A stair climber offers another popular way to burn fat and calories, but only about 500-600 calories for an 180-lb. man at a moderate pace. “Because of the higher leg lift involved, climbing stairs uses significantly more muscles than just walking—strengthening your legs in a functional way,” says Adams. The primary drawback: Stair climbers can put a lot of weight and pressure on your joints, so it can be difficult for people with bad knees.

The ketogenic diet is indicated as an adjunctive (additional) treatment in children and young people with drug-resistant epilepsy.[26][27] It is approved by national clinical guidelines in Scotland,[27] England, and Wales[26] and reimbursed by nearly all US insurance companies.[28] Children with a focal lesion (a single point of brain abnormality causing the epilepsy) who would make suitable candidates for surgery are more likely to become seizure-free with surgery than with the ketogenic diet.[9][29] About a third of epilepsy centres that offer the ketogenic diet also offer a dietary therapy to adults. Some clinicians consider the two less restrictive dietary variants—the low glycaemic index treatment and the modified Atkins diet—to be more appropriate for adolescents and adults.[9] A liquid form of the ketogenic diet is particularly easy to prepare for, and well tolerated by, infants on formula and children who are tube-fed.[5][30]


Physicians of ancient Greece treated diseases, including epilepsy, by altering their patients' diet. An early treatise in the Hippocratic Corpus, On the Sacred Disease, covers the disease; it dates from c. 400 BC. Its author argued against the prevailing view that epilepsy was supernatural in origin and cure, and proposed that dietary therapy had a rational and physical basis.[Note 3] In the same collection, the author of Epidemics describes the case of a man whose epilepsy is cured as quickly as it had appeared, through complete abstinence of food and drink.[Note 4] The royal physician Erasistratus declared, "One inclining to epilepsy should be made to fast without mercy and be put on short rations."[Note 5] Galen believed an "attenuating diet"[Note 6] might afford a cure in mild cases and be helpful in others.[11]
Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost 100 years to treat drug-resistant epilepsy, especially in children. In the 1970s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss.
Because the ketogenic diet alters the body's metabolism, it is a first-line therapy in children with certain congenital metabolic diseases such as pyruvate dehydrogenase (E1) deficiency and glucose transporter 1 deficiency syndrome,[35] which prevent the body from using carbohydrates as fuel, leading to a dependency on ketone bodies. The ketogenic diet is beneficial in treating the seizures and some other symptoms in these diseases and is an absolute indication.[36] However, it is absolutely contraindicated in the treatment of other diseases such as pyruvate carboxylase deficiency, porphyria, and other rare genetic disorders of fat metabolism.[9] Persons with a disorder of fatty acid oxidation are unable to metabolise fatty acids, which replace carbohydrates as the major energy source on the diet. On the ketogenic diet, their bodies would consume their own protein stores for fuel, leading to ketoacidosis, and eventually coma and death.[37]

The first modern study of fasting as a treatment for epilepsy was in France in 1911.[12] Twenty epilepsy patients of all ages were "detoxified" by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients' mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.[13]
When you take a swimming lesson, you can learn about different strokes, such as the crawl, backstroke, and the butterfly. Many people who know how to swim are familiar with a few of them, but a lesson can help you identify the best stroke for your body. There are some strokes that are less strenuous than others, which may be more appropriate if you are out of shape.
A ketogenic diet also has been shown to improve blood sugar control for patients with type 2 diabetes, at least in the short term. There is even more controversy when we consider the effect on cholesterol levels. A few studies show some patients have increase in cholesterol levels in the beginning, only to see cholesterol fall a few months later. However, there is no long-term research analyzing its effects over time on diabetes and high cholesterol.
Hi I’m new to Keto. I have been reading about it, and understanding what to eat and what not to eat. My problem is I’m not sure if I’m doing it correctly. I’m constantly hungry whereas information reads that I will never be hungry. I use fats as required along with topping up with vegetables in my meals yet this does not fill me up. I haven’t experienced the Keto flu and I’ve even put on weight! I have been doing this for about 3 weeks now. Any ideas where I am going wrong.

Stress plays a huge role in weight gain. But the great thing is that stress can be handled, and Pilates workouts are a great way and proven approach to alleviate it. One study revealed that incorporating just two days of Pilates a week can significantly reduce stress. High cortisol levels can help explain why it’s been hard for you to lose weight. That’s because cortisol is a hormone that is known for causing weight gain and a reason why your body may resist losing weight. It rises when you experience stressful situations and also increases your insulin levels. Higher insulin levels can lower your blood sugar level, which prompts you to crave food that is fatty and often sugary. However, reducing stress can lower these levels and ultimately help you lose weight.


