White sugar, honey, and most traditional sugars are out when you’re eating keto because of the high carb counts. While many artificial sweeteners deliver sweetness sans a single carb, that doesn’t mean you should eat them, Crandall says. “We have demonized sugar—rightly so—for causing unneeded insulin spikes,” Crandall says, but “many artificial sweeteners do the exact same thing.” One study found that eating artificial sweeteners may increase cravings—especially for sweet things. This can stymie your weight-loss intentions. Discover how one woman totally kicked her sugar habit by trying the keto diet.
Dieter beware: U.S. News & World Report, in its high-profile January cover story on "best diets," calls the DASH and Mediterranean diets tops for health, though these regimens represent the failed nutritional status quo of the last 50 years. It's clear that U.S. News — which employed an expert panel to rate 40 diets on various criteria — merely recapitulated questionable dietary advice that has gone by a succession of names since the 1970s — "low-fat," "DASH," "USDA-style," "plant-based." The basic set of recommendations have remained the same, emphasizing plant foods (grains, cereals, fruits and vegetables) over animal products (eggs, regular dairy, meat), and vegetable oils over natural animal fats such as butter. According to government data, Americans have largely followed these recommendations over the last 50 years, notably increasing their consumption of grains, vegetables and fruits and eating less whole milk, butter, meat and eggs. The outcome? In that time, rates of obesity and Type 2 diabetes have skyrocketed. Something has gone terribly wrong. Why would 25 doctors, dietitians and nutritionists on the U.S. News panel choose a dietary philosophy that has — so far, at least — failed us?
Make things yourself. While it’s extremely convenient to buy most things pre-made or pre-cooked, it always adds to the price per pound on items. Try prepping veggies ahead of time instead of buying pre-cut ones. Try making your stew meat from a chuck roast. Or, simply try to make your mayo and salad dressings at home. The simplest of things can work to cut down on your overall grocery shopping.
Some fruits may contain relatively high concentrations of sugar, most are largely water and not particularly calorie-dense. Thus, in absolute terms, even sweet fruits and berries do not represent a significant source of carbohydrates in their natural form, and also typically contain a good deal of fiber which attenuates the absorption of sugar in the gut.[20]
“I am amazed at what a low-carbohydrate diet can do in real life and in my oncology practice. I see many cases of difficult to treat cancers, and know full-well the limitations of conventional chemotherapy. When patients ask about the ketogenic diet and cancer, I point out our recently concluded clinical trial that showed the ketogenic diet to be safe in advanced cancer patients and possibly beneficial in improving quality of life and survival. The diet, together with regular cancer treatment, could be a win-win combination. Diet Doctor is a fabulous website, chock full of information!”
The ketogenic diet is indicated as an adjunctive (additional) treatment in children and young people with drug-resistant epilepsy.[26][27] It is approved by national clinical guidelines in Scotland,[27] England, and Wales[26] and reimbursed by nearly all US insurance companies.[28] Children with a focal lesion (a single point of brain abnormality causing the epilepsy) who would make suitable candidates for surgery are more likely to become seizure-free with surgery than with the ketogenic diet.[9][29] About a third of epilepsy centres that offer the ketogenic diet also offer a dietary therapy to adults. Some clinicians consider the two less restrictive dietary variants—the low glycaemic index treatment and the modified Atkins diet—to be more appropriate for adolescents and adults.[9] A liquid form of the ketogenic diet is particularly easy to prepare for, and well tolerated by, infants on formula and children who are tube-fed.[5][30]
This style of Ketogenic Diet, the temporary reduction in fats, carbohydrates and sugars is the heart of the Ideal Protein Protocol. Ideal Protein a medically developed, step-by-step, personalized Ketogenic Weight Loss Diet available today. By temporarily restricting fat intake, the Ideal Protein dieter burns through fat stores more rapidly, resulting in safe, efficient weight loss. Because the Ideal Protein Protocol is a Keto Diet focused on weight loss and weight maintenance, for most people it will be the safest and most credible entry point into living a low carbohydrate lifestyle. Not only is the Ideal Protein Protocol a supervised Ketogenic weight loss program, we teach our dieters how to develop and maintain a healthier relationship with food after they have graduated from Ketosis. This makes maintaining your new healthier weight easier and safer following your weight loss, because living in a state of Ketosis should only be temporary.
