notice more pounds peeling away. Many reasons for this weight loss are being investigated, but the journal Obesity Reviews, reveals that ketosis suppresses your appetite, which squashes the desire to eat.

Benefit #2: Control Blood Sugar

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.

Benefit #3: Improve Cholesterol and Blood Pressure

A review of multiple studies in the journal Nutrients found that ketogenic diets are connected to significant reductions in total cholesterol, increases in “good” HDL cholesterol levels, dips in triglycerides levels and decreases in “bad” LDL cholesterol; there are questions as to whether diets high in saturated fat negate these benefits. The same paper reports that a ketogenic may slightly reduce blood pressure, but science is still very scant on this point.

Benefit #4: Lower Inflammation

With inflammation driving most chronic diseases, the keto diet is anti-inflammatory and may help ease some inflammation-related pain conditions, according to researchers at Trinity College. One mechanism at play: The keto diet eliminates sugar and processed foods that can lead to oxidative stress in the body, a cause of chronic inflammation.

Benefit #5: Longer Life

This may be more of a maybe, but recent studies on mice fed a ketogenic diet lived longer, according to Cell Metabolism. “Not only did these mice live longer, they had expanded health in terms of physical and cognitive functioning,” says Volek. “Meaning, they lived happy, healthy lives.” Obviously, human studies need to be performed.

Common Side Effects of Keto Diet

You can have a completely smooth transition into ketosis, or…not. While your body is adapting to using ketones as your new fuel source, you may experience a range of uncomfortable short-term symptoms. These symptoms are referred to as “the keto flu.” Low-sodium levels are often to blame for symptoms keto flu, since the kidneys secrete more sodium when you’re in ketosis, says Volek. A few side effects:

Headache and Dizziness

Most people on the keto diet need to bump up their daily salt intake by an extra gram or two to avoid side effects like headaches, dizziness and even fainting, says Volek. To eliminate the symptoms caused by salt depletion, Volek suggests drinking broth made with a bouillon cube (which has slightly less than 1 gram of sodium), once or twice a day.

Constipation

When you eat a high-fat diet, you slow down your gastric emptying and your motility, which can set you up for constipation, says Jadin. Making sure you’re getting that extra bit of sodium, eating enough fiber-filled non-starchy vegetables and drinking plenty of fluids (since you urinate more on the keto diet) can move things along.

Heart Palpitations

When you’re lacking sodium, your kidney may wind up secreting potassium and you can end up with a mineral imbalance that leads to problems with your heart beat, explains Volek.

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Optimal Ketosis and Macros

Achieving optimal ketosis hinges on finding the right balance of macronutrients (or “macros” in keto-speak); these are the elements in your diet that account for the majority of your calories, a.k.a. energy—namely, fat, protein, and carbohydrates. By the way, it’s often “net grams” of carbohydrates that are counted toward your daily intake; “net” deducts the amount of fiber in a food from its carbohydrate total.
To know you’re spot-on dietwise (since the macros mix that launch you into ketosis varies between individuals), you can measure ketones in your blood (with a finger prick kit) or more commonly, through your urine (cheaper, but not as accurate).

Subjectively, the way you feel can also serve as a guide to whether you’re in ketosis. Most people on ketosis are more mentally sharp and energized, and feel less hungry.

The amount you should eat is determined by many factors, such as your weight, gender, and activity levels. Online keto calculators can do the math for you.

Ketogenic Diet Food List

“The cleaner, the better when it comes to the keto diet,” says Jadin. Focus on “whole” and “unprocessed.” Also, strive for a mix of saturated and unsaturated fats for balance. Note: Tipping the scale toward too much protein is a common pitfall many people make on the keto diet. Mind your protein intake, since too much can kick you out of ketosis, says Jadin.

Foods to Eat

Consider this just a general snapshot of what’s allowed and what isn’t (and there are differences in opinion).

