The ketogenic diet has been studied and utilized as an effective treatment for epilepsy for over 80 years. While it may seem surprising that a diet can demonstrate such dramatic effects on a neurological disorder, multiple well done studies in adults and children alike have found it to be a successful treatment in epilepsy. This diet can help improve and even cure some cases of epilepsy that are refractory to medications (38).

This plan is very high on protein. I’ve learned that high healthy fat is what’s needed, not high protein.. as I am now kicked out of ketosis due to high protein intake (insulin’s fault). Given the fact i didn’t eat a bowl of salad per day (my tummy doesn’t digest salad well at all – i get bloated), but i do eat broccoli (i don’t get bloated from those strangely enough), cauliflower, asparagus, mushrooms… tomatoes (rarely, though). So, my question is… are you in ketosis following the menu you’ve presented? I’m 5 months into Keto and the last 3 weeks i am not in ketosis. My carb intake is 20-30g… but my protein is pretty high.

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While all forms of significant weight loss may result in some muscle loss, there may be an increased likelihood of muscle loss in people on a ketogenic diet, especially if calories are restricted too low. Because while in ketosis the body doesn’t have enough sugar to burn, it may also break down proteins for energy, in addition to churning through fat. This may be somewhat compensated by the moderate protein included in the diet and if you are actively lifting weights.

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Low-carb diets are an invaluable tool in dealing with health conditions such as obesity, diabetes, metabolic syndrome, lipid disorders, epilepsy, and increasingly, cancer. Martina's work, including her blog, book and apps, have been real gems for the low-carb community. Her real-food approach and attention to detail sets her work apart from many others.

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Normal dietary fat contains mostly long-chain triglycerides (LCTs). Medium-chain triglycerides (MCTs) are more ketogenic than LCTs because they generate more ketones per unit of energy when metabolised. Their use allows for a diet with a lower proportion of fat and a greater proportion of protein and carbohydrate,[18] leading to more food choices and larger portion sizes.[4] The original MCT diet developed by Peter Huttenlocher in the 1970s derived 60% of its calories from MCT oil.[15] Consuming that quantity of MCT oil caused abdominal cramps, diarrhea, and vomiting in some children. A figure of 45% is regarded as a balance between achieving good ketosis and minimising gastrointestinal complaints. The classical and modified MCT ketogenic diets are equally effective and differences in tolerability are not statistically significant.[9] The MCT diet is less popular in the United States; MCT oil is more expensive than other dietary fats and is not covered by insurance companies.[18]
Another option for those active individuals determined to go keto is to utilize variations of the keto diet that allows for the selective inclusion of carbohydrates. For example, the Targeted Ketogenic Diet permits additional carbohydrates during workouts while the Cyclical Ketogenic Diet introduces carbohydrates at specific types during the week. However, it’s important to note that these alternate diet schemes have not been well studied for weight loss.

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In the mid-1990s, Hollywood producer Jim Abrahams, whose son's severe epilepsy was effectively controlled by the diet, created the Charlie Foundation to promote it. Publicity included an appearance on NBC's Dateline programme and ...First Do No Harm (1997), a made-for-television film starring Meryl Streep. The foundation sponsored a multicentre research study, the results of which—announced in 1996—marked the beginning of renewed scientific interest in the diet.[1]

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About 20% of children on the ketogenic diet achieve freedom from seizures, and many are able to reduce the use of anticonvulsant drugs or eliminate them altogether.[18] Commonly, at around two years on the diet, or after six months of being seizure-free, the diet may be gradually discontinued over two or three months. This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions.[46] This timing and method of discontinuation mimics that of anticonvulsant drug therapy in children, where the child has become seizure-free. When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial.[9]

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Ketosis takes some time to get into – about two weeks of low carb eating is required for the initial adaptation. During this time there will be bouts of sluggishness, fatigue, headaches, and some gastrointestinal issues as you adapt, often referred to as “keto flu“. Proper electrolyte intake will correct most of these issues. In addition, the “diet” aspect of this ketogenic diet plan – that is, the caloric restriction – shouldn’t be worried about. Weight loss will come as your body regulates appetite as it the addiction to sugar and processed food lessens, so restricting calories during the initial two weeks isn’t recommended.

What is a good ketone level for ketosis


The beauty of salmon is that you can cook it with marginal interference. A simple sauce of butter, lemon juice, chopped garlic, and some salt and pepper will go a long way to enhancing the natural flavor of the salmon. Drizzle the sauce over 4-6 oz portions of fish, bake at 450F for 5 minutes per 1/2″ thickness of fish. In another bowl, toss the asparagus with olive oil, salt, and pepper, spread it out evenly on a cookie sheet, and roast in the oven at 450 for 20 minutes. Easy dinner (with leftovers if you plan ahead) that’s full of nutrition, protein, and healthy fat, while keeping your carbs low. Get the recipe and instructions

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Without carbs, your body has to find other ways to get glucose or find some other usable form of energy that is efficient and able to supply your brain with fuel. Your storage capacity of glucose is limited, and you can become carb depleted fairly quickly. When this happens, your body starts to use dietary protein or stored protein (aka your muscles) as well as lipids to create glucose through a process called gluconeogenesis.

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Heart disease is rampant in our country and persists as the number one killer of American’s today by way of heart attacks, strokes and heart failure, just to name a few (36). And each of the conditions discussed above - obesity, diabetes, hypertension, high cholesterol - are all major risk factors for cardiovascular disease. Improving any one of these conditions inherently decreases the risk of cardiovascular disease (37).

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A solid amount of evidence exists on the benefit of consuming carbohydrates during high-intensity activities (44,45). Therefore this diet may not be the best choice for extremely active individuals and athletes - especially those that require explosive speed and repetitive quick movements like in intramural sports, CrossFit and competitive weightlifting (46).  

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The truth is we don’t know how well a keto diet plays in the fitness and athlete world yet. The research is severely lacking in this area, and we can only go off what we know using traditional approaches that have worked. Regardless, some active individuals feel strongly about pursuing their keto diet with their physically intense lifestyle. And more power to you, provided that you are maintaining adequate micronutrient intake to support your metabolic needs.

While many people report losing weight on keto without having to count calories - this is likely largely because they have eliminated many unhealthy high calorie carbohydrates. They also often feel more full off of their high fat and protein robust diet. This doesn’t mean gorging on unlimited unhealthy choices will make you lose weight - even if they’re ‘keto-approved’. In the end calories and nutrition will always win the race.
A short-lived increase in seizure frequency may occur during illness or if ketone levels fluctuate. The diet may be modified if seizure frequency remains high, or the child is losing weight.[19] Loss of seizure-control may come from unexpected sources. Even "sugar-free" food can contain carbohydrates such as maltodextrin, sorbitol, starch, and fructose. The sorbitol content of suntan lotion and other skincare products may be high enough for some to be absorbed through the skin and thus negate ketosis.[31]

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