But the process of using fat for fuel is slow and requires oxygen and some glucose to begin with - making it not a very efficient source of fuel over long periods of time. This is especially true during higher levels of energy output when oxygen is limited (basically any high intensity workout/movement). In addition, it is not directly able to supply your brain with adequate fuel since fatty acids cannot cross the blood-brain barrier. So when carbs are absent, your body is forced to find a way to survive off fat that meets your needs. It does this by using ketones.

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I am just starting and would like to get the maximum out of this new lifestyle change ( I hate the word diet haha) the recipes I’ve seen on here look amazing and sound better that the junk I’ve been subjecting my body to I cannot wait to start seeing the results. The only question I have is I cannot stand just drinking regular water can I use crystal lite in my water to give it flavor?

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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]

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To be healthy, all diets require the inclusion of  key micronutrients. Overall nutrition on a keto diet can be concerning, considering many carbohydrate foods tend to be an important source of micronutrients and nutrition that are thought to promote health, wellbeing and reduce your risk of many chronic diseases (23,24). While going keto may help you get your macros and calories on point for weight loss, nutrition still matters when it comes to your health and longevity. Because the keto diet does have a fair number of restrictions, some people may not know how to make sure to include all of the important nutrients they need.
The day before admission to hospital, the proportion of carbohydrate in the diet may be decreased and the patient begins fasting after his or her evening meal.[19] On admission, only calorie- and caffeine-free fluids[37] are allowed until dinner, which consists of "eggnog"[Note 8] restricted to one-third of the typical calories for a meal. The following breakfast and lunch are similar, and on the second day, the "eggnog" dinner is increased to two-thirds of a typical meal's caloric content. By the third day, dinner contains the full calorie quota and is a standard ketogenic meal (not "eggnog"). After a ketogenic breakfast on the fourth day, the patient is discharged. Where possible, the patient's current medicines are changed to carbohydrate-free formulations.[19]

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For patients who benefit, half achieve a seizure reduction within five days (if the diet starts with an initial fast of one to two days), three-quarters achieve a reduction within two weeks, and 90% achieve a reduction within 23 days. If the diet does not begin with a fast, the time for half of the patients to achieve an improvement is longer (two weeks), but the long-term seizure reduction rates are unaffected.[44] Parents are encouraged to persist with the diet for at least three months before any final consideration is made regarding efficacy.[9]

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Protein is not a desirable source of glucose, as its main function is to build and maintain all of the cells in your body (including precious muscle) – this process is essential and cannot be replaced by other macros. This is also why protein is the only macro with a recommended minimum intake. So when protein intake is not high, you have to find other ways to fuel your energy needs. This is where fat comes into play.
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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