• Meat: beef, chicken (skin-on is okay), turkey, lamb, pork (including bacon), sausage
• Tofu
• Fatty fish and shellfish: salmon, trout, mackerel, shrimp, scallops
• Eggs: ideal when cooked in fat
• Berries: strawberries, blackberries, blueberries, raspberries (in limited quantities)
• Non-starchy vegetables: leafy greens, like spinach and kale, broccoli, cauliflower, celery, cucumber
• Nuts and seeds: macadamias, walnuts, pecans, chia seeds, pumpkin seeds, hemp hearts, flaxseeds, coconut, peanuts (a legume exception)
• Nut and seed butters (with no added sugar): sun butter, almond butter, peanut butter
• Full-fat dairy (in limited quantities): heavy whipping dairy, yogurt, sour cream, cottage cheese, cheese
• Avocados
• Fats and oils: butter, coconut oil, olive oil, hemp oil, flaxseed oil, almond oil, avocado oil, sesame oil, mayonnaise
• Sugar substitutes: personal preference whether to include
• Dark chocolate (limited quantities)
Foods to Avoid
• Grains (white and whole): cereal, pasta, rice, bread (except keto-friendly homemade or packaged low-carb bread/wrap products)
• Starchy vegetables: potatoes, sweet potatoes, corn
• Legumes: lentils, peas, beans, quinoa, chickpeas
• Fruit: most types, because of natural sugar (bananas are especially high in sugar)
• Traditional desserts: cakes, cookies, ice cream, candy
• Milk and most low-fat dairy, including flavored yogurts
• Added sugar, including agave and honey: especially in condiments, salad dressings, and prepackaged sauces and soups
What to Drink
• Water or carbonated water
• Calorie-free beverages (limit artificial sweeteners)
• Unsweetened nut milk: almond, cashew
• Tea
• Coffee
• Alcohol (one or two drinks max): wine (dry, not sweet), vodka

Sunday, December 15, 2019

How keto diet works?

It’s all the rage. The internet is filled with stories of how everyone from movie stars to ordinary people have shed stubborn pounds with the ketogenic diet. Some suggest that this eating pattern also may be helpful for managing diabetes and warding off Alzheimer’s disease. So, is it a miracle diet or just the latest fad?

How the Keto Diet Works

The ketogenic diet is a high fat, moderate protein, low carbohydrate eating pattern, which differs from general, healthful eating recommendations. Many nutrient-rich foods are sources of carbohydrates, including fruits, vegetables, whole grains, milk and yogurt. On a keto diet, carbs from all sources are severely restricted. With the goal of keeping carbs below 50 grams per day, keto dieters often consume no breads, grains or cereals. And, even fruits and vegetables are limited because they, too, contain carbs. For most people, the keto diet requires making big shifts in how they usually eat.

Keto Breakfast Recipes For Bacon Lovers
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Why does the Keto diet restrict carbs?

Carbs are the main source of energy for our body. Without enough carbs for energy, the body breaks down fat into ketones. The ketones then become the primary source of fuel for the body. Ketones provide energy for the heart, kidneys and other muscles. The body also uses ketones as an alternative energy source for the brain. Hence, the name for this eating pattern.

For our bodies, a ketogenic diet is actually a partial fast. During a total fast or starvation state, the body has no source of energy. Thus, it breaks down lean muscle mass for fuel. With the keto diet, the ketones provide an alternative source of energy. Unlike a full fast, the keto diet helps to maintain lean muscle mass.

Is the Keto Diet Safe?

This eating pattern is not recommended for individuals with:
• Pancreatic disease
• Liver conditions
• Thyroid problems
• Eating disorders or a history of eating disorders
• Gallbladder disease or those who have had their gallbladders removed

Plus, there are both short-term and long-term health risks for all people associated with the keto diet. Short term health risks include flu-like symptoms. For example, upset stomach, headache, fatigue and dizzy spells. This is called the “keto flu.” Some people also report trouble sleeping.  Cutting back on high-fiber vegetables, fruits and whole grains also can increase risk for constipation. Often keto dieters must take a fiber supplement to help stay regular, but this should be discussed with a health care provider.

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Long term health risks of the keto diet include kidney stones, liver disease and deficiencies of vitamins and minerals. To limit carbs, many nutrient-rich vegetables and fruits are cut out. Thus, intakes of vitamin A, C, K and folate usually are low.