I can't guarantee that exercise (and Pilates specifically) will work for everyone with anxiety, but there is some evidence that it could. According to the Anxiety and Depression Association of America, regular exercise can be as effective as medication for some people to reduce the symptoms of anxiety, and a study done at Princeton in 2013 found that exercise can help create new brain cells and limit anxiety.
Just how much water should I be drinking? "About one-half your body weight in ounces every day, especially if you're exercising," says Pamela Wartian Smith, M.D., the author of Why You Can't Lose Weight. So the eight-cups-a-day rule applies only to sedentary women who weigh 128 pounds (sure as hell not me!). If you're one to consume an aggressive amount of fiber (guilty), an additional 8 to 16 ounces per day is a good idea, she adds. Just be warned: That amount of liquid-for me, a liter at each meal, minimum-requires serious effort and will turn you into a peeing machine.
The only issue with keto, is really that I’m afraid that it might be hard to up my calories to a maintenance weight now that I’ve gotten a taste preference for the rich assortment of foods with no carbs in them. I’m satisfied with less calories than I will need after my excess fat is burned off… but , maybe I bet my body will send more hunger signs once there isn’t anymore body fat in the cupboard to use instead of what goes down my throat.
When your body burns its stores of fat, it can be hard on your kidneys. And starting a ketogenic diet -- or going back to a normal diet afterward -- can be tricky if you’re obese because of other health issues you’re likely to have, like diabetes, a heart condition, or high blood pressure. If you have any of these conditions, make diet changes slowly and only with the guidance of your doctor.
Hi Kelly, All packaged foods will have a nutrition label that list the macros per serving, including fat, protein and cabrohydrates. Net carbs, which is what most people look at for low carb and keto, are total carbs (the amount on the label) minus fiber and sugar alcohols, as explained in the article above. I have a low carb food list here that gives you a full list of all the foods you can eat, and the net carbs in each. You can also sign up above to be notified about the meal plans, which are a great way to get started.
Wondering how many carb foods you can eat and still be “in ketosis”? The traditional ketogenic diet, created for those with epilepsy consisted of getting about 75 percent of calories from sources of fat (such as oils or fattier cuts of meat), 5 percent from carbohydrates and 20 percent from protein. For most people a less strict version (what I call a “modified keto diet”) can still help promote weight loss in a safe, and often very fast, way.
There are theoretically no restrictions on where the ketogenic diet might be used, and it can cost less than modern anticonvulsants. However, fasting and dietary changes are affected by religious and cultural issues. A culture where food is often prepared by grandparents or hired help means more people must be educated about the diet. When families dine together, sharing the same meal, it can be difficult to separate the child's meal. In many countries, food labelling is not mandatory so calculating the proportions of fat, protein and carbohydrate is difficult. In some countries, it may be hard to find sugar-free forms of medicines and supplements, to purchase an accurate electronic scale, or to afford MCT oils.[54]

"Try an interval split of 20 seconds max effort; 40 seconds easy on any piece of cardio equipment for five rounds," says Roberts. "If you don’t have access to equipment then choose from exercises such as mountain climbers,bodyweight squats or running with high knees on the spot and follow the same interval split, attempting to get as many reps in as possible in the 20 seconds. With this kind of workout, the higher intensity periods create a metabolic demand that is very effective for long-term fat loss and overall conditioning."
Bicycles are a great strength-training exercise for your core, which acts as the foundation for your body. Lie on a mat with your back flat against it. Without pulling too hard, place your hands behind your head. Raise one knee and bring one elbow down until they meet halfway and touch in the middle of your chest. Continue to alternate your legs and elbows in a bicycle motion for 30 seconds. Breathe slowly and naturally throughout this exercise. Perform four sets, resting one minute between each.
That's awesome prairieprincess! I do hope you take Pilates up again- especially since it sounds like it worked pretty well for you! And of course, the whole 'muscle weighing more than fat' thing probably explains why you saw a change in your appearance well before you noticed a weight change. Weight is not always the best measure of fitness... do keep that in mind!
The research is pretty conclusive: Most people who exercise only because they know they should don’t stick with it—at least not for very long. Up to 80 percent of people who start exercising throw in the towel within a year. The novelty quickly wears off, and they become bored and find things that are more fun to do. But riding a bike makes you feel like a kid. You can go places and explore, pedal through pretty scenery, and feel the fresh air wash over you. You can ride with friends or family or relish in some alone time. You’re not looking at the clock willing your obligatory 30 minutes to go by. You’re enjoying the ride. Oh, and getting some exercise.
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