The ketogenic diet, or keto diet, is a high-fat, low-carb diet that has become increasingly popular in recent years. It involves reducing carbohydrate intake and replacing it with fat, which puts the body into a metabolic state called ketosis, where it burns fat for energy instead of glucose. This can lead to weight loss and has potential benefits for people with type 2 diabetes, cancer, Alzheimer's disease, and epilepsy. However, there are also some risks and side effects associated with the keto diet, and it may not be suitable for everyone.
Characteristics | Values |
---|---|
Purpose | Weight loss, increased energy, and health benefits such as improved blood sugar control and reduced seizures in epileptic children |
Diet Type | High fat, low carb |
Food Types | Meat, fish, eggs, nuts, seeds, high-fat dairy, and non-starchy vegetables |
Food Types to Avoid | Carb-based foods like grains, sugars, legumes, rice, potatoes, candy, juice, and most fruits |
Typical Meals | Veggie and egg muffins, chicken salad, salmon with asparagus, omelets, nut milk chia pudding, avocado shrimp salad, pork chops with Parmesan cheese, stuffed chicken, and more |
Typical Snacks | Nuts, boiled eggs, keto-friendly snack bars, Greek yogurt with nut butter, bell peppers with guacamole, berries with cottage cheese, celery with salsa, and more |
Tips | Familiarize yourself with food labels, plan meals in advance, bring your own food when visiting family and friends, and opt for meat-, fish-, or egg-based dishes when eating out |
Side Effects | Keto flu, which includes symptoms such as diarrhea, constipation, vomiting, poor energy, and digestive discomfort |
Risks | May not be suitable for pregnant or nursing people, those with kidney failure or liver disease, or individuals with type 1 diabetes due to the risk of ketoacidosis |
What You'll Learn
What is the keto diet?
The keto diet is a low-carb, high-fat diet. It involves getting more calories from protein and fat and less from carbohydrates. The diet aims to force the body to use a different type of fuel. Instead of relying on sugar (glucose) that comes from carbohydrates, the keto diet relies on ketone bodies, a type of fuel that the liver produces from stored fat.
On the keto diet, 70 to 80% of your calories come from fat, and about 5% come from carbohydrates (around 20 to 50 grams of carbs per day). The remaining calories come from moderate amounts of protein.
The keto diet is often used for weight loss, but it can also help manage certain medical conditions, like epilepsy. It may also help with heart disease, certain brain diseases, and even acne, although more research is needed in these areas.
The keto diet can lead to significant weight loss without the need to count calories. It can also help improve type 2 diabetes or metabolic syndrome by lowering insulin levels and reducing blood sugar levels.
There are some potential risks and side effects associated with the keto diet. It is high in saturated fat, which has been linked to heart disease. It can also lead to nutrient deficiencies, liver problems, kidney problems, and constipation. Additionally, low-carb diets can lead to kidney stones or high levels of acid in the body (acidosis).
Before starting the keto diet, it is important to consult with a doctor, especially for those with pre-existing medical conditions.
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What are the benefits of the keto diet?
The keto diet is a low-carb, high-fat diet that has been shown to have many health benefits. Here are some of the key advantages of the keto diet:
- Weight Loss: The keto diet is one of the most effective ways to lose weight. Studies have shown that people on low-carb diets lose more weight, faster, than those on low-fat diets. This is because low-carb diets act to rid excess water from your body, lowering insulin levels and leading to rapid weight loss in the first week or two.
- Reduced Appetite: Low-carb diets lead to an automatic reduction in appetite. Studies show that when people cut carbs and eat more protein and fat, they end up eating far fewer calories.
- Abdominal Fat Loss: A large percentage of the fat lost on low-carb diets tends to be harmful abdominal fat that is known to cause serious metabolic problems.
- Improved Triglyceride Levels: Triglycerides are fat molecules that increase your risk of heart disease. Low-carb diets are very effective at lowering blood triglycerides.
- Increased 'Good' HDL Cholesterol: Low-carb diets tend to be high in fat, which leads to an impressive increase in blood levels of "good" HDL cholesterol.
- Reduced Blood Sugar and Insulin Levels: Cutting carbs lowers both blood sugar and insulin levelssection, which may treat and possibly even reverse type 2 diabetes.
- Lower Blood Pressure: Low-carb diets are an effective way to lower blood pressure, which should reduce your risk of heart disease and other common diseases.
- Effective Against Metabolic Syndrome: Metabolic syndrome is a collection of symptoms, including elevated blood pressure, elevated fasting blood sugar levels, and low "good" HDL cholesterol levels. Low-carb diets are incredibly effective in treating all five of these symptoms.
- Improved 'Bad' LDL Cholesterol Levels: People who have high "bad" LDL are much more likely to have heart attacks. However, the size of the particles is important. Smaller particles are linked to a higher risk of heart disease, while larger particles are linked to a lower risk. It turns out that low-carb diets increase the size of "bad" LDL particles while reducing the number of total LDL particles in your bloodstream.
