Complex high fat foods such as extra virgin olive oil, when eaten with a wide variety of other healthy polyphenol-dense foods, provide the basis for a rich and diverse community of gut microbes. This diversity is increasingly being shown to be important for our health. The original PREDIMED study didn’t measure gut microbes directly (although subsequent research is doing so) but the striking benefits of the Mediterranean diet and particularly extra virgin olive oil are that they are superb gut microbe fertilisers and improve gut health.
As for the type of MCT oil to take, I prefer the more expensive C8 (caprylic acid) oil over those containing both C8 and C10. Avoid cheaper versions containing C6. Even a 1 to 2 percent concentration of C6 can contribute to GI distress. If you want C12 (lauric acid) for its anti-microbial and anti-inflammatory activity, add coconut oil to your diet, which is less expensive and more versatile than MCT oil.
"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."
Too many "legal" high-calorie foods can sabotage your keto diet. So can lots of other things. One way to pinpoint those potential glitches is through a food journal. One study found people who tracked everything they ate lost twice the amount of weight as those who didn't track what they ate. A food journal also keeps you honest and compliant with your keto plan.
Healthy fats like olive oil and nuts, plus plenty of anti-inflammatory veggies and fruits, are known to fight age-related cognitive decline. These help counter the harmful effects of exposure to toxicity, free radicals, inflammation-causing poor diets or food allergies, which can all contribute to impaired brain function. This is one reason why adherence to the Mediterranean diet is linked with lower rates of Alzheimer’s. (10)
A 2016 study in The Lancet Diabetes & Endocrinology journal that analyzed data from Predimed – a five-year trial including 7,447 adults with Type 2 diabetes or at risk for cardiovascular disease who were assigned either a Mediterranean diet supplemented with olive oil, the same diet supplemented with nuts or a control diet – found that people on the Mediterranean versions added the fewest inches to their waistlines. The olive oil folks lost the most weight.
Picking through the data, the researchers found that the extra olive oil group did slightly better than the extra nut group, but both were clearly superior to low fat diets. The research was also much more reliable than many diet studies because it was a randomised control trial that looked at a large group of people over a long period of time, rather than just monitoring people on one diet for a few days or weeks.
The cheaper forms of olive oil (those labelled regular or virgin) didn’t show any benefit – it had to be extra virgin. The difference between the grades of oil lies not just in the lower acidity, freshness and richer taste but in the number of chemicals released called polyphenols. High grade extra virgin oil, especially if cold extracted, has around 30 polyphenols that act as antioxidants, which reduce inflammation and also help reduce the effects of aging particularly on the heart and brain.
Because this is an eating pattern – not a structured diet – you're on your own to figure out how many calories you should eat to lose or maintain your weight, what you'll do to stay active and how you'll shape your Mediterranean menu. The Mediterranean diet pyramid should help get you started. The pyramid emphasizes eating fruits, veggies, whole grains, beans, nuts, legumes, olive oil, and flavorful herbs and spices; fish and seafood at least a couple of times a week; and poultry, eggs, cheese and yogurt in moderation, while saving sweets and red meat for special occasions. Top it off with a splash of red wine (if you want), remember to stay physically active and you're set.
This meta-analysis also provides us with an explanation for why keto and low-carb diets have not always been found to confer better weight loss than low-fat diets. When protein and calories are controlled, changes in weight loss results remain relatively equal. This not only supports the theory that calorie deficits are the key to weight loss, but it also provides evidence against the hypothesis that carbs and insulin are the cause of obesity. 
Olive oil, particularly extra-virgin olive oil, is full of vitamin E and antioxidants. These help fight the free radicals in your bloodstream that may be the cause of some of the effects of aging as well as certain cancers. Olive oil contains 77 percent monounsaturated fat, according to the Ohio State University Extension. Monounsaturated fats are associated with lowering low-density lipoproteins — LDLs, the “bad” cholesterol — and raising the levels of high-density lipoproteins — HDLs, the “good” cholesterol — in your bloodstream. Proper balance between LDLs and HDLs can help decrease your risk of heart disease. The better your body functions, the better you feel, and the more likely you are to exercise and make healthy choices.