Sleep enough – for most people at least seven hours per night on average – and keep stress under control. Sleep deprivation and stress hormones raise blood sugar levels, slowing ketosis and weight loss a bit. Plus they might make it harder to stick to a keto diet, and resist temptations. So while handling sleep and stress will not get you into ketosis on it’s own, it’s still worth thinking about.
Because people with type 2 diabetes are at an increased risk for cardiovascular disease, there’s a specific concern that the saturated fat in the diet may drive up LDL, or “bad,” cholesterol levels, and further increase the odds of heart problems. If you have type 2 diabetes, talk to your doctor before attempting a ketogenic diet. They may recommend a different weight-loss diet for you, like a reduced-calorie diet, to manage diabetes. Those with epilepsy should also consult their doctor before using this as part of their treatment plan.

The failure of Big Pharma to develop an Alzheimer's drug has been well-documented in the corporate-sponsored "mainstream" media. As Alzheimer's diagnoses continue to increase, drug companies are scrambling to develop the next big drug to market to seniors. In modern times, the most successful drugs in sales, so far, have been cholesterol-lowering statin drugs, as one out of every five people over the age of 50 are now taking drugs to lower one's cholesterol, raking in billions of dollars for pharmaceutical companies. The sick irony to this is that lowering one's cholesterol artificially is directly linked to declining cognitive health and diseases such as Alzheimer's, since 25% of one's total cholesterol is located in the brain. The failed scientific hypothesis behind these drugs is that cholesterol is a cause of heart disease, and that diets high in saturated fats contribute to high cholesterol. However, the actual science shows almost the opposite, and when one looks at death rates, for example, lower cholesterol rates do not equate to longer life - in fact the converse is true: higher cholesterol levels lead to longer life spans. The pharmaceutical industry and the U.S. government cannot afford to reverse their warnings against saturated fats and cholesterol, however, as it would be the same as confessing that the entire statin drug industry has been a scam, and that statin drugs actually cause more harm than good. This is the main reason why the USDA must continue supporting a low-fat diet and condemning saturated fats, even though the science does not support their positions. It is no surprise, therefore, to learn that peer-reviewed scientific studies continue to show that the high-fat ketogenic diet supports cognitive health and can help prevent or reduce cognitive diseases such as Alzheimer's. Here are four new studies just published on the high-fat ketogenic diet related to cognitive health, and preventing Alzheimer's Disease.
A Ketogenic diet is one that is high in healthy fats and proteins, and extremely low in carbohydrates.  Typically, it takes around 100g of carbohydrates per day to keep up with the average person's brain and organ function.  When you eat between 20-50 g of net carbohydrates (total carbohydrates – fiber) your body has to switch over to using fat to fuel itself instead of carbohydrates.  This process is called Ketosis, and it's a perfectly natural state of humans to exist in.
The ketogenic diet is calculated by a dietitian for each child. Age, weight, activity levels, culture, and food preferences all affect the meal plan. First, the energy requirements are set at 80–90% of the recommended daily amounts (RDA) for the child's age (the high-fat diet requires less energy to process than a typical high-carbohydrate diet). Highly active children or those with muscle spasticity require more food energy than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein. This is typically 4:1, but children who are younger than 18 months, older than 12 years, or who are obese may be started on a 3:1 ratio. Fat is energy-rich, with 9 kcal/g (38 kJ/g) compared to 4 kcal/g (17 kJ/g) for carbohydrate or protein, so portions on the ketogenic diet are smaller than normal. The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Next, the protein levels are set to allow for growth and body maintenance, and are around 1 g protein for each kg of body weight. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio. Any carbohydrate in medications or supplements must be subtracted from this allowance. The total daily amount of fat, protein, and carbohydrate is then evenly divided across the meals.[37]

“In my psychiatric practice, the high rate of obesity and metabolic disorders among my patients prompted me to develop an integrative therapeutic response, especially to address frequent patterns of impulsivity/compulsivity, low energy/lethargy, mood instability, mental fog, poor concentration and cognitive deterioration. A real-food, low-carb, healthy-fat, often ketogenic lifestyle, combined with intermittent fasting, stress management, rest, and movement — and appropriate pharmacotherapy as needed — results in improved general health, cognitive function, mood management, and quality of life. Diet Doctor, especially the new Spanish site, is a great tool for my patients.”

