Type 2 diabetes is a long-term metabolic disorder that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Insulin resistance is when the body is no longer able to secrete insulin naturally in response to blood sugar increases, and hence blood sugar remains high. This is typically a dysfunction with the insulin receptors, and with changes in diet, including lower levels of sugar and carbohydrates, it can be controlled or reversed.
Hallberg and colleagues are currently in the midst of a study in which ten overweight mostly menopausal women, who have been doing low carb keto eating but whose weight loss has stalled prematurely, will spend about five days in a monitored environment. During this time the women’s food and activity will be observed and recorded and their metabolism analyzed. While studies like this have been done before, this is the first time the focus has been on women who have stalled in their weight loss on a low carb and high fat diet, Hallberg says. “Most of the other studies found it was overconsumption leading to the problem. We want to see what is happening for these women.”
Obesity means that someone has an excess amount of fat to the extent that it harms your health. Oftentimes, doctors, nurses, and other professionals will put your weight in terms of your height and gender in a figure called body mass index (BMI). According to the World Health Organization, a BMI from 25-30 usually indicates someone is overweight, BMI in the 30-35 range puts someone in the range of being obese and 35 and over morbidly obese. [1]

Key Takeaways: Two large-scale meta-analysis indicate that people who consume a low-carb diet (<50 g carb/day) lose a slightly larger amount of weight compared to people eating a low-fat diet over 12-month span. Neither meta-analysis assessed the loss in body fat percentage within each diet and which other dietary of exercise interventions promoted weight-loss when coupled with the ketogenic diet.
The traditional diets of countries bordering the Mediterranean Sea differ slightly so there are different versions of the Mediterranean diet. However, in 1993 the Harvard School of Public Health, Oldways Preservation and Exchange Trust, and the European Office of the World Health Organization introduced the Mediterranean Diet Pyramid as a guide to help familiarize people with the most common foods of the region. More of an eating pattern than a strictly regimented diet plan, the pyramid emphasized certain foods based on the dietary traditions of Crete, Greece, and southern Italy during the mid-20th century. [1,2] At that time, these countries displayed low rates of chronic disease and higher than average adult life expectancy despite having limited access to healthcare. It was believed that the diet—mainly fruits and vegetables, beans, nuts, whole grains, fish, olive oil, small amounts of dairy, and red wine—contributed to their health benefits. The pyramid also highlighted daily exercise and the beneficial social aspects of eating meals together.
The findings below have been limited to research specific to the ketogenic diet: the studies listed contain about 70-80% fat, 10-20% protein, and 5-10% carbohydrate. Diets otherwise termed “low carbohydrate” may not include these specific ratios, allowing higher amounts of protein or carbohydrate. Therefore only diets that specified the terms “ketogenic” or “keto,” or followed the macronutrient ratios listed above were included in this list below. In addition, though extensive research exists on the use of the ketogenic diet for other medical conditions, only studies that examined ketogenic diets specific to obesity or overweight were included in this list. (This paragraph was added to provide additional clarity on 5.7.18.)
Julius – You are awesome and nice job with this! I have been a crazy person researching every university and medical journal to study nutritional ketosis as well as fasting, and how to use in combination. My goal is to be on the cover of SHAPE magazine when I’m 60 – a few years away – and this lifestyle what will make that happen. So far, 26 pounds in 6 weeks – this is huge – and I was inspired to read your results. DO YOU FIND that keeping snacks in your diet is OK?? Same question for whey powder vs egg white powder?? I thought the whey resulted in a higher insulin response…have you compared the two? As a former competitive powerlifter, I’m curious about this….and thanks for doing this great blog.
“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.”
The keto diet is notorious for delivering a quick initial slim down. That’s because carbs hold on to more water than protein or fat, says Becky Kerkenbush, RD, a clinical dietitian at Watertown Regional Medical Center. So when you stop eating them, all that extra H2O gets released through urination. As a result, the scale might read a few pounds lower, and you may look a bit leaner.

We’d like to help. Many of our readers are women over the age of 45, and we know that the keto low-carb diet for weight loss and improved health over the menopause years is of huge interest for a lot of people. Many women in this age group are happy with the results they have achieved by adopting the low-carb or keto way of eating. But what if you are not achieving the results you want?

All new habits need a plan. Luckily, I had the Keto360 Blueprint (which mapped out how this was all going to go down), Dr. Axe at my disposal for ALL the questions, a Keto360-approved food list, and a husband who agreed to jump on the two-week keto bandwagon with me. (Research shows that having a buddy system will increase your rate of success in fitness, a diet, and even sticking to your New Year's resolutions.) Still, sitting down to figure out my first week of keto diet meals and snacks was daunting. (Side note: I knew that if I was going to succeed at this, I'd have to be able to buy lunch. Luckily, Dr. Axe is totally on board, saying that most café salad bars will have what I need to create a keto meal-a big spinach salad with salmon and avocado, for example.)

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.


According to the US FDA, having two tablespoons of extra virgin olive oil daily may reduce the risk of heart disease, due to its monounsaturated fat content. Some of the antioxidants present in extra virgin olive oil like oleocanthal and oleuropein are known for their anti-inflammatory action and help in reducing the levels of bad cholesterol which can be a risk factor for heart disease.

The biggest health benefit of consuming extra virgin olive oil lies in its powerful antioxidant qualities. Extra virgin olive oil contains polyphenols which act as antioxidants, reducing the oxidative stress throughout your body. Antioxidants also help in promoting and strengthening your immune system making your body more resistant to infections and inflammation.


