Combine that with the fact that your body is excreting more water, and you have a potential recipe for clogged pipes. You can keep things moving by getting some fiber from keto-friendly foods like avocado, nuts, and limited portions of non-starchy vegetables and berries, says David Nico, PhD, author of Diet Diagnosis. Upping your water intake helps, too.


Effect of the nutritional intervention with a very low-calorie-ketogenic diet on physical activity pattern (A) and sleep disturbances (B). Data represent mean ± standard error of changes from baseline. (ƚ) Denotes statistically significant differences through the intervention (p for trend < 0.05) evaluated by means of repeated-measures ANOVA. (*) Denotes statistically significant differences (p < 0.05) from baseline after post-hoc pairwise comparisons employing the Tukey’s adjustment for multiple comparisons. IPQA, International Physical Activity Questionnaire.
We’re going full on fats with breakfast, just like we did last week. This time we’ll double the amount of ketoproof coffee (or tea) we drink, meaning we double the amount of coconut oil, butter, and heavy cream. It should come to quite a lot of calories, and should definitely keep us full all the way to dinner. Remember to continue drinking water like a fiend to make sure you’re staying hydrated.
I have also been doing 16:8, but not everyday. If You eat too few calories for too long you may lower your basic metabolic rate which you don’t really want to do. I eat something around 10 or 11 in the morning such as 3 deviled eggs, then a decent size meal at about 12:30 and my last meal at about 6. This seems to work well for me. I also use my fitness pal( free app), which is awesome and tracks all your macro ratios. It is important to keep it as Keto as you can. 70%fat, 5%carb, and 25% protein. I found at first that I just wasn’t eating enough fat, and my protein levels were too high. I think most people run into that same trap at first. Good luck!

Specific fiber goals for every day will depend on your overall intake, current weight, and weight-loss intentions. Thankfully, some high-fat, low-carb foods are also loaded with fiber. These include nuts and seeds, avocado, and squash. “I see so many clients go for high protein, high saturated fat, and no carb,” says Sunny Brigham, MS, CNS, a board-certified nutrition specialist with a private clinic in North Texas. “They become constipated because they aren’t getting enough fiber.” And that’s just one of the 11 hidden dangers of the keto diet.


Loading up on fat lowers your levels of insulin. Insulin is a hormone that tells your body to store energy, either as fat or glucose.[4][5] The more insulin your body releases, the more fat that gets stored. Insulin also blocks leptin, the hormone that sends a signal to your brain when you’ve eaten enough to meet your energy needs.[6] That means when you eat carb-heavy foods, you’re at risk of overeating and won’t get that full feeling before reaching for a second helping of potatoes.