The high fat nature of the keto diet is very controversial. A considerable body of research has shown that diets high in saturated fat may increase the risk for heart disease and other chronic health problems. The risk that keto dieters might be taking with regards to their long-term cardiovascular health has not been fully studied.

What the Science Tell Us About the Keto Diet

The keto diet has been used to help manage epilepsy, a disorder characterized by seizures, for more than 100 years. More recent studies are evaluating the keto diet as an alternative dietary treatment for obesity and diabetes. Research findings on the benefits of the keto diet for these health conditions are extremely limited. Studies on effectiveness of the keto diet were conducted with small groups of people. And, most of the research about Alzheimer’s disease relies on research done on lab animals. To fully assess the safety of this eating pattern, more research is needed. Plus, studies must be done on the long-term health effects of the keto diet.

Mechanics Of A Successful Keto Egg Fast
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Body mass index and individual metabolic rates impact how quickly different individuals produce ketones. This means that on the keto diet, some people lose weight more slowly than others — even if they are following the same exact keto diet plan. For this group of people, the keto diet can be frustrating and may impact their motivation for making healthy dietary changes. Plus, many people are not able to stick with the keto diet and gain back the weight after returning to their previous pattern of eating.

The Bottom Line

The ketogenic diet is quite restrictive. Research supports this eating pattern for epilepsy when managed along with a health care team, since its treatment can be very complex. However, with regards to the keto diet as a tool for weight loss and other health benefits, the jury is still out.

For a personalized weight management plan that meets your individual needs, consult a registered dietitian nutritionist. An RDN can create a personalized weight loss program based on your unique health and nutrition needs and goals. To find a dietitian in your area, search the Academy's Find an Expert database.

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Keto diet benefits:

• Burns body fat: When you’re on keto, your body uses stored body fat and fat from your diet as fuel. The result? Weight loss.[5]
• Reduces appetite: Ketones suppress ghrelin — your hunger hormone — and increase cholecystokinin (CCK), which makes you feel full.[6] Reduced appetite means it’s easier to go for longer periods without eating, which encourages your body to dip into its fat stores for energy. More research needs to be done in the area of appetite and ketosis, but it seems a lot of people experience reduced hunger.
• Reduces inflammation: Inflammation is your body’s natural response to an invader it deems harmful. Too much inflammation is bad news because it increases your risk of health problems. A keto diet can reduce inflammation in the body by switching off inflammatory pathways and producing fewer free radicals compared to glucose.
• Fuels your brain: Ketones are so powerful that they can provide a good portion of your brain’s energy needs, which is way more efficient than the energy you get from glucose. Did you know your brain is made up of more than 60 percent fat?That means it needs a lot of fat to keep the engine humming. The quality fats you eat on a ketogenic diet do more than feed your day-to-day activities — they also feed your brain.

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• Increases energy: When your brain uses ketones for fuel, you don’t experience the same energy slumps as you do when you’re eating a lot of carbs. When your metabolism is in fat-burning mode, your body may tap into its readily available fat stores for energy. That means no more energy crashes or brain fog. Ketosis also helps the brain create more mitochondria, the power generators in your cells.[10] More energy in your cells means more energy to get stuff done.
• Curbs cravings: Fat is a satiating macronutrient. You eat a more smart fats on keto, so you feel fuller, longer.

Is keto diet safe for you?



The ketogenic (or keto) diet has been rising in popularity among the low-carb crowd. What makes the keto diet different than other low-carb diets? Why is it popular? And is it safe? Here's a closer look at this latest diet trend.

Back in the 1920's, scientists discovered that a diet very high in fat and very low in carbohydrate helped treat children with epilepsy. The keto diet works by depriving the body of glucose, which is found in carbohydrates. This in turn forces the body to convert fat into energy, forming ketones that are released from your liver. This process of ketosis, the metabolic state where the body derives the energy it needs from fat instead of carbs, also happens with fasting, when the body must rely on fat stores for energy. It isn't completely known why this diet worked for epilepsy, but the results were very positive for the patients.

When the keto diet was first introduced to children with epilepsy, they were instructed to follow a very strict diet, requiring 100 percent commitment. The children were admitted into the hospital so they could be fully monitored. They started with a period of fasting, which produced significant levels of ketones in the body. They were then fed a very high-fat, low-carb diet. After 1-2 months, many children were able to reduce their seizure medication.

