The human body is often likened to a machine, and just like a machine, it needs fuel to function. This fuel comes in the form of macronutrients, namely carbohydrates, proteins, and fats, which the body converts into energy. The body can process carbohydrates faster than fats, which is why athletes tend to eat carb-heavy meals before a workout. However, when it comes to energy efficiency, fats are the superior macronutrient, providing more than twice the amount of energy per gram than proteins and carbohydrates.
The ketogenic, or keto, diet is a low-carbohydrate, high-fat diet that has gained popularity in recent years. It involves limiting carbohydrate intake to 20-50 grams per day, forcing the body to use a different type of fuel called ketone bodies, which the liver produces from stored fat. This state, known as ketosis, can be tricky to achieve and maintain, as it requires a strict reduction of carbohydrates and moderate protein intake.
While the keto diet has been associated with weight loss and therapeutic benefits, such as managing epilepsy, it also has several risks, including nutrient deficiency, liver and kidney problems, constipation, and fuzzy thinking.
What You'll Learn
Ketogenic diet and ketosis
The ketogenic (keto) diet is a low-carbohydrate, high-fat eating plan that has been used for centuries to treat specific medical conditions. The keto diet changes the way the body uses food. Typically, carbohydrates in your diet provide most of the fuel your body needs. The keto diet reduces the number of carbs you eat and teaches your body to burn fat for fuel instead.
When you eat less than 50 grams of carbohydrates per day, your body eventually runs out of fuel (blood sugar) it can use quickly. This usually takes 3 to 4 days. Then you start to break down protein and fat for energy, which can lead to weight loss. This process is called ketosis.
During ketosis, the body burns fat instead of carbohydrates for energy, causing glucose levels to drop. This forces the body to produce ketones, acids that appear in the blood and urine when the body burns fat. The body also produces less insulin and stores less fat as a result.
Benefits of Ketosis
Research has shown that ketosis may have several health benefits, including weight loss, increased energy, and the treatment and management of chronic illnesses such as epilepsy, type 2 diabetes, and heart disease.
Side Effects of Ketosis
The keto diet may also come with some side effects, such as ""keto" flu," which includes symptoms like an upset stomach, headache, and fatigue. Other potential side effects include bad breath, constipation, and high cholesterol.
Foods to Eat on a Keto Diet
The keto diet includes foods with high levels of fat and very low levels of carbohydrates. This means excluding a wide range of foods, such as wheat-based products, some fruits and vegetables, bread, beans, and legumes.
Some examples of keto-friendly foods include:
- Fresh meat and fish
- Cheese
- Dark green vegetables like broccoli
- Nuts
- Avocados
- Plant oils
- Fatty cuts of meat
- Eggs
- Dairy products
Tips for Following the Keto Diet
The keto diet can be challenging due to its restrictive nature, and it may cause side effects. It is recommended to ease into the diet gradually, such as by stopping one type of food at a time. It is also important to consult with a doctor or nutritionist before making any significant dietary changes, especially for those with existing health conditions.
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Macronutrient ratios
The keto diet is a low-carb, high-fat diet. Typically, a keto diet consists of 70% fat, 20% protein, and 10% carbs. However, the exact ratio depends on individual needs. The standard keto diet is restrictive and may not be a practical long-term option for those looking to lose weight and improve their health.
On a keto diet, a person consumes up to 50 grams of carbohydrates per day, replacing high-carb foods with fatty foods such as eggs, dairy products, meat, and fish. The diet also includes healthy unsaturated fats like nuts, seeds, avocados, tofu, and olive oil.
The high-fat requirement of the keto diet means followers must eat fat at every meal. For example, in a 2,000-calorie daily diet, this could translate to 165 grams of fat, 40 grams of carbs, and 75 grams of protein.
Protein is also part of the keto diet, but it is important to moderate the intake as excessive protein can prevent ketosis. This is because the body can convert excess protein into glucose for energy, reducing the need to burn fat.
The cyclical ketogenic diet offers a variation, with five low-carb days followed by two high-carb days. The targeted ketogenic diet is another alternative, allowing for more carbs around high-intensity workouts.
The keto diet is more restrictive than a low-carb diet, and the standard keto diet has been the subject of most research. Experts who recommend ketogenic diets often suggest the standard keto diet as the preferred option.
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Weight loss
The ketogenic or "keto" diet is a low-carbohydrate, fat-rich eating plan that has been used for centuries to treat specific medical conditions. In recent times, it has gained popularity as a potential weight-loss strategy. The keto diet involves drastically reducing carbohydrate intake and replacing it with fat. This reduction in carbs puts your body into a metabolic state called ketosis, where it becomes very efficient at burning fat for energy.
The keto diet is often compared with low-carb and low-fat diets for its weight-loss effectiveness. Multiple studies have shown that low-carb diets may be more effective for short-term weight loss than low-fat diets. A review of 17 studies found that participants lost significantly more weight on a low-carb diet than on a low-fat diet, although the difference between the two slowly decreased over time.
