Hello, I am doing IF 16:8 & my eating window is in the evening. I’m confused as to what to eat during those 8 hours. I’ve been eating 1 meal & a snack. Is this enough? I’ve been doing Keto dieting for 6 months. Initially lost 5 #. (Realize it was water #) Now I weigh more than I ever have, as of today!! Drink loads of water, eat healthy fats, mod protein & limited carbs, non processed. Can you help? Thanks!!
That first drop might be mostly water weight. But research suggests that the keto diet is good for fat loss, too. An Italian study of nearly 20,000 obese adults found that participants who ate keto lost around 12 pounds in 25 days. However, there aren’t many studies looking at whether the pounds will stay off long-term, researchers note. Most people find it tough to stick with such a strict eating plan, and if you veer off your diet, the pounds can easily pile back on.
Representations regarding the efficacy and safety of Nutrix have not been evaluated by the Food and Drug Administration. The FDA only evaluates foods and drugs, not supplements like these products. These products are not intended to diagnose, prevent, treat, or cure any disease. Two human clinical trials suggest that ingestion of Garcinia Cambogia can lead to a reduction in weight or body fat, copies of which may be found here: view one, two, three and four. It is recommended that users follow a strict diet and exercise regimen to achieve weight loss results.
During the 1920s and 1930s, when the only anticonvulsant drugs were the sedative bromides (discovered 1857) and phenobarbital (1912), the ketogenic diet was widely used and studied. This changed in 1938 when H. Houston Merritt, Jr. and Tracy Putnam discovered phenytoin (Dilantin), and the focus of research shifted to discovering new drugs. With the introduction of sodium valproate in the 1970s, drugs were available to neurologists that were effective across a broad range of epileptic syndromes and seizure types. The use of the ketogenic diet, by this time restricted to difficult cases such as Lennox–Gastaut syndrome, declined further.[10]
When in the hospital, glucose levels are checked several times daily and the patient is monitored for signs of symptomatic ketosis (which can be treated with a small quantity of orange juice). Lack of energy and lethargy are common, but disappear within two weeks.[17] The parents attend classes over the first three full days, which cover nutrition, managing the diet, preparing meals, avoiding sugar, and handling illness.[19] The level of parental education and commitment required is higher than with medication.[44]
Gosh I remember the feelings I had before I started keto... feelings of fear, feelings of being discouraged or letting myself down again... what if I fail at this like I have with every other thing I’ve tried the past 12 years. Looking back a year ago on Mother’s Day reflecting where I was then to where I am now not just my weight loss but also my mental state at the time. Things were better but I was no where near where I am now. The weight loss and drastically changing my eating habits have all contributed and I’m so thankful I made myself show up everyday. So what if? What if I never gave myself the chance? I preach believing in yourself a lot because you are the only one who can push yourself to make the change. No one else just you. Don’t let the what’s ifs hold you back. Believe in YOU. Show up for YOU. Tip toe if you must but if it’s something you want soooo bad... everyday wake up and TAKE THAT STEP! It’s worth it💕 Happy #transformationtuesday 🌸
People use a ketogenic diet most often to lose weight, but it can help manage certain medical conditions, like epilepsy, too. It also may help people with heart disease, certain brain diseases, and even acne, but there needs to be more research in those areas. Talk with your doctor first to find out if it’s safe for you to try a ketogenic diet, especially if you have type 1 diabetes.
“I recommend LCHF nutrition to all my patients to shift their metabolism to a more beneficial state. This nutrition is often enough to reverse diseases like obesity, diabetes and fatty liver disease, improving the health and quality of life of my patients. In my experience, other medical interventions also become much more efficacious. I recommend the Diet Doctor website, due to its panel of experts, to all my patients to make their transition easier.”
