No one is trying to diminish your success, but it does not work for everyone, and studies show it can have long term negative effects on your overall health. If you look at the Meta-analysis it shows a calorie restricted diet and Keto for 12 weeks had the same weight loss. There are also many studies that suggest looking back at people after one year those on a calorie restricted diet kept more of their weight off. The only one it does better than is just a low fat diet, which Dieticians stopped suggesting long ago. And as Health Care professionals we read the “REAL SCIENCE” not the internet articles, You Tube, Blog, book writers. One of the books written about it by Dr. Jason Fung. Have you looked him up on PUBMED? He has not written one article published in a real medical journal to be such an expert. It is not magic, it is not a cure. If you like the diet and it does not mess up your cholesterol then so be it but promoting it to others not knowing their medical history can be dangerous. What people don’t realize is that for year’s we have known that if you lose 7-10% of your own body weight your blood sugars will improve, cholesterol, and blood pressure. But you don’t have to do the fasting and put more burden on your Liver or potentially increase your risk for cardiac problems eating such high fat. If you do high fat at least do plant fats and not animal fats. But of course everyone is happy with your success but just keep a tab on your lab work.
My biggest beef with this diet is that it focuses on how much and what you can eat and less about the quality of the food you eat. A recent 2018 study found that people who focused on eating plenty of vegetables and whole foods and less on counting calories and limiting food groups, lost a significant amount of weight over the course of a year. This continues to echo the notion that the key to successful weight loss is diet QUALITY and not QUANTITY. And now, there’s research that actually supports that!
Here’s why. All of these effects take time, but a reasonable explanation as to why the keto diet leads to rapid weight loss is due to the loss of water weight. One of the concerns with the keto diet is the loss of muscle mass and the depletion of glycogen stores. Glycogen, which stores our glucose, also stores water, so when stores are depleted, we flush out excess water. In other words, that rapid weight loss isn’t fat, it’s just water.

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What I did: I didn’t count grams or calories, but rather estimated well. I have a history of anorexia, so there’s no way in hell I was going to start counting calories again. I didn’t want to trigger my dormant brain pathways for obsessive, exacting analysis about calories. I used a Ketonix breath analyzer or a blood meter (this one is recommended) to measure my ketone levels.
The 30-Day Ketogenic Cleanse offers a step-by-step guide to approaching what some may see as a lifestyle change. The day by day guide is highly informative as each day’s diet is broken into its constituent parts. This further informs readers as to how their day-to-day diet is working to nourish and improve their body. The book breaks down what it takes to go into a ketogenic state while staying healthy and enjoying truly delectable food. From our standpoint, this really is a great resource and truly one of the best keto cookbooks out there.

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As you walk around the store, stick to the outer edges. The outer aisles have the freshest food. Think about your neighborhood grocery store. Most often the deli, the meat counter, and the produce section are all along the sides of the store with the packaged items in the aisles. Once you add more carbohydrate grams to your daily limit, you can start to experiment with low-carb packaged foods.

If you stick to g of carbs, g protein, and g fat, you will eat kcal and lose kg (lbs) in the first month. Keep in mind that your body weight can fluctuate by ±2kg (±4lbs) on any given day from water weight and what's in your stomach. Recalculate your macro ratio once a month! Changes in body composition have a large influence on the recommendations and weight loss.

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The biggest thing I’m trying to find out more about is the state of Ketosis. Is being in Ketosis a good thing? Does the brain need Ketones? If so would supplements help? Some studies such as: https://www.ncbi.nlm.nih.gov/pubmed/19664276/ seem to say maybe. Would you take Ketone supplements or put yourself into Ketosis as a way to increase your brain health – prevent from developing horrible diseases such as Alzheimers?

The 30 Day Ketogenic Cleanse is another book by Keto veteran Maria Emmerich. The book is aimed at a 30 induction into the ketogenic diet, for beginners or those who have stopped and want to restart keto. This step by step guide looks at what’s the best way to jump into a diet which some people may find challenging or hard to follow. Maria Emmerich is someone with a great deal of knowledge in this field. This gives her the ability to help even the most fearful potential participants to approach this great, energizing diet.


