Get a good night sleep: During menopause, many women find their quality of sleep sharply deteriorates, often because of hot flashes and night sweats. Drs. Fung and Hallberg really recommend that women in weight loss plateaus aim to improve their sleep. A good night sleep reduces stress and cortisol, the stress hormone that when raised hangs onto abdominal fat.

One of the ways to do this that is yielding promising results in research is the ketogenic diet. In a 2017 study evaluating the ketogenic diet in the management of diabetes, researchers showed the diet had the potential to decrease blood glucose levels, the rudimental key to minimizing the occurrence and diagnosis of diabetes. This was further supported in a study evaluating the long-term effects of the ketogenic diet in obese patients, offering similar results in its ability to lower blood glucose levels, as well as decreasing total cholesterol and triglyceride levels.
Similarly, in a study in the New England Journal of Medicine, scientists followed for years the diets and health of 22,043 adults in Greece. (12) Adherence to the traditional Mediterranean diet was assessed by a 10–point scale that incorporated the key facets of the diet, including an abundance of plant food (fruits, vegetables, whole-grain cereals, nuts, and legumes), olive oil as the main source of fat, and low–to–moderate amounts of fish and poultry.
One of the “hearty healthy” effects of olive oil, argues the olive oil industry, is that it raises levels of HDL good cholesterol. But higher HDL levels do not always mean better arteries. Remember the study on monkeys discussed at the beginning of this article? The higher HDL levels of the monkeys consuming a diet rich in monounsaturated fat did not prevent them from developing plaque–ridden, diseased arteries.

Results, she promises, can be quite dramatic. And sure enough, Woman’s World readers who tested Palinski-Wade’s olive oil diet menus melted up to eight pounds and four inches of ab flab in just seven days. “I tried Weight Watchers, supplements, fad diets, but nothing worked until this,” says Pennsylvania grandmother Eleanor Downing, 62. “I lost a pant size in a week!” Meanwhile, Colorado travel agent Erika Crocker, 47, who whisked four inches off her middle, still can’t believe such a simple approach could be so effective. As for 30-year-old Mississippi mom Lindsey Bradley, 30, dropping a size has her raving: “For once, my belly got flatter without hunger pangs.”
Research suggests that people who follow a keto diet do drop pounds. A 2013 analysis published in the British Journal of Nutrition (BJN) that evaluated 13 studies found that people who adhered to it lost more weight than those who followed a low-fat diet, at least in the short term. And Roehl notes that her patients who follow the diet for epilepsy tend to lose weight as a side effect.

The response was to try intermittent fasting — and we go into more detail about that in tip #3 below. But to truly get to the bottom of menopausal weight stalls and challenges, we explored the medical literature about what is known about metabolism changes and physiological energy needs during menopause and also tapped the knowledge and experience of some of our stellar low-carb experts — Dr. Sarah Hallberg, Dr. Jason Fung, Dr. Eric Westman, Dr. Ted Naiman, and Atkins RN Jackie Eberstein. We have come up with nine other actions, along with intermittent fasting, that may help stop menopausal weight issues and to give a boost to weight loss if you are experiencing a plateau while low-carb keto eating.


Thank you for the nice comment!… I definitely understand your reasons as I have diabetes, high blood pressure and pretty much everything under the sun in my family. Besides those reasons, the bone and joint inflammation/pain that I had no longer exists… That’s one of my favorite benefits of carb restriction… Keep me updated with your progress or comment if have questions… Thanks again!

Great article and very inspiring. I am very interested in the Keto lifestyle. My husband has Chrons disease and a friend of ours was telling us about the Keto diet. From the research I have done this seems very beneficial. However, I am struggling with the meal planning part of this. I currently plan our meals and grocery shopping weekly and know if I had a meal plan/recipes that we could be very successful. Do you have recommendations or suggestions on a place to find this?


