The ketogenic diet is a high-fat, low-carb, and moderate-protein diet. The aim is to put the body into a metabolic state called ketosis, where it uses fat instead of carbohydrates as its primary energy source. Carbohydrates are the body's preferred source of energy, but on a strict ketogenic diet, about 5% to 10% of energy intake is from carbohydrates. This reduction in carbohydrates puts the body into ketosis, where it breaks down stored fat into molecules called ketone bodies to use for energy.
The keto diet is often advertised as a weight-loss solution, but it is actually a medical diet that comes with serious risks and should be done under medical supervision. It is traditionally used to reduce seizures in children with epilepsy. It has also been tried for weight loss and to treat other health conditions, including cancer, diabetes, PCOS, obesity, high cholesterol, and cardiovascular disease.
The keto diet involves drastically reducing carbohydrate intake and replacing it with fat. This means cutting out bread, rice, pasta, fruit, corn, potatoes, beans, baked goods, sweets, juice, and most beer. Foods that can be eaten include meat, seafood, dairy, eggs, nuts, fats and oils, and some vegetables that grow above ground.
Characteristics | Values |
---|---|
Carbohydrates | Very low |
Fats | High |
Proteins | Moderate |
Calories | 2,000-calorie diet might include 165 grams of fat, 40 grams of carbs, and 75 grams of protein |
Food | Meat, seafood, dairy, eggs, nuts, fats and oils, and some veggies |
Drinks | Unsweetened coffee and tea, dry wine, champagne, hard liquor, and vodka soda |
What You'll Learn
Keto-friendly foods
The ketogenic diet is a high-fat, moderate-protein, and very low-carb diet. Typically, the keto diet limits carbs to 20-50 grams per day. This reduction in carbohydrates puts the body into a metabolic state called ketosis, where the body breaks down stored fat into molecules called ketone bodies to use for energy.
Seafood
Seafood is an excellent source of protein and essential vitamins and minerals. Salmon, sardines, mackerel, and other fatty fish are rich in omega-3 fats, which have been linked to improved blood sugar levels and a decreased risk of chronic diseases. Shellfish, such as shrimp and crabs, are also keto-friendly, but oysters and octopus contain carbs and should be consumed in moderation.
Meat and Poultry
Meat and poultry are considered staple foods on the keto diet. They are rich in B vitamins and minerals and provide an important source of lean protein. Fresh meat and poultry contain no carbohydrates, but processed meats like bacon and sausage are allowed in moderation as they may increase the risk of certain types of cancer.
Eggs
Eggs are a versatile and keto-friendly food. They are low in carbs and high in protein and healthy fats. Whole eggs are the best choice, as egg yolks contain vitamins and minerals, as well as fat, which is essential for keto dieters.
Dairy and Dairy Alternatives
Dairy products are a good source of calcium, which tends to be low in keto diets. Plain Greek yogurt, cottage cheese, and full-fat cheeses are keto-friendly options. Cream and half-and-half are also suitable, but they should be consumed in moderation. Unsweetened plant-based milk, such as soy, almond, and coconut milk, are also keto-friendly choices.
Non-Starchy Vegetables
Non-starchy vegetables are low in carbs and high in fiber and nutrients. Broccoli, cauliflower, green beans, bell peppers, zucchini, spinach, and asparagus are some examples of keto-friendly vegetables. Avocados and olives, while technically fruits, are also good sources of healthy fats and fiber.
Nuts, Seeds, and Healthy Oils
Nuts and seeds are low in net carbs and high in healthy fats, fiber, and protein. Olive oil and coconut oil are recommended on the keto diet, as they are associated with a lower risk of heart disease.
Berries
Most fruits are too high in carbs for the keto diet, but berries are an exception. Blackberries, blueberries, raspberries, and strawberries are low in carbs and high in fiber.
Dark Chocolate and Cocoa Powder
Dark chocolate and cocoa powder are rich in antioxidants and may offer heart health benefits. However, it is important to choose dark chocolate with a minimum of 70% cocoa solids and consume it in moderation.
Unsweetened Coffee and Tea
Plain coffee and tea are carb-free and can be enjoyed on the keto diet. They have been linked to a reduced risk of cardiovascular disease and improved cognitive function.
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Foods to avoid on keto
The keto diet is a very low-carb, high-fat, and moderate-protein diet. The diet aims to force the body into using a different type of fuel. Instead of relying on sugar (glucose) from carbohydrates, the keto diet relies on ketone bodies, which the liver produces from stored fat.
Grains and Starches
Grains and starchy foods like wheat, rice, corn, and oats are rich in carbohydrates and can hinder the body's ability to enter ketosis. Therefore, it is best to substitute them with cauliflower rice or zucchini noodles.