The keto diet is a high-fat and low-carb (HFLC) diet. I would actually describe it as extremely low-carb—you're allowed to eat just 20 grams in a day. Some people on keto follow a net-carb plan (you can subtract the grams of fiber from a food's total carbs) and you're allowed to eat more carbs in a day. For my 30-day diet and for the sake of simplicity, I stuck with total carbs.
At its core, weight loss results from burning more calories than you consume. But the macronutrient composition of those calories is also vital. Different foods have substantially different metabolic and hormonal effects on the body. So what’s eaten (and how calories are expended) can change how much you eat and whether those calories are burned or stored.
Keto diets are high in healthy fats and protein also tend to be very filling, which can help reduce overeating of empty calories, sweets and junk foods. (4) For most people eating a healthy low-carb diet, it’s easy to consume an appropriate amount of calories, but not too many, since things like sugary drinks, cookies, bread, cereals, ice cream or other desserts and snack bars are off-limits.
The low glycaemic index treatment (LGIT)[49] is an attempt to achieve the stable blood glucose levels seen in children on the classic ketogenic diet while using a much less restrictive regimen. The hypothesis is that stable blood glucose may be one of the mechanisms of action involved in the ketogenic diet,[9] which occurs because the absorption of the limited carbohydrates is slowed by the high fat content.[5] Although it is also a high-fat diet (with approximately 60% calories from fat),[5] the LGIT allows more carbohydrate than either the classic ketogenic diet or the modified Atkins diet, approximately 40–60 g per day.[18] However, the types of carbohydrates consumed are restricted to those that have a glycaemic index lower than 50. Like the modified Atkins diet, the LGIT is initiated and maintained at outpatient clinics and does not require precise weighing of food or intensive dietitian support. Both are offered at most centres that run ketogenic diet programmes, and in some centres they are often the primary dietary therapy for adolescents.[9]
"One of the most amazing things that can happen is finding someone who sees everything you are and won't let you be anything less. They see the potential of you. They see endless possibilities. And through their eyes, you start to see yourself the same way. As someone who matters. As someone who can make a difference in this world.  If you're lucky enough to find this person, never let them go" . . . . . From the day we met, he's never seen me for my weight. He saw me for me. It's so much fun to go through life with this guy. He's always KNOWN the real me... and now he gets to SEE the real me. #throwbackthursday . . . . . . . . #tbt #transformation #ketojourney #fitnessjourney #weightlossjourney #fitnesstransformation #ketotransformation #weightlosstransformation #weightloss #losingweight #bodytransformation #love #mrandmrs #couplepreneurs #husbandandwife #powercouple #ketocouple #ketogeniclifestyle #fatfueled #ketogenic #ketolife #ketomom #ketofamily #ketoworks
Short-term results for the LGIT indicate that at one month approximately half of the patients experience a greater than 50% reduction in seizure frequency, with overall figures approaching that of the ketogenic diet. The data (coming from one centre's experience with 76 children up to the year 2009) also indicate fewer side effects than the ketogenic diet and that it is better tolerated, with more palatable meals.[18][50]
Conceptualization, A.I.C., A.B.C., P.L.-J., F.F.-A. and F.F.C.; Data curation, A.I.C. and D.G.-A.; Formal analysis, R.G., Z.A. and S.J.-M.; Investigation, A.I.C., D.G.-A., A.B.C. and F.F.C.; Methodology, A.B.C., I.S., F.F.-A. and F.F.C.; Supervision, F.F.C.; Writing—original draft, A.I.C., D.G.-A., A.B.C. and F.F.C.; Writing—review & editing, A.I.C., D.G.-A., A.B.C., R.G., Z.A., S.J.-M., I.S., P.L.-J., F.F.-A. and F.F.C.
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. So if your goal is weight loss, eat enough fat to be satisfied, but there’s no need to “get your fats in” once you’re satisfied.

