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“Both alcoholic ketoacidosis and diabetic ketoacidosis create medical emergencies due to the rapid change in the body’s acid-base balance,” Dr. Gonzalez-Campoy says. Common complications of diabetic ketoacidosis include very low blood sugar, or hypoglycemia, and swelling of the brain (cerebral edema). As such, when a person is in ketoacidosis, there is such a high level of ketones produced that can push a person into cardiac arrest (heart attack) or kidney failure. Hence, the very important reason for taking occasional keto breaks go give your body a bit more nourishing carbs. The ketogenic diet was originally formulated by doctors to help treat people with epilepsy, and it was found especially effective in children who didn’t respond to medication.1,2 Indeed, the keto diet has been found to reduce the frequency and intensity of seizures, which are common complications of this condition. This high fat/low carb diet may also help improve certain other neurological disorders like Alzheimer’s disease and Parkinson’s disease,3 according to the Epilepsy Foundation. The macro count for the HPK diet is roughly 5 percent carbs, 35 percent protein and 60 percent fat. This form rotates ketogenic days with high carb days, usually five ketogenic days followed by two high carb days. Sometimes referred to as ketogenic carb cycling, this version of the keto diet can help promote fat loss and muscle-building. Ketogenic carb cycling is also said to be less of a lifestyle stressor for some people, as the two high carb days make the CKD feel less restrictive and easier to follow. Since each person has a different body fat percentage and nutrient requirements, there is no one-size-fits-all caloric or macronutrient rule for getting into ketosis. For example, athletes who train four to five times per week will still be able to enter a state of ketosis by eating a higher percentage of carbs, compared to someone who’s mostly sedentary. If you’re not already a keto pro, you can calculate your personal optimal macronutrient ratios by using this ketogenic calculator.

Within a week of providing her a ketogenic formula through a feeding tube, her seizures diminished and she was soon able to go home. This method of ketogenic diet delivery has since been reported effective in over 40 patients in a dozen separate medical publications. A recent publication that I co-wrote includes five such cases. The diet is traditionally offered after the failure of two or more anti-seizure medications. Statistically, after a second drug has been tried, the likelihood of another one controlling seizures is less than 3 percent. Those are poor odds, yet many of the people I’ve worked with over the years have tried multiple combinations and as many as seven different drugs. Ketogenic diets improve epilepsy in over half of those who try it. This has been documented in multiple prospective studies including a report summarizing the results from 19 hospitals that collectively treated over 1,000 children. If the ketogenic diet can have such a strong impact where no drug or drug combination has helped, could it help others with less intense epilepsy?|But if you’re able to carefully plan and execute your keto diet plan, you’ll enjoy other benefits, too. No more counting calories. Because the keto diet is chock full of healthy fats and proteins, you’ll feel fuller, longer. Ketones supply your brain, muscles and organs with a steady source of energy, says Dr. Axe. This can also lead to enhanced focus, attention, memory and potentially problem-solving and learning capacity. The diet offers protection against a broad range of neurodegenerative disorders, Dr. Axe says, including Alzheimer’s disease, Parkinson’s disease, traumatic brain injury and stroke. Healthy blood sugar levels. According to Dr. Axe, very low-carbohydrate, high-fat diets are safe and effective when it comes to reducing blood sugar fluctuations and insulin resistance in diabetic and prediabetic adults. Is the keto diet safe? Are there side effects? Like anything that sounds too good to be true, there are some drawbacks to the keto diet, ranging from temporary annoyances to dangerous conditions. When you first transition to the keto diet, you can expect symptoms like excessive fatigue, dehydration, dizziness, weakness, decreased concentration, sweats and cold-like symptoms, says Emily Tills, a registered dietitian. It is available on their official page only. If you wish to customize a diet plan, you need to visit their official website. You may come across several websites offering attractive discounts and guarantees but those are not legit. The official website has not authorized access for sale to any other website. The program was originally priced at $97 but now there is a discount on their website and you can customize your keto diet plan for $37. The site also provides a 60-day money-back guarantee that offers you a 100% refund if you are unhappy with the diet plan. Is Custom Keto Diet Plan legit? From the studies and reviews, I would say that the plan is legit. There is nothing that looks shady about this plan and it has shown successful results for many of its users. You may come across some websites that try to trick you into a sham by giving you a fake keto diet plan.

The keto diet is all about finding the sweet spot of ketosis. However, if it’s a biological process going on inside your body, how can you tell that you’ve hit it? This is where you have two options. Being in ketosis means the levels of ketones will be higher in your body than normal. Therefore to get an accurate result - a breath, urine, or blood sample will do the trick. However, option two is a far simpler. There are people out there who let their state of ketosis take over their diet. To be honest it’s nothing to get hung up over and it’s far better to concentrate your efforts on eating the right foods. Are There Any Side Effects to the Keto Diet? In most cases, the keto diet is considered a safe way to lose weight and reap the benefits. However, in spite of all the good things mentioned, it is possible to experience some mild side effects.|Employ whatever tools or strategies you need to make your life easier while you transition to a new way of eating. Most importantly, check in with your body as you go. Are you sharpest with a weekly carb refeed, or do you do better on a full ketogenic diet? Do you burn out when you dip below 100 grams of carbs per day? There’s a lot of variation within lower-carb diets, and some people feel their best with different styles of eating. Find a good balance that works best for your body. What is Metabolic Flexibility and How Can You Achieve It? If you’re someone that feels like more data is helpful, calculating your macros using a macro calculator can be helpful when you’re starting out. Every body is different, and calculating the exact nutrition you need in your keto diet plan can help you get started on the right track without wondering why your keto journey isn’t hitting your goals. Moreover, some research indicates that the keto diet can also help with PCOS, fertility, and more. The keto diet has been shown to help people with type 2 diabetes because of how it maintains low blood sugar levels, and subsequently, can promote better insulin control. A 2005 study showed that the keto diet allowed patients with type 2 diabetes to stop taking or lower the medications that helped them regulate their insulin levels. A 2008 study found similar results in its patients. Patients who were obese and had type 2 diabetes were able to better handle their blood sugar levels as well as lower their medication that controlled their insulin. Supporting results from both the 2005 and 2008 studies, a 2017 review of nine studies found that people with type 2 diabetes on a low-carb diet generally could control their blood glucose levels better than diabetes patients on either a normal or high-carb diet.

What is the ketogenic diet? The ketogenic diet is a diet that produces reactions in the body similar to those that occur during fasting. This is a type of extreme low-carb diet that was first developed in 1921 due to the ability of this type of diet to reduce or suppress seizures. As new medications to treat seizures were developed, the ketogenic diet became less popular as a way to manage seizure disorders. However, in 2008, a clinical trial showed that a ketogenic diet could help children with treatment-resistant epilepsy become seizure-free. A ketogenic diet is often prescribed for people who have failed two mainline antiseizure drugs, with studies showing seizure-reduction rates as high as 85% after this treatment. It can be effective for patients of any age or seizure type. The reasons why a ketogenic diet works to help reduce seizures are unclear, but it is believed to induce metabolic changes that lower the risk of seizures. The diet itself is a low-carb, high-fat diet that involves extreme reduction of carbohydrate consumption and replacing it with fat, up to a concentration of 70%-80% of calories from fat. And basically ketones can stand in as glucose for fuel when we’re not eating carbs. Just to break it down again: On the high-carb diet you eat carbs like pasta or bread, your glucose levels rise, the pancreas secretes insulin and then the insulin moves the glucose into our cells to power our body. On the keto diet, a person eats fats like steak and eggs. The glucose and insulin levels in the body fall. The liver converts the fat into ketones and then the ketones fuel the cells and tissues of the body. You’re making the body find a way to use fat as a source of fuel. Is there another way to get the body into ketosis? Starvation. When you fast - think about it again, our bodies don’t have glucose stored up anywhere. When you’re not eating, it has to turn to fat stores to start to get energy to keep going.

Stay in the keto know! Sign up for the Keto Reset Digest, our keto-themed newsletter. What Is the Ketogenic Diet? The ketogenic diet is a diet that, by way of macronutrient balance (high fat, moderate protein, and very low carbohydrate in comparison to the Standard American Diet) induces the body to burn ketones and fat in addition to glucose for energy. Lucky for us, this flexibility is entirely natural, safe, and beneficial. Contemporary eating patterns, much to our detriment, keep us reliant on glucose, but that’s not the way we’re designed to live. Keto is a state of metabolic efficiency. This means you move beyond being dependent on regular carbohydrate intake and into the ability to burn stored body fat and natural ketones (hence the name ketosis) for physical energy, stable mood, and mental focus. Many of us have unfortunately been told over the years that the body relies on glucose for energy. That simply isn’t the case. Glucose is one fuel, true. For everyday dieters, it might be for the more anecdotal side effects, such as a clearer head. But it can be risky for certain folks, like those with kidney issues, according to experts at the Keck School of Medicine of USC. Ninety percent of Americans have been on a diet and when you ask why they’re dieting - is it for health or to lose weight? “the predominant answer is to lose weight,” according to Dean Pinchas Cohen of the USC Leonard Davis School of Gerontology. So it’s no surprise keto - essentially a new take on the Atkins diet - is popular since it results in weight loss, he said. But long term, the keto diet could be detrimental, since cutting out carbs increases health risks and mortality over time, Cohen said. The ketogenic diet is usually something that’s prescribed by a registered dietitian. For example, Jessica Lowe, a Keck School of Medicine of USC ketogenic dietitian, said she might prescribe it to a patient who has epilepsy, since there’s research that shows it can help control seizures. Whereas most keto dieters focus on meat, eggs, vegetables, and healthy fats, dirty keto dieters will eat anything as long as they can keep their carbs down. Do you count sugar alcohols on keto? It’s up to you. Erythritol, a common ingredient in keto-friendly baking, has a negligible impact on blood sugar and insulin levels, so it shouldn’t disrupt ketosis. Other sugar alcohols (sweeteners ending in -ol, like sorbitol and xylitol) are similar. In that sense, they don’t count against your carb limit. The one exception is malitol, which has a slightly higher glycemic index (a measure of a food’s effect on blood sugar), though it’s still well below table sugar. Many keto dieters choose to disregard the carbs in sugar alcohols. Diabetics are often advised to count half the carbs. Remember, though, even if you decide the carbs don’t count, consuming too many keto-fied desserts can still negatively affect your health and body composition goals. The calories in keto-friendly cookies, cakes, muffins, and the like do still matter.