Strict dietary restriction means we may be missing out on crucial vitamins and minerals. With the keto diet, major minerals that are missed include sodium, potassium and chloride which is why they are typically supplemented with a table salt tablet. Other vitamins that might be missed out on include vitamin D, calcium, magnesium, selenium and zinc. The lack of vitamin D and calcium puts keto dieters at risk for reduced bone health and increased risk for fractures and long term bone diseases.
I’ve just spent two weeks on keto, joined a very popular Facebook group in the process and thought I’d finally found the answer! I feel like crap! I’ve lost 8 lbs. but am so bloated and constipated as well. The more I read the postings in the group, the more freaked out I became, guzzling pickle juice and drinking salt water to balance electrolytes, everything slathered in cheese and fat and heavy cream. The baking recipes are garbage! These people must be terrible cooks to begin with because the waffles and pancakes they are raving over taste like garbage, a waste of time and ingredients. They dole out advice on vitamin and mineral supplementation as if they are doctors. Very scary. My jaw dropped open at the posting about hair loss, and everyone saying oh don’t worry, it eventually goes away. So here I am, Monday morning of a brand new week trying to formulate a plan that will work for me. I think for many of us, we are so desperate to lose weight that it’s easy to get caught up into these diet plans.
Hey Sherry, all of my recipes call for Whole Eggs. It looks like my recipe plugin is adding the word “White” because I use white eggs in my calculator. It’s just a title issue. I am updating them all to read Large Eggs. You are not the first person that thought it was supposed to be egg whites so I need to get these changed ASAP! I totally agree, the whole egg is best and that’s all we really use in the Keto Diet! Thank you so much for checking out our site and for letting me know about this.
“These diets are so unsustainable and in the long term, just not worth it!” Most definitely in your opinion. I did a LOT of research on Keto before I started it in 2009. I lost 130lbs. It’s not a diet, it’s changing the way you think about food and fuel for your body. And once you do that you understand food freedom. I eat mostly Keto but if I want a beer and a piece of Watermelon I will let myself have one. True it’s not for everyone, not everyone has the willpower to control what they put in their mouth. We tend to reward ourselves with food instead of using it what its for, nourishment and fuel. It’s why our country is dying of obesity. Awesome that a size 10 women can put what she wants in her mouth everyday, exercise, and it not affect her weight but guess what, you are becoming the minority.
While I do appreciate the amount of research that went into this article, I need to weigh in here— no pun intended. I am a 44 year old woman who suddenly and inexplicably gained a lot of weight at about age 20 and pretty much (albeit a few bouts of massive dieting and exercising) have remained fat until the age of 42. I had always been thin without having to give my lifestyle much thought before my sudden weight gain — so I have spent the last 20+ years becoming pretty proficient on learning how the body uses fuel. I have had success losing great amounts of weight a few times in my life — twice reducing my calories the “nutritional counseling” way — using the old school and outdated food pyramid and tons of exercise. It took literally having to spend hours and hours at the gym — being miserably hungry all the time — only to achieve slow progress at the scale. Months and months I would spent this way only to gain the weight right back the minute that I let go of the reins. I’m always hearing about “sustainable lifestyle changes” from you nutritionists— an I believe in daily exercise — but that lifestyle was completely unsustainable in the long term which is why so many people are unsuccessful.
I did the Keto diet for 26 days. I’m not really what anyone would consider overweight but did lose 11 pounds. My heart rate is out of control. My resting heart rate is 98 and my blood pressure is above high. I’m actually a little scared. I loved the diet and being on it, but as someone who always had optimal blood pressure and pulse before and great endurance for intense workouts, I’d say the diet has destroyed that. I wish I’d have known before. I didn’t take magnesium, potassium or salt drops like so many told me I should have been doing. (Didn’t realize this before) In my opinion, if you need to do that to stay alive on a diet it isn’t safe! I have lost weight in much healthier ways before without needing to supplement to stay alive. I am now working on getting my heart rate down at the age of 33 and 145 pounds. Such a ridiculous outcome. Diet fail!

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I have never been on any kind of diet. I have never been more than 10-15lbs more than I should be. I have no health concerns. I am 55yrs. old with an enormous appetite. Almost everyone I know has been on a diet. My observation is that once you start dieting you start this yo-yo relationship with gaining and losing weight. I have counseled my children to stay away from fad diets. Moderation is enjoyable and sustainable. I love all-inclusive resorts and cruises. If I gain a bit I just cut back a bit. I don’t have a sweet tooth and I am cautious about potato chips and high fat snacks/foods. I love life, I love food in all its variety and I exercise moderately. I don’t have a gym membership. I get a little fresh air with a 30min easy jog.
With that in mind, I created a basic Keto Grocery List as a helpful resource. My goal is to make following a Keto Diet simple. It isn’t necessary to purchase every food item on this list. Consider it a helpful guide when you are at the grocery store. Instead of going out and buying all the foods on this list for the sake of stocking your pantry, I would suggest creating a keto meal plan first. Then, shop weekly for those foods that you need so that you build your keto pantry as needed.