“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.”
Dinner: In a small sauce pan bring 2-3 cups of water to the boil. Cook a large egg in rolling boil for 5 minutes, then transfer to ice bath (a bowl with cold water and ice cubes in it). Wash and spin dry butter lettuce, top with sliced avocado and hemp seed. Serve soft boiled egg with cherry tomatoes, butter lettuce salad and mayonnaise as dressing.

“Your liver produces ketones all the time, but the rate depends on carbohydrate and protein intake,” says Jeff Volek, Ph.D., R.D., a professor of human sciences at Ohio State University. When the majority of your diet is made up of of carbs and protein, ketogenesis slows. Replacing carbs and protein with fat will put your body into ketosis, thus ramping up ketone production. This takes about three days to induce.


On a ketogenic diet, you’re generally eating a diet that’s high in fat (roughly 70 percent of your total calories come from fat), moderate in protein (about 20 percent of your calories), and low in carbohydrate (about 5 percent of calories). By limiting carbohydrates (to usually less than 45 grams for the average person), your body lacks the glucose (from carbs) that it normally uses for energy, so it eventually switches over to burning fat as its primary fuel source instead; through a metabolic process called ketosis, the liver converts the fat into fragments of fatty acids called ketones, which power the brain and other organs and tissues.
Despite their low-calorie content, the fiber and water in the shirataki noodles make them very filling. They can even help you stay full between meals because their fiber will slow down the movement of food through your digestive tract. These unique qualities are what make shirataki noodles ideal for anyone who wants to cut their calorie consumption without starving themselves.
Ketogenic diets focus on high amounts of fat in the diet, including saturated fats, along with very restricted amounts of carbohydrates, in order to create ketones that bypass insulin resistance in brain cells and energize their metabolic functions in lieu of glucose. This has proven efficacious for other central nervous systems problems in addition to Alzheimer’s and epilepsy.
^ St Jeor ST, Howard BV, Prewitt TE, Bovee V, Bazzarre T, Eckel RH (October 2001). "Dietary protein and weight reduction: a statement for healthcare professionals from the Nutrition Committee of the Council on Nutrition, Physical Activity, and Metabolism of the American Heart Association". Circulation. 104 (15): 1869–74. doi:10.1161/circ.104.15.1869 (inactive 15 February 2019). PMID 11591629. These diets are generally associated with higher intakes of total fat, saturated fat, and cholesterol because the protein is provided mainly by animal sources. ... Beneficial effects on blood lipids and insulin resistance are due to the weight loss, not to the change in caloric composition. ... High-protein diets may also be associated with increased risk for coronary heart disease due to intakes of saturated fat, cholesterol, and other associated dietary factors.
Taken together, these results demonstrate a positive effect of LCD/KD on body composition. While KD may not be superior to other dietary strategies aimed at weight reduction, the evidence does suggest that it may be equally effective. Nevertheless, the International Society of Sports Nutritionists, in their Position Stand on the effects of diets on body composition, suggest the KD holds little benefit over higher CHO diets, with one notable exception; KD may enhance appetite control (1).
–As with most of our recipes, you can alter them to fit your tastes. Don’t like cheddar? Use mozzarella, or feta, or even brie! Feel free to use turkey bacon, salami or perhaps even mushrooms for a vegetarian spin. These Bacon Egg & Cheese Cups are so versatile!And, since we know people are going to ask – yes, you can make 1 giant Bacon, Egg & Cheese Cup in the form of a pie! Just lay that bacon along the bottom of your pan, prebake it a bit in the oven and assemble one giant cup! Use a pie pan, cheesecake pan or small casserole dish (note: depending on your bakeware, you may need to double the ingredients)!Tasteaholics
The data are presented as mean (standard deviation). All statistical analyses were carried out using Stata statistical software, version 12.0 (Stata, College Station, TX). A P < 0.05 was considered statistically significant. Changes in the different variables of interest from baseline and throughout the study visits were analyzed following a repeated measures design. A repeated measures analysis of variance test was used to evaluate differences between different measurement times, followed by post hoc analysis with Tukey’s adjustment for multiple comparisons. In addition, linear regression analyses were used to evaluate the accuracy of MF-BIA and ADP in comparison with DXA, because DXA is considered the reference technique in the estimation of body composition in clinical research (26). Finally, the Bland-Altman approach was also used to assess the accuracy of MF-BIA and ADP against DXA in the estimation of FM%.
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.
The insulin theory of obesity, in short, declares that the primary cause of obesity is higher carbohydrate diets because these diets increase insulin secretion more than any other diet. When insulin levels are high, fat storage will increase significantly and “starve” muscles and organs of energy.   This causes increased hunger and overeating that results in obesity.
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. 

The improvement in glycemic control occurred while medications for diabetes were discontinued or reduced in most participants (Table ​(Table5).5). During the study, hypertension and hyperlipidemia medication doses were not increased from baseline nor were new agents added, except in 3 individuals. No serious adverse effects related to the diet occurred. One participant had a hypoglycemic episode requiring assistance from emergency services after he skipped a meal but the episode was aborted without need for transportation to the emergency room or hospitalization.
I wanted to put it out there that I made this meal plan specifically with women in mind. I took an average of about 150 women and what their macros were. The end result was 1600 calories – broken down into 136g of fat, 74g of protein, and 20g net carbs a day. This is all built around a sedentary lifestyle, like most of us live. If you need to increase or decrease calories, you will need to do that on your own terms.
“I recommend low-carbohydrate and ketogenic diets to almost all my patients, from the general public to world-class Olympic athletes. A huge variety of benefits can be seen, from improvements in metabolic health and reductions in joint pains to enhanced athletic performance. While a degree of nuance is needed for specific recommendations, based on factors like general health and goals, the general principle is to reduce carbohydrates while ensuring appropriate intake of fat and protein. This addresses the key problem of insulin resistance, which is central to many modern disease states, including cardiovascular disease and type 2 diabetes.”