Starting out on a new way of eating isn’t easy, and you don’t have to do it alone! Join our private Facebook support group here! There are hundreds of thousands of us in the group waiting to help you. We have people at all stages of the journey, so whether you need a place for keto for beginners, or you’re a more seasoned keto-er looking for others who get it, we’d love to have you in our community. 14. Plan Your Meals. One of the best keto tips and tricks I always tell people is that meal planning is a game changer. Grabbing a bag of chips, a candy bar, or a box of pasta may be easy on a high-carb diet, but sticking to a low carb lifestyle requires more planning. And that’s okay! It’s totally doable and does not have to take hours out of your day. You can make your own plan, whether that’s planning for the week ahead like I do or simply looking at the day ahead in the morning. 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? 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. Why does the Keto diet restrict carbs? Carbs are the main source of energy for our body. There are different variations of low carb, and the keto diet is a special type of low carb with added characteristics. Some people opt to count carbs diligently and some choose to simply focus on eat low carb/keto foods. What are net carbs? Net carbs is simply total carbs minus fiber and non-digestible sweeteners, like erythritol and allulose. We don’t have to count fiber and certain sweeteners in net carbs, because they either don’t get broken down by our bodies, are not absorbed, or are absorbed but not metabolized. Some people on a keto or low carb diet choose to count total carbs instead of net carbs. This makes it more difficult to fit in more leafy greens and low carb vegetables (which are filled with fiber), so you should only try that if you don’t get results with a net carb method. And, start with reducing sweeteners and low carb treats before deciding to do a “total carbs” method. If you’re insulin resistant, you might need to start lower, around 20 to 30 grams. Hard-charging endurance athletes can often eat 100 grams or more per day and still achieve ketosis. Everyone approaches keto dieting a bit differently. I recommend tracking total carbs instead of net carbs for ease of tracking, and I don’t worry about the carbs in above-ground green vegetables and avocados. If you’re tracking net carbs, 20 to 30 grams net is usually a good starting point. For more information about my approach to keto dieting, check out: Why Does the Keto Reset Allow 50 Grams of Carbs? What is the difference between total carbs and net carbs? Total carbs is just what it sounds like: all the carbohydrates contained in a given food. Net carbs is the total carbohydrate minus any fiber. Some keto plans count net carbs because fiber is not metabolized into glucose, so it doesn’t affect insulin levels or ketosis. How to calculate net carbs on keto? The ketogenic diet - more commonly known as the keto diet, is one of the most popular current ways to lose weight. Keto is a high fat, medium protein, very low carbohydrate diet, like a sort of turbo-charged Atkins diet. It's not the easiest diet to follow, for reasons we'll come to shortly, but it can be a sure-fire way to lose belly fat and feel healthy. We asked the Product Director of Bulk Powders supplements if the keto diet is safe and how to get started with keto. Given that Bulk Powders makes keto-specific supplements, he was, not surprisingly, quite into it. But should YOU try the keto diet? Seeing all the jaw-dropping before and after pictures, we were interested and even intrigued to find out more about the keto diet. Many people claim they lost weight following this strict diet, seeing results sooner rather than later.|A traditional keto diet restricts protein to this level, but the lazy keto diet may not. If someone eating a lazy keto diet consumes more protein than this, ketosis may not happen. However, a low carbohydrate diet can be beneficial for weight loss, diabetes, and cardiovascular risk, even if a person does not enter ketosis. By requiring people to limit carbohydrates to 10% or less, the lazy keto diet may help them avoid heavily refined foods and added sugars. As a result, this approach could help a person manage their weight or improve their health, depending on their food choices. On the other hand, a low carbohydrate diet that is lacking in fruits, vegetables, whole grains, beans, lentils, and other sources of dietary fiber may not promote health. Also, some researchers have reported that low carbohydrate diets are not superior to other balanced diets. Someone eating a lazy keto diet should ensure that they eat enough fruits, vegetables, and dietary fiber, all of which experts list as being important for promoting health. A 2015 review suggests that this dietary approach is also associated with improved diversity in gut bacteria. According to the authors, eating a diet high in animal protein and low in plant-based foods may increase colonic disease risk. What if we told you that indulging in all the butter, cheese, and steak you want can help your energy levels soar, crush cravings, and melt inches off your frame? Well, those are the lofty results the ketogenic (or keto, for short) diet promises-and the actual outcomes aren't that far off. Here's a digestible rundown of how the diet works: Eating no more than 10 percent of your calories from carbs, about 20 percent from protein, and about 70 percent from healthy fats causes the liver to produce ketones, or byproducts of breaking down fat for energy, allowing your body to enter ketosis. Sticking to this low-carb, moderate protein, high-fat diet allows your body to burn fat for fuel rather than glucose-our primary source of energy. And who doesn't want that? I sure did, and therefore decided to give it a whirl. Naysayers swore I'd be irritable, hungry, and wouldn't last three days.

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The ketogenic diet has been around for a LONG time. It’s popular. It’s controversial. Some love it. Some hate it. Some even say it can help your blood sugars stay in better control. After thoroughly reviewing the scientific literature and trying the ketogenic diet myself for over 6 months, I am ready to unfold everything you’ve been hearing and let you decide for yourself what you think about the diet that has taken the world and diabetes community by storm. What is a ketogenic diet? What the science says… This guide is relevant for people with any type of diabetes. I will mainly talk about insulin when I discuss how a keto diet affects blood sugar, but some studies also show a possible reduction in certain type 2 medications. Disclaimer: Please always consult with your medical team before you start a new diet, adjust your medication or change your diabetes management routine. What is a ketogenic diet? Once upon a time, keto was the original “diabetes diet” prescribed to type 1 diabetes patients before the advent of insulin, as this would prolong their lives as it has less of an impact on blood sugar levels. 5% of your daily caloric intake from carbohydrates. By restricting your carbohydrate intake so severely, you force your body to get most of its energy from fat. A byproduct of this fat burning is the production of natural ketones in the body, hence the name of the diet. Burning ketones supplies the body with an alternative form of energy rather than quickly accessible energy from carbs (glucose) and is what makes the ketogenic diet work. IMPORTANT: natural ketones are different from the “bad” ketones that can lead to diabetic ketoacidosis (DKA).|People with diabetes who follow a keto diet need to monitor their ketone levels carefully. If levels get too high, ketoacidosis can occur. DKA is a condition wherein the levels of ketones become extremely high, poisoning the body. It is a severe and dangerous condition that can develop rapidly, sometimes within the space of 24 hours. There are several potential triggers for ketoacidosis. However, it most often occurs due to illnesses that cause higher levels of hormones that work against insulin. It can also result from problems with insulin therapy, either through missing scheduled treatments or not receiving enough insulin. Ketoacidosis most commonly occurs in people with type 1 diabetes. It can also occur in people with type 2 diabetes, though this is much less common. High levels of ketones in the urine and high blood sugar levels are both signs of ketoacidosis. A person can test for ketoacidosis using a kit at home. Unlike with calorie restriction, keto helps you lose weight by putting your body into ketosis. When you eat minimal carbohydrates, your body produces ketones for energy. Ketones are made in your liver from fatty acids found in food or your own body fat. Therefore, your liver actually burns fat to make ketones. Ketones are used for energy in lieu of carbs. As your body steadily burns fat as a fuel source, you will start to lose weight. You may be wondering if keto can target specific problem areas, such as belly fat. Burning belly fat is high on the priority list for many people. The fat in your belly is visceral fat, which is a dangerous type of fat that lives deep inside the abdomen, encasing your internal organs. Visceral fat is linked to heart disease and type 2 diabetes. Technically, you can’t spot-target fat areas for reduction. Your body decides where weight loss will occur. However, keto may be useful for eliminating stubborn belly fat. Celebrities like Halle Berry and Kourtney Kardashian swear by it, it ranked within the top 10 most Googled diets in 2017, and it's a clear Pinterest-favorite plan. It's called the ketogenic diet, which aims to induce ketosis, a metabolic process in which we use fat for energy instead of the body's preferred source, sugar. Fans of the low-calorie, high-fat diet tout having more energy, lower appetite, and pretty immediate weight loss - all while chowing down on bacon, heavy cream, and butter. But when I first heard that the next weight-loss "trend" was the ketogenic diet, I laughed out loud. I was caught saying one year ago. That's because my intro to this seemingly new plan was when I worked in a hospital, where ketogenic diets were specifically used as a medical nutrition therapy for pediatric patients with seizure disorders, for whom medication was no longer effective. In other words: It was used as an absolute last resort for families who felt otherwise hopeless in the face of a neurological disease, and under strict medical supervision.|Because the diet requires you to eat mostly fat and protein, it may prevent the body from getting all the vitamins and nutrients it needs on a daily basis. Is there anyone who should not try this diet? Anyone with a history of kidney stones, acute pancreatitis, and/or carnitine deficiency shouldn’t try the diet. A poorly formulated keto diet can contribute to the formation of kidney stones because the diet can be somewhat diuretic and may acidify the urine. It can also exacerbate acute pancreatitis. And carnitine is what carries fatty acids into the cells to process fat and provide energy - someone with a primary carnitine deficiency would not have adequate carnitine to process the large amount of fat required for the keto diet. Are there any negative side effects to be aware of? Dehydration, electrolyte imbalance, metabolic acidosis, constipation, muscle cramping, vitamin and mineral deficiency, and an initial increase in both HDL (good) cholesterol and LDL (bad) cholesterol levels. The ketogenic, or keto diet, is getting more and more popular, and for good reason - it’s helped a lot of people lose weight, get healthier, and get more energy. So exactly what is keto dieting? So, in this article, I’ll detail what the keto diet is, what you eat, what you don’t eat, who should do it, and how best to get started. I’ll answer a lot of frequently answered questions in this post, from how it’s different to Atkins and Paleo to whether you need to take exogenous ketones and how to measure your ketone levels. Keto can be a fantastic tool, but just like the handy hammer, it’s important to understand what it is, when to use it, how you can use it properly, and what to do when it doesn’t work. What is a Ketogenic or Keto Diet? What is the Difference Between Ketosis and Ketoacidosis?|The following are some keto-friendly foods to add to a grocery list. A person should include non-starchy vegetables in a keto diet to provide essential nutrients such as vitamins, minerals, and fiber. Many fruits have a sugar content that is too high to be keto-friendly. However, a person can count their fruit intake as part of their carbohydrate allowance for the day and choose lower sugar fruits, such as berries, coconut, and citrus fruits. People can vary their protein sources so that they get variety in the keto diet. Many protein sources, such as meat and dairy, also contain fat, so people can account for this when tracking their macronutrients. One of the criticisms of the keto diet is that a person may consume too much saturated fat. The Dietary Guidelines for Americans recommend limiting calories from saturated fats to less than 10% of daily calories to reduce the risk of heart disease. Coconut oil is a saturated fat that people can include, and many people also use medium chain triglyceride oil. People should always stay adequately hydrated. This can also help prevent the side effects of the keto diet.