Here’s the tricky part: There’s no definite answer for how much protein you’d have to eat before you run into trouble. “It really depends on how much protein a person is consuming versus how much they need, as well as the health of their kidneys at baseline,” Hultin says. That’s why it can be helpful to speak with a nutritionist or doctor who can help you tailor your diet before going keto.
Hi, I started last month and lost 16 pounds then went a week and no loss, thought ok fine then I gained 3 pounds and nothing I did wrong, no cheating at all and I go to the gym 5 days a week – nothing hardcore but I go. Is it normal for that to happen? Getting frustrated especially when I see all these people loosing all this weight and doing fabulous. I am on a lot of support groups on F/B and I am amazed but not sure what I am doing wrong. I know I cannot drink oil or butter in my coffee – but I have started to use coconut oil more and heavy cream too.
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.  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.
In Britain and the US, people consume on average around 1 litre of olive oil per person per year, but isn’t much compared to the Greeks, Italians and Spanish who all consume more 13 litres per person. Olive oil, with its high calories and mixed saturated and unsaturated fats, was once assumed by many doctors to be dreadfully unhealthy. But health surveys of European populations kept finding that southern Europeans lived longer and had less heart disease despite higher fat intakes. It turns out olive oil was the likely reason.
Recently, many people have begun to question the usefulness of BMI as a general indicator. A sizable amount of people who may be overweight or even obese may be classified as such even though they have a high amount of muscle. Conversely, people with a “healthy” or low BMI may have a high level of body fat and actually be at a greater risk for developing health problems. [5, 6]
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.”
While some Mediterranean diets do include a good deal of carbohydrates — in the form of pasta or bread, for example — being active and otherwise consuming very low levels of sugar means that insulin resistance remains rare in these countries. The Mediterranean style of eating helps prevent peaks and valleys in blood sugar levels, which zaps energy and takes a toll on your mood. All of these various factors contribute to this diet’s diabetes prevention capabilities.
Another key component of the Mediterranean diet is lifestyle. Enjoy the social component of eating by sharing meals with family and friends as often as possible, whether on a weeknight or special occasion. Slow down, savor each bite, and don’t be afraid to have a glass of wine (or two) in moderation. While wine packs antioxidants, you should also drink plenty of water, as staying properly hydrated keeps your body functioning. The last bit of the equation is making physical activity a part of your daily routine, whether it’s biking to work or simply taking a walk during your lunch break to enjoy the fresh air.
One thing you’ll find people love about the Mediterranean diet is the allowance of moderate amounts of red wine. “Moderate” means 5 ounces (oz) or less each day for women (one glass) and no more than 10 oz daily for men (two glasses). (1) Above all else, these meals are eaten in the company of friends and family; strong social ties are a cornerstone of healthful lives — and a healthful diet. Here, food is celebrated.
Alzheimer's disease. There is interest in using MCTs to treat Alzheimer's disease because MCTs might provide extra energy to the brain and might also protect the brain against damage from beta-amyloid protein plaques. These plaques are the structures that form in Alzheimer's disease and cause symptoms. Some research shows that a specific MCT product (AC-1202) does not significantly improve learning, memory and information processing (cognitive thinking) in people with mild to moderate Alzheimer's disease, except in people with a particular genetic make-up (change in the APOE4 gene). In the people with the APEO4 gene change, a single dose of the MCT product seems to improve cognitive thinking skills.
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.
A study of 89 obese adults who were placed on a two-phase diet regimen (6 months of a very-low-carbohydrate ketogenic diet and 6 months of a reintroduction phase on a normal calorie Mediterranean diet) showed a significant mean 10% weight loss with no weight regain at one year. The ketogenic diet provided about 980 calories with 12% carbohydrate, 36% protein, and 52% fat, while the Mediterranean diet provided about 1800 calories with 58% carbohydrate, 15% protein, and 27% fat. Eighty-eight percent of the participants were compliant with the entire regimen.  It is noted that the ketogenic diet used in this study was lower in fat and slightly higher in carbohydrate and protein than the average ketogenic diet that provides 70% or greater calories from fat and less than 20% protein.