Sugary Foods and Sweets
Candies, pastries, and sugary drinks cause a quick rise in insulin levels, hindering fat burning and making it difficult to achieve and maintain ketosis. Instead, opt for natural sweeteners like stevia or erythritol, or dark chocolate with at least 70% cocoa content.
Starchy Vegetables
Starchy vegetables like potatoes, yams, and corn contain higher levels of starch and carbohydrates. It is recommended to restrict the consumption of these vegetables and opt for leafy greens like spinach, kale, and arugula, or broccoli and cauliflower.
Legumes and Beans
Legumes and beans are known for their protein and fiber content but also contain a considerable amount of carbohydrates. They can potentially interrupt ketosis and cause fluctuations in blood sugar levels. Instead, opt for nuts and seeds like almonds, walnuts, and chia seeds, or use coconut flour as a substitute in baking.
Alcohol and Cocktails
Although certain alcoholic beverages contain minimal carbohydrates, the body prioritizes metabolizing alcohol over fats, which can delay or halt ketosis. Cocktails mixed with sugary syrups or sodas can result in a significant intake of carbs. It is best to exercise moderation and pick low-carb options, such as spirits with low-carb mixers.
High-Carb Sauces and Condiments
Many condiments like ketchup, BBQ sauce, and sweet dressings contain sugars and starches that can quickly add up and disrupt ketosis. Instead, use olive oil or mustard as substitutes, as they have low carbohydrate content.
Trans Fats and Hydrogenated Oils
Partially hydrogenated oils, which often contain trans fats, can have negative effects on heart health and contribute to inflammation. While there is no direct link between trans fats and ketosis, it is better to avoid them to promote overall health while on the keto diet. Opt for natural sources of healthy fats like avocados, olive oil, coconut oil, and nuts instead.
Low-Fat and Diet Products
Low-fat and diet items often include extra sugars and artificial sweeteners to make up for the lack of fat. These products can impede progress on the keto diet by raising carbohydrate intake. Instead, opt for full-fat dairy products like yogurt, cheese, and heavy cream, or grass-fed meats, which are rich in omega-3 fatty acids.
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The benefits of keto
The ketogenic diet has been around since the 1920s and is a low-carb, high-fat diet. It has gained popularity due to its potential benefits for weight loss and blood sugar control. Here are some of the benefits of keto:
Weight Loss
The keto diet can help with weight loss by boosting metabolism and reducing appetite. Low-carb diets are one of the simplest and 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 the body, lowering insulin levels and leading to rapid weight loss.
Improved Heart Health
The keto diet can improve heart health by reducing cholesterol and triglyceride levels. High levels of cholesterol and triglycerides are risk factors for cardiovascular disease. By reducing these levels, the keto diet may lower the risk of heart complications. Additionally, the keto diet can increase the size of "bad" LDL cholesterol particles, which reduces their harmful effects.
Reduced Risk of Certain Cancers
Some research suggests that the keto diet may help prevent or treat certain cancers. This is because the keto diet reduces blood sugar, which can lower the risk of insulin complications. Insulin is a hormone that may be linked to some cancers. However, more research is needed to fully understand the potential benefits of the keto diet in cancer prevention and treatment.
Improved Brain Function
The ketones produced during the keto diet provide neuroprotective benefits, which means they can strengthen and protect the brain and nerve cells. As a result, a keto diet may help prevent or manage conditions such as Alzheimer's disease. Additionally, the keto diet has been used to reduce seizures in people with epilepsy, especially those who have not responded to other treatment methods.
Management of Polycystic Ovary Syndrome (PCOS)
The keto diet has been found to improve several markers of PCOS, including ratios of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), as well as levels of fasting insulin. However, more research is needed to recommend the keto diet as a general treatment for PCOS.
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The risks of keto
The keto diet is a low-carb, high-fat diet that has gained popularity in recent years. While it may lead to weight loss and has been used to manage seizures in children with epilepsy, it is not without its risks and should not be taken lightly. Here are some of the dangers of the keto diet:
Keto Flu
At the beginning of the keto diet, as your body switches from using carbohydrates to fat for fuel, you may experience flu-like symptoms such as headaches, dizziness, fatigue, nausea, and constipation. These symptoms are often referred to as the "keto flu" and are caused by dehydration and electrolyte imbalances. Most people feel better within a few weeks, but it's important to monitor these symptoms and stay hydrated.