Consuming Onnit MCT oil isn’t just good for humans, it’s good for orangutans! Palm oil, the leading constituent in most MCT oils, is typically harvested from native palm forests, contributing to the destruction of some of the last remaining habitats for orangutans. So enjoy our super premium MCT oil and send a karmic high five to the great red ape.

For Brown University researcher and Associate Professor of Clinical Medicine Dr. Mary Flynn, the development and advocacy of a plant-based, olive oil diet was at one time considered outrageous. In the 1990s when the notion of consuming low-fat and fat-free foods for health was gaining widespread popularity, Flynn, who is also a nutritionist at The Miriam Hospital, was a vocal dissident. She openly expressed her concerns that this eating pattern was largely unsupported by sound science, even though many others in her field opposed her views. “I know that people in the nutrition community thought I was a near heretic,” Flynn says.
When you want to add some carbs to a workout, you can follow the targeted ketogenic diet. You’re allowed a few extra carbs, but they are only on the days and around the timings of your workouts. The focus is on still getting the exercise without struggling with energy. You wouldn’t need to do this if you get enough fat into your diet and once your body gets into the ketone producing zone.

So if you are experiencing a weight-loss stall, our experts recommend you look at how much fat you are consuming and see where you might cut back without harming the tastiness or quality of your food or your feeling of fullness, and without bringing back the cravings and blood sugar swings. Don’t starve yourself, but be mindful of excess fat for now. Samantha decided to cut out her bulletproof coffee for now.
When examining the studies, the researchers noted that, on average, the participants in the VLCKD groups lost about 2 lbs. more of bodyweight compared to the low-fat diet groups. [19] This difference was statistically significant and described as “moderate”. The researchers also noted greater improvements in triglycerides, blood pressure, and HDL cholesterol in the VLCKD group compared to the low-fat diet group.
Lauric acid is naturally antimicrobial, antibacterial and antiviral. It is excellent for the skin and it has even been studied for its potential ability to help with severe acne for this reason! Coconut oil is the richest natural source, followed by human breastmilk, which contains up to 20% of its saturated fat content as lauric acid. (Side note to nursing moms: there are studies that show that consuming coconut oil helps improve the lauric acid content of milk.)
In one study published in the Journal of Obesity and Research in 2013, scientists at McGill University carried out a randomized control trial to compare the effects of medium-chain triglycerides (such as caprylic acid and lauric acid) and long-chain triglycerides (like olive oil) on body fat storage, energy expenditure, appetite control, and other aspects of weight loss in overweight men.
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.
More serious: Scientists have documented several cases in which a condition called ketoacidosis occurred as a result of a very low-carb diet. In ketoacidosis, the body produces more ketones than it can use for energy, and they build up in the blood, becoming toxic. If untreated, ketoacidosis can cause heart attacks, kidney failure, or fluid buildup in the brain.
HDL cholesterol has long been considered “good” because it is largely responsible for picking up excess cholesterol from tissues, including the artery wall, and bringing it back to the liver for disposal. This process is known as reverse cholesterol transport. It’s easy to remember if you think of HDL as the garbage trucks that help rid the body of garbage (LDL).
But in June 2018, the authors took the rare step of retracting the original study in the New England Journal of Medicine based on flaws in how the original study was conducted. It turns out that about 15 percent of the people in the study weren’t actually placed in a particular group randomly — people with a family member also participating were placed in the same group; one clinic assigned everyone to the same group; and another study site didn’t properly use the randomization table.
The ketogenic diet is amazing for losing weight and improving your health, so stick with it and don’t be afraid to make changes as needed. Track what you eat, stick within your keto macros, and test your ketone levels frequently to make sure you’re staying in ketosis. Most of all, give your body time to respond to the great changes you’re making for it.
Your calorie deficit. The one factor that leads to the most significant and consistent weight loss is a calorie deficit. In other words, when we consume fewer calories than we need to maintain our weight, we will lose weight. This means that your weight loss rate will usually increase as your total calorie consumption decreases. However, there are limits to how far you should take you should take your deficit. The human body is designed to prevent massive amounts of weight loss during times of starvation via mechanisms that make long-term fat loss much harder to achieve and maintain. Because of this, it is never a good idea to starve yourself for extended periods of time. Research indicates that calorie deficits above 30% are enough to stimulate some of these counterproductive mechanisms for long-term fat loss.
I’ve tried several brands of MCT oil hoping to save 3 dollars. I don’t need to try any more brands. THM is the best one by far! It’s tasteless and not HEAVY like some I’ve tried. I also just had my annual check up with cholesterol check and ALL my numbers went the right direction! (The numbers that were suppose to be high were higher. The numbers that were suppose to be low were lower!) . Don’t forget that you can use this in salads, over eggs but I like it best in my morning coffee! Lots of ways to incorporate this healthy fat!
Extra virgin olive oil has a subtle golden-green hue with a light peppery flavour. It has a lower smoke point than many other oils, which means it burns easily at a lower temperature. Therefore, it may not be suited for high heat cooking. Dr. Rupali Datta, advises, "It is better to use extra virgin olive oil only for raw or cold cooking. Indian cooking needs are not suited to substitute this oil for our regular vegetable oil. You can use it in salads, as dressings, for making breads and dips. Light sauteing can also be done using extra virgin olive oil."
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