The Mediterranean Diet is not a diet. It is a lifelong habit. Something you must stick to as a creed. Decades ago, this was the usual way of life of the communities around the Mediterranean Basin. It was the everyday life in countries like Spain, Italy or Greece. Its major points were physical activity, healthy nutrition and calm attitude. And not much money to throw away.
Good luck miss. I’m on week 7 now of being on keto and I’ve lost 11.5Kilos (about 25 pounds!) and reduced my body fat by nearly 5%! I eat just once a day in the evening and supplement with 15ml of high quality liquid fish oil at night before bed plus eat some Pepitas that I roast at home (get just the kernels, with shells are too chewy) then roll on melted butter and add salt or whatever, delicious!), they’re a great way to up mineral levels like magnesium etc that are important for health.
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.
I can't help but think that if all of the world's leaders were to read this book and promote the implementation of its recommendations, we would see a lot less premature death and morbidity. Our population would shrink in girth. Diabetes and hypertension would be relegated to the genetically less fortunate...―Dr Melissa Shirley Walton MD, Cardiologist, Medscape
There are actually a few different forms of MCTs, some that are likely more effective than others. The four different kinds of MCTs include caprioc (acid C6:0), caprylic (acid C8:0), capric (acid C10:0) and lauric (acid C12:0) acids. Generally speaking, the shorter the chain (meaning the lower the number of carbons the acid has), the faster the body can turn the fatty acids into usable energy, in ketone form. Ketones are what the body produces when it’s using fat for energy instead of glucose.
After investigating 20 controlled feeding studies, Hall and Guo found that both low-carb and high-carb diets had similar effects on body fatness and energy expenditure. The results of this meta-analysis provide us with high-quality evidence that supports the widely-believed theory that calories matter much more than the fat or carbohydrate content of the diet when it comes to weight loss. 
Cunnane, S. C., Courchesne-Loyer, A., St-Pierre, V., Vandenberghe, C., Pierotti, T., Fortier, M., … & Castellano, C.-A. (2016, March). Can ketones compensate for deteriorating brain glucose uptake during aging? Implications for the risk and treatment of Alzheimer's disease. Annals of the New York Academy of Sciences, 1367, 12–20. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/nyas.12999/full
Another influencing factor is that this diet encourages people to spend time in nature, get good sleep and come together to bond over a home-cooked healthy meal, which are great ways to relieve stress and, therefore, help prevent inflammation. Generally, people in these regions make sure to spend a lot of time outdoors in nature; eating food surrounded by family and friends (rather than alone or on-the-go); and put aside time to laugh, dance, garden and practice hobbies.
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There has also been increased interest in the diet’s effects on aging and cognitive function. [9-11] Cell damage through stress and inflammation that can lead to age-related diseases has been linked to a specific part of DNA called telomeres. These structures naturally shorten with age, and their length size can predict life expectancy and the risk of developing age-related diseases. Telomeres with long lengths are considered protective against chronic diseases and earlier death, whereas short lengths increase risk. Antioxidants can help combat cell stress and preserve telomere length, such as by eating foods that contain antioxidants nutrients like fruits, vegetables, nuts, and whole grains. These foods are found in healthy eating patterns like the Mediterranean diet.  This was demonstrated in a large cohort of 4676 healthy middle-aged women from the Nurses’ Health Study where participants who more closely followed the Mediterranean diet were found to have longer telomere length. 
The Mediterranean diet has long been one of the healthiest diets known to man. The history and tradition of the Mediterranean diet come from the historic eating and social patterns of the regions around southern Italy, Greece, Turkey and Spain. Therefore the Mediterranean diet is really not even a “diet” in the way we usually think of them, more like a life-long way of eating and living. For thousands of years people living along the Mediterranean coast have indulged in a high-fiber diet of fruits and vegetables, also including quality fats and proteins in moderation, and sometimes a glass of locally made wine to complete a meal, too.