“As a family doctor, I not only lost weight and improved my own health with the low-carb diet, I also inspired colleagues and patients alike to follow this lifestyle and reap its benefits. It has now become a powerful tool I use in my daily practice to help treat and reverse obesity, diabetes, fatty liver, PCOS, and chronic pain. I refer all my English-speaking patients to the Diet Doctor website and I also use it during visits as a counseling tool. Inspired by Diet Doctor, I have created my own website to cater to French-speaking patients!”
On the ketogenic diet, you will find a lot of recipes that call for almond flour and flax meal, which are healthy low-carb flour alternatives. Make sure, however, that you are aware of how much of these low-carb flours you are using. An over-reliance on these nut and seed flours can unknowingly cause you to consume too many calories, carbs, and inflammatory fats.
The following measurements were made every other week: anthropometric and vital sign measurements; urine testing for ketones; and assessment for hypoglycemic episodes and other symptomatic side effects. Weight was measured on a standardized digital scale while the participant was wearing light clothes and shoes were removed. Skinfold thickness was measured at 4 sites – the average of 2 measurements at each site was entered into an equation to calculate percent body fat . Waist circumference was measured at the midpoint between the inferior rib and the iliac crest using an inelastic tape; 2 measurements were averaged in the analysis. Blood pressure and heart rate were measured after the participant had been seated quietly without talking for 3 minutes. Certified laboratory technicians assessed urine ketones from a fresh specimen using the following semi-quantitative scale: none, trace (up to 0.9 mmol/L [5 mg/dL]), small (0.9–6.9 mmol/L [5–40 mg/dL]), moderate (6.9–13.8 mmol/L [40–80 mg/dL]), large80 (13.8–27.5 mmol/L [80–160 mg/dL]), large160 (>27.5 mmol/L [160 mg/dL]). Hypoglycemic episodes and symptomatic side effects were assessed by direct questioning of the participant and by self-administered questionnaires.
Use a body composition analyzer that doesn’t rely on pre-loaded data, like age to maintain or detect changes in body composition. Devices like InBody, feature a body composition history chart to help people track changes as they start and stick with a keto diet. Outputs like fat mass and percent body fat monitor weight loss, while outputs like Skeletal Muscle Mass show the high protein, low carbohydrate diet is preserving muscle mass.
Thanks for this inputs. 20 years ago I gain 17 pounds a year for 5 years. I was healthy but my dr told me start diet, any diet just come back in a month I want to see you start loosing… I started Atkins and lost 7 pound in a month. She was checking my progress every six months and checking my condition. I lost 64 pounds in 3 years. Now I started eating out of control. I am eating healthy but too much… I gain 40 pound back after 20 years. Now I will start again my Atkins to take off 30 pounds…
In this single-arm, 4-month diet intervention, an LCKD resulted in significant improvement of glycemia, as measured by fasting glucose and hemoglobin A1c, in patients with type 2 diabetes. More importantly, this improvement was observed while diabetes medications were reduced or discontinued in 17 of the 21 participants, and were not changed in the remaining 4 participants. Participants also experienced reductions in body weight, waist circumference, and percent body fat but these improvements were moderate and did not predict the change in hemoglobin A1c in regression analyses.
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 . 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.
Sexual functioning in men was explored by means of the EMAS-Sexual Function Questionnaire (EMAS-SFQ) . This questionnaire was completed in private and then placed in a sealed envelope by the participants without scrutiny by the researchers. The EMAS-SFQ has been found to exhibit excellent internal and test-retest reliability and convergent, divergent, and discriminant validity in psychometric analyses . It consists of 16 items assessing sexual functioning, distress or worry relating to current functioning, and changes in sexual functioning compared with 1 year ago.
“I discovered the ketogenic diet in 2017 and since then I have come to truly believe it is the metabolic and nutritional pathway to overall health. Hippocrates once stated, ‘All disease begins in the gut” and I now truly believe the right food can cure. I am now discouraging patients from undergoing bariatric surgery too soon and advising them to try the keto diet first. Diet Doctor gives people the knowledge they need. It is a place where everyone can go to learn and have fun with this nutritional approach.”
Touting their discovery as “a great step forward in weight loss history,” the panel were quick to offer up their hard earned cash to back the entrepreneurial pair. “We were shocked. The most we were hoping for was some advice…we weren’t even sure that we would manage to get any investors,” explained Samantha. After outstanding offers from each panel member, the sisters burst into tears.
I have been on the Keto diet for approximately 2 months. I have lost 18 lbs, but have about 20 more to lose. I definitely notice certain foods, even tho they are Keto friendly stall my weight loss. I am feeling a lot better about myself already and don’t see a reason why I won’t be able to stick with this diet. However, I am stressing about what I will eat on Thanksgiving being that my family does not follow my same eating habits.
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.
There is evidence that the quality, rather than the quantity, of carbohydrate in a diet is important for health, and that high-fiber slow-digesting carbohydrate-rich foods are healthful while highly-refined and sugary foods are less so. People choosing diet for health conditions should have their diet tailored to their individual requirements. For people with metabolic conditions, in general a diet with approximately 40-50% high-quality carbohydrate is compatible with what is scientifically established to be a healthy diet.
Low-carbohydrate diets are associated with increased mortality, and they can miss out on the health benefits afforded by high-quality carbohydrate such as is found in legumes including grain legumes or pulses, and fruit and vegetables. Disadvantages of the diet might include halitosis, headache and constipation, and in general the potential adverse effects of the diet are under-researched, particularly for more serious possible risks such as for bone health and cancer incidence.
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 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.”