Flynn had always had an interest in dietary guidelines and how various diet patterns impact weight and disease risk. She was especially intrigued after having read the Seven Countries Study in the mid-1980s that demonstrated notable cardiovascular benefits from what is now widely known as the Mediterranean Diet, in which individuals consume considerable amounts of healthy fats, especially olive oil. Flynn had also spent time analyzing the literature behind dietary guidelines and recommendations and was “astounded” by the lack of evidence supporting the health claims made by proponents of low-fat diets. She went on to co-author a book, Low-Fat Lies (Lifeline Press, 1999), drawing on the scientific evidence revealing the numerous problems with extremely low-fat diets and demonstrating the positive effects of a more Mediterranean-style eating pattern.
While keto diets minimize sugar and other food sensitivities, they often allow full-fat dairy such as yogurt that, for some people, can stall fat loss. And some packaged keto-friendly foods (yes, there's a whole industry of keto-friendly cookies, candy, and other junk food!) can contain gluten, artificial sweeteners, and other reactive ingredients. These foods and additives cause dysbiosis (an imbalance between good and bad bugs), leaky gut syndrome, and increase insulin resistance, which raises blood sugar levels—stalling weight loss. Read your labels carefully: Food sensitivities can be sneaky and hide in foods that you would never suspect, like mustard.
The benefits can’t be narrowed down to one single food or factor but to some general themes. Extra fibre, a diverse range of fruits and vegetables, whole grains and legumes, yoghurts and cheese, small amounts of fish and meat, red wine, nuts and seeds and good quality olive oil all played their part. However the authors believe that the olive oil itself was the most powerful single factor.
Your current health status. Your overall health plays a major role in how fast you will lose weight and adapt to a lower carb diet. If you have any hormonal or metabolic issues, weight loss might be slower or a bit more challenging than expected. Insulin resistance, excess visceral fat, and thyroid issues, for example, can all have a significant impact on your weight loss rate.
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And so much more. Click Here to open a chart comparing the nutrients in the same number of calories from green leafy lettuce and olive oil. Keep in mind, too, what mountains of research over the past several decades have told us. Consistently, the foods linked with healthier, longer, disease-free lives are foods rich in all kinds of nutrients – vitamins, minerals, fiber, polyphenols, beta carotene, and so on. Yes, foods like leafy greens. Olive oil, by comparison, tallies up a whole lot of zeros.


On a ketogenic diet, your entire body switches its fuel supply to run mostly on fat, burning fat 24-7. When insulin levels become very low, fat burning can increase dramatically. It becomes easier to access your fat stores to burn them off. This is great if you’re trying to lose weight, but there are also other less obvious benefits, such as less hunger and a steady supply of energy. This may help keep you alert and focused.

Research has consistently shown that the Mediterranean diet is effective in reducing the risk of cardiovascular diseases and overall mortality. [3, 4]  A study of nearly 26,000 women found that those who followed this type of diet had 25% less risk of developing cardiovascular disease over the course of 12 years. [5] The study examined a range of underlying mechanisms that might account for this reduction, and found that changes in inflammation, blood sugar, and body mass index were the biggest drivers.
What is surprising is that the one group that had significantly less atherosclerosis than the other two was the group with the lowest levels, by far, of HDL good cholesterol. It was the polyunsaturated-fat-rich group. “Most likely, this group’s higher intake of essential polyunsaturated fatty acids provided some protection against the blood cholesterol-raising effect of their high dietary cholesterol intake,” notes Dr. Tom Rifai, MD, FACP, Founder/CEO, Reality Meets Science® LLC and member of the Pritikin Scientific Advisory Board.
The Mediterranean diet might help you lose weight. While some people fear that eating a diet like the Mediterranean diet that is relatively rich in fats (think olive oil, olives, avocado and some cheese) will keep them fat, more and more research is suggesting the opposite is true. Of course, it depends on which aspects you adopt and how it compares to your current diet. If, for instance, you build a "calorie deficit" into your plan – eating fewer calories than your daily recommended max or burning off extra by exercising – you should shed some pounds. How quickly and whether you keep them off is up to you.