Instead, listen to your body for cues. If you are feeling hungry right after a meal, you probably didn’t have enough protein or fat. When followed correctly, a keto-based meal will leave you feeling full and satiated for hours. Seek Nutritional Ketosis, Not Higher Ketone Levels. To gain the most benefit from this diet, you’ll want to aim for a level of ketosis between 1.5-3.0 mol/L on a blood ketone meter. You’ll be there when you are eating well-designed meals that carry you through to the next meal without hunger or other adverse symptoms (ie, nausea, insomnia, crankiness, inability to exercise). Higher ketone levels suggest you have more circulating ketones in your blood but don’t confuse this with efficient fat burning, which is the goal of this diet. Ketosis Isn’t Forever. It’s recommended that you follow this diet to arrive at a state in which your body adapts to burning fat and glucose stores for fuel. A ketogenic diet can work wonders for people who are overweight, diabetic and prediabetic or just looking to improve their metabolism. It may not be as suitable for elite athletes or bodybuilders looking to add significant muscle mass. As with any diet, keto will only work if you are consistent and stick with your plan. The powerful health, nutritional, and weight loss benefits of a ketogenic diet have been proven through extensive research. Keto may also improve HDL cholesterol levels, often referred to as “good” cholesterol, better than diets that allow moderate carbohydrate consumption. The loss of extra weight and addition of healthier foods is also a driving force behind improved health. How does your DNA factor in? Unfortunately, not everyone metabolizes fats efficiently enough to experience the benefits of the ketogenic diet. A DNA health test can tell you how efficiently you metabolize fats and if the ketogenic diet is right for you.

In the world of nutrition, the ketogenic diet is enjoying its moment as diet du jour. Google trends show a sharp uptick in searches for the ketogenic diet since 2016. Almost 550,000 people subscribe to the r/keto subreddit. Twitter, I found an endless stream of modified keto recipes and stories claiming successful weight loss. Alicia Vikander, the new Lara Croft in Tomb Raider, and Silicon Valley bros have reportedly used the diet to change their bodies. You can even buy keto dog food. According to some advocates, keto diets are a one-size-fits-all solution for obesity and the hunger that comes from traditional weight loss diets. On the other hand, a panel of nutrition experts ranked the ketogenic last (along with the Dukan Diet) among 38 other diets in US News and World Report’s annual diet rankings. You may have heard of the Ketogenic (keto) diet and have had it explained to you as a no carb diet or high fat diet with the intention of it is to lose weight. But the keto diet was not developed for weight loss purposes. It was originally developed to treat severe epilepsy in infants and children under medical supervision, today the ketogenic diet is moving to the mainstream as a low-carbohydrate tool for weight loss-but not without controversy. Before we start it’s important to know that our one and only rule is you have to find what works for you. Let’s take a look at what the ketogenic diet is and what’s known about its risks and benefits. The ketogenic diet may be referred to as similar to the Atkins or Paleo diets, but it’s not. The Atkins diet restricts carbohydrates while emphasizing protein and limiting fat, and while the Paleo diet restricts some carbohydrate-rich foods-primarily grains and pulses-it isn’t necessarily low carb. Despite these benefits, undergoing a seriously restrictive diet like keto shouldn’t be taken lightly. Is it a new diet? Keto is definitely trendy, but it’s not a fad. The ketogenic diet was introduced by modern physicians as an epilepsy treatment in the 1920s-a technique that is still used to treat child epilepsy today in concert with seizure medications. Many high-fat, low-carb diets like Atkins have popped up over the years, but keto has eclipsed them all to join the ranks of high profile diets like intermittent fasting and Whole30. Despite keto's relatively long-standing history, interest has exploded over the past few years. Over on Reddit, /r/keto has a community of over 706,660 subscribers, and thousands more follow along in the comments. These online communities act as a place for commitment, celebration, and commiseration, and for good reason. The demands of following keto are intense: Most keto followers aim to get around 60-75 percent of their calories from fat, 15-30 percent of their calories from protein, and the rest from carbs.|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? 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.