If you’re a newbie planning your weekly keto diet menu, make the meals as easy as possible. A keto breakfast, for example, can take advantage of many classic breakfast foods, including eggs, bacon, sausage, and ham. Eggs are real winners in the keto world. They’re extremely versatile, easy to cook, and have just half a gram of carbs but 6 g of protein and 5 g of fat.
On a high-fat ketogenic diet, you can easily eat 3,000 calories or more daily with high-calorie foods like cheese and nuts. Sure, your body will shift into ketosis on a high-fat diet, but eating too many calories means your body will utilize dietary fat instead of body fat. A food journal can help you pinpoint high-calorie foods that might sabotage your weight loss. You don't need to be on an old Atkins diet plan to lose weight the keto way.
If you think about it, one of the diets that follow these principles is the low-carb ketogenic diet. It focuses on highly-satiating foods like meat and low-carb vegetables while cutting out all processed, carb-ridden, and highly-palatable foods. By eating in this way, most people experience tremendous amounts of fat loss — not because insulin levels dropped or the body got a metabolic advantage from burning fat, but because keto dieters tend to eat significantly fewer calories than before without realizing it.
61. Thomson C.A., Morrow K.L., Flatt S.W., Wertheim B.C., Perfect M.M., Ravia J.J., Sherwood N.E., Karanja N., Rock C.L. Relationship between sleep quality and quantity and weight loss in women participating in a weight-loss intervention trial. Obesity. 2012;20:1419–1425. doi: 10.1038/oby.2012.62. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Fat: Most of the calories in a ketogenic diet come from fat, which is used for energy. The exact amount of fat a person needs to eat will depend on carbohydrate and protein intake, how many calories they use during the day, and whether they are losing weight (using their body fat for energy). Depending on these factors, somewhere in the range of 60 to 80 percent of calories will come from fats on a ketogenic diet (even up to 90 percent on, for example, the Ketogenic Diet for Epilepsy). People tend not to overeat on diets this high in fat, so calorie counting is rarely necessary.
As your body breaks through the carb cycle and enters ketosis (where you rely on ketones, instead of carbs, for energy), you may experience fatigue, mental fogginess, even irritability. My "keto flu" only lasted a day, and once I passed it, I never experienced the symptoms again. I even ate a cookie one day during the diet to celebrate my birthday. I certainly came out of ketosis when I ate that treat, but I didn't experience any repercussions for it. 

In 2017, Drs. Kevin Hall and Juen Guo published what may be the first meta-analysis of controlled feeding studies that compared diets of equal calorie and protein content but differing in carbohydrate and fat content [4]. They made sure only to include studies in which all of the food was provided by the researchers. With these criteria, Drs. Kevin Hall and Juen Guo were able to ensure that confounding variables like the thermic effect of protein and subjects self-reporting their calorie intake wouldn’t muddle up the findings.
Excess fat mass (FM), especially visceral fat, is associated with a variety of pathological conditions such as hypertension, dyslipidemia, diabetes, and even cancer (1–4), as well as an increase in overall and cardiovascular mortality (2, 5). Very-low-calorie diets are commonly used as obesity treatments; however, a primary concern in using such diets is the amount of fat-free mass (FFM; i.e., muscular tissue) that is lost together with the FM (6). This could produce so-called sarcopenic obesity, that is, the coexistence of an excess of FM and a decline in FFM that yields a near-normal body weight (7). Sarcopenic obesity constitutes a double impact on the health of patients, because the reduction in muscle mass and muscle strength is also a cause of cardiometabolic disorders, such as myocardial infarction and stroke, and other adverse health outcomes (5, 7–9). For these reasons, it is of primary interest to find weight loss strategies that promote preferential loss of FM and preservation of muscle mass and its functional status (i.e., muscle strength) (10–12).

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)!