Unlike coconut oil, MCT oil is liquid at room temperature and is tasteless. It is better for rapid energy and metabolism than coconut oil and it may also be a great choice for those who don’t like the taste of coconut oil or who need a liquid oil at room temperature. It is a great neutral oil for use in homemade mayonnaise or as an unflavored oil in homemade salad dressings.
Collagen is a type of protein that has been shown to suppress appetite[*], provide fullness compared to other proteins like whey, casein, or soy[*], help retain muscle mass[*] and even help to reduce the appearance of cellulite due to it’s ability to improve skin elasticity and thickness[*]. Refer to this article for more information on the benefits of collagen and the best way to supplement it in your diet.
Olive oil is an integral part of the "Mediterranean diet" which is associated with sensible tasty portions and slower, more enjoyable eating. People who eat a "Mediterranean diet" have been shown to have a remarkable variety of health benefits. The olive oil in the Mediterranean diet can quickly satisfy hunger and lead to fewer total calories ingested at mealtime. It is unclear if any single component of this diet is responsible for these health benefits or if it is a combination of olive oil and a diet high in vegetables, fruit and fish.
The FDA appears to agree with data showing that replacing butter with olive oil generally improves blood lipids, “but it also recognizes that this improvement might or might not reduce the risk of coronary heart disease,” points out Gomer “There is no convincing evidence at this time that those better-looking blood lipids necessarily lead to a lot less atherosclerosis or fewer heart attacks.”
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Cold pressed extra virgin olive oil has many benefits when used properly. You may not want to cook with it at high temperatures, though. While it appears to be more stable than other vegetable oils, all oils break down and lose their nutrients and flavor when cooked on high heat. Plus, the oxidation that happens during cooking may actually create compounds that attack healthy tissues in the body. For cooking at extremely high temperatures, it may be advisable to use a more stable fat that’s a shorter chain fatty acid, like coconut oil or avocado oil.  
If you look at your diet and worry that there's barely a green to be seen, this is the perfect opportunity to fit in more veggies. A good way to do this is to eat one serving at snacktime, like crunching on bell pepper strips or throwing a handful of spinach into a smoothie), and one at dinner, like these quick and easy side dishes. Aim for at least two servings per day. More is better. At least three servings can help you bust stress, Australian research notes.
Day 8: I'm still struggling to find a morning beverage that I enjoy and that keeps me full, so I try flavorless collagen protein powder with my coffee plus a splash of macadamia nut milk. It still isn't the same as a French press with cream, but it's a win! On the solid-food front, I'm starting to get a little grossed out about all the meat I've eaten in the past week. It's more than I'd normally eat in three times as long. Lamb burgers, turkey lettuce-wrap tacos, chicken salads. My digestion is off (even though I take probiotics every morning), so Dr. Axe recommends his Keto Digest supplements at lunch. They contain fat-digesting enzymes to help break down the extra fat and protein that my body isn't used to consuming, and it helps.
It's important to realize that MCT oil will not produce weight loss miracles all on its own. However, it is an excellent addition to an otherwise healthy diet. Moreover, many consider MCTs "the ultimate ketogenic fat," as it allows you to eat slightly more net carbs while still staying in nutritional ketosis. Without MCTs, you'd have to cut carbs more drastically in order to maintain ketosis.
Not only is the Mediterranean diet a tasty way to eat, drink and live, but it’s also a realistic and sustainable way to reduce disease-causing inflammation and to lose weight, too (or to maintain a healthy weight). In fact, in January 2019 when U.S. News evaluated 41 of the most popular diets they identified the Mediterranean Diet as being the “#1 Best Overall Diet.”
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The premise of the ketogenic diet for weight loss is that if you deprive the body of glucose—the main source of energy for all cells in the body, which is obtained by eating carbohydrate foods—an alternative fuel called ketones is produced from stored fat (thus, the term “keto”-genic). The brain demands the most glucose in a steady supply, about 120 grams daily, because it cannot store glucose. During fasting, or when very little carbohydrate is eaten, the body first pulls stored glucose from the liver and temporarily breaks down muscle to release glucose. If this continues for 3-4 days and stored glucose is fully depleted, blood levels of a hormone called insulin decrease, and the body begins to use fat as its primary fuel. The liver produces ketone bodies from fat, which can be used in the absence of glucose. [1]