Up to 80 percent of people with Parkinson’s may also go on to develop dementia. 15) The ketogenic diet may help preserve cognitive function and memory in people who are at a relatively higher risk for dementia. Alzheimer’s disease, I’m not shy about suggesting it as an intervention - and, typically, I do,” says Robert Krikorian, PhD, professor of clinical psychiatry and the director of the division of psychology at the University of Cincinnati College of Medicine. That said, the keto diet as a therapy “is not widely accepted, but in my mind, there’s enough data to recommend it,” he says. Krikorian will be publishing research on early Parkinson’s patients with mild cognitive impairment. And while he can’t yet share the results, he says ketosis appears to have multiple effects, including improved brain function and cognition, potentially by way of enhancing energy production and normalizing insulin levels in the brain. One reason reason that low-carb diets like keto may improve cognitive functioning is through reducing insulin secretion in the body. That’s important because research suggests that higher insulin in the circulation correlates with lower levels of insulin in the brain, says Dr. Krikorian. Insulin in the brain is necessary to support memory consolidation; it also correlates with an enzyme that helps clear beta amyloid out of the brain, proteins that form plaques that disrupt brain function as in Alzheimer’s disease, he explains. That said, while it’s a promising area of research, more long-term studies are still need to be done before the keto diet is widely recommended in this disease. Easing into it slowly can also help. Read the full guide to keto flu symptoms and remedies here. Why do I get frequent headaches on keto? Most commonly this is due to either dehydration or electrolyte imbalance - essentially it can be a mild form of keto flu. You’d treat it the same way, with water and electrolytes. Drinking water is great for anyone, but especially if you are in ketosis. Eating carbs causes us to store more water in our bodies, while a keto diet flushes out more water, so it’s even more crucial to drink enough. Aim for 16 cups per day. 11. Make Easy Keto Recipes For Beginners. Keto recipes are not 100% required to stick to a keto lifestyle, but they sure make it easier and more enjoyable! Once you have the basics down, introducing your old comfort food favorites in keto form, like keto bread or keto casseroles, can help you stick to it long term. The extremely low level of carbs on the Keto Diet can cause what's known as the keto flu, which causes headaches, nausea, muscle cramping, and fatigue. Like the Paleo Diet, these unpleasant side effects generally subside after a few weeks. Drinking plenty of water and getting a full night's sleep should help. As with paleo, doing keto for more than a few weeks could lead to nutrient deficiencies according to Andy Yurechko, MS, RD, of Augusta University Medical Center in Georgia . He says lack of fiber is the biggest concern for keto fanatics, who may experience constipation. But it's possible to get fiber by eating lower-carb vegetables like broccoli and chia seeds. Both diets come with some unpleasant side effects, but Yurechko doesn't advise sacrificing fiber to try keto in the long run. Will Paleo or Keto help you lose more weight? ON PALEO, eating like your ancestors doesn't guarantee you'll lose weight. While the diet emphasizes plenty of foods that are good for weight loss, such as lean protein and fruits and vegetables, you would still need to eat fewer calories to drop a few pounds. So if you're binging on nuts and fruit, you could actually gain weight on the Paleo Diet. While ketosis isn't a magic recipe for weight loss, Konstantinos Spaniolas, Associate Director of the Stony Brook Metabolic and Bariatric Weight Loss Center in New York, says that people successfully lose weight on keto because they tend to eat less. The winner: The Keto Diet. With an important caveat: These results are often short-lived, says Kizer. Is Paleo or Keto the better diet? BOTH KIZER and Yurechko agree that Paleo is the better option in terms of overall health, simply because it's less restrictive and includes plenty of fruits, vegetables, and lean protein. What's more, she believes keto could cause people to obsess over their carb intake and develop an unhealthy relationship with food. It should be noted that the keto diet may not always trigger weight loss, especially if you already have a low body fat percentage. 4 Reasons Why You Should Follow a Keto Diet? Weight loss isn’t the only reason to follow a ketogenic diet. Let’s look at some of the other benefits. This is why, despite information that states a certain amount of glucose is needed per day for optimal brain function, a keto diet can actually support cognitive function. In fact, some people report improved focus, concentration and mental alertness when they enter ketosis. A high-carb diet (especially when it comes to dairy products and refined sugar) has been shown to trigger sebum (oil) production in the skin. Removing sugar from your diet may also support skin health. Since high fat foods are also richer and more satiating than carbs, you’ll also feel full with smaller portions. In order for the keto diet to work, you’ll need to know if you’re in ketosis or not.

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This is the most important! For a low carb diet, aim for under 50g net carbs per day, though some variations limit to somewhere between 50-100g per day (mostly if you are more active). Get the carb limit down and you’re most of the way there! Limit protein intake. A keto diet or low carb diet is not a high protein diet! Low carb is generally higher in protein than keto, but be careful with both. High protein diets can stress the kidneys, and besides, excess protein converts to glucose. Make your protein intake a goal to meet each day, but more than that is not better. Use fat as a lever. We’ve been taught to fear fat, but don’t! Both keto and low carb are high fat diets. Fat is our source of energy as well as satiety. The key to understand, though, is that fat is a lever on a low carb or keto diet. Carbs and protein stay constant, and fat is the one you increase or decrease (push the lever up or down) to gain or lose weight, respectively. If you are among the minority of people who have a healthy metabolism and good insulin response, then you don't have to worry about your carb intake. Good metabolic health means you don't struggle with some combination of issues with blood pressure, blood sugar, cholesterol, weight, or low energy. Low-carb diets can lead to weight loss, research suggests, since they can help to manage appetite and reduce sources of added calories such as sugar and refined grains. But the primary benefit of keto is restoring metabolic health, improving insulin response, and reducing inflammation, Cucuzzella said. And while weight-loss diets work by restricting calories, Cucuzzella said that could backfire if you're doing keto for the first time, making it tougher to transition to burning fat for fuel if you aren't eating enough overall. Finally, a significant amount of the quick weight loss that people can have on short-term keto diets is water, and those pounds can return when you reintroduce carbs into your diet. Low-carb diets can also be problematic if you have a difficult relationship with food, including current or previous disordered eating habits. These include feelings of anxiety about gaining weight and a compulsive need to monitor or limit food, as well as binge eating, emotional eating, or addictive eating behaviors. Any diet that restricts what you can eat can be extremely triggering for anyone with these or other forms of disordered eating, which experts say can be risky if left untreated. It's best to seek professional support when considering a new diet. It may be tempting to make a dramatic change during a tough time. But if you can't manage your stress, you're not getting enough sleep, or you recently had an upsetting life event, it's the worst time to change your diet, Cucuzzella said. The ketogenic diet requires eating your macronutrients at a ratio of 60 percent fat, 30-35 percent protein and 5-10 percent carbohydrates. For someone consuming 2,000 calories a day, they would only be allowed to consume 20-25 grams of carbohydrates. Eating carbs at such low levels requires staying away from foods such as rice, pasta, bread, fruit and potatoes. However, you can eat foods high in dietary fat such as meats, nuts, cheese, avocados and eggs. How does the keto diet work? Avoiding eating carbohydrates and increasing the amount of dietary fats you eat for a long period of time (1-2 weeks) causes your body to change its metabolism and enter a condition called ketosis. Ketosis mimics the effects of prolonged fasting and starvation. We use fuel (e.g., the calories we eat) in a way that can be compared to hybrid cars. If one fuel source is used up, the backup fuel source will kick in. Normally our brains rely heavily on a steady supply of glucose (carbs) for fuel.|The ketogenic diet is having a moment. And, its 15 minutes of fame don’t appear to be fading anytime soon. So, why is keto so popular right now? The ketogenic diet has actually been around for a long time and was originally created to help treat kids with epilepsy. One reason it may have gained attention (aside from celebs touting it on Instagram) is that it is similar - but even more extreme - to the wildly popular Atkins diet. And, we all remember the Atkins era. People lost weight fast. On a keto diet as well, people tend to see quick results. Another possibility for its popularity is that it’s an easy diet to understand due to some straightforward rules. What's the best diet for weight loss? What is a keto diet? In case you haven’t jumped on the keto train and are wondering what exactly all the hype is about, here you go: The diet is very high fat and (almost) no carb.

In the world of nutrition, the ketogenic diet is enjoying its moment as diet du jour. Google trends show a sharp uptick in searches for the ketogenic diet since 2016. Almost 550,000 people subscribe to the r/keto subreddit. Twitter, I found an endless stream of modified keto recipes and stories claiming successful weight loss. Alicia Vikander, the new Lara Croft in Tomb Raider, and Silicon Valley bros have reportedly used the diet to change their bodies. You can even buy keto dog food. According to some advocates, keto diets are a one-size-fits-all solution for obesity and the hunger that comes from traditional weight loss diets. On the other hand, a panel of nutrition experts ranked the ketogenic last (along with the Dukan Diet) among 38 other diets in US News and World Report’s annual diet rankings. Let me repeat this. Do NOT WORRY about macros during your first week. It can become overwhelming really quickly. Cut out high glycemic foods like bread, pasta, and rice, but believe it or not, because there are so many great substitutions you won't miss these starchy foods. And by substituting these foods with high fat low carb foods, you won't get hungry. Eat lots of non-starchy veggies like cauliflower, broccoli, and green leafy vegetables. Your proteins will be moderate, with only 15 to 30% of your total intake coming from healthy proteins like chicken, beef, fish or tofu. Fats will make up the rest of your daily intake. These should come good fats like nuts or nut butters, olive oil, avocados, and cheese. Here are some of the low carb fruits, vegetables, and nuts you can eat on keto. Cut out potatoes, pasta, bread, rice, grains, beans, and sugar and don't eat too many fruits.