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What Is the Keto Diet Good For

The Keto Diet and Weight Loss

Fast forward to today, when the Keto Diet has become popular for weight loss. Many studies have been conducted to research the physiological effects of the diet and have found evidence of its effectiveness. One particular study looked at the effect of the Keto Diet on obesity/weight loss, Type 2 diabetes, cardiovascular disease, and acne, and concluded that results are promising, but more research is needed.

Weight loss often occurs with this diet largely because people tend to consume fewer calories on a high fat, low carb, moderate protein diet. For one thing, people on the diet have are a lot fewer foods to choose from; for another, we tend to get full faster with high-fat foods. Also, the mechanism of the body pulling energy from fat stores rather than glucose can force the body to lose weight.

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What is the Difference between the Atkins Diet and the Keto Diet?
Both the Atkins diet and the keto diet are carbohydrate-restriction diets. One key difference is that the Atkins diet allows more protein than the keto diet. With Atkins, you can eat protein to your heart's content; with keto, protein is limited to about 20 percent of daily calories. Also, with Atkins, a phased diet, carbs can be added back into the diet eventually; not so with the keto diet, as introducing carbs would knock the body out of ketosis. Here's more about What You Should Know about the Atkins Diet.

What is the Difference between the Keto and Paleo Diets?
The paleo diet is another carb-reduction diet, but it is not nearly as severe as the keto diet. The carbs cut from the paleo diet are refined carbs of the modern diet; the assumption of the paleo diet being that what was healthy for hunters and gatherers should be healthy for us modern humans, too, since we evolved for many thousands of years under that particular lifestyle and diet. Basically, if a hunter/gatherer would have eaten it, you can, too. So paleo permits healthy carbohydrates, like whole vegetables and fruit, but cuts out processed foods. The keto diet puts more emphasis on fat in the diet. Also, paleo does not anticipate that dieters will go into ketosis, a key feature of the ketogenic diet.

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Is the Keto Diet Safe?

Those interested in trying the Keto Diet should consult with a physician before starting. This diet can be hard on the kidneys and may have other negative effects on the body,including sensations described as "the keto flu" -- nausea, fatigue, headaches, and fogginess in the head. High levels of ketones in the blood along with low levels of insulin can be very unsafe, especially for those with diabetes. Also, the keto diet is difficult to sustain over time because it is so restrictive. For most of us, eating a variety of nutritious foods that we enjoy (including fruits, vegetables, and whole grains), along with getting plenty of exercise, is more likely going to be a sustainable and healthy way to live.

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The keto diet has been used to help manage epilepsy, a disorder characterized by seizures, for more than 100 years. More recent studies are evaluating the keto diet as an alternative dietary treatment for obesity and diabetes. Research findings on the benefits of the keto diet for these health conditions are extremely limited. Studies on effectiveness of the keto diet were conducted with small groups of people. And, most of the research about Alzheimer’s disease relies on research done on lab animals. To fully assess the safety of this eating pattern, more research is needed. Plus, studies must be done on the long-term health effects of the keto diet.

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Body mass index and individual metabolic rates impact how quickly different individuals produce ketones. This means that on the keto diet, some people lose weight more slowly than others — even if they are following the same exact keto diet plan. For this group of people, the keto diet can be frustrating and may impact their motivation for making healthy dietary changes. Plus, many people are not able to stick with the keto diet and gain back the weight after returning to their previous pattern of eating.

Tuesday, December 3, 2019

What to eat and don’t eat on keto diet?



If you’re looking to get a jump start on your health and fitness goals this year, you may be thinking about trying the ketogenic diet. Maybe you’ve heard the phrase before — it’s a huge diet buzzword — but aren’t sure what it means. Here’s a primer: The ketogenic diet is an eating plan that drives your body into ketosis, a state where the body uses fat as a primary fuel source (instead of carbohydrates), says Stacey Mattinson, RDN, who is based in Austin, Texas.

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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Benefits and Risks of the Diet That Beginners Need to Know
Before you dive in, it's key to know the possible benefits and risks of keto.