Carbohydrate-restricted diets can be as effective, or marginally more effective, than low-fat diets in helping achieve weight loss in the short term.[6] In the long term, effective weight maintenance depends on calorie restriction, not the ratio of macronutrients in a diet.[7] The hypothesis proposed by diet advocates that carbohydrate causes undue fat accumulation via the medium of insulin, and that low-carbohydrate diets have a "metabolic advantage", has been falsified by experiment.[8][6]
While you’re focusing on fat, protein, and carbs, you should also make sure you’re getting adequate fiber. “People often assume that they should only eat things like meat and butter on the ketogenic diet,” says Farshad Fani Marvasti, MD, an associate professor and director of Public Health, Prevention, and Health Promotion at the University of Arizona College of Medicine in Phoenix. “You should make sure you are eating enough vegetables because you need the fiber.”
The popular belief that high-fat diets cause obesity and several other diseases such as coronary heart disease, diabetes, and cancer has not been observed in recent epidemiological studies. Studies carried out in animals that were fed high-fat diets did not show a specific causal relationship between dietary fat and obesity. On the contrary, very-low-carbohydrate and high-fat diets such as the ketogenic diet have shown to beneficial to weight loss.
“I have been a supporter of a low-carb lifestyle that includes intermittent fasting for myself and my patients for years. I am part of our health systems Medicine Residency program. I teach physicians-in-training and medical staff to utilize low-carb and keto dieting to improve the health of their patients and reduce their need for medications. Diet Doctor is an excellent resource for patients and physicians to help patients help themselves to promote a healthy lifestyle.”
“As a nephrologist, I have seen many patients with end-stage kidney failure resulting from diabetes and obesity. I decided to switch my career towards wellness, integrative medicine and obesity management. I now provide guidance for ketogenic and low-carb diets along with fasting to all patients in my clinic and via telehealth consultations. It is very rewarding to see their health improve and their medications reduced or eliminated. I refer all my patients to Diet Doctor on the first visit and I teach them also to use the recipes on the site. Thank you for providing an unbiased educational platform!”
These are all keto related questions that a person looking into the ketogenic diet for the first time will have, and I’ve put together a comprehensive list of answers to these questions and more in my 3 Day Keto Kickstart Plan & Keto frequently asked questions linked to below.  If you’re new to keto I recommend starting there, and if you use that Keto Kickstart meal plan as written, I am confident that you will get into ketosis and be losing weight within 3 days of starting.  I’m excited for you!!!!
I actually went on a ketogenic diet last year to see if it would help my migraines. I have a history of chronic migraines which would usually last 3 days, sometimes longer. Triptans help a lot but I don’t like having to take them. I stayed in ketosis for about 8 months and experienced a significant reduction in migraines, from feeling some type of headache (mild o r severe) almost everyday to 1 or 2x per month while in ketosis. Although I’m very healthy otherwise, I do think my migraines may have something to do with blood sugar fluctuations (despite previously eating a whole foods diet and no refined carbs), and keto totally stabilized this. I eventually came off of Keto because I’m not really a meat lover. When I came off, but remained low carb, my migraines stayed under control for the most part. When I increase carbs, they do return.
–Making kids' lunches doesn't have to be a chore. Try a few of these healthy low carb lunchbox ideas, including turkey pesto pinwheels. Sponsored by O Organics. Making healthy lunches is one of the more thankless jobs of parenthood. My third child just started kindergarten yesterday and as excited as I am for her, it means yet another lunchbox to fill in the busy mornings. I'd love to tell you that my darling children appreciate my husband's and my efforts to pack them a healthful and flavourful lunch with plenty of good snacks to fill hungry tummies. But they don't.All Day I Dream About Food
I enjoyed reading your article. I have recently started a keto diet in hopes of loosing some weight and helping my son who struggles with weight.  He’s done pretty well and lost about 7 lbs the first week- we are on week 3 and he hasn’t lost any more, I haven’t lost a thing.  It’s been very frustrating as I am trying my best- family of 6 is not easy!  Any encouragement or advice would be greatly appreciated.  
One thing many people love about keto diet meal plans is that tracking your food is optional. "One of the biggest benefits of the ketogenic diet is that there's no need to meticulously track your calories like you may in other diets," notes Dr. Josh Axe, D.N.M., C.N.S., D.C., founder of DrAxe.com, best-selling author of Eat Dirt, and cofounder of Ancient Nutrition. "Because you're filling up on fat and protein, you're more likely to feel satisfied and energized all day long, which causes you to naturally eat less." This isn't to say that food tracking on keto is discouraged. "Some people may find calorie counting a useful tool to be more mindful and aware of what they're eating, but it's not necessary on the ketogenic diet," says Dr. Axe, but there's no need to get too stressed about hitting a certain caloric goal, especially if you're not trying to lose weight. (Related: The #1 Reason to Stop Counting Calories)
Some back-side #transformationtuesday 🍑😜 --- #weightlossprogress #ketogenicweightloss #ketogenicdiet #ketogenicliving #weightlosspics #weightlosspic #transformation #transformationfitnation #transformationpic #progresspic #progress #beforeandafter #beforeandafterphoto #beforeandnow #thenandnow #progressnotperfection #pcosweightloss #pcosfighter #pcosweightlossjourney #pcoswarrior #ketoweightloss #ketogenicweightloss #lowcarbweightloss #lowcarbliving #lchf #lchfweightloss #ketogenicliving
A recent systemic review and meta-analysis of randomized controlled trials comparing the long-term effects (greater than 1 year) of dietary interventions on weight loss showed no sound evidence for recommending low-fat diets. In fact, low-carbohydrate diets led to significantly greater weight loss compared to low-fat interventions. It was observed that a carbohydrate-restricted diet is better than a low-fat diet for retaining an individual’s BMR. In other words, the quality of calories consumed may affect the number of calories burned. BMR dropped by more than 400 kcal/day on a low-fat diet when compared to a very low-carb diet.