When you approach your normal body weight, the weight loss will slow. Just remember, a “normal” body weight differs from person to person depending on our genetics and environmental exposures and may not fit what we see in the popular media. The weight loss won’t go on forever. As long as you follow the advice to eat when you are hungry, you will eventually stabilize your weight.


The contents of this website are for educational purposes and are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The Nutrition Source does not recommend or endorse any products.
Some shellfish like oysters and mussels contain some carbohydrates, so take that into consideration when eating out. The easiest thing to do is PLAN. Before you go out, find the restaurant’s menu and nutrition info if possible (if not just read the menu carefully and don’t be afraid to ask questions). This is just another reason to make sure you are using My Fitness Pal to calculate your meals, and if you have the app, you can add them while you wait for your food! 

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Keto diet books for beginners are a great introduction for first-time keto dieters. These tend to have lengthy explanations of the ketogenic lifestyle and easy to make recipes. Simple and easy keto diet books boast time-saving recipes with a smaller ingredient list. These books are ideal for busy people who don’t have a lot of time to cook, or who do not care to invest in specialty ingredients like ghee or coconut aminos but still want to follow a keto diet.

Hi. I have been on the keto diet for 6 weeks and have not lost any weight but even more concerning, my gerd is much worse. I’m taking ppi’s just to stay on the diet. Constipation which has always been an issue for me is now much worse, hello laxatives! For these reasons, I have decided to go back to a more balanced diet leaning towards vegetarian. Keto works for some, I’m not one of them. I appreciate your info.

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Both states are normal to the human body, although many people live without experiencing a state of ketosis. In traditional hunter-gatherer lifestyles, people regularly cycled in and out of ketosis. Most of these cultures lacked consistent access to carbohydrates. In seasons where carbs were unavailable, or when food was very scarce, blood sugar levels would plummet.
Besides healthy fats like chicken thighs, olive oil, avocado oil, and high-quality bone broth, there are several specialty ingredients that you will find in many keto recipes such as keto friendly sweeteners, flours, and chocolates. There are several different sweeteners on the list, but purchasing all of them isn’t necessary. I’ve listed some of my favorite Keto Grocery List items below that you’ll need for baking, low carb bread, and keto desserts.

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The keto diet is high in fat, moderate protein, and low in carbs. You will avoid foods that are high in carbs, including some fruits and vegetables, most vegetable oils (like canola and corn oil) sugar, and grains, to name a few. Instead of going over all the foods to avoid, it is easier to print the keto grocery list pdf at the bottom of this post and stick to those keto foods for simplicity.
Wow..Keto is the hardest diet in the history of diets to follow. Lets just mention the fact you need to be a mathmatician to follow the macro…or is it micro…of eating 20 g…oh wait is it 50g of carbs…which is it? And what does 75 percent fat intake entail? Can i drink a cup of olive oil and thats a percent of fats for the day? And how many cal. A day are you allowed? Nowhere is that ever discussed.
Even at what I now refer to my ignorant age of 20 years old — before Atkins became a household word— I remember a nutritionist telling me how the body works, and then telling me I needed to eat carbs and I recall thinking “wait a minute — if my body needs to use the carbs I consume before it begins to dip into my stored fat— why on earth is she TELLING me to eat so many carbs?”
Anyways, I am feeling so much better without the weight, my sleep apnea is gone, my blood glucose is lower and the edema in my legs is gone. But I do have concerns about the saturated fat, my HDL/LDL and I do not like the “nail polish breath”. Once I reach my goal, I plan to transition to more of a Mediterranean style diet but still with logging and I hope to be able to keep the weight off.

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Our bodies are incredibly adaptive to what you put into it – when you overload it with fats and take away carbohydrates, it will begin to burn ketones as the primary energy source. Optimal ketone levels offer many health, weight loss, physical and mental performance benefits.1There are scientifically-backed studies that show the advantage of a low-carb, ketogenic diet over a low-fat diet. One meta-analysis of low-carbohydrate diets showed a large advantage in weight loss. The New England Journal of Medicine study resulted in almost double the weight loss in a long-term study on ketone inducing diets.