There are three instances where there’s research to back up a ketogenic diet, including to help control type 2 diabetes, as part of epilepsy treatment, or for weight loss, says Mattinson. “In terms of diabetes, there is some promising research showing that the ketogenic diet may improve glycemic control. It may cause a reduction in A1C — a key test for diabetes that measures a person’s average blood sugar control over two to three months — something that may help you reduce medication use,” she says.

But for people with diabetes, one big concern is you're eating a lot of fat on keto, and that fat may be saturated, which is unhealthy when eaten in excess. (The much higher total fat intake is also a challenge among keto beginners.)

Because people with type 2 diabetes are at an increased risk for cardiovascular disease, there’s a specific 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, to manage diabetes. Those with epilepsy should also consult their doctor before using this as part of their treatment plan.

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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.
But the keto diet can be effective over time. One review suggested the keto diet can spur fat loss in obese people when used for a couple of weeks and up to one year. (1) A meta-analysis noted that one reason for weight loss is likely that keto diets suppress hunger. (2)

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One downside to a ketogenic diet for weight loss is the difficulty maintaining it. “Studies show that weight loss results from being on a low-carb diet for more than 12 months tend to be the same as being on a normal, healthy diet,” says Mattinson. While you may be eating more satiating fats (like peanut butter, regular butter, or avocado), you’re also way more limited in what’s allowed on the diet, which can make everyday situations, like eating dinner with family or going out with friends, far more difficult. Because people often find it tough to sustain, it’s easy to rely on it as a short-term diet rather than a long-term lifestyle.

Before starting, ask yourself what is really realistic for you, Mattinson suggests. Then get your doctor’s okay. You may also work with a local registered dietitian nutritionist to limit potential nutrient deficiencies and talk about vitamin supplementation, as you won’t be eating whole grains, dairy, or fruit, and will eliminate many veggies. “A diet that eliminates entire food groups is a red flag to me. This isn’t something to take lightly or dive into headfirst with no medical supervision,” she says.
What to Keep in Mind When Creating Your Ketogenic Meal Plan
If you’ve decided to move forward in trying the keto diet, you will want to stick to the parameters of the eating plan. Roughly 60 to 80 percent of your calories will come from fats. That means you’ll eat meats, fats, and oils, and a very limited amount of nonstarchy vegetables, she says. (This is different from a traditional low-carb diet, as even fewer carbs are allowed on the keto diet.)

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The remaining calories in the keto diet come from protein — about 1 gram (g) per kilogram of body weight, so a 140-pound woman would need about 64 g of protein total. As for carbs: “Every body is different, but most people maintain ketosis with between 20 and 50 g of net carbs per day,” says Mattinson. Total carbohydrates minus fiber equals net carbs, she explains.

One thing to remember: “It’s easy to get ‘kicked out’ of ketosis,” says Mattinson. Meaning, if you eat something as small as a serving of blueberries, your body could revert to burning carbohydrates for fuel rather than fat.

Not losing weight on keto diet



The keto diet is a type of diet that significantly restricts carbohydrate intake. Ordinarily, the body breaks down carbohydrates into the sugar glucose, which it uses for energy. When there are not enough carbs in the body, it goes into a stage called ketosis.

During ketosis, the body becomes very efficient at burning fat and using it instead of glucose for energy. This fat burning makes the ketogenic diet a popular choice for people looking to lose weight.
However, some people may find that they are not losing weight on the keto diet. In most cases, this will be because they have not gone into ketosis.

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There are other reasons why a person may not lose weight while following the keto diet. In this article, we outline the different possibilities. We also provide some general tips that can help a person achieve their weight loss goals.

1. Not achieving ketosis

A person on the keto diet should try to make carbs only 5–10% of their calorie intake.

Usually, when a person does not lose weight on the keto diet, it is because they have not achieved ketosis.

The most common reason for not getting into ketosis is not cutting back enough on carbs. According to a 2019 articleTrusted Source on the ketogenic diet, carbohydrates should represent only 5–10% of a person's calorie intake.

Specifically, most keto diets require a person to cut down to between 20 and 50 grams of carbs each day.