Hi Maya. I LOVE your site!! Interesting, informative with fab recipes and ideas. Hubby and I have just started eating low carb and I have to say, we are not finding it too difficult and I already feel sooo much better!! I find the hardest part is choosing low carb veg, I feel as if we are not eating enough. Any suggestions on how to get more veggies into our diet?
The premise of many popular diets is eating a lower amount of carbohydrates, but most of these diets, including Atkins and Paleo, are also very high in protein. The keto diet plan is different because you only eat a moderate amount of protein. Otherwise, your body would convert protein into glucose and wouldn’t achieve a state of ketosis, where it only uses fat for energy.
Yancy WS Jr, Westman EC, McDuffie JR, Grambow SC, Jeffreys AS, Bolton J, Chalecki A, Oddone EZ, “A randomized trial of a low-carbohydrate diet vs orlistat plus a lowfat diet for weight loss,” Arch Intern Med. 2010 Jan 25;170(2):136-45. http://www.ncbi.nlm.nih.gov/pubmed/20101008?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=2.
“As a reproductive endocrinologist, I have been studying nutrition and fertility for over 15 years. I advise all my patients, both women and men, to adopt a low-carb ketogenic diet both prior to pregnancy to improve their fertility and during pregnancy to improve fetal and maternal health. This way of eating has been shown repeatedly in my practice to improve all measures of health for women and men. We refer all our patients to Diet Doctor which in our opinion is the best online resource for our patients to find all the information, recipes and meal plans they need to be successful.”

Oh, what a difference a year makes! Keto has worked WONDERS for my body. Last year I weighed about 13 lb heavier in the photo on the left, and was running or doing cardio every day but eating tons of carbs. Now I still workout every day, but function via a high fat diet. The pic on the right was taken yesterday (I’ve been so MIA because I’ve been at the beach with my friends!). Makes me so happy to see such PROGRESS!! 💪💪💪 • • • • • #keto #ketogenicdiet #ketomeals #ketodiet #ketotransformation #ketobreakfast #ketorecipes #followforfollow #followtrain #follow4follow #lowcarb #lowcarbdiet #yum #food #ketodinner #weightloss #fitness #lchf #weightlossmotivation #ketofam #fitspiration #weightloss #ketofam #ketobreakfast #lchf #myketotransformation

Cholesterol serves a number of important roles in the body. First of all, cholesterol is a critical structural element in certain tissues such as our brain and nervous system. In fact, it is estimated that around 25% of our cholesterol can be found in the brain. Just to highlight our failed fat philosophy over the years, higher saturated fat intake and high cholesterol levels are associated with better mental function in old age (1)!
And good news for coffee addicts: you can still have your morning cup of joe. You’ll just need to adjust what you stir into it. Switch out flavored creamer for the real deal—full-fat heavy whipping cream, which has only 1 gram of carbs per tablespoon. If you want to give your java a jolt of sweet, stir in a low-carb sweetener that uses sugar alcohols. But if you can skip the sweet, even better. In time, you’ll retrain your palate to not crave a sugary start to the day. This is what everyone gets wrong about the keto diet.
Stock up: Jet.com's new City Grocery service (available in select markets) makes it easy to ensure you always have keto-friendly veggies in the fridge. We love their delivery scheduling tool; simply fill your cart, then decide which day and timeframe you'd like your groceries delivered. One of our faves: Urban Roots Green Squash Veggie Noodles are great for whipping up low-carb "pasta" dishes.
I have pancreatitis, well controlled, which is the way I want to keep it. The biggest difficulty I have with keto is this: I eat a small portion of steel cut oats in the morning. When I don’t, within two days , I start having bleeding, dark in colour. My endrocrinolagest feels that I need the roughage in the steel cut oats to replete the bowel lining. I have great difficulty loosing weight, always have, even though I eat very clean, no junk food, never eat out, don’t like pop, don’t crave sugar, cook all food fresh. Any comment? Willing to try anything you can suggest.
Instead of making your own cereal, you can always have a low-carb alternative. Try out chia seed pudding, flax granola sprinkled into coconut or almond milk, salted caramel pork rind cereal, or just mix together toasted nuts that are crushed and crispy. It’s quite easy to find a crunchy alternative to cereal (or just a low-carb replacement in general) so keep on the lookout and experiment for yourself to see which you like best.
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45. Kahathuduwa C.N., Davis T., O’Boyle M., Boyd L.A., Chin S.H., Paniukov D., Binks M. Effects of 3-week total meal replacement vs. typical food-based diet on human brain functional magnetic resonance imaging food-cue reactivity and functional connectivity in people with obesity. Appetite. 2018;120:431–441. doi: 10.1016/j.appet.2017.09.025. [PubMed] [CrossRef] [Google Scholar]
The inclusion criteria were ages 18 to 65 years, body mass index (BMI) ≥30 kg/m2, stable body weight in the previous 3 months, a desire to lose weight, and a history of failed dietary efforts. The main exclusion criteria were diabetes mellitus, obesity induced by other endocrine disorders or by drugs, and participation in any active weight loss program in the previous 3 months. In addition, those patients with previous bariatric surgery, known or suspected abuse of narcotics or alcohol, severe depression or any other psychiatric disease, severe hepatic insufficiency, any type of renal insufficiency or gout episodes, nephrolithiasis, neoplasia, previous events of cardiovascular or cerebrovascular disease, uncontrolled hypertension, orthostatic hypotension, and hydroelectrolytic or electrocardiographic alterations were excluded. Females who were pregnant, breastfeeding, or intending to become pregnant, and those with child-bearing potential who were not using adequate contraceptive methods, were also excluded. Apart from obesity and metabolic syndrome, participants were generally healthy individuals.
“As a pediatrician practicing for the past 24 years, I spend most of my clinical time caring for children with chronic behavioral, developmental, psychological or metabolic conditions (ADHD, depression, anxiety, OCD, Tourette’s Syndrome, autism, autoimmune disease, obesity, NAFLD, etc.). A well-planned, low-carbohydrate (and in many cases ketogenic) nutrition plan is a very powerful tool that I use with my patients to address both physical and mental health. I so appreciate Diet Doctor and reference it frequently for my patients as the best resource for this topic. This site is commercial free, well-supported, referenced and frequently updated.”
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Changes in the impact of weight on quality of life-lite (IWQOL-Lite). Raw scores (higher scores indicate poorer quality of life on the IWQOL-Lite) were converted into a T-score (0–100), with 100 representing best possible health. Mean ± standard error of changes from baseline are reported for total score. (ƚ) Denotes statistically significant differences through the intervention (p for trend < 0.05) evaluated by means of repeated-measures ANOVA. (*) Denotes statistically significant differences (p < 0.05) from baseline after post-hoc pairwise comparisons employing the Tukey’s adjustment for multiple comparisons.
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. 