The last technique used to determine body composition in the current study was ADP (BodPod; Life Measurements Instruments, Concord, Canada), which is accepted as a convenient alternative to the water immersion method for assessing body composition. The standard BodPod protocol was followed (24), and weekly quality control tests were performed during the study period; a second calibration was conducted immediately prior to the measurement of each participant. ADP determines body volume using Boyle’s law of the pressure/volume relationship. Therefore, body volume is equivalent to the decrease of volume in the chamber with the entrance of the patient under isothermal conditions. The participants were instructed to wear a swimming suit tight to the body and a swim cap during the test to diminish accumulated air and avoid volume discrepancies. Thoracic gas volume was measured by connecting the subject to a breathing circuit. The process was repeated until a consistent measurement was obtained. Body density was calculated as mass divided by volume and corrected for lung volume. The Siri formula was used to calculate FM, FM%, and FFM (24, 25).
A study with an intent-to-treat prospective design was published in 1998 by a team from the Johns Hopkins Hospital[20] and followed-up by a report published in 2001.[21] As with most studies of the ketogenic diet, no control group (patients who did not receive the treatment) was used. The study enrolled 150 children. After three months, 83% of them were still on the diet, 26% had experienced a good reduction in seizures, 31% had had an excellent reduction, and 3% were seizure-free.[Note 7] At 12 months, 55% were still on the diet, 23% had a good response, 20% had an excellent response, and 7% were seizure-free. Those who had discontinued the diet by this stage did so because it was ineffective, too restrictive, or due to illness, and most of those who remained were benefiting from it. The percentage of those still on the diet at two, three, and four years was 39%, 20%, and 12%, respectively. During this period, the most common reason for discontinuing the diet was because the children had become seizure-free or significantly better. At four years, 16% of the original 150 children had a good reduction in seizure frequency, 14% had an excellent reduction, and 13% were seizure-free, though these figures include many who were no longer on the diet. Those remaining on the diet after this duration were typically not seizure-free, but had had an excellent response.[21][22]
Increases in cholesterol levels need discussion too. We do see temporary increases in cholesterol levels often as individuals transition onto a ketogenic diet. However, when you examine lipid particle size (a more important way to look at the cardiovascular risks), the risk pattern doesn’t seem to increase with a ketogenic diet. Harvard Health has written about lipid particle size here before: http://www.health.harvard.edu/womens-health/should-you-seek-advanced-cholesterol-testing-
A Ketogenic diet is one that is high in healthy fats and proteins, and extremely low in carbohydrates.  Typically, it takes around 100g of carbohydrates per day to keep up with the average person's brain and organ function.  When you eat between 20-50 g of net carbohydrates (total carbohydrates – fiber) your body has to switch over to using fat to fuel itself instead of carbohydrates.  This process is called Ketosis, and it's a perfectly natural state of humans to exist in.

Low-calorie diets leading to rapid weight loss can cause headaches -- especially if your carbohydrate intake is too low. A study published in 2011 in the "Nutrition Journal" reports that symptoms of ketosis, which occurs when there is a buildup of metabolic byproducts called ketones in the body after breaking down fat instead of carbs as fuel -- include headaches, bad breath, weakness and constipation. To reduce your chance of getting a headache during weight loss, eat at least 130 grams of carbohydrates -- which is the recommended dietary allowance, or RDA -- daily and avoid losing more than 2 pounds per week.
One area where food tracking can be especially helpful, though, is ensuring that you're hitting the right ratios of macronutrients—protein, carbs, and fat. "The most researched version of the ketogenic diet derives 70 percent of calories from healthy fats, 20 percent from protein, and only 10 percent from carbs," explains Charles Passler, D.C., nutritionist, and founder of Pure Change. "In the ideal world, each keto meal and snack should have that same (70/20/10) ratio of macronutrients, but studies have shown that you'll still achieve great results even if each meal varies slightly from that ratio, just as long as you don't exceed 50 grams per day of carbs, or eat those carbs in one sitting," says Passler. In order to achieve these ratios without a preset meal plan from a dietitian or doctor, some food tracking is probably going to be necessary. But once you get the hang of things, you may not need it anymore.