Sometimes, a person may feel as though they have drastically reduced their carb intake. However, they may still be eating enough carbs for the body to produce energy from glucose, and this will prevent the body from burning fat.

A person who is not losing weight on the keto diet may benefit from purchasing a home testing kit. These kits contain test strips that check for the presence of ketones in the urine. A positive result indicates that the body is in ketosis.

Another option is to use a small machine called a ketone breath analyzer that detects ketones in the breath.

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Home testing can be a helpful way for people to ensure that they are actually entering ketosis. People can use this information to make dietary changes that will help them achieve their weight loss goals.

2. Eating too much protein

Many low carb diets allow for a moderate amount of protein. Some people mistakenly think that a low carb, high protein diet is a keto diet. However, this type of diet is unlikely to cause ketosis because the body can break down excess proteins into amino acids and convert them to types of sugar.

A person who is on the keto diet will get most of their calories from fat, which should represent about 55–60%Trusted Source of their calorie intake. This fat intake leaves little room for protein. If protein makes up more than 35% of a person's diet, it is unlikely that they are going into ketosis.

3. Eating too many acceptable carbs

On the keto diet, several types of carbohydrate are acceptable, including nuts and dairy. These foods are typically high fat, nutrient dense foods that make a great addition to a keto diet. However, they also contain carbohydrates.

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Eating too many of these foods will keep a person from achieving and maintaining ketosis.

4. Eating maltitol

Sugar alcohols are typically a good option for people following the keto diet. They provide sweetness without increasing net carbs in the body. However, not all sugar alcohols are alike.

Maltitol is a sugar alcohol that is not keto friendly. Although maltitol is technically a low glycemic index (GI) sugar, it still affects blood sugar levelsTrusted Source. This effect is enough to prevent a person from entering ketosis.

5. Not counting calories

Counting calories may help a person lose weight on the keto diet.
A person who eats more calories than their body can burn is unlikely to lose weight. People who consume too many calories may gain weight, even if they are in a state of ketosis.

High fat foods tend to contain many more calories than foods that are high in carbohydrates and proteins. It is, therefore, important that people keep track of the number of calories that they consume.
Sticking to a balanced meal plan can help a person work toward their ideal weight.

6. Constant snacking

Even when a person has an approved meal plan in mind, if they succumb to continual snacking, this can greatly increase their calorie intake. A snack may help prevent hunger pangs, but it can easily sabotage weight loss efforts.

7. Drinking alcohol

Many alcoholic drinks, including wine and beer, are high in carbohydrates. Most forms of the ketone diet do not allow these types of alcohol.

Hard alcohols, such as gin and vodka, are lower in carbohydrates, meaning that they are generally acceptable on a keto diet. However, these drinks are very calorie dense. As such, even these options can prevent weight loss.

Drinking alcohol is an easy way to increase calorie intake without providing the body with nutrients.

8. Little to no exercise

Exercise is an important part of staying healthy. Exercise also stimulates the body's metabolism and burns calories. It is, therefore, a great tool for dieters.

Exercise may be especially important on a keto diet, as the high fat foods that a person eats contain many calories. Burning calories through exercise can help a person reach their desired weight.

9. High stress

A high stress lifestyle can also stop a person from losing weight on the keto diet. As one 2012 studyTrusted Source notes, stress can cause changes in hormone levels, which can lead to weight gain or difficulty losing weight.

Chronic stress may also cause people to crave comfort foods. These foods add extra calories to the diet.

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10. Underlying medical conditions

Sometimes, a person may be doing everything right and still be unable to lose weight on the keto diet. In some cases, this may be due to an underlying medical condition that is causing weight gain or preventing weight loss. Alternatively, a medication that a person is taking for the underlying condition may be causing increased appetite as a side effect.
Some conditions that can contribute to weight gain include:
• hypothyroidism
• depression
• high insulin levels
• Cushing's syndrome
• polycystic ovary syndrome (PCOS)

A person should see a doctor if they are unable to lose weight despite adhering to a strict diet and exercise plan. The doctor may carry out tests to determine what is preventing weight loss. Treating the underlying condition may resolve the issue.