According to the USDA, a 100-gram serving of red tomatoes has 3.89 grams of carbohydrates.43 You may add this fruit to your ketogenic diet safely and gain its beneficial nutrients, particularly lycopene. Researchers from Ohio State University suggest that this antioxidant may help protect your skin from sun damage, which may result in a lowered risk of skin cancer tumors.44
Net carbs is simply total carbs minus fiber and non-digestible sugar alcohols, like erythritol. (This doesn’t apply to high glycemic sugar alcohols, like maltitol.) We don’t have to count fiber and certain sugar alcohols in net carbs, because they either don’t get broken down by our bodies, are not absorbed, or are absorbed but not metabolized. (Read more about sugar alcohols here.)

I have great respect for Harvard Medical School. I notice that they support their readers posting comments and I am most appreciative of the article and all the many thoughtful comments by the readers. The readers seem to have the most expertise here and I hope that the doctor who wrote the article will think long and hard about the comments by readers. After 35 years of clinical practice in mental health, I notice that all issues of emotion involve medical issues, nutrition, and the gut bacteria. I would say that these issues and all of the executive brain functions seem to improve with ketogenic principles. For those that apply it in a flexible and smart manner, it appears to improve every area of their lives. I strongly encourage the author of the article to take one class via The Institute for Functional Medicine. If he is open to more learning he can take more classes and get certified. I’m sure a fine doctor, he will be an even better doctor and personally healthier, if he gets more training. Are we all open to new learning(especially us healthcare providers)?

Hi Barb, That can definitely be it. Losing when you are close to goal can be more difficult. It could also be that your body’s healthy weight is a little higher than what you’d like – which doesn’t mean you can’t lose, but makes it more difficult. If just eating Keto foods isn’t working, double check the macros for your weight and see if the amount you’re eating needs to be adjusted. You’ll find more help and support in our support group here.

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Do it right: Many cyclists develop lower-back pain because of their semifetal posture. "Stand up every 5 minutes and pedal as if you were climbing a hill for 60 seconds," says Robert Morea, C.S.C.S., a trainer in New York City. "It'll take the pressure off your lower back, force you to use different muscles and break up the monotony of your workout."
Different swimming strokes burn different amounts of calories, influencing how long you need to swim to lose weight. If you want to get maximum calorie burn for the time you spend in the water, use the butterfly stroke. Burron says this difficult stroke, which uses a dolphin-like kick and windmill arm motion, will burn around 150 calories in 10 minutes for a 160-pound person. After the butterfly stroke, the freestyle stroke, also known as the front crawl, burns the most calories, according to Burron. "Because the freestyle is the easiest swimming stroke, it's the most popular one used for fitness and weight loss," Burron says. The breaststroke and backstroke are other swimming techniques that burn lots of calories, equivalent to a fast walk or slow jog for the same amount of time. The more you swim using a particular stroke, the faster you'll improve your technique and the more calories you'll burn.
Clinical improvement was observed in Alzheimer’s patients fed a ketogenic diet, and this was marked by improved mitochondrial function. (15) In fact, a European Journal of Clinical Nutrition study pointed to emerging data that suggested the therapeutic use of ketogenic diets for multiple neurological disorders beyond epilepsy and Alzheimer’s, including headaches, neurotrauma, Parkinson’s disease, sleep disorders, brain cancer, autism and multiple sclerosis. (16)

Whatever the source of protein you consume, make sure they are organic grass fed and antibiotic-free, as they are generally healthier and safer for your body. In one study, researchers indicated that grass fed beef (regardless of cuts) contains more omega-3 acid and conjugated linoleic acid compared to grain-fed beef.21 As for non-meat sources of protein, try to look for organic and pesticide-free varieties.
The most common and relatively minor short-term side effects of ketogenic diet include a collection of symptoms like nausea, vomiting, headache, fatigue, dizziness, insomnia, difficulty in exercise tolerance, and constipation, sometimes referred to as keto flu. These symptoms resolve in a few days to few weeks. Ensuring adequate fluid and electrolyte intake can help counter some of these symptoms. Long-term adverse effects include hepatic steatosis, hypoproteinemia, kidney stones, and vitamin and mineral deficiencies.

Remember, any activity that burns calories will help you shed fat all over—including around your middle. Certain swimming exercises also target your core specifically, like flutter kicks (lower abs) and butterfly kicks (obliques). In fact, a 2015 study in the Journal of Exercise Rehabilitation found that women who swam three times a week shed more fat around their waists and hips compared to those who walked three times a week.


If the gym isn't your thing, then just dance! Zumba is a feel-good way to improve your fitness and an effective way of incorporating exercise into your daily routine. Zumba is all about loosening up and burning calories. No wonder, it has been found to help relieve stress, increase energy and improve strength. It incorporates vigourous exercise and high intensity movement which helps sculpt the body. Sanaa, the founder of Sole to Soul Academy remarks, "Shake, shake, shrink- that's our motto. Before you know it, you'll be losing tons of calories  and yet, your energy levels will be soaring! In the midst of squats, twists, multiple dance routines and upbeat music, you'll actually have fun."
To lose or maintain weight, you must be consistent with your exercise. Exercising once a week isn’t going to cut it. Remember the guidelines mentioned earlier. For sustained weight-loss, you should aim for 60-90 minutes of cardiovascular exercise five to six days per week. Indoor swimming is a modality of exercise that you can be consistent with and do year-round. The most important thing to remember about exercise is to be consistent with whatever type you choose. Start moving and improve your health today!
Different from a standard treadmill, a curved, non-motorized one only moves when you move, adjusting its speed in real time based on your pace and rhythm. “Because the treadmill is self-powered, you must use more force while running,” says Kups. “The ability to create more force means more calories needed.” Additional benefits: The curved design provides less impact on joints than outdoor running and is especially effective for working glutes and hamstrings.
So what makes cycling so special for weight loss? In short, it makes you happy, says Jimmy Weber, of Enid, Oklahoma, who at 6’2” and 260 pounds is not a small rider, but is now 150 pounds lighter than his max weight of 410 pounds eight years ago. He initially shed weight through bariatric surgery and a lot of walking. But walking his usual seven miles a day got boring and running was out of the question.
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