Nurse practitioners (NP) are advanced practice registered nurses that manage acute and chronic medical conditions, both physical and mental, through history and physical exam and the ordering of diagnostic tests and medical treatments. NPs are qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for a wide range of acute and chronic medical conditions within their scope of practice. Their education includes a Bachelor of Science in Nursing (BSN) or other undergraduate degree, and requires a license as a registered nurse (RN) and experience as an RN in a health care setting. They must graduate from an accredited graduate (MSN) or doctoral (DNP) program and achieve a board certification.

If you do try the diet outside of medical supervision, Kizer says it’s important to test your urine with urinalysis ketone test strips to ensure your ketone levels don’t become dangerously high. Ketone urine test strips are also used by people with diabetes to determine if they’re at risk for ketoacidosis (DKA), a life-threatening complication that occurs when an individual doesn’t have enough insulin in their body. (Healthy ketosis is considered 0.5 to 3.0 mM blood ketones.)

Vegan ketogenic diet or vegetarian diet: Yes, both are possible. Instead of animal products, plenty of low-carb, nutrient-dense vegan and/or vegetarian foods are included. Nuts, seeds, low-carb fruits and veggies, leafy greens, healthy fats and fermented foods are all excellent choices on a plant-based keto diet. There’s also a similar plan called ketotarian, which combines keto with vegetarian, vegan and/or pescatarian diets for supposedly greater health benefits.


Food craving refers to an intense desire to consume a specific food. The food cravings questionnaires (FCQs) [24] assess food cravings on a trait and a state level and on a specific food item. The FCQ-trait was derived from a total of 88 statements that were generated using 10 theoretical dimensions of trait food cravings. Participants were asked to indicate how frequently each statement “would be true for you in general” using a 6-point scale that ranged from “Never” or “Not Applicable” to “Always”. The FCQ-state was derived from a total of 60 statements representing seven dimensions of state food cravings. Participants were asked to indicate the extent to which they agreed with each statement “right now, at this very moment” using a Likert scale that ranged from “Strongly Agree” to “Strongly Disagree”.


More importantly they measured markers of heart disease risk, including cholesterol ratios and triglycerides, blood pressure, carotid intima-media thickness (CIMT). The carotid arteries are the ones that run on both sides of the neck, where some feel to check for a pulse and determine if someone is dead. The inner walls of that artery are measured by ultrasound.
“Our medical practice was featured implementing a low-carbohydrate plan for a patient with type 2 diabetes in the documentary The Magic Pill. We believe food can be used as medicine. Many of our patients with insulin resistance, diabetes, metabolic syndrome, PCOS and more will see excellent results and resolution of chronic disease states with low-carbohydrate diets. Education and understanding as to which dietary strategy is best for the individual is essential in reclaiming one’s health. There is no doubt in my mind that low-carbohydrate planning can be extremely useful and safe for the appropriate clinical scenario.”
The weight-loss program has five steps and adheres to the most recent guidelines of the 2015 EFSA on total carbohydrate intake [22]. The first three steps consist of a VLCK diet (600–800 kcal/day), low in carbohydrates (<50 g daily from vegetables), and lipids (only 10 g of olive oil per day). The amount of high biological-value proteins ranged between 0.8 and 1.2 g per each kg of ideal body weight to ensure that patients were meeting their minimum body requirements and to prevent the loss of lean mass. In step 1, the patients ate high-biological-value protein preparations five times a day and vegetables with low glycemic indexes. In step 2, one of the protein servings was substituted with a natural protein (e.g., meat or fish) either at lunch or at dinner. In step 3, a second serving of low-fat natural protein was substituted for the second serving of biological protein preparation. Throughout these ketogenic phases, supplements of vitamins and minerals, such as K, Na, Mg, Ca, and omega-3 fatty acids, were provided in accordance with international recommendations [23]. These three steps were maintained until the patient lost the target amount of weight, ideally 80%. Hence, the ketogenic steps were variable in time depending on the individual and the weight-loss target. The total ketosis state lasted for 60–90 days only.