This can help reverse “insulin resistance,” which is the underlying problem contributing to diabetes symptoms. In studies, low-carb diets have shown benefits for improving blood pressure, postprandial glycemia and insulin secretion. Therefore, diabetics on insulin should contact their medical provider prior to starting a ketogenic diet, however, as insulin dosages may need to be adjusted. Related: Keto Diet and Diabetes- Do They Work Well Together? The keto diet can reduce the risk of heart disease markers, including high cholesterol and triglycerides. 8) In fact, the keto diet is unlikely to negatively impact your cholesterol levels despite being so high in fat. Moreover, it’s capable of lowering cardiovascular disease risk factors, especially in those who are obese. One study, for example, found that adhering to the ketogenic diet and keto diet foods list for 24 weeks resulted in decreased levels of triglycerides, LDL cholesterol and blood glucose in a significant percentage of patients, while at the same time increasing the level of HDL cholesterol. Why is keto so great for weight loss? What does ‘keto’ mean? What can you eat on keto? How fast will I lose weight on keto? Can I do keto part time or cheat? Why don’t I feel good on keto? Most very low carb foods contain some carbohydrates, so it is important to pay attention to the carb counts in everything you eat at first. As far as vegetables go, leafy green vegetables are lower in digestible (net) carbs than vegetables like peas, carrots, or even squash. For most people, it won’t be enough to just choose ‘lower carb’ foods, counting carbs is essential for making sure you enter and stay in ketosis, at least for the first few weeks. I have provided a meal plan complete with recipes and nutrition facts for you, by popular request. Each day is under 20g net carbs a day, to help you make sure you’re in ketosis while giving you simple and delicious satisfying recipes.|Here at Wholesome Yum, my focus is to provide you with plenty of easy keto recipes for beginners! Browse the full keto recipe index here. If you like a physical book you can keep in your kitchen, the Easy Keto Cookbook has hundreds of 5-star reviews. 12. Use Sweeteners Responsibly. Cutting out sugar isn’t easy, but it’s worth it! Weight loss is the motivator for many people looking for keto diet tips, but the improved energy, focus, mood, and other “NSV’s” (non-scale victories) turn out to be a pleasant surprise for many people. And getting rid of those sugar cravings feels SO. But, it doesn’t mean saying goodbye to sweets altogether! You can make plenty of keto friendly dessert recipes instead. The key to all of these is keto friendly sweeteners. Click the Shop Now button below to purchase them! You can also see a sweeteners comparison here to help you choose, and bookmark the conversion calculator here so you know how much. The extremely low level of carbs on the Keto Diet can cause what's known as the keto flu, which causes headaches, nausea, muscle cramping, and fatigue. Like the Paleo Diet, these unpleasant side effects generally subside after a few weeks. Drinking plenty of water and getting a full night's sleep should help. As with paleo, doing keto for more than a few weeks could lead to nutrient deficiencies according to Andy Yurechko, MS, RD, of Augusta University Medical Center in Georgia . He says lack of fiber is the biggest concern for keto fanatics, who may experience constipation. But it's possible to get fiber by eating lower-carb vegetables like broccoli and chia seeds. Both diets come with some unpleasant side effects, but Yurechko doesn't advise sacrificing fiber to try keto in the long run. Will Paleo or Keto help you lose more weight? ON PALEO, eating like your ancestors doesn't guarantee you'll lose weight. While the diet emphasizes plenty of foods that are good for weight loss, such as lean protein and fruits and vegetables, you would still need to eat fewer calories to drop a few pounds. So if you're binging on nuts and fruit, you could actually gain weight on the Paleo Diet. While ketosis isn't a magic recipe for weight loss, Konstantinos Spaniolas, Associate Director of the Stony Brook Metabolic and Bariatric Weight Loss Center in New York, says that people successfully lose weight on keto because they tend to eat less. The winner: The Keto Diet. With an important caveat: These results are often short-lived, says Kizer. Is Paleo or Keto the better diet? BOTH KIZER and Yurechko agree that Paleo is the better option in terms of overall health, simply because it's less restrictive and includes plenty of fruits, vegetables, and lean protein. What's more, she believes keto could cause people to obsess over their carb intake and develop an unhealthy relationship with food. If you’re trying out the keto diet you should take care to avoid sugary, starchy foods. Remember- carbohydrates should make up less than 5% of your entire calorie intake. Aim to have an absolute maximum of 50 grams of net carbs a day, but aim for 20 grams or less. Are there any ketogenic diet side effects? Immediately after starting the diet during the first week, some dieters may experience what is referred to as the “keto flu“. The keto flu is a term colloquially used to describe the general feelings of malaise some dieters feel at the beginning of the low-carb high-fat diet. Keto flu can be prevented or helped by focusing on getting plenty of sleep, increasing electrolyte intake, and reducing consumption of dehydrating drinks like caffeine and alcohol. But fear not! Starting out with keto has some positive benefits, too. During the initial adjustment phase most dieters report rapid weight loss - losing up to 10 lbs of body weight in 2 weeks or less. The idea behind this is carbohydrates allow for more intense workouts and more efficient post-workout recovery. Immediately before and after your workouts, you can eat 20 to 30 grams of carbs. Your RDA of carbs is 70 to 80 grams. 2. What Should I Eat on the Targeted Ketogenic Diet? The healthiest way to get your carbs on the targeted keto diet is to consume fruit, dairy, and whole-grain foods. Fruits contain fructose. Dairy contains lactose. Whole grains contain glucose. To get your recommended daily allowance of fat calories, cook your food in vegetable oils that are high in omega-6 linoleic acid. Monounsaturated fats come from nuts, palm oil, olive oil, and avocados. Polyunsaturated fats come from nuts and fish. You can also get protein from nuts and fish as well as red meat and poultry. 3. Will the Targeted Keto Diet Kick Me Out of Ketosis? When you eat any amount of carbs, your blood glucose levels elevate and your body’s ketone production drops. That means you’ll look for terms like organic, grass-fed, pasture raised, and cold-pressed. You’ll also lean heavily towards whole plant foods, Evans says. Who It's Best For This approach is for those who focus on food quality just as much as they do on macro tracking. Also, clean keto may involve more financial investment, since grass-fed meats and cold-pressed extra-virgin olive oil tend to be pricier than lower-quality options, especially those packaged for convenience. Risks to Note Focusing on the healthiest possible foods - and bringing in a fridge-load worth of plants in the process - doesn’t include many cautionary notes, according to Evans. That said, because plant foods still contain carbs, you’ll need to keep your macros in mind. If you can, this can be a relatively healthier way to do the fad diet. It’s a good idea to meet with your doctor or a registered dietitian any time you switch up your diet - whether you’re on keto or another eating plan. And above all, Torchia says to listen to your body and assess your energy level and how you’re feeling on the diet. “You will be your best teacher,” she says.|Curious About the Keto Diet? Clinical dietitian Mary Montgomery explains what you need to know about this almost-no-carb diet. Save this to read later. The ketogenic diet has gotten a lot of hype recently, but is it healthy? For those looking to shed a few pounds and keep them off, the ketogenic diet may be worth exploring. Like the Atkins diet, the very-low-carb, high-fat ketogenic diet - or keto diet for short - boasts effective weight-loss results. But the keto diet is also proving to be beneficial for other medical conditions, including epilepsy, diabetes, Alzheimer’s disease, and even cancer. Health Matters spoke with Mary Montgomery, MS, RD, CDN, a pediatric clinical dietitian at NewYork-Presbyterian/Weill Cornell Medical Center, to learn about what the diet entails, why it’s become so popular, and who might benefit from eating this way. What is the ketogenic diet? The ketogenic diet is a diet that is high in healthy fats, moderate in proteins, and low in carbohydrates.

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Eating this way puts the body into a metabolic state called ketosis, which burns fat for energy as opposed to burning carbohydrates. There are several different versions of the keto diet; however, the “classic” or standard one - and the one backed by the most research - calls for a diet that is at least 75 percent fat, 20 percent protein, and 5 percent carbohydrates, and it requires weighing and measuring foods. 1972 by Dr. Robert Atkins as a weight-loss therapy, does not limit protein, and foods are not weighed or measured as in the keto diet. As a result, ketosis may not be achieved due to excess protein intake. What is ketosis and why is it effective in helping people lose weight? Ketosis results from decreasing carbohydrate intake and increasing fat intake; this changes our metabolism from using glucose for energy to using fat. The body is then forced to burn stored fat for energy, accelerating weight loss. A ketogenic diet, for those who want to lose weight, is typically part of a low-calorie way of eating. There are different variations of low carb, and the keto diet is a special type of low carb with added characteristics. Some people opt to count carbs diligently and some choose to simply focus on eat low carb/keto foods. What are net carbs? Net carbs is simply total carbs minus fiber and non-digestible sweeteners, like erythritol and allulose. We don’t have to count fiber and certain sweeteners in net carbs, because they either don’t get broken down by our bodies, are not absorbed, or are absorbed but not metabolized. Some people on a keto or low carb diet choose to count total carbs instead of net carbs. This makes it more difficult to fit in more leafy greens and low carb vegetables (which are filled with fiber), so you should only try that if you don’t get results with a net carb method. And, start with reducing sweeteners and low carb treats before deciding to do a “total carbs” method. It’s a high-fat, low-carb plan that is meant to put your body into a state of ketosis in order to burn more fat faster. What is ketosis? It’s what occurs when your body doesn’t have enough glucose to burn for energy, so it begins to burn fat instead, resulting in a build-up of ketones in the body. In most cases, people get enough glucose through sugar or starch (i.e. carbs). But the keto diet excludes those foods, which depletes the body’s glucose stores and forces it to burn fat for energy. Related: Whole30 vs. Keto Face-Off-Which Low-Carb Diet Is Better for Losing Weight? What are the benefits of a ketogenic diet? Following a ketogenic eating pattern allows you to sustain energy, mood, and cognitive focus without relying upon regular meals for energy, asserts ancestral health movement leader Mark Sisson, whose book Keto for Life comes out later this month. When your body burns fat for energy, like it does on the keto diet, one of the biggest benefits you’ll experience is weight loss, especially at first as your body enters a state of ketosis.|When it comes to sugar, moderation and reducing your portions are not enough to keep you safe. This means both refined and baking sugars - even organic ones - are off-limits. 1. Only use low-glycemic index sweeteners as they won’t affect your blood sugar levels or contribute to your carb intake. 2. Try to stay away from sweeteners that use the sugar alcohol maltitol or filler ingredients like dextrose or maltodextrin. This even applies to low- or no-calorie and low- or no-sugar sweeteners. Keep in mind, artificial sweeteners like Splenda, sucralose, and aspartame are also considered low calorie and low glycemic, but that doesn’t make them a good option. Some people experience blood sugar spikes and cravings when consuming these fake sweeteners. Plus they may have negative effects on your gut microbiome and can possibly cause inflammation and even weight gain over time. For more information on acceptable keto sweeteners, check out The Top Four Sweeteners for a Low-Carb Keto Diet. What does science say about the keto diet? Some of the benefits are difficult to dispute because many people have seen rapid weight loss and blood sugar control when following the diet. Yet, these are individual results and published research is still limited. Long-term outcomes are uncertain and more research is needed. One study showed that going low-carb could lead people to become less tolerant of glucose and actually develop diabetes. While another study focused on life expectancy when someone follows a low-carb or high-carb diet. The researchers showed that following an extreme carb diet was associated with a higher risk of death. Following a low-carb diet may also affect your risk for developing cancer. Researchers looked at the eating habits of 471,495 Europeans over 22 years. They found that people who ate fewer fresh fruits, vegetables, legumes, and nuts were more likely to develop cancer. Very few studies have been done in humans, outside of seizure prevention. The idea behind this is carbohydrates allow for more intense workouts and more efficient post-workout recovery. Immediately before and after your workouts, you can eat 20 to 30 grams of carbs. Your RDA of carbs is 70 to 80 grams. 2. What Should I Eat on the Targeted Ketogenic Diet? The healthiest way to get your carbs on the targeted keto diet is to consume fruit, dairy, and whole-grain foods. Fruits contain fructose. Dairy contains lactose. Whole grains contain glucose. To get your recommended daily allowance of fat calories, cook your food in vegetable oils that are high in omega-6 linoleic acid. Monounsaturated fats come from nuts, palm oil, olive oil, and avocados. Polyunsaturated fats come from nuts and fish. You can also get protein from nuts and fish as well as red meat and poultry. 3. Will the Targeted Keto Diet Kick Me Out of Ketosis? When you eat any amount of carbs, your blood glucose levels elevate and your body’s ketone production drops. Although this diet may be beneficial for some people, there are side effects you may encounter a few days into eating keto. For many people, these symptoms only last a few days, not like a real flu. However, if they continue past that or you don’t feel well, listen to your body and stop the diet. These symptoms are a sign that your body is transitioning and getting used to being in ketosis. To combat these symptoms (or minimize them), easing into the diet might be a good place to start. You could try carb cycling two to three days per week until you’re fully ready to approach the keto diet. Some people end up sticking with carb cycling because they feel it’s beneficial for them. But everyone is different - so just be mindful of your body and what works best for you. As you increase your water intake and drop water weight, your electrolytes may swing out of balance and increase the intensity of your symptoms. To counter this, drink bone broth for sodium, eat sliced dried apricots with yogurt for potassium, or a piece of dark chocolate for magnesium.

