All What Do You Want To Know About Keto Diet
What To Know Before You Go Keto?
In
the month of January, we are constantly bombarded with messages suggesting that
a fresh start and improvement come from trying out a new diet or gym
membership. As the year begins, our mindset often shifts accordingly, and a lot
of us seek to shed some weight gained during the holidays by following a diet
that promises rapid results. One particular diet that has gained significant
attention in the past ten years is the ketogenic diet. According to our 2022
IFIC Food and Health Survey, seven percent of participants stated that they had
followed the ketogenic diet in the previous year.
You
may be familiar with the ketogenic diet, also known as "keto," but
you might not be well-informed about it. This article provides an introduction
to the fundamentals of the ketogenic diet, along with some important advice you
should consider if you are considering trying it.
What is the ketogenic diet?
Despite
the perception that the ketogenic diet is a modern creation, it is not a
newfound method of eating. Actually, the ketogenic diet was first implemented
in the 1920s as a means of treating individuals with epilepsy, following
evidence that fasting lessened the occurrence of seizures. Presently,
healthcare providers still utilize ketogenic eating patterns for therapeutic
purposes, but the diet is also gaining popularity beyond its clinical use.
What
is the ketogenic diet exactly? The ketogenic diet, also known as the keto diet,
is a way of eating that consists of consuming high levels of fat, moderate
amounts of protein, and minimal carbohydrates. This eating plan typically
includes foods such as butter, cheese, eggs, meat, nuts, oils, seafood, and
seeds. However, it restricts the intake of fruits, vegetables, grains,
potatoes, sweets, and other foods that are high in carbohydrates.
While
there are different versions of the ketogenic diet, they all have a common goal
of limiting carbohydrate consumption. A typical ketogenic meal plan aims to
have about 5% of calories from carbs, 20% from protein, and 75% from dietary
fats. For a 2,000-calorie per day ketogenic diet, this would be approximately
100 calories (25 grams) of carbs, 400 calories (100 grams) of protein, and
1,500 calories (167 grams) of fat. Although certain ketogenic diets, depending
on their phase and the individual's calorie needs, may allow for up to 70 grams
of carbs per day, the usual maximum intake goal is 50 grams or less.
A
ketogenic diet aims to achieve nutritional ketosis by limiting carbs and
controlling protein intake. This state triggers the production of ketones in
the liver, which serve as the main energy source for the body. In contrast,
when we are not in ketosis, our body relies on glucose from carbohydrates for
energy.
What—exactly—are ketones?
Ketones
are substances that dissolve in water and are created when the liver breaks
down fat. The production of ketones is a natural process that happens
regularly, even during sleep. Our liver continuously produces some ketones, but
when we consume a lot of carbohydrates and protein throughout the day, our
ketone production stays relatively low.
In what way do carbohydrates in our diet supply energy?
In
the English language, the paragraph can be paraphrased as follows:
Carbohydrates can be divided into two types: ones that our bodies can break
down and those we cannot digest, which are known as dietary fiber. When we
consume carbohydrates we can digest, they are broken down into their simplest
forms known as monosaccharides such as fructose, galactose, and glucose. Among
these monosaccharides, glucose is the most prevalent in nature, so most of the
carbohydrates we consume eventually become glucose. Additionally, our bodies
have the ability to convert fructose and galactose into glucose
Glucose
is essential for our survival. It is consistently delivered through our
bloodstream, thanks to insulin, to ensure a continuous source of energy. We
also store glucose in the form of glycogen in our liver and muscles. Normally,
we have enough glycogen to last us about a day. If our blood glucose levels
drop, the liver breaks down glycogen to increase blood glucose. Similarly, when
our muscles require energy for contraction and our blood glucose is low, they
break down their glycogen stores.
What
are alternative ways to obtain energy if we do not consume carbohydrates in our
diet?
Our
bodies constantly keep track of and protect our energy levels while we engage
in various activities such as eating, exercising, sitting, or sleeping. If
needed, our bodies have the ability to produce energy from sources other than
carbohydrates.