Add in intermittent fasting: Once you are fat-adapted, hunger pangs diminish and it is easy to go for longer periods without eating. Many people naturally stop eating breakfast — they just aren’t hungry when they wake up. The number one rule of low-carb eating is “eat when you are hungry and stop when you are full.” So if you are not hungry try fasting for 16 hours, and then eating just lunch and dinner in an 8-hour window, called a 16:8 fast. Or try eating dinner one night, than fasting until dinner the next night, doing a 24-hours fast.
More Sustained Energy: 90-120 minutes after you eat carbohydrates, your body doesn’t have readily available energy produced from the mitochondria in your cells, so you start “crashing” or lowering your energy. When you are in ketosis, your body can run off your body fat, which is an essentially limitless source of fuel. This prevents any type of crash.
These two meta-analyses (and the other research you’ll find in this article on keto & weight loss) provide us with a look at the real world significance of low-fat and low-carb diets. When you put people on a low-carb ketogenic type diet, they tend to lose more weight than people who are on a low-fat diet. The ketogenic diet also provides us with clear rules to follow, which makes it is easier for us to keep ourselves from overeating.

In the end, I'm pleased with my keto diet results both internally and externally. I lost 4 pounds in two weeks, gained some energy and efficiency with my training, and more often than not felt that I could see better muscle tone instead of feeling bloated or weighed down. While the ketogenic diet may not be my go-to on a regular basis, Dr. Axe's final feedback was encouraging: He says because I've now had a successful keto trial run, if I wanted to cycle through some keto weeks (or even a month, next time), I'd be able to easily, potentially reaching ketosis even more quickly. While going full-force back on the carbs could derail me or anyone else who wants to keto-cycle, Dr. Axe says the odds are in my favor. "Ninety percent of the time if someone's done it once, they will get into ketosis quicker and easier the next time," he says.


MCTs, including coconut oil, are burned by the body for energy, or “fuel,” instead of being stored as fat. Studies in both men and women have been conducted using MCTs and have shown that MCTs increase energy expenditure and raise the metabolic rate. As part of a healthy diet, MCT oil can also help you feel full for longer periods of time—who doesn’t want that?
As evidence continues to mount affirming that inflammatory substances in the blood promote plaque growth, plaque rupture, and clot formation, all of which likely increase the risk of heart attacks, “we’ve got to start asking ourselves: ‘Is any fat, even so-called good fats, beneficial in terms of preventing heart attacks and strokes?'” says Kimberly Gomer, MS, RD, Director of Nutrition at the Pritikin Longevity Center.

While keto diets minimize sugar and other food sensitivities, they often allow full-fat dairy such as yogurt that, for some people, can stall fat loss. And some packaged keto-friendly foods (yes, there's a whole industry of keto-friendly cookies, candy, and other junk food!) can contain gluten, artificial sweeteners, and other reactive ingredients. These foods and additives cause dysbiosis (an imbalance between good and bad bugs), leaky gut syndrome, and increase insulin resistance, which raises blood sugar levels—stalling weight loss. Read your labels carefully: Food sensitivities can be sneaky and hide in foods that you would never suspect, like mustard.