- Therapeutic for Brain Disorders: The keto diet has been used for decades to treat epilepsy in children who don't respond to drug treatment. It is now being studied for its effects on other brain conditions, including Alzheimer's and Parkinson's disease.
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What foods can I eat on the keto diet?
The keto diet is a low-carb, high-fat diet. It is particularly useful for losing excess body fat without hunger and for improving type 2 diabetes or metabolic syndrome. On a keto diet, you cut back significantly on carbohydrates, also known as carbs, in order to burn fat for fuel.
Meat and Poultry
Meat and poultry are considered staple foods on the keto diet. Fresh meat and poultry contain no carbs and are rich in B vitamins and several important minerals. They are also a great source of high-quality protein, which may help preserve muscle mass during a very low-carb diet.
Fish and Shellfish
Fish and shellfish are very keto-friendly. Salmon and other fish are not only nearly carb-free but also rich in B vitamins, potassium, and selenium. Salmon, sardines, mackerel, and other fatty fish are very high in omega-3 fats, which have been associated with lower insulin levels and increased insulin sensitivity in people who are overweight or have obesity.
Eggs
Eggs are an extremely healthy protein source. Because each large egg contains fewer than 1 gram of carbs and about 6 grams of protein, eggs can be ideal for keto. In addition, eggs have been shown to trigger hormones that increase feelings of fullness.
Dairy
There are hundreds of types of cheese, most of which are very low in carbs and high in fat, making them a great fit for the keto diet. Cheese is high in saturated fat but it hasn't been shown to increase your risk of heart disease. In fact, some studies suggest that it may help protect against this condition.
Plain Greek yogurt and cottage cheese are nutritious, high-protein foods. While they contain some carbs, you can eat them in moderation on keto.
Cream and half-and-half are very low in carbs and high in fat, making them ideal for keto.
Plant-Based Milk
Several varieties of plant-based milk are keto-friendly, including soy, almond, and coconut milk. You should choose unsweetened versions. Sweetened options have too much sugar to be considered appropriate for keto.
Vegetables
Green leafy veggies are extremely low in carbs, making them excellent for keto. They're also rich sources of vitamins, minerals, and antioxidants. Greens add bulk to your meals without drastically increasing the carb count. Additionally, herbs such as oregano and rosemary add ample flavor with almost no carbs.
Summer squashes, such as yellow squash and zucchini, are extremely versatile and low in carbs. In fact, zucchini is extremely popular on keto. Using a spiralizer, you can make zucchini noodles, which are an excellent substitute for pasta or noodles.
Avocados and olives, while technically both fruits, are unique among vegetables in that they're fairly high in fat. They also contain fiber and are low in net carbs.
Nuts and Seeds
Nuts and seeds are healthy, high in fat, and low in carbs. Frequent nut intake is linked to a reduced risk of heart disease, certain cancers, depression, and other chronic diseases. Furthermore, nuts and seeds are high in fiber, which can help you feel full and naturally lower your calorie intake.
Berries
Most fruits are too high in carbs to eat on the keto diet, but berries are an exception. Berries, particularly raspberries and strawberries, are low in carbs and high in fiber.
Dark Chocolate and Cocoa Powder
Dark chocolate and cocoa are delicious sources of antioxidants. Dark chocolate contains flavanols, which may reduce your risk of heart disease by lowering blood pressure and keeping your arteries healthy.
Coffee and Tea
Coffee and tea are healthy, carb-free drinks. They contain caffeine, which increases your metabolism and may help improve your physical performance, alertness, and mood. What's more, coffee and tea drinkers have been shown to have a significantly reduced risk of diabetes.
Other Foods
- Shirataki noodles: These are a fantastic addition to the keto diet. They contain less than 1 gram of net carbs and only 15 calories per serving because they're mostly water.
- Butter and ghee: Butter contains only trace amounts of carbs, and ghee is totally carb-free.
- Olive oil: As a pure fat source, olive oil contains no carbs. It's an ideal base for salad dressings and healthy mayonnaise.
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What foods should I avoid on the keto diet?
The keto diet is a low-carb, high-fat diet. It is designed to put your body into a metabolic state called ketosis, where fat becomes the primary source of energy instead of carbohydrates. To achieve ketosis, you need to limit your daily net carb intake to 20-50 grams. Net carbs are calculated by subtracting the grams of fibre and sugar alcohols from the total carb count.
Grains and Starches
Whole grains, such as wheat, rice, corn, and oats, are rich in carbohydrates and can hinder your body's ability to enter ketosis.
Sugary Foods and Sweets
Consuming candies, pastries, and sugary drinks leads to a quick rise in insulin levels, which discourages fat burning and encourages fat storage.
Starchy Vegetables
Starchy vegetables like potatoes, yams, and corn are high in carbohydrates and should be restricted on the keto diet.