Our
bodies have various methods to produce glucose, such as gluconeogenesis, which
involves using non-carbohydrate substances. Additionally, we can convert
protein and fat into energy. For instance, the amino acids found in the
proteins we consume can be utilized in gluconeogenesis to create glucose.
Moreover, triglycerides, a type of fat stored in adipose tissue, can be broken
down through lipolysis and initiate a series of reactions that produce ketones
when our glycogen stores are depleted.
To
summarize, reducing the reliance on carbohydrates for energy leads to greater
production of ketones. While the liver continuously produces ketones from fat
for energy, increasing the body's use of fat as an energy source enhances the
production of ketones. However, excessive protein consumption can inhibit
ketone production, making it harder to achieve and sustain ketosis. This is why
a genuine ketogenic diet sets restrictions on both protein and carbohydrate
intake.
Important Things To Know About Keto
Now
that we have a clearer comprehension of the concept and mechanism of a
ketogenic diet, let us explore some of its advantages and disadvantages.
Keto
can kickstart weight loss.
The
main reason why people are attracted to adopting a ketogenic diet is the
promise of losing weight. Many individuals see rapid initial weight loss when
they follow a ketogenic diet, largely because they consume fewer calories. This
decrease in calorie intake can be attributed to various factors that come with
consuming fewer carbohydrates, such as feeling fuller and having decreased
hunger and appetite. Additionally, the body sheds water weight and burns more
calories, contributing to the weight loss. Nevertheless, when you stop
following a ketogenic diet, there will be some immediate weight regain as the
body replenishes its glycogen stores, which leads to water retention and an
increase in weight.
There
are several different diets that can assist individuals in losing weight
quickly. However, maintaining that weight loss is the challenging aspect. The
positive effects of weight loss and improved health that come with specific
diets typically diminish after approximately one year. Nonetheless, certain
studies suggest that reaching the two-year mark may be crucial for successfully
maintaining weight loss in the long run. These unfortunate realities apply to
both low-carb/high-fat diets like the ketogenic diet and any other regimen that
promotes lower fat and higher carbohydrate consumption.
Maintaining
any type of diet in the long run is challenging, including the keto diet.
Maintaining
weight loss is a difficult task, regardless of the type of diet followed. This
is mainly because it is challenging to stick to a specialized diet for extended
periods. Recent research has indicated that people's adherence to a
well-structured ketogenic diet was similar to that of a Mediterranean diet
during a 12-week crossover study. However, during the 12-week period
immediately following the 24-week intervention, adherence to the ketogenic diet
was lower. Another study, conducted over two years, compared adherence to
low-carb, low-fat, and Mediterranean diets. The study found that during the
first six months, adherence to a low-carb diet was higher, but overall
compliance was lower and more people dropped out from the low-carb group by the
end of the study.
Keto
might be beneficial for certain medical conditions, but not all.
There
is a growing body of research on the effects of a ketogenic diet on specific
diseases, particularly diabetes and obesity. While originally used to treat
epilepsy, recent studies have shown that a ketogenic diet can lead to
improvements in weight loss and insulin and blood-glucose markers in the early
stages. However, these benefits tend to diminish after about a year and are
dependent on the specific type of diet being compared to a ketogenic diet.
Similarly, non-ketogenic diets that replace carbohydrates or saturated fat with
polyunsaturated fats have also shown beneficial effects on insulin and
blood-glucose markers. It is important to note that ketogenic diets can
increase LDL-cholesterol levels in certain individuals. LDL-cholesterol is
considered the "bad" cholesterol and should be kept low to maintain
heart health.
It
is important to monitor the impact of a ketogenic diet on certain health
conditions. If you are planning to follow a ketogenic diet to address a
long-lasting health issue, it is advisable to seek assistance from a registered
dietitian or your main healthcare provider to ensure its safety.
The
Dietary Guidelines for Americans do not support the use of Keto.
The
ketogenic diet contradicts the recommendations in the Dietary Guidelines for
Americans due to its focus on limiting carbohydrates, absence of a cap on
saturated fat, and absence of a target for fiber consumption.
The
effectiveness of Keto compared to your current diet is uncertain and may or may
not be better.
