The ketogenic diet, or keto, is a popular low-carb and high-fat way to lose weight. Researchers are studying the effects of keto on neurological diseases such as epilepsy, Alzheimer’s, Parkinson’s, and traumatic brain injury. Studies have shown promising results for these diseases, and it may also be a safe and effective way to help manage multiple sclerosis (MS).
What You'll Learn
Keto may reduce fatigue and depression in people with MS
The ketogenic diet, or keto, is a low-carb, high-fat way of eating that has been shown to be a safe and effective way to help manage multiple sclerosis (MS), with a doctor's guidance.
MS is a chronic neurological disease that affects the nerves and causes inflammation in the brain. A keto diet may help restore damaged nerves, regenerate myelin (the fatty substance that protects nerve fibres), and lower inflammation.
Reducing Fatigue and Depression
Early studies have shown that a keto diet may help reduce fatigue and depression in people with MS. One study of 65 patients with relapsing MS showed that the diet improved overall wellness and disability. Participants reported improved physical and mental quality of life, improved endurance during a short walk, and improved motor function and spatial learning.
Another study of 64 patients with relapsing-remitting MS found that the keto diet reduced body fat and improved physical endurance testing, such as walking farther and faster in six minutes. Participants also reported significant improvements in fatigue, depression, and quality of life.
The keto diet boosts the production of ketones by changing the body's energy source. When you cut out carbs, the body switches from burning glucose to burning stored fat. This process of burning fat without carbs triggers the body to produce ketones, which circulate throughout the body in the bloodstream.
Ketones may work in the brain and body by battling oxidative stress, raising fuel efficiency, and lowering inflammation. Keto may also help heal nerve impulses in the brain by balancing out molecules in the brain called neurotransmitters.
Potential Risks and Side Effects
While the keto diet has shown promising results for managing MS, it may not be suitable for everyone. Some potential risks and side effects include:
- Fatigue: Higher ketone levels can cause fatigue, especially at the beginning of the diet.
- Weaker bones: The keto diet is low in calcium, which may be a concern for people with MS who are already at a higher risk of osteoporosis and bone fractures.
- Constipation: People with MS may experience chronic constipation, and the keto diet can be low in fibre, which may worsen this issue.
- Vitamin deficiencies, high fat levels, and kidney problems.
- Menstrual irregularities.
- Difficulty sticking to the diet: The keto diet can be challenging to adhere to and may not fit into everyone's lifestyle.
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It may improve quality of life
The ketogenic diet has been found to improve the quality of life for people with MS. A study by the University of Virginia found that patients with relapsing-remitting multiple sclerosis who adopted a high-fat, low-carbohydrate ketogenic diet saw significant improvements in their MS, including reductions in neurologic disability, fatigue, and depression. The study also found heightened overall quality of life.
The ketogenic diet is high in fat, moderate in protein, and low in carbohydrates. This diet changes your body's energy source, boosting the production of ketones, which are chemicals that may help restore damaged nerves, regenerate myelin, and lower inflammation.
One of the ways ketones may work in the brain and body is by battling oxidative stress. Oxidative stress happens when there is an imbalance of unstable free radicals and antioxidants in the body. This kind of imbalance is common in MS. Ketones act as antioxidants, slowing down the production of free radicals, activating the body's antioxidant pathways, and directly scavenging these harmful molecules.
Another way that the keto diet may improve quality of life is by raising fuel efficiency. Keto offers the body a richer fuel supply since fat is much more energy-rich than glucose. This is important for the mitochondria in the body's cells, which produce energy. Researchers believe that neurological diseases like MS happen when there is poor energy production in the mitochondria or if they are damaged.
The keto diet may also lower inflammation. While the exact process of how it does this is not totally understood, it may reduce free radicals, which can cause inflammation, and it may also turn off inflammatory genes.
The keto diet may also improve quality of life by helping to heal nerve impulses in the brain. In addition to helping the body renew myelin, keto may restore healthy nerve impulses by balancing out molecules in the brain called neurotransmitters.
While the ketogenic diet has been found to improve the quality of life for people with MS, it is important to note that this diet is not for everyone. It is notoriously difficult to stick to, and it may lead to fatigue, which is already a common problem for people with MS. It is important to consult with a doctor before starting any new diet, especially one as restrictive as keto.
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Keto may help protect the brain
The ketogenic diet, or keto, is a popular low-carb and high-fat way to lose weight. Researchers are studying the effects of keto on neurological diseases such as epilepsy, Alzheimer’s, Parkinson’s, and traumatic brain injury. Studies have shown promising results for these diseases. It may also be a safe and effective way to help manage multiple sclerosis (MS), with a doctor’s guidance.
MS is a chronic neurological disease that attacks the nerves and causes inflammation in the brain. A fatty substance called myelin protects nerve fibers. MS causes the immune system to damage myelin. This process, called demyelination, slows down nerve impulses. Sometimes, MS also destroys the nerves themselves.