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I also want to add that I absolutely agree with your verdict! As a type 1 diabetic who has experienced the sickening feeling of ketones’ presence, and known about the dangers of ketoacidosis since childhood, the concept of this diet for weight loss has always rubbed me the wrong way and struck me as a bit off (although I know ketosis is a different thing and is alright for the body, its extreme form is ketoacidosis, after all). I also have seen the diet, used for weight loss, cause dramatic results that then rebounded afterwards. I understand it is an incredible revelation in treating some epileptic individuals, and I see how it makes sense and can be helpful for type 2 diabetics or pre-diabetics. But as for a weight-management diet, like with everything else in life, I think we should strive balance. And enjoying summer peaches!
Fortunately, I read your post before I watched your video. I am considering trying the Keto diet and am looking for honest, scientific, and wise counsel about it. Your research seems to be pretty thorough, though missing some facts, but still decent information. I feel like I can make an informed decision based on what I read, plus have a good direction for more research. However, after watching your juvenile and exaggerated video, based on the weirdest things (possibly ONE person actually eats) that “Keto Dieters eat,” I’m not sure what I think of your post. The video completely undermines your believability as a “dietician.” If someone told you they ate dog poop for breakfast, would you have tried that? Come on. Professionalism goes a long way. As a dietician, I would think you would be shooting for credibility. Aside from “seriously pissing off” your viewers, you killed your own voice of credibility.
Great post, Abbey!! Thank you for taking the time to write this and share it with us! This diet may work in some cases as you pointed out but i find it very dangerous, eventhouh i’m not a dietician. I tried it and i felt horrible. I felt depressed, constipated, pain in my right side which i think was my gallbladder. Couldn’t sleep, terrible breath. AWFUL!!
This whole post must have taken so much effort and I think it’s incredible that you do this. The issue with these diets is that people hear about it, think it sounds good and do it. No questions! We are so lucky to have dietitians like you actually laying out all the research, the good, the bad, and everything in between about these diets, so THANK YOU!
i like the comments of people who are better off now after being on Keto, but what they never say is what were they doing BEFORE keto? eating like shit? no exercise? unhealthy lifestyle? THAT is the big part of the equation – if you went from a terrible diet to keto then OF COURSE you’re going to be better off, lose weight and feel better. maybe its not the keto, maybe its just the removal of garbage food?
Reduced hunger. Many people experience a marked reduction in hunger on a keto diet. This may be caused by an increased ability of the body to be fueled by its fat stores. Many people feel great when they eat just once or twice a day, and may automatically end up doing a form of intermittent fasting. This saves time and money, while also speeding up weight loss.
When it comes to meat, there’s not much to avoid. You should always make sure to purchase meat with fat and void lean cuts, as this will not help you lose weight. Remember, fat is your friend. Fat is needed, so your body has fat to burn and not sugar. When you are on a low carb diet, you are not fueling your body with sugar, so make sure you eat plenty of fat. If you don’t have fat to burn, your body will start burning glucose (even if you have fat stores). Your body needs to know that it never has to worry about not having enough fat.
The last book we’re looking at in this keto cookbook list is Simply Keto: A Practical Approach to Health & Weight Loss by Suzanne Ryan. What’s great about these recipes is that most of the recipes come from a personal place in Suzanne’s heart. This book details her transformation to the keto diet and how her body transformed as she lost over 100 pounds. This was solely due to the lifestyle choices she made as part of this transformation. The book offers a number of recipes which are ketogenic forward (more than 100). It also offers a number of supplementary additions. These additions include helpful tips and hints for those looking to kickstart their life in keto.

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I went back to school for Medical Laboratory Science which involved a lot of chemistry and physiology. I pieced together what I had learned through dieting over the years and how the body works — and I have to say that I am really waiting for the medical community — doctors and nutritionists to finally get on board with lower carb diets. If dropping 80-100 pounds isn’t successful then I don’t know what is. I don’t really care how “unhealthy” you call it because of how rapid the weight loss is. How unhealthy is being obese in the first place?

The contents of this website are for educational purposes and are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The Nutrition Source does not recommend or endorse any products.

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Anyways, I am feeling so much better without the weight, my sleep apnea is gone, my blood glucose is lower and the edema in my legs is gone. But I do have concerns about the saturated fat, my HDL/LDL and I do not like the “nail polish breath”. Once I reach my goal, I plan to transition to more of a Mediterranean style diet but still with logging and I hope to be able to keep the weight off. 

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