L-glutamine is an amino acid with many functions in your body including acting as a powerful antioxidant[*][*]. Research shows that L-glutamine can help stabilize blood glucose levels[*] and has been recommended to help reduce sugar cravings. Supplementing with L-glutamine (about ½-1 teaspoon powdered form or 500 mg dose) may help in reducing carb/sugar cravings and aid in your ketogenic weight-loss journey.
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The Mediterranean diet wasn’t built as a weight loss plan — in fact, because it wasn’t developed at all, but is a style of eating of a region of people that evolved naturally over centuries, there’s no official way to follow it. But it’s popular because it’s a well-rounded approach to eating that isn’t restrictive. Two of the five Blue Zones — areas where people live longer and have lower rates of disease — are located in Mediterranean cities (Ikaria, Greece and Sardinia, Italy). (2) These places are known for having some of the lowest rates of heart disease and cancer worldwide. (3)
"I start my day with coffee and heavy whipping cream. My first meal of the day is in the afternoon and is usually something small like leftovers or some eggs. It’s about getting in protein and making sure whatever I eat is quality and tastes delicious. For dinner, I have a bigger meal which is always an animal protein with a side of something green like spinach or broccoli."
Here are some known to be killed by medium-chain fats: streptococcus (which causes strep throat, pneumonia and sinus infections), straphylococcus (which causes food poisoning and urinary tract infections), neisseria (which causes meningitis, gonorrhea and pelvic inflammatory diseases), and some other strains that cause stomach viruses, candida, ulcers and sexually transmitted diseases. (9)
“However, it may be time to question the wisdom of promoting diets with 20 to 35% fat or more for people with cardiovascular disease and/or type 2 diabetes. Diets this high in fat appear to greatly increase both acute and chronic low–grade inflammation in the body. Increasingly, inflammation is being linked to not only more cardiovascular disease but also insulin resistance and type 2 diabetes.”
A typical keto diet is comprised of 80 percent fat, 15 percent protein, and a mere 5 percent of calories from carbohydrates. If you consume 2,000 calories a day, that means just 100 of them are coming from carbs—including healthy carbs like fruits and vegetables. When you eat this way, it triggers ketosis, which means your body has burned through all its carbs and needs to begin burning fat for energy.
Similarly, in a study in the New England Journal of Medicine, scientists followed for years the diets and health of 22,043 adults in Greece. (12) Adherence to the traditional Mediterranean diet was assessed by a 10–point scale that incorporated the key facets of the diet, including an abundance of plant food (fruits, vegetables, whole-grain cereals, nuts, and legumes), olive oil as the main source of fat, and low–to–moderate amounts of fish and poultry.

With the importance of weight loss in the back of your mind, and an understanding of some of the factors that impact weight loss, we can now look at the amount of weight you can expect to lose on keto. This guide is based on the assumption that someone is following a strict keto diet where 75% of their calories come from fat, 20% comes from protein, and 5% comes from carbohydrates.
Nuts are another Mediterranean diet staple. Grabbing a handful, whether that's almonds, cashews, or pistachios, can make for a satisfying, on-the-go snack. One study in Nutrition Journal found that if people replaced their standard snack (cookies, chips, crackers, snack mix, cereal bars) with almonds, their diets would be lower in empty calories, added sugar, and sodium. Plus, nuts contain more fiber and minerals, such as potassium, than processed snack foods.
The Mediterranean diet is most famous for its benefit to heart health, decreasing the risk of heart disease by, in part, lowering levels of “bad” LDL cholesterol, and reducing mortality from cardiovascular conditions. It’s also been credited with a lower likelihood of certain cancers, like breast cancer, as well as conditions like Parkinson’s disease and Alzheimer’s disease. (1)
Extra virgin olive oil is one of the few oils that can be eaten without chemical processing. (Nearly every other vegetable oil has been detoxified and refined with steam and solvents). Fresh pressed olive oil can be eaten immediately and retains the natural flavors, vitamins, minerals, antioxidants, and other healthy products of the ripe olive fruit.
The fatty acids termed MCTs and lauric acid act somewhat differently in the body, although in the U.S., coconut oil and MCT oil manufacturers are legally allowed to claim that lauric acid is a type of MCT. Some people claim that lauric acid doesn’t biologically act like other forms of shorter MCTs (or at least as quickly), which is one reason why MCT advocates believe that MCT oil is somewhat superior.