Legumes and Beans
Although beans and legumes are praised for their protein and fibre content, they also contain a significant amount of carbohydrates.
Alcohol and Cocktails
Alcohol can delay or halt ketosis as the body prioritises metabolising alcohol over fats. Cocktails mixed with sugary syrups or sodas can result in a high intake of carbs.
High-Carb Fruits
Fruits like bananas, grapes, and mangoes are high in natural sugars and carbohydrates and can prevent you from reaching or maintaining ketosis.
Processed Foods with Hidden Carbs
Processed foods often contain hidden sugars and carbohydrates, which can impede your progress on the keto diet. Examples include chips, pre-packaged snacks, and convenience meals.
Low-Fat and Diet Products
Low-fat and diet products often contain added sugars and artificial sweeteners to make up for the reduced fat content. This can lead to an increased carbohydrate intake, hindering your keto progress.
Trans Fats and Hydrogenated Oils
Partially hydrogenated oils, which often contain trans fats, have been linked to negative effects on heart health and can contribute to inflammation.
High-Carb Sauces and Condiments
Many condiments, such as ketchup, barbecue sauce, and sweet dressings, contain high amounts of sugar and starches, which can quickly add up and disrupt ketosis.
Substitutes and Recommendations
When avoiding these foods, it is essential to find suitable substitutes to ensure your body still receives the nutrients it needs. Here are some recommendations:
- Grains and Starches: Cauliflower rice, zucchini noodles.
- Sugary Foods and Sweets: Natural sweeteners like stevia or erythritol, dark chocolate with at least 70% cocoa content.
- Starchy Vegetables: Leafy greens like spinach and kale, broccoli and cauliflower.
- Legumes and Beans: Nuts and seeds, coconut flour.
- Alcohol and Cocktails: Spirits with low-carb mixers, such as vodka, gin, or tequila with soda water or sparkling water.
- High-Carb Fruits: Berries like strawberries, blueberries, and raspberries, avocado.
- Processed Foods with Hidden Carbs: Homemade snacks like kale chips, cheese crisps, or nut blends.
- Low-Fat and Diet Products: Full-fat dairy products like yogurt, cheese, and heavy cream, grass-fed meat.
- Trans Fats and Hydrogenated Oils: Natural sources of healthy fats like avocados, olive oil, coconut oil, and nuts.
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What are the risks and side effects of the keto diet?
The keto diet is a low-carb, high-fat diet that can be effective for weight loss and certain health conditions. However, there are some risks and side effects associated with the diet that people should be aware of.
One of the most common side effects of starting the keto diet is the so-called "keto flu". This is a result of changes to the body's balance of fluids and minerals when cutting out carbs and can include symptoms such as difficulty focusing, fatigue, nausea, dizziness, and constipation. These symptoms are usually temporary and can be mitigated by staying hydrated and eating foods rich in sodium, potassium, and other electrolytes.
The keto diet may also stress the kidneys due to the high intake of animal foods such as eggs, meat, and cheese. This can lead to a higher risk of kidney stones and a state of acidosis, which can be dangerous for people with chronic kidney disease.
The diet can also cause digestive issues and changes in gut bacteria due to its restriction of carbs and fiber-rich foods. This can lead to constipation and negative effects on gut health. Over time, the keto diet may also lead to nutrient deficiencies, particularly of calcium, vitamin D, magnesium, and phosphorus.
Another potential risk of the keto diet is dangerously low blood sugar. While low-carb diets can help manage blood sugar levels in people with diabetes, they may also increase the risk of hypoglycemic episodes, especially in those with type 1 diabetes.
The keto diet has also been associated with impaired bone health, with some studies showing decreases in bone mineral density and increases in blood markers for bone breakdown.
Finally, some evidence suggests that the keto diet, when focused on animal foods, may lead to poor health outcomes and increased risk of chronic diseases and early death. However, when the diet emphasizes vegetable sources of fats and proteins, it may provide health benefits.
Overall, while the keto diet can lead to weight loss and other short-term health benefits, it may also carry some risks and side effects. It is important for individuals with kidney disease, diabetes, heart or bone ailments, or other medical conditions to speak to a healthcare provider before starting the keto diet.
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Frequently asked questions
The keto diet is a high-fat, low-carb diet that is designed to put your body into a metabolic state called ketosis, where it uses fat for energy instead of glucose.
The keto diet is often used as a way to lose weight, but it has also been shown to have other health benefits, such as improving glycemic control in people with type 2 diabetes and potentially improving cognitive function in people with Alzheimer's disease.
Keto-friendly foods include meat, fish, eggs, nuts, seeds, healthy oils, avocados, and low-carb vegetables. It's important to avoid high-carb foods such as grains, sugars, legumes, and most fruits.
Some people experience side effects when starting the keto diet, such as the "`keto flu", which can include symptoms like fatigue, constipation, and digestive issues. There are also some potential long-term risks associated with the keto diet, including increased risk of heart disease and micronutrient deficiencies.