Here’s the tricky part: There’s no definite answer for how much protein you’d have to eat before you run into trouble. “It really depends on how much protein a person is consuming versus how much they need, as well as the health of their kidneys at baseline,” Hultin says. That’s why it can be helpful to speak with a nutritionist or doctor who can help you tailor your diet before going keto.
Children who discontinue the diet after achieving seizure freedom have about a 20% risk of seizures returning. The length of time until recurrence is highly variable, but averages two years. This risk of recurrence compares with 10% for resective surgery (where part of the brain is removed) and 30–50% for anticonvulsant therapy. Of those who have a recurrence, just over half can regain freedom from seizures either with anticonvulsants or by returning to the ketogenic diet. Recurrence is more likely if, despite seizure freedom, an electroencephalogram shows epileptiform spikes, which indicate epileptic activity in the brain but are below the level that will cause a seizure. Recurrence is also likely if an MRI scan shows focal abnormalities (for example, as in children with tuberous sclerosis). Such children may remain on the diet longer than average, and children with tuberous sclerosis who achieve seizure freedom could remain on the ketogenic diet indefinitely.[46]
Participants returned every other week for 16 weeks for further diet counseling and medication adjustment. When a participant neared half the weight loss goal or experienced cravings, he or she was advised to increase carbohydrate intake by approximately 5 g per day each week as long as weight loss continued. Participants could choose 5 g carbohydrate portions from one of the following foods each week: salad vegetables, low-carbohydrate vegetables, hard or soft cheese, nuts, or low-carbohydrate snacks. Diabetes medication adjustment was based on twice daily glucometer readings and hypoglycemic episodes, while diuretic and other anti-hypertensive medication adjustments were based on orthostatic symptoms, blood pressure, and lower extremity edema.
This was a great read. I aim to restrict carbs always because I believe most are why the American population is obese. I would very much like to hear more about carb restriction excluding the discussion on processed meats and processed high salt content foods because I consume neither. I also don’t consume dairy or eggs. So can you provide some substance.
“For five years now, I’ve been changing my life and the life of my patients in a rural area of Delaware using the LCHF diet with intermittent fasting. My patients have been achieving not only their weight loss goals, but improving their medical conditions associated with obesity. It is very satisfying to explain the science behind the diet and see their faces light up at the possibility of finally improving their health and reducing their medications and medical costs. Diet Doctor, all this time, has been a valued resource with easy to navigate content and great science.”
“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 cleaner, the better when it comes to the keto diet,” says Jadin. Focus on “whole” and “unprocessed.” Also, strive for a mix of saturated and unsaturated fats for balance. Note: Tipping the scale toward too much protein is a common pitfall many people make on the keto diet. Mind your protein intake, since too much can kick you out of ketosis, says Jadin.
The way that being on the keto diet makes you lose weight is by keeping insulin levels low. Insulin is a fat storage hormone that is released to help shuttle energy from the food you eat into your cells. This diet is known to be one of the best ways, besides fasting of course, to drop your insulin levels and low insulin is what is usually associated with fat loss. However, there is a misconception out there that your insulin will only go up with carbs. Protein can also spike your insulin levels and if you eat enough fats in one sitting, especially the wrong type of fats like trans fats, then that can spike your insulin levels as well.

Everyone — not just those on a keto diet — should stay away from consuming added trans fats. While these are naturally found in some meat and milk (though you’re probably avoiding milk on keto because of its higher carb count), according to the USDA, they’re often added to processed foods. “If you’re eating a lot of packaged products, you’re probably getting more trans fats than you think you are,” says Keatley.
"One of the most amazing things that can happen is finding someone who sees everything you are and won't let you be anything less. They see the potential of you. They see endless possibilities. And through their eyes, you start to see yourself the same way. As someone who matters. As someone who can make a difference in this world.  If you're lucky enough to find this person, never let them go" . . . . . From the day we met, he's never seen me for my weight. He saw me for me. It's so much fun to go through life with this guy. He's always KNOWN the real me... and now he gets to SEE the real me. #throwbackthursday . . . . . . . . #tbt #transformation #ketojourney #fitnessjourney #weightlossjourney #fitnesstransformation #ketotransformation #weightlosstransformation #weightloss #losingweight #bodytransformation #love #mrandmrs #couplepreneurs #husbandandwife #powercouple #ketocouple #ketogeniclifestyle #fatfueled #ketogenic #ketolife #ketomom #ketofamily #ketoworks
To figure out how many fat grams specifically you want, you would take the total number of calories it takes to maintain your body weight (normally around 14-16 calories per pound of body weight). Subtract your protein calories from that number and then divide by 9 (number of calories per gram of fat). This should give you how many total fat grams you need to eat per day.

When the craving for alcohol was evaluated, no statistically significant changes were observed in the MACS scores through the nutritional intervention, taking all patients together (Table S1). However, when the analysis was performed considering the gender of participants in the study, men experienced a significant decrease in the total score through the study (p = 0.047). This decrease was more notable in the maximum ketosis phase as compared with baseline (−15.14; p = 0.047). Moreover, a statistically significant reduction was observed in the lack of inhibition item (−27.19; p = 0.042). 
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