Kidney Problems
The high intake of animal foods on the keto diet can lead to a higher risk of kidney stones. This is because animal foods can make your blood and urine more acidic, leading to increased calcium excretion in the urine. The keto diet may also overload the kidneys, which are responsible for metabolizing protein. People with chronic kidney disease should avoid the keto diet as it can worsen their condition.
Digestive Issues and Gut Bacteria Imbalance
The keto diet restricts carbohydrates, making it difficult to meet daily fiber needs. This can lead to digestive discomfort and constipation. In addition, the lack of fiber from high-carb foods can negatively affect gut bacteria, which is important for boosting immunity, improving mental health, and reducing inflammation.
Nutrient Deficiencies
The keto diet restricts several nutrient-dense foods, including fruits, whole grains, and legumes. As a result, it may not provide sufficient amounts of vitamins and minerals such as calcium, vitamin D, magnesium, and phosphorus. Over time, this can lead to nutrient deficiencies.
Low Blood Sugar
While low-carb diets like keto can help manage blood sugar levels in people with diabetes, they may also increase the risk of hypoglycemia, especially in individuals with type 1 diabetes. Hypoglycemia is marked by confusion, shakiness, fatigue, and sweating and can lead to coma and death if not treated promptly.
Bone Health
The keto diet has been associated with impaired bone health in several studies. It may lead to decreased bone strength and reduced bone mineral density. More research is needed to fully understand the impact of the keto diet on bone health.
Increased Risk of Chronic Diseases and Early Death
There is some evidence suggesting that high-fat, low-carb diets that focus on animal foods may lead to poor health outcomes, including an increased risk of heart disease, cancer, and all-cause mortality. However, vegetable-based low-carb diets have been associated with lower rates of death from these causes. More research is needed to fully understand the long-term effects of the keto diet.
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How to start keto
The keto diet is a high-fat, moderate-protein, and very low-carbohydrate diet. It is a popular eating plan for those looking to lose weight and improve their metabolic health.
- Understand the keto diet: The keto diet involves drastically reducing your carbohydrate intake and replacing it with fat. This reduction in carbs puts your body into a metabolic state called ketosis, where it burns fat for energy instead of carbohydrates.
- Consult a medical professional: Speak to your doctor or a nutritionist to determine if the keto diet is suitable for you, especially if you have other dietary restrictions or health conditions. They can help you understand the potential benefits and risks of the diet for your specific situation.
- Plan your meals: Familiarize yourself with keto-friendly foods and start planning your meals accordingly. Focus on whole, single-ingredient foods such as meat, fish, eggs, nuts, healthy oils, avocados, and low-carb vegetables.
- Adjust your fat and protein intake: Keto involves consuming a lot of fat, so start incorporating more healthy fats into your diet, such as olive oil, avocado oil, nuts, and seeds. At the same time, remember that keto is a moderate-protein diet, so ensure you're not overeating protein, as it can be converted into glucose and interfere with ketosis.
- Limit carbohydrates: Keep your carbohydrate intake between 20 to 50 grams per day. Avoid starchy and sugary foods like bread, pasta, rice, potatoes, sweets, and most fruits.
- Prepare for side effects: The keto diet can cause side effects, often referred to as the "keto flu," including constipation, diarrhea, mental fog, and lethargy. These symptoms usually occur as your body adjusts to burning fat for energy. Stay hydrated, rest, and consider starting with a less strict low-carb diet before transitioning fully to keto.
- Monitor your progress: Keep track of your carbohydrate intake and measure your ketone levels using blood, urine, or breath tests. This will help you determine if you have reached ketosis.
- Consider supplements: Although not required, certain supplements can be beneficial on a keto diet, such as MCT oil, minerals, caffeine, exogenous ketones, and creatine.
- Have an exit strategy: The keto diet is not meant to be a long-term solution, so plan for how you will adjust your diet once you achieve your goals or decide to stop. Gradually reintroduce carbohydrates and focus on maintaining a healthier, balanced diet.
Remember, the keto diet is restrictive and may not be suitable for everyone. Always consult a healthcare professional before starting any new diet, especially one as drastic as keto.
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Frequently asked questions
Carbonated drinks like soda are not keto-friendly as they are high in sugar and carbohydrates. However, unsweetened sparkling water or sugar-free soda are acceptable alternatives on the keto diet.
Yes, there are several keto-friendly snacks, including nuts, seeds, and dark chocolate. Sunflower seeds, toasted pumpkin seeds, and nuts are especially recommended as they are easy to eat and provide a good source of healthy fats.
Starchy vegetables like potatoes, sweet potatoes, and peas are not keto-friendly due to their high carbohydrate content. However, cauliflower is a good substitute for starchy vegetables and is keto-friendly.