Q: What do you eat on a ketogenic diet? A: A true keto diet contains 80 percent fat, fewer than 5 percent carbs and 15 to 20 percent protein. In order to achieve that, dieters have to ditch a few major carbohydrate-heavy food groups including grains, dairy, beans and fruits. When you remove those, you find yourself loading up on meat, fish, butter, eggs, avocados, oils, nuts, seeds and non-starchy vegetables. The keto diet looks very different from the diet recommended in the government’s Dietary Guidelines for Americans, which is about 20 to 30 percent protein, 45 to 65 percent carbohydrates and 10 to 35 percent fat. Q: Does it help dieters lose weight? A: Since a ketogenic diet effectively eliminates major food groups, you’re likely to lose weight - at least at first. Eating higher amounts of protein may help keep hunger pangs at bay and that’s good for dieters who want to lose weight.|Yet regardless of the doubtful outpouring, my will to enter the magical state of ketosis remained unsullied. After reading countless blog posts about fellow dieters reporting exhaustion and fatigue during the first few days, I actually noticed my energy levels soar. In fact, I felt as if I had downed three cups of coffee sans cream. At one point, the restlessness and jitters were a bit overwhelming. Though, after a few days progressed, my energy levels began to balance, and I felt more productive and clear-minded. You know when you wake up with a noticeably flatter stomach and wish it would remain that toned all day? Well, that normally transient state became quite permanent on keto. My bloating subsided, and I was convinced my abs would uncover after just a few more days on the diet-and it wasn't just all in my head. Jim White, RD, ACSM, and owner of Jim White Fitness Nutrition Studios, shares with us. 3. Leave fatty deposits in your body which can lead to heart attacks and premature death. 4. Contain higher amounts of omega-6 fatty acids and contribute to chronic inflammation in your body. These oils should be removed entirely from your diet, not just eaten in moderation. To learn more about why that is, listen to this podcast episode or check out this guide. Another easy and satisfying way to sneak more healthy fats into your diet is to reach for raw nuts and seeds. As mentioned in this guide, these nutritional powerhouses are loaded with essential nutrients like magnesium, selenium, and manganese. Nuts and seeds can improve your brain health, fortify your immune system, and aid with digestion and blood glucose management. They’re also high in healthy fats, have a moderate amount of protein, and are generally low in carbohydrates, depending on the type you choose. Nuts are also portable, making them one of the best keto-friendly snacks. This is a keto diet with a mostly plant-based or pescatarian twist. It’s a great fit for people who want to experience the benefits of keto but still want to eat a largely plant-based diet. “Eco-Keto” is a catchy way of describing an eco-friendly, ketogenic diet. Most people interpret eco-keto as being totally plant-based, aka a vegan keto diet. Find out how you can combine intermittent fasting and keto. How do you know you’re in ketosis? The best way is to test yourself either through urine tests, a breath test or a blood test, says Whitney Lauritsen, co-author of The Vegan Ketogenic Diet Cookbook. “In the book we talk about the different pros and cons. So the urine test can measure your level. You pee on it. It’s very affordable. It gives you quick results. You can buy them online, but it’s not the most reliable test,” she says. “A breath test you can buy a device online and that can measure the byproducts of ketones in your breath. What can I expect on the keto diet? You’ll likely experience a rocky start as the liver begins to turn fat into ketones to be used as energy. “At the beginning, it is very uncomfortable, since our body is not used to this form of fuel,” Sharp says. “You tend to experience brain fog, headaches, nausea, and fatigue, along with bad-smelling breath, sweat, and urine. As your body levels out over time, many of these symptoms will subside, and things get better. Some research even points to enhanced cognitive activity and focus as the brain gets used to running on ketones. In the first days of the diet, your regular workout might prove exhausting without carbs to keep you going. Should I try it? Let’s put it this way: as popular diets go, it doesn’t have a great track record. The Atkins diet, hugely popular in the early aughts, has since been proven more or less ineffective for significant weight loss. Start with the easiest fasting window of 8-10 hours between dinner and breakfast. Track your carb intake. Carb restriction lowers blood sugar and insulin levels, leading to the release of ketones. Make sure to stick to the recommended daily intake of carbs to enter ketosis and get all the benefits of this metabolic state. Try to add more healthy fats into your daily routine instead of eating saturated fats and highly-processed foods. 75% of your daily caloric intake should come from fat, as it will boost your ketone levels. Focus on healthy fats like chicken broth, olive oil, ground beef, butter, avocado, avocado oil, nuts, flax seeds, hemp hearts, chia seeds, olives, fatty fish, whole eggs, and coconut oil. Avoid eating artificial trans fats (cakes, cookies, pastries, biscuits, crackers), processed meats (deli meat, sausages, salami, hot dogs, and cured and smoked meats) as well as fried food. Use MCT oil regularly. The medium-chain triglyceride fat in MCT oil will help you raise the ketones level in your body. This makes certain vegetables easier to digest than in their raw form. Cooking also gives you the chance to add fat and flavor. A little oil, plus some pink Himalayan salt and pepper, can radically transform a tasteless raw vegetable into something more crave-worthy. In the end, it’s smart to enjoy vegetables both ways. During the summer, you may want a nice cold salad with spinach, while in the winter sauteed spinach with garlic may sound better. Check out the Best Vegetables to Eat on a Keto Diet for more information when it comes to eating your veggies. Many new keto dieters are surprised to learn that fruits and fruit juices contain as many grams of carbs and sugar as some desserts. Bananas and apples, two of the most popular fruits in the United States, contain 24g and 20g of net carbs, respectively. That’s your entire carb count for the day in just one fruit! Of the many benefits of a keto diet, weight loss is often considered No. 1., as it can often be substantial and happen quickly (especially for those who start out very overweight or obese). One of the most studied strategies in the recent years for weight loss is the ketogenic diet. Many studies have shown that this kind of nutritional approach has a solid physiological and biochemical basis and is able to induce effective weight loss along with improvement in several cardiovascular risk parameters. In part, keto diet weight loss is a real thing because high-fat, low-carb diets can both help diminish hunger and boost weight loss through their hormonal effects. As described above, when we eat very little foods that supply us with carbohydrates, we release less insulin. With lower insulin levels, the body doesn’t store extra energy in the form of fat for later use, and instead is able to reach into existing fat stores for energy. While like any diet, you need to find the right proportion and balance of macronutrients (ie, fat, protein, carbs) in order for your body to begin burning accumulated fat rather than stored glucose. The amount of fat you eat when following a keto diet is quite a bit higher than on most other diets. You’ll want to aim to consume about 60 to 75% of your calories come from dietary fat and 15 to 30% protein, with the remaining calories for carbs, says Sharon Zarabi, RD, director of the bariatric program at Lenox Hill Hospital in New York City. It's really the trans fats that you'll want to avoid completely. The best low-carb foods include peppers, cauliflower, greens (eg, spinach, arugula, kale), and zucchini. When starting a keto diet, your goal should be to gradually reduce your carb intake to about 20 grams for at least two weeks but aim for six weeks in order to allow your body to adjust to this fat-burning process.|This year, the popularity of the ketogenic way of eating hasn’t waned - in fact, it seems stronger than ever, despite getting its annual knockdown by U.S. News and World Report. Keto devotees stay true to the diet 100 percent of the time, while others have found they need a little more carbohydrates or protein. That’s inspired some to tweak the low-carb, high-fat diet to meet their needs. As a result, several spins on the keto diet have emerged. Kristen Kizer, RD, a registered clinical dietitian at Houston Methodist Hospital in Texas, says that all of these diets have one thing in common. “A keto diet to me would be any diet that gets a body into ketosis,” she says. RELATED: What Are the Benefits and Risks of the Keto Diet? Ketosis occurs when the body turns to fat as its main source of energy instead of carbohydrates, says Amy Shapiro, RD, the New York City-based founder of Real Nutrition. Keeping the body in ketosis for extended periods of time may lead to weight loss, according to a study published in the Fall 2014 issue of Experimental & Critical Cardiology. Your average day on a ketogenic diet might include eggs, cheese, assorted meats and small amounts of nuts and avocados, and modest amounts of vegetables that are low in carbs, like spinach and lettuce. While following keto, you’re encouraged to eat as much fat as you want, no matter the source (e.g., butter, olive oil, meats, cheeses), until you feel full. Fat can have a strong satiety effect, but following this recommendation may not be comfortable for everyone. According to recent research, fatty foods may increase feelings of nausea and bloating for some people. Beyond potential physical discomfort, it also might not be emotionally comfortable for everyone-after all, keto is still a restrictive diet, which typically is not a good choice for anyone with a disordered relationship to food and eating. And as with any restrictive dietary plan, following a ketogenic diet can present challenges when it comes to social occasions, celebrations, office parties, meals out, etc. It also might be necessary to limit or avoid culturally relevant foods on the diet in order to stay in ketosis.|These symptoms have been dubbed “the keto flu.” Constipation is also common on the keto diet due to the lack of fiber. The high-fat nature of the diet could also have negative impacts on heart health. The American Heart Association recommends limiting saturated fat intake to 5 to 6 percent. “In practice, many people eat high amounts of saturated fats, which could increase cardiovascular disease risk,” says Dr. Maganti. “Patients with kidney disease have an increased risk of requiring dialysis on the keto diet due to the additional ketones that their renal system has to process,” says Dr. Maganti. Some people also experience dehydration on the keto diet because they’re eradicating glycogen, which holds water, from their bloodstream. “When you micromanage your food intake by tracking how much you eat, it disconnects you from what your body is asking for,” says Gomez. Monitoring food so closely can lead to psychological distress, such as shame, and binge eating. Restriction can lead to bingeing, which often leads to guilt, which then leads back to restriction in a continuous cycle. Both Dr. Ring and Dr. Maganti recommend balanced approaches, like the Mediterranean diet, for long-term weight loss. “You can still receive the benefits of ketosis while eating a varied and balanced diet through intermittent fasting,” says Dr. Ring. Gomez advocates making small changes based on your health goals. “All foods fit into a healthy diet,” she says. For all the attributes of a ketogenic diet (like weight loss), there’s one big side effect you have to be prepared for: the keto flu. The keto flu is a term that refers to the period after you start the diet when your body is adjusting to burning fat for energy. “Some people have no problem with it and others are miserable,” says Mancinelli. In the first week or 10 days, you may feel extremely lethargic in your limbs. Walking upstairs may feel impossible. You may deal with mental fog. Often, keto causes constipation, or potentially diarrhea, because of a change in fiber intake. For that reason, you should pick a start date when your week isn’t crazy with deadlines and obligations; choose a slower time when you can rest as needed. Along the same lines, you’ll want to be sure to take it easy with exercise for the first week or two as your body adjusts to burning more fat rather than carbs for fuel. What is the keto diet? The ketogenic diet is a high-fat, low-carbohydrate diet. It also includes non-starchy vegetables, like brussels sprouts, cauliflower, squash, and many others. The diet limits high carbohydrate foods, including grains, root vegetables, fruits, and sugar. In the early 1920s, medical doctors created the diet as a treatment for epilepsy in children. The word ketogenic means the body produces ketones. Ketones are a type of acid that your body produces when you don’t have enough insulin in your body to use glucose for energy. Instead, your body uses fat for energy and produces ketones. The primary goal of the diet is ketosis, which is when your body uses fat for energy instead of carbs. How many carbs do you eat on the keto diet? Generally, a low-carb diet is when you eat 100-150 grams of carbs per day. The keto diet goes even lower because the goal is to get into ketosis. Most people reach ketosis if they eat 50 grams or less of carbs per day.|Calories still count on the keto diet. However most dieters report reduced appetite and are able to “feel full” while eating less. Feeing full while eating less? Yup, you read that right. Are bananas keto friendly? While bananas are not an “unhealthy” food, their high carbohydrate count (28 net carbs for a small banana!) make them suboptimal for those on a keto diet. If you’re trying out keto and love bananas, consider eating only a small portion of a banana and slicing it very thinly, or substitute bananas for banana-flavored extracts instead. Can I still have cheat days? Yes you can! Many people who are “keto-adapted” (have consistently maintained deep ketosis) report being able to stay in ketosis despite having a rare high-carb treat like beer, sushi or cake. But proceed with caution - “cheating” on a regular basis or designating a weekly cheat day is highly discouraged on keto. Due to the high fat concentration of keto foods you can easily regain the weight (or gain more weight) if you’re not actually in ketosis and cheating regularly. Like all diets - the better you adhere to the diet the better (and faster!) your results. But won’t eating fat make me… Nope! That’s a common misconception. But don’t just take our word for it. There is no literature or long-term evidence that implies keto is not a safe lifestyle or diet.