Take a multivitamin. “Because you are removing grains, the majority of fruit, some vegetables, and a significant amount of dairy from your menu, a multivitamin is good insurance against any micronutrient deficiencies,” says Jadin. Depending on what your individual overall diet looks like, Jadin says you might also need to add a calcium, vitamin D, and potassium supplement.
All anthropometric measurements were undertaken after an overnight fast (8 to 10 hours), under resting conditions, in duplicate, and performed by well-trained health workers. Participants’ body weights were measured to the nearest 0.1 kg on the same calibrated electronic device (Seca 220 scale; Seca North America, Chino, CA), in underwear and without shoes. BMI was calculated by dividing body weight by the height squared [BMI = weight (kg)/height2 (m)]. Waist circumference was recorded with a standard flexible nonelastic metric tape at the middle point between the lower edge of the ribs and the iliac anterior spine. This measurement was made at the end of a normal expiration while the subject stood upright.
“I recommend a ketogenic diet as a powerful tool to treat diseases such as type 2 diabetes, hypertension, metabolic syndrome and obesity in general. Oftentimes I am able to wean patients off most of their medications and have seen dramatic improvement in their health as a result of this diet. I recommend Diet Doctor to my patients on a regular basis as a resource to help them eat a ketogenic diet.”
#TRANSFORMATION STORY PLEASE READ: I used to be severely overweight for a period of my life (probably considered obese). Some people have known me a long time and have seen my #progress, but some only know me now and don't know what I used to be. There are a few years of my life with zero to very few pictures of me because I hated the way I looked. After getting out of a toxic relationship (when I ate my feelings out of depression), I was able to lose a little bit on my own by focusing on #me and getting back into activities I loved (musical theater) and overall being happy again. But I was still overweight and sort of hit a plateau, so I gave up on trying because nothing seemed to be working. It wasn't until October of 2016 that I learned about the #ketogenic lifestyle and started that way of eating and was able to lose 10 pounds in 2 months, just from making better food choices. In January of 2017, I began a fitness regime, going to the #gym about 4-5 days a week doing a mix of weight lifting and cardio. My plan was to hit my #goal weight within one year. (To be honest, I didn't think I was going to do it, but told myself I'd be happy if I got close.) It's been one year since I did my first #workout on my own and I am so excited to say that I did it...I HIT MY GOAL WEIGHT!!! From June 2015 to now, I have lost about 76 pounds/7 dress sizes and I'm a happier, healthier, and stronger version of myself than I ever was before! It's not just about the number and how I look, but I've learned that I need to take care of my body from the inside out for #health reasons too. I now have more energy and I feel absolutely amazing. I finally feel like the version of myself that I always envisioned in my head. This has been a long and hard #journey and there were many times I thought I might give up. I'm sharing these pictures not out of vanity, but because I'm just so #happy that I did it and I want people to know that you can do whatever you set your mind to!! 💪🏼💪🏼💪🏼 #follow
Those who’ve had their gallbladder removed may need ox bile supplementation to support their body in breaking down fats[*] and aid in overall digestion. When taken with a meal, ox bile provides a concentrated source of bile which takes the place of the bile that would have been secreted by your gallbladder. As mentioned before, proper digestion is key to helping aid in weight loss and optimizing overall health and wellness.
However, this diet is gaining considerable attention as a potential weight-loss strategy due to the low-carb diet craze, which started in the 1970s with the Atkins diet (a very low-carbohydrate, high-protein diet, which was a commercial success and popularized low-carb diets to a new level). Today, other low-carb diets including the Paleo, South Beach, and Dukan diets are all high in protein but moderate in fat. In contrast, the ketogenic diet is distinctive for its exceptionally high-fat content, typically 70% to 80%, though with only a moderate intake of protein.
“I discovered the low-carb, ketogenic diet some four years ago and saw huge improvements in my own health. After establishing that it is based on sound scientific principles I felt compelled to offer it to my patients. We recommend the Diet Doctor website as it offers an unbiased, contemporary source of reliable low-carb ketogenic advice. It is easy to use and you can rely on its integrity.” 
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