“I recommend a high-fat, low-protein, ultra-low to no-carbohydrate diet with intermittent fasting to my fertility patients. Immunologic dysfunction can contribute to recurrent pregnancy loss and infertility. One of the easiest ways to improve immunologic function is to reduce inflammation throughout the body. The keto diet does this. I use Diet Doctor myself and recommend it to patients as a valuable resource.”


MF-BIA (InBody 720; Biospace, Tokyo, Japan) was also used for determining body composition in terms of FM, FM%, FFM, total body water, intra- and extracellular water, skeletal muscle mass, and ASLM. This noninvasive technology employs 8 contact electrodes, which are positioned on the palm and thumb of each hand and on the front part of the feet and on the heels. In addition, MF-BIA uses the body’s electrical properties and the opposition to the flow of an electric current by different body tissues. The analyzer measured resistance at specific frequencies (1, 5, 50, 250, 500, and 1000 kHz) and reactance at specific frequencies (5, 50, and 250 kHz). The participants were examined while lightly dressed, and the examination took less than 2 minutes and required only a standing position. The validity of this technology has been documented in previous studies (21, 22). Visceral fat area values were also calculated in cm2 by MF-BiA. Importantly, these values are significantly correlated with those generated by computed tomography (22, 23). The calculation of the different body compartments was performed according to the instructions of the manufacturer (Biospace).

Hi Jenn, I would not recommend the medication as it is not going to address the root cause of any sort of dysfunction that may be leading to what we are seeing on the lab. When I see elevated cholesterol levels with good Triglyceride:HDL ratios, I most commonly see an underlying thyroid issue with low free T3 levels. I would want to test your thyroid in detail and you may need some additional thyroid hormone support. With very high HDL over 90, I will also see chronic infections and food sensitivities as an issue.

The good news, however, is that following a well-formulated ketogenic diet should help increase HDL while lowering triglyceride levels. LDL will likely remain the same or potentially increase in order to efficiently transport triglycerides to cells to metabolize for energy. Again, LDL will likely become more of the pattern A type which is a highly beneficial shift.
Keto flu is a real thing. Cutting your carbs to the bone and going into a state of ketosis (where your body burns fat for energy) can bring on a cluster of uncomfortable symptoms, such as headaches, fatigue, muscle aches, nausea, and diarrhea. The side effects are the result of your body transitioning to using fat as its primary source of energy instead of carbs, explains Kristen Mancinelli, MS, RDN, author of The Ketogenic Diet. Once it adapts to the new fuel source (usually within a week or two), you’ll start to feel better.
In the first week, many people report headaches, mental fogginess, dizziness, and aggravation. Most of the time, this is the result of your electrolytes being flushed out, as ketosis has a diuretic effect. Make sure you drink plenty of water and keep your sodium intake up.6One of the fathers of keto, Dr. Phinney, shows that electrolyte levels (especially sodium) can become unbalanced with low carb intake.
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