To drill down further, there are some genetic enzyme defects that cause problems with ketosis. Here are a few of note: carnitine deficiency (primary), carnitine palmitoyltransferase (CPT) I or II deficiency, carnitine translocase deficiency, beta-oxidation defects—mitochondrial 3-hydroxy-3-methylglutaryl-CoA synthase (mHMGS) deficiency, medium-chain acyl dehydrogenase deficiency (MCAD).
Although the patients underwent a total of 10 visits, the complete body composition analyses were synchronized with the ketone levels in 4 visits (Table 1; Fig. 1). Visit C-1 was the baseline visit, before starting the diet, with no ketosis (0.0 ± 0.1 mmol/L) and a body weight of 95.9 ± 16.3 kg. Visit C-2 was at the time of maximum level of ketosis (1.0 ± 0.6 mmol/L) with a body weight of 84.2 ± 18.0 kg. At visit C-3 (after 89.7 ± 19.1 days of VLCK), patients began the return to a normal diet and showed a reduction in ketone levels (0.7 ± 0.5 mmol/L) and a body weight of 76.6 ± 11.1 kg. Finally, at visit C-4, the patients were out of ketosis (0.2 ± 0.1 mmol/L) and showed a body weight of 75.1 ± 11.8 kg. All weights were statistically different from baseline levels (P < 0.05; Table 1; Fig. 1).
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.
After 4 months the VLCK diet induced a −20.2 ± 4.5 kg weight loss, at expenses of reductions in fat mass (FM) of −16.5 ± 5.1 kg (DXA), −18.2 ± 5.8 kg (MF-BIA), and −17.7 ± 9.9 kg (ADP). A substantial decrease was also observed in the visceral FM. The mild but marked reduction in fat-free mass occurred at maximum ketosis, primarily as a result of changes in total body water, and was recovered thereafter. No changes in muscle strength were observed. A strong correlation was evidenced between the 3 methods of assessing body composition.
“I recommend low-carb and ketogenic diets to my patients who want to lose weight permanently, particularly those who have weight-related medical conditions such as diabetes, high blood pressure, lower limb joint arthritis, metabolic syndrome, and high triglycerides. Why? Because they work! I visit the Diet Doctor website daily because it’s science-based, reliable, comprehensive, and consumer-friendly. I particularly like the recipes, which are provided with nutritional analysis.”
Leftovers will be another thing we will take into consideration. Not only is it easier on you, but why put yourself through the hassle to cook the same food more than once? Breakfast is something I normally do leftover style, where I don’t have to worry about it in the morning and I certainly don’t have to stress about it. Grab some food out the fridge, pre-made for me, and head out the door. It doesn’t get much easier than that, does it?
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.
“I started gaining weight in college. Too Much Beer. And it didn't stop, sitting at a desk job all day, going out to dinner ever night. I packed on the pounds. I knew something had to change. My friend recommened to me. I suddenly had energy again! I started taking the stairs at work. Biking on the weekend. I've been using it for 18 months now - and let me tell you - I'm back baby! ” - Carlos Thomas
“Net carbs” and “impact carbs” are familiar phrases in ketogenic diets as well as diabetic diets. They are unregulated interchangeable terms invented by food manufacturers as a marketing strategy, appearing on some food labels to claim that the product contains less “usable” carbohydrate than is listed.  Net carbs or impact carbs are the amount of carbohydrate that are directly absorbed by the body and contribute calories. They are calculated by subtracting the amount of indigestible carbohydrates from the total carbohydrate amount. Indigestible (unabsorbed) carbohydrates include insoluble fibers from whole grains, fruits, and vegetables; and sugar alcohols, such as mannitol, sorbitol, and xylitol commonly used in sugar-free diabetic food products. However, these calculations are not an exact or reliable science because the effect of sugar alcohols on absorption and blood sugar can vary. Some sugar alcohols may still contribute calories and raise blood sugar. The total calorie level also does not change despite the amount of net carbs, which is an important factor with weight loss. There is debate even within the ketogenic diet community about the value of using net carbs.
If you need to eat more or fewer calories per day, you can adjust accordingly by simply taking out or adding a bit more of the ingredients already included in a recipe. For example, adding/removing a tablespoon of olive oil or butter will add/remove about 100 calories. If you like or dislike certain recipes, feel free to shift things around. Make sure to keep an eye on the calories so you’re still falling within an acceptable range of your daily goal.
“I see many patients whose wellbeing is affected by shortness of breath and sleep disorders. By adopting a low-carb, healthy fat lifestyle, many of these people feel better, avoid unnecessary medications and achieve great overall health. My family and I live this way and I love to inspire others to gain the same benefits. The Diet Doctor website is a great resource to help people adopt a LCHF lifestyle.”
I’m a type 2 Diabetic who just started Keto 3 days ago. I usually only take a small amt of long acting insulin once a day. Usually glucose is around 130 to 150. However today for first time EVER glucose 97!!!! I took no insulin today and find myself very satisfied having BP coffee and don’t get very hungry on Keto. Hoping my glucose stays low tomorrow as well. Is it ok if I don’t eat as I’m not hungry?
The average daily goal for keto is 20 grams of net carbs. Net carbs are the total carbs in a given serving of food, minus the carbohydrates that are supplied by fiber. You’ll find carb grams quickly add up, even when you’re choosing the best low-carb foods, like spinach and avocado. Keeping your body in a quasi-keto state can be hard on you, warns Santo: “This will leave you feeling sluggish, foggy, and discouraged,” he says. “It will most likely cause a weight plateau, and maybe even weight gain.” Here’s what it’s really like to be on a keto diet.