Regrettably,
a small number of Americans adhere to the dietary guidelines recommended by the
DGA, and there is clearly scope for enhancing the average American diet.
Whether or not adopting a ketogenic diet will bring you closer to the DGA
recommendations depends on your own eating habits. If you follow a well-planned
ketogenic diet that highlights lean proteins, dairy products, as well as
plant-based foods like berries, non-starchy vegetables, nuts, and seeds, it can
have positive effects on your health. This is especially true if you currently
do not consume such foods or if you tend to consume excessive amounts of added
sugar, calories, or sodium.
Keto cuts food groups.
A
ketogenic diet involves heavily limiting carbohydrates, which includes avoiding
or significantly reducing intake of dairy, fruits, grains, and vegetables.
While carbohydrates are important for a healthy diet, specifically in terms of
dairy, fruits, vegetables, and whole grains, a well-structured ketogenic diet
may include small portions of certain fruits like berries and non-starchy
vegetables such as broccoli.
Keto keeps it simple.
Cut
back on carbohydrates, then achieve and sustain ketosis. It is understandable
why many people would want to give the keto diet a shot due to its
straightforward recommendation to avoid carbs. However, things are not always
as uncomplicated as they appear. If you're interested in a more balanced
approach to keto, consider exploring a properly designed ketogenic diet with
the guidance of a registered dietitian or your doctor.
You
will experience a feeling of sadness or low energy due to the "keto
flu".
The
rumors you may have heard are true. When starting a ketogenic diet, many people
experience physical discomfort that is different from their normal state, and
it is usually not pleasant. Some common symptoms that are often reported
include constipation, fatigue, headaches, dizziness, and an upset stomach. This
initial phase of starting a ketogenic diet is known as the "keto
flu." Drinking plenty of water and adding a bit more salt to your meals
can help relieve some of these symptoms. The reassuring thing is that this
phase is not permanent, and once your body adjusts to the diet, these symptoms
should go away.
Beware
of bad breath.
Similar
to the "keto flu," this unfortunate aspect of following a keto diet
can also be a reality. "Keto breath" occurs when the body produces
and exhales acetone, a type of ketone that is not as crucial for energy during
ketosis. Keto breath is different from regular bad breath, meaning that
improving dental hygiene, although always a good practice, will not eliminate
this side effect of ketosis. However, there is no need to worry as this
condition is temporary and varies in intensity from person to person.
Additionally, you will likely see an improvement in your breath once your body
adjusts to its new primary fuel source.
Limitations
on what we are allowed to eat can change how we view and interact with food.
Transitioning
to a ketogenic diet is a significant change that can impact our perspective on
food and our connection with it. Adopting a simplified approach to eating by
restricting food choices may not be beneficial for everyone, so it's crucial to
be aware of how our attitudes towards food change as we modify our eating
habits. It is especially important to acknowledge the importance of finding
enjoyment, satisfaction, and familiarity in food, rather than treating it
solely as a means to an end. It is crucial to exercise caution when following a
restrictive diet, especially for individuals with a history of disordered
eating.
Keto: A Conclusion
A
ketogenic diet may be a more convenient and healthier way of eating for some
individuals, but it may not be suitable for everyone. This diet originated for
therapeutic purposes, and it can be too restrictive and challenging for the
average person to adopt and maintain. Additionally, the clinical benefits
associated with a ketogenic diet may not be applicable to everyone. It is
important to note that the ketogenic diet does not align with the Dietary
Guidelines for Americans, particularly in terms of recommended carbohydrate and
saturated fat intake. Despite this, numerous studies have been conducted on
ketogenic diets, and ongoing research as well as future studies are expected.
As more people consider trying out the keto diet, it is crucial for researchers
to gain a better understanding of its pros and cons beyond its clinical
applications.
The content of this article does not aim to cover every aspect and should not be used as a guide for extremely low-calorie ketogenic diets or specific disorders related to carbohydrate, fat, or protein metabolism. If you have a metabolic condition including diabetes, glycogen storage disease, or phenylketonuria, or if you seek guidance on very low-calorie diets to address a health issue, it is recommended to consult with a medical professional before starting a ketogenic diet.
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