Research has shown that a keto diet may help protect the brain in several ways. Firstly, it may help restore damaged nerves and regenerate myelin. This is because the keto diet boosts the production of ketones, which are chemicals that circulate throughout the body via the bloodstream. Ketones have been shown to act as antioxidants, slowing down the production of free radicals and directly scavenging harmful molecules. By reducing oxidative stress, keto may help protect the brain from damage caused by inflammation.
Secondly, keto may improve the efficiency of fuel usage in the brain. Fat is a more energy-rich fuel source than glucose. This is important for the mitochondria in cells, which produce energy. Researchers believe that neurological diseases like MS happen when there is poor energy production in the mitochondria or if they are damaged. By providing an alternative fuel source, keto may help improve the efficiency of fuel usage in the brain and protect against damage.
Thirdly, keto may help lower inflammation in the brain. While the exact mechanism is not yet fully understood, it is believed that keto may reduce free radicals, which can cause inflammation. Additionally, keto may turn off inflammatory genes and reduce the amount of leptin in the blood, which is often high in people with MS. By reducing inflammation, keto may help protect the brain from damage and improve overall brain health.
Finally, keto may help heal nerve impulses in the brain. In addition to helping the body renew myelin, keto may restore healthy nerve impulses by balancing out molecules in the brain called neurotransmitters. In neurological diseases, there may be too much of a molecule called glutamate, which can be toxic. By helping mitochondria work better, keto may help the body maintain the right balance of glutamate and protect the brain from potential damage.
In summary, while more research is needed, the keto diet may help protect the brain in people with MS by restoring damaged nerves, improving fuel efficiency, lowering inflammation, and healing nerve impulses. It is important to consult with a doctor or healthcare provider before starting any new diet, especially for those with a medical condition such as MS.
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It can lead to weight loss
The keto diet is a popular low-carb, high-fat, and moderate-protein approach to eating. The diet involves getting about 70 to 80 percent of your daily calories from fat, 10 to 20 percent from protein, and 5 to 10 percent from carbohydrates. This shift in macronutrient ratios changes your body's metabolism, causing it to burn fat for energy instead of carbohydrates, resulting in weight loss.
When you drastically reduce your carbohydrate intake, your body eventually runs out of glycogen (stored sugar) to burn and switches to burning stored fat. This process of burning fat without carbohydrates triggers ketosis, where the body produces ketones, which circulate throughout the body via the bloodstream.
The keto diet has been linked to weight loss, and this can be particularly beneficial for people with multiple sclerosis (MS). Obesity is a risk factor for MS, and maintaining a healthy body weight through the keto diet or other methods can positively impact comorbid symptoms of MS, including pain, fatigue, and mood disorders.
In a study of 65 participants with relapsing-remitting MS, those who followed a keto diet for six months experienced significant improvements in their physical and mental health. They reported less fatigue and depression, and their average physical health score increased from 67 to 79, while their mental health score improved from 71 to 82. Additionally, their disability score decreased from an average of 2.3 to 1.9, indicating reduced neurologic disability.
The keto diet's impact on weight loss and overall wellness can be beneficial for people with MS, but it is important to consult a healthcare professional before making any significant dietary changes.
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The diet may help manage inflammation
The ketogenic diet may help manage inflammation in people with MS. The diet is high in fat, moderate in protein, and low in carbohydrates. By consuming very low amounts of carbohydrates, the body's metabolism changes, and it becomes more efficient at burning fat for energy instead of carbohydrates. This, in turn, causes the formation of chemicals called ketones as a by-product.
Ketones have been found to act as antioxidants by slowing down the production of free radicals, activating the body's antioxidant pathways, and directly scavenging these harmful molecules. In a small study of people with progressive MS, researchers found that antioxidants slowed down brain tissue loss.
The keto diet may also reduce inflammation by lowering the amount of leptin in the blood. Leptin raises inflammation and is often high in people with MS. Additionally, fat is a more efficient source of energy for the brain than carbohydrates, which may be beneficial for a brain battling inflammation.
Research has shown that the ketogenic diet may improve several MS-related symptoms, including fatigue, depression, and quality of life. However, it is important to note that the keto diet may not be suitable for everyone and can have side effects such as constipation, diarrhoea, and nausea. It is recommended that individuals consult with their doctor before starting the keto diet and be regularly monitored by a physician and registered dietitian.
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Frequently asked questions
Multiple Sclerosis (MS) is a chronic neurological disease that attacks your nerves and causes inflammation in your brain.
The keto diet is a high-fat, low-carbohydrate, and moderate-protein diet. It typically involves getting about 70 to 80 percent of your daily calories from fat, 10 to 20 percent from protein, and 5 to 10 percent from carbohydrates.
The keto diet may help with MS by reducing inflammation and providing an alternative energy source for the brain. It may also help restore damaged nerves and regenerate myelin.
Some possible risks and side effects of the keto diet for people with MS include fatigue, constipation, menstrual irregularities, and diarrhea. The keto diet may also be difficult to stick to and can lead to vitamin deficiencies if not carefully planned.