Burning fat seems like an ideal way to lose pounds. 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.|For some the keto diet can be easier to maintain than other diets because you get to eat delicious foods like nuts, avocados and cheese, while still feeling full. Unlike many other diets that are hard to upkeep socially, keto also allows for moderate consumption of wine and other alcohol. The keto diet is a great way to look, and feel great. What do you eat on the keto diet? With keto you should aim to have 70% of your calories come from fats, 25% from protein and 5% or less from carbs. This means you’ll need to exclude sweet or starchy foods from your diet - not just sweets but also grains, potatoes and high-carb fruits like grapes or bananas. With keto you should get the majority of your calories from fat and some protein. This means eating high-fat proteins and choosing low-carb vegetables like cauliflower. Cheeses - all kinds! The main risk from any diet based on supplements is boredom, but then nobody is suggesting you live on nothing but supplements. That's why they're called 'supplements' and not 'dinner'. So, to summarise, keto diet is safe and beneficial for your health and weight loss if you are careful and mindful enough about it. The easiest way to track your keto effort is to use a nutrition-tracker app like MyFitnessPal, where you can simply set your desired macro nutrient percentage/macro split (on keto, it will most likely be 75% fat, 5% carbs and 20% protein) and scan the barcodes of the food you would like to ingest. Most importantly, as with any lifestyle change, give yourself some time to adjust. As Simon mentioned, you will see some rapid results almost straight away, but in order to keep that weight off, you'll have to stick with the diet, even if progress slows down a bit. Slowing down doesn't mean the new diet stopped working; it only means your body is re-adjusting itself to accommodate the new diet. Weight loss, or more like shedding the unnecessary extra weight, is only a side effect of a new, healthier lifestyle, which will benefit you on a long run, not only short term.|On the other hand, not eating for days doesn't sound much fun. But it turns out you don't need to starve yourself to get into ketosis. All you need to do is remove carbohydrate from the diet (not just refined carbs, such as sucrose or high fructose corn syrup, but all carbs, including complex carbs and starches too). Once the body has no source of glucose, it has to switch to ketosis because the brain needs either glucose or ketone bodies to survive. So no matter how much protein or fat you eat, the body still has to break down fat to ketone bodies to keep you going. A ketogenic diet, then, is any diet that switches your metabolism to ketosis. And the ones doing the rounds at the moment aren’t the first or the only diets to do that. It is several decades since the Atkins Diet rose to prominence - and I witnessed first-hand the weight loss some friends achieved on Atkins. The Atkins diet is a ketogenic diet, because it removes carbs from the diet and replaces them with protein. The surprising finding was that Atkins followers discovered they were much less hungry than they expected, suggesting that calories from protein made you feel more satisfied for longer. Feeling fuller translates to willingly eating less, and in the end impressive weight loss. In dieting, though, there is no such thing as a free lunch (or so I thought). Adherence to the Atkins diet has side-effects, and most worrying is the impact on nitrogen balance from taking in so much protein. There is a very real risk of dehydration, and over the longer term, kidney stones from the need to excrete so much excess nitrogen as urea. So what about the 21st century version? Keto today replaces the carbs with fats rather than protein.