The keto diet has also been shown to be effective for weight loss. A review of 13 studies found that following a very low-carb, ketogenic diet was slightly more effective for long-term weight loss than a low-fat diet. People who followed the keto diet lost an average of 2 pounds (0.9 kg) more than the group that followed a low-fat diet. Another study in 34 older adults found that those who followed a ketogenic diet for 8 weeks lost nearly five times as much total body fat as those who followed a low-fat diet.
While the keto diet has been shown to be effective for weight loss, it is not without its drawbacks. It can be challenging to maintain due to its restrictive nature, and it may not be suitable for everyone in the long term. Some negative side effects of a long-term ketogenic diet include an increased risk of kidney stones, osteoporosis, and increased blood levels of uric acid (a risk factor for gout).
In conclusion, the keto diet can be an effective tool for weight loss, but it is important to consider the potential drawbacks and consult with a healthcare professional before starting any new diet.
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Health risks
The keto diet has been linked to several health risks, including:
- Nutrient deficiencies: The keto diet restricts the intake of many nutrient-rich foods, such as fruits, vegetables, whole grains, and legumes. This can lead to deficiencies in essential vitamins, minerals, fiber, and phytochemicals.
- Liver problems: The high-fat content of the keto diet can put additional strain on the liver, potentially worsening existing liver conditions.
- Kidney problems: The diet may overload the kidneys, which are responsible for metabolizing protein. The high protein content in some keto diets can also increase the risk of developing kidney stones.
- Constipation: The low fiber content of the keto diet, due to the restriction of grains and legumes, can lead to constipation.
- Fuzzy thinking and mood swings: The keto diet may cause confusion and irritability due to the low availability of sugar from healthy carbohydrates, which the brain uses as its primary energy source.
- Heart disease: The keto diet is associated with an increase in "bad" LDL cholesterol, which is a risk factor for heart disease. The high intake of saturated fats encouraged by the keto diet can also increase the risk of heart disease.
- Social isolation and disordered eating: The strict nature of the keto diet may lead to social isolation and disordered eating patterns.
- Other health risks: The keto diet is not suitable for individuals with conditions involving the pancreas, liver, thyroid, or gallbladder. It can also cause low blood pressure, upset stomach, dizziness, decreased energy, and mood swings, especially during the initial adjustment period.
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Energy sources
The human body is often likened to a machine, and like any machine, it needs fuel to power its functions. Carbohydrates, proteins, and fats comprise 90% of the dry weight of our diets and 100% of its energy. The energy from these sources is measured in calories.
Carbohydrates are broken down into sugars, usually glucose, fructose, and galactose. The body can process these sugars very quickly, and they can be present in the bloodstream within 60 seconds of consumption. This is why athletes tend to eat carb-heavy meals before a workout. The body then enters a state of glycolysis (for glucose) or fructolysis (for fructose) to convert these sugars into energy. Excess calories from these sugars are stored in the liver as glycogen.
Fats, on the other hand, have a poor reputation when it comes to health and energy. However, they are a critical component of total body wellness and provide energy to fuel our bodily processes. While they are the slowest-digesting macronutrient, they are also the most efficient, providing about 9 calories per gram compared to 4 calories per gram for proteins and carbohydrates. In the intestine, fats are broken down into fatty acids and glycerol, which are then converted into energy through beta-oxidation.
The body is flexible when it comes to fuel sources and will use whatever it is given. If you eat a lot of fat, as in a keto diet, your body will burn a lot of fat. Insulin levels will be low due to low carbohydrate intake, allowing for more fat oxidation. Conversely, if you eat a high-carbohydrate diet, your body will use glucose for energy and spare dietary fat for storage.
The keto diet is a very low-carbohydrate, high-fat diet that aims to force the body to use a different type of fuel. Instead of relying on sugar (glucose) from carbohydrates, the body uses ketone bodies produced by the liver from stored fat. This state of ketosis is achieved by consuming fewer than 50 grams of carbohydrates per day, while also increasing fat intake.
While the body can use both carbohydrates and fats for energy, it is important to note that overconsumption of either can lead to health issues. Excess calories that are not converted into energy can lead to fat deposits and elevated blood sugar levels. Therefore, a balanced and quality diet with good nutrient content and varied carbohydrate and fat intake is generally recommended.
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Frequently asked questions
The keto diet is a high-fat, low-carb diet that puts the body into a state of ketosis, where the body uses ketone bodies (produced by the liver from stored fat) as its main energy source instead of carbohydrates.
Carbohydrates are broken down into sugars, usually glucose, fructose, and galactose. These sugars are quickly converted into energy and are the preferred energy source for athletes before workouts. Excess sugars are stored in the liver as glycogen.
Fats are the slowest to digest but the most efficient of the three macronutrients (carbs, proteins, and fats). Each gram of fat provides 9 calories, compared to 4 calories per gram for proteins and carbs. Fats are broken down into fatty acids and glycerol, which are then converted into energy.
The keto diet is associated with an increased risk of heart disease due to its high saturated fat content. It may also lead to nutrient deficiencies, liver problems, kidney problems, and constipation. The diet can also cause "fuzzy thinking and mood swings" as the brain functions best when using carbohydrates as fuel.