Unpacking the Ketogenic Diet

The Ketogenic Diet

What is the Ketogenic Diet? The Ketogenic Diet is a high fat, very low carbohydrate diet that replaces carbohydrates in your diet with lots of natural fats, so the body burns stored fat for energy (ketones) rather than glucose. This metabolic process is called ketosis. The ketogenic diet was introduced over a century ago to treat epilepsy and seizures in children who were unresponsive to medication. More recently, Keto gained traction as a way to quickly lose weight.

What on the menu? Red meat, fatty fish, eggs, nuts, avocado, high-fat dairy products, and healthy oils and fats. Low-carb veggies like greens, tomatoes, cucumbers, and onions show up as well, along with small portions of low-sugar fruit like berries, but you must strictly limit these foods to stay in ketosis. Unlike other low-carb diets that lean on protein as a replacement for carbohydrate-rich foods, Keto relies heavily on fat, with a total of 75%-80% of total daily calories coming from fat, to maintain ketosis.

What’s off the menu?: Sugars and starches: And, not just sweets, junk food, and processed grains. Nutritious foods, such as more carb-heavy veggies, fruit, beans, legumes, grains, and root veggies are off the menu too.  

What are the benefits?: Keto advocates cite quick weight loss, increased insulin sensitivity, blood sugar control, and reduced cravings as key benefits of the keto lifestyle. 

What are the downsides?:  The ketogenic diet is highly restrictive and hard to follow. One day of consuming too many carbohydrates can kick your body out of ketosis. Strictly limiting nutrient-dense, fibrous carbohydrates (veggies, fruit, legumes, grains) can make it very difficult to meet daily fiber needs and trigger digestive problems, poor gut health, and nutritional deficiencies. Lastly, a diet high in animal products like marbled meats and saturated fat can put you at higher risk for kidney disease, osteoporosis, and gout.

Bottom line: The Ketogenic diet is challenging to maintain and has no room for forgiveness, meaning no indulgences or slip-ups. This way of eating can also feel socially isolating, especially when it comes to shared meals, celebrations, and holidays. While some studies suggest that a ketogenic diet can help people lose weight more rapidly than other diets, this particular advantage appears to dissipate over time, probably because Keto, like other highly restrictive diets, is hard to sustain long-term. Bottom-line: Keto may work in some circumstances for some people, it is not a diet without risks and is best done under the watchful eye of a healthcare professional. *Individuals with kidney disease, diabetes, heart disease, bone problems, and thyroid conditions should consult their healthcare provider before following a ketogenic lifestyle. 

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