Staples of the keto diet are fish, meat, eggs, dairy, oils, and green vegetables. Pasta, rice and other grains, potatoes, and fruits are strictly prohibited. Keto works by changing the way the body turns food into energy. Typically, during digestion, we break down carbohydrates - like those found in the verboten foods above - into molecules of fructose, galactose, and glucose, the last of which serves as the body’s primary source of energy. When the body can’t draw it from carbohydrates - either because they’ve been cut out of the diet or because a person hasn’t eaten for a long time - it looks for other forms of energy. The keto diet deliberately places the body in a state of ketosis, where fat is released from cells and turned into ketones, the body’s plan B for energy production. Where did the keto diet start? The keto diet is most assuredly not a fad, at least not in the usual sense of the word. Try these tropical nuts the next time you get tired of popping almonds. Macadamia nuts have the same low carb content and also boast high concentrations of vitamin A and magnesium. With no carbohydrates and more fat than most white meat, ground beef is a keto-friendly source of protein. The grass-fed variety has a greater concentration of nutrients like vitamin A, vitamin E, and healthier omega-3 fats. Healthy fats should be a part of any balanced diet, but they take center stage in ketogenic plans. With an abundance of heart-healthy monounsaturated fat and vitamin E, olive oil is one of the best choices for lipids. Try cooking up some of our other keto diet foods on this list in olive oil to unlock fat-soluble nutrients and boost flavor! While most fruits are off-limits ( on this low-carb diet, tomatoes are an exception. This piece of produce makes our list of go-to keto diet foods because it is an excellent source of lycopene, a compound with some serious heart health benefits. If you search online for the term “keto diet,” you'll see that the health claims associated with the ketogenic diet are numerous. But before you give this diet approach a try, it’s important to know what the science suggests about how it may affect your health. Namely, you'll want to be aware of potential keto diet dangers. One of the most common side effects of starting the ketogenic diet is the “keto flu.” This term describes the often unpleasant, fatigue-inducing symptoms that occur as the body adjusts from a high-carbohydrate to a low-carbohydrate diet. During the keto flu, the body’s stored glucose begins depleting, and the body starts adapting to producing and utilizing ketones as energy. Symptoms of the keto flu include headache, fatigue, dizziness, sleep problems, heart palpitations, cramps, and diarrhea. These side effects usually lessen and eventually resolve in about two weeks. 2) But to lessen the effects of any discomfort, simply consider slowly transitioning onto a ketogenic diet rather than rushing to change your eating habits. There are several potential factors at play-including the fact that with any diet that restricts entire food groups, it's possible that reduced dietary variety leads to reduced calorie intake. Jeff Volek, PhD, RD, a professor in the department of human sciences at Ohio State University. He also points out that some research studies have found that a ketogenic diet has benefits for individuals with type 2 diabetes and prediabetes. Reduction in appetite is a frequently noted effect of the ketogenic diet. This could be because of the satiating effect of protein, despite its restriction to low-to-moderate levels. Or, something about the diet-possibly the ketones themselves-may increase levels of appetite control hormones.4,9 In one small 2013 study of adults without diabetes with BMIs in the overweight or obese range, levels of ghrelin (the hunger hormone) and subjective appetite were lower when the subjects were in ketosis, even on a very low-energy diet (VLED) of 500 to 550 kcal per day. According to a review published in 2015 in Obesity Reviews, studies have found that individuals adhering to a ketogenic low-carb diet report significantly less hunger and desire to eat compared with baseline, despite moderate calorie restriction and significant weight loss. The keto diet has been shown to help with weight loss - specifically fat reduction - because it can suppress appetite and kick start fat-burning through ketosis. A 2004 study showed that obese patients who underwent ketosis lost 4.5 pounds after a year on the diet. Though this study notes that ketogenic diets proved difficult to follow long-term. A 2008 study found that those on a ketogenic diet who were given no other restrictions than to remain low-carb (i.e. no calorie restrictions) reportedly lost more weight and remained full for longer than those not on a ketogenic diet. A 2014 review found that the ketogenic diet helped reduce weight by controlling hunger levels and boosting fat-burn. A 2000 review of 11 studies showed that the keto diet was beneficial for children who had epilepsy in mitigating the frequency of their seizures. A 2013 review of 38 studies showed that a ketogenic diet was an effective treatment for epileptic patients with a nearly 58% success rate after three months on the diet. Unlike with calorie restriction, keto helps you lose weight by putting your body into ketosis. When you eat minimal carbohydrates, your body produces ketones for energy. Ketones are made in your liver from fatty acids found in food or your own body fat. Therefore, your liver actually burns fat to make ketones. Ketones are used for energy in lieu of carbs. As your body steadily burns fat as a fuel source, you will start to lose weight. You may be wondering if keto can target specific problem areas, such as belly fat. Burning belly fat is high on the priority list for many people. The fat in your belly is visceral fat, which is a dangerous type of fat that lives deep inside the abdomen, encasing your internal organs. Visceral fat is linked to heart disease and type 2 diabetes. Technically, you can’t spot-target fat areas for reduction. Your body decides where weight loss will occur. However, keto may be useful for eliminating stubborn belly fat.

That means two-thirds experienced no symptoms at all. Important: For people who do experience the keto-flu, it's most likely you'll notice them during the first 24 to 48 hours of starting the keto diet, says Keatley. On average symptoms will last between a few days to a week. However, in rare cases, symptoms can last up to a month. See a doctor if you are still feeling under the weather after a week or two of starting the diet. The good news is that there are measures you can take before and during keto to avoid and treat keto flu symptoms. Going keto puts you at an increased risk of dehydration. That's because you may need to go to the bathroom more as your body burns ketones instead of carbs. Even being mildly dehydrated will cause or exacerbate keto flu symptoms like fatigue and dizziness, says Shemek. Therefore, it's important to drink plenty of water throughout to replenish lost fluids. Quick tip: An easy way to check on your hydration levels is to check the color of your urine. Other down sides: There’s an initial period where your body is adjusting to its new carb-free existence, and many people experience symptoms like fatigue, brain fog and nausea for a few weeks. You also end up deficient in important micronutrients, like folate, calcium and potassium, which is why most ketogenic devotees recommend taking multivitamins. Personally, I recommend my clients follow a diet that in its ideal state provides all of the nutrients you need through real, whole foods. Confused on how to eat better? Who is the ketogenic diet right for? If you have health reasons that make you want to try it and eating bacon, eggs and steak salads every day sounds amazing, maybe you could swing it. If nothing makes you happier than a fresh piece of sourdough, or if beans are one of the protein sources you rely on, there’s no point in trying a diet that’s not going to work. This avocado egg boat is queen of keto breakfasts. And if you’ve been loving zoodles for your grandma’s famous pesto sauce, you’ll find another perfect use for them with these yummy and beautiful zoodle nests.|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)RELATED: Is the Paleo Diet Good for Heart Health? For any individual with diabetes, discussing dietary changes - especially those as dramatic as the ones the ketogenic diet requires - with your healthcare team is essential. Because carbohydrates are broken down into glucose in the blood, cutting carbohydrates from your diet could cause levels to crash rapidly depending on your current medication regimen. Such a change may require significant adjustments to medication and insulin to prevent dangerous side effects such as low blood sugar, called hypoglycemia. Outside of physical health changes, one of the biggest concerns of the ketogenic diet may be in long-term adherence. “It’s a very difficult diet to stick to and maintain. Compliance is a challenge because it is so restrictive,” explains Mohr. Whereas most keto dieters focus on meat, eggs, vegetables, and healthy fats, dirty keto dieters will eat anything as long as they can keep their carbs down. Do you count sugar alcohols on keto? It’s up to you. Erythritol, a common ingredient in keto-friendly baking, has a negligible impact on blood sugar and insulin levels, so it shouldn’t disrupt ketosis. Other sugar alcohols (sweeteners ending in -ol, like sorbitol and xylitol) are similar. In that sense, they don’t count against your carb limit. The one exception is malitol, which has a slightly higher glycemic index (a measure of a food’s effect on blood sugar), though it’s still well below table sugar. Many keto dieters choose to disregard the carbs in sugar alcohols. Diabetics are often advised to count half the carbs. Remember, though, even if you decide the carbs don’t count, consuming too many keto-fied desserts can still negatively affect your health and body composition goals. The calories in keto-friendly cookies, cakes, muffins, and the like do still matter. Some like how they feel and like how they eat when they’re on a ketogenic diet. If it works for you, great. The diet that works for you is the one you feel good about. The reality is that many people who attempt the ketogenic diet cycle in and out of it. It was ranked second-to-last in the U.S. In short, while there is often at least short-term weight loss; the long-term effects on overall health are still relatively unknown. The potential drawbacks of this complicated diet include kidney damage, constipation, micronutrient deficiencies and social isolation (skipping family or social gatherings because of your diet?!). A strict keto diet requires close management by a health professional. If you feel good on a keto-inspired diet that’s great - just make sure you understand the big nutritional picture too. Vanessa Lennick is private-practice Registered Dietitian in Bismarck, ND. As a working mom-of-three, wife of a shift worker, and member of the ND National Guard, Vanessa is passionate about helping people find the diet that works for them - their goals, their lifestyle, their preferences.


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