hey Julius, love your blog and dirtyweights.com … im two weeks into keto and really seeing some great results..but i would liek to know what is the optimal calorie intake and macro split ishould be doing. im 31, 6 feet 2, at 195 lbs. ive put on muslce for the past year and want to burn body fat from what i am now (approx 21% fat) to ideally 15% or lower in next 6 weeks. what would you suggest?
Is there a plan out there that covers what to eat if you are histamine (and amines) intolerant and want to go keto? I have a food list from the Mast Cell Society. Another that is just published for histamines. Another from an allergy clinic for glutamates and amines… sigh! Exhausting trying to cross reference everything! That and I think it leaves little to eat, but no reactions LOL.
Walnuts are packed with tryptophan, an amino acid your body needs to create the feel-great chemical serotonin. (In fact, Spanish researchers found that walnut eaters have higher levels of this natural mood-regulator.) Another perk: "They're digested slowly," said Dr. David Katz, director of the Yale Prevention Research Center. "This contributes to mood stability and can help you tolerate stress."
You won't need to roam the frozen food aisle or hit a fast-food drive-thru. The focus is on seasonal food that's made in simple, mouth-watering ways. Build a yummy salad from spinach, cucumbers, and tomatoes. Add classic Greek ingredients like black olives and feta cheese with a Quick Light Greek Salad recipe. You can also whip up a colorful, veggie-filled batch of Grilled Tomato Gazpacho.
What is the best diet for osteoarthritis? Osteoarthritis has no cure, but it is possible to reduce its symptoms by making dietary changes. People can eat foods that reduce inflammation and boost the immune system, such as broccoli, oily fish, and dark leafy greens. Avoiding refined carbohydrates and sugar should also help to minimize symptoms. Learn more here. Read now
Evidence suggests that the Mediterranean diet serves as an anti-inflammatory dietary pattern, which could help fight diseases related to chronic inflammation, including metabolic syndrome and type 2 diabetes. (9) One reason the Mediterranean diet might be so beneficial for preventing diabetes is because it controls excess insulin, a hormone that controls blood sugar levels, makes us gain weight and keeps the weight packed on despite us dieting.

Designed for athletes looking for a fast burst of energy, those following a paleo or keto diet and everyone looking to support brain health,† Dr. Formulated MCT Coconut Oil is 100% organic coconut oil and delivers 13g of MCTs—including Caprylic and Capric acids—per serving. MCTs are healthy fatty acids that are easily digested, provide energy and are burned by the body for fuel and energy.†

MCTs have antiviral and antibacterial properties and there is some evidence that they may help balance gut bacteria and combat pathogenic bacteria. They also offer the digestive system a break because they are so easily utilized by the body. When used with a healthy diet and other ways to support gut bacteria, MCTs may help improve gut health over time. (Though regular coconut oil may be more effective for this, see below).
Seems to be working well. Mixes well with cold liquids, which is nice, and doesn't leave oily lips as much as coconut oil does. Do be careful about using too much, or using it with too empty a stomach. I recommend having food in your system if you are going to take this (unless you intentionally need a good cleaning out, then please take a double dose and you are guaranteed results!)

This is the ultimate “trimmifying” oil, with 100% Medium Chain Triglycerides that boost your metabolism life rocket fuel. MCT Oil has become the delicious and multi-talented dietary BFF of Trim Healthy Mamas all over the globe. Its succulent silky texture and neutral taste make it perfect to whip into your morning coffees that we call “Trimmies” and to drizzle over large leafy salads topped with protein. It delivers a very fatty mouth feel but provides the fewest calories of any oil!
That’s why the unique process we use at Bulletproof is completely chemical and solvent-free. Most MCT’s on the market are manufactured via chemical/solvent refining, which can require using chemicals like hexane and different enzymes and combustion chemicals, such as sodium methoxide. The oils used to make MCTs – palm and coconut – are often solvent extracted too, but not Bulletproof.
Extra virgin olive oil is one of the few oils that can be eaten without chemical processing. (Nearly every other vegetable oil has been detoxified and refined with steam and solvents). Fresh pressed olive oil can be eaten immediately and retains the natural flavors, vitamins, minerals, antioxidants, and other healthy products of the ripe olive fruit.
Neither protein nor carbohydrate triggers the production of chylomicrons. Only long-chain fatty acids do, which are what the vast majority of all naturally occurring fats and oils are made up of. More LPS and chylomicrons may help explain the unique role of dietary fat in raising CRP and other inflammatory substances in the blood, as researchers from the University of Strathclyde, Glasgow, and Edinburgh University, Edinburgh, discussed. (9)
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