“Certainly, a single high-fat meal has been shown to impair blood flow in part because of acute damage to the endothelium, which may explain why angina is often much worse for several hours after each high-fat meal. A vital question scientists must ask is: ‘How much inflammatory damage do dietary fats cause, and, as a result, how much cardiovascular disease are they causing’?”

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.
Interestingly, a few years ago the American Heart Association lowered the recommended intake of saturated fat to no more than 7% of total calories eaten each day. Olive oil is 14% saturated fat. (The average American consumes a diet with about 14% saturated fat.) So if you’re using a lot of olive oil on your food, it’d be hard to have a diet that’s less than 14% saturated fat, which means your arteries are being subjected to double the saturated-fat-limit that the AHA recommends.
The Harvard School of Public Health recommends that you substitute olive oil for commercial salad dressings as a matter of heart health. Making healthy choices at every meal and for every snack is the most effective, long-term way to lose weight and keep it off. A consistent weight loss of 3 pounds per week is not only enough to take you down a whole dress size in a month, it can be done without depriving yourself. The Weight-Control Information Network also advises that too-rapid weight loss can result in gallstones. Contrary to what many fad diet websites claim, you can’t flush gallstones out of your system by drinking olive oil.
It’s easy to stick with. A diet only works if it’s doable. That means everyone in your family can eat it and you can eat in this style no matter where you go (to a restaurant for dinner, to a family event). With its flavors and variety of foods that don’t cut out any food group, this is one such eating plan. "It is an appealing diet that one can stay with for a lifetime,” Dr. Cohen says.
Still, I enjoy cooking and I plan my meals on the regular anyway. With a keto food list in hand and advice from Dr. Axe in my mind, I filled my grocery cart with family-size versions of what I regularly buy (apples, berries, nut butter, kale), and a lot more meat than I ever have in my cart at one time (ground lamb, chicken, REAL bacon). What was missing? Some of my usual high-carb items, like whole-grain English muffins, orange juice, butternut squash, and tortilla chips.

This research and other data indicate that olive oil is not heart protective, Dr. Robert Vogel told Pritikin Perspective. Dr. Vogel, a cardiologist who has studied heart disease for more than 30 years, counsels his patients to “feast on fish” and other rich sources of omega-3 fatty acids instead of olive oil, and to eat plenty of fruits, vegetables, and whole grains every day.
The smoke point of EVOO is almost 400 degrees, which is much higher than other popular cooking oils like canola (200 degrees), or corn and non-virgin olive oils (around 320 degrees each). According to the Cleveland Clinic, “[H]eating oil above its smoke point—the temperature at which the oil begins to smoke—produces toxic fumes and harmful free radicals (the stuff we’re trying to prevent in the first place). A good rule of thumb: The more refined the oil, the higher its smoke point.”

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 most important part of the ketogenic diet is consistency. Approach this diet (or any other diet that you try) with the mindset that you will make it into a long-term sustainable lifestyle. When you hit a plateau, don’t give up — we all hit plateaus eventually. Take it as an opportunity to recalculate your calorie needs, adjust your goals, and implement new strategies.
Research suggests that the benefits of following a Mediterranean-style eating pattern may be many: improved weight loss, better control of blood glucose (sugar) levels and reduced risk of depression, to name a few. Eating like a Mediterranean has also been associated with reduced levels of inflammation, a risk factor for heart attack, stroke and Alzheimer’s disease.
Outside of Reddit, I have never seen what I would call a great write up on keto. Following one of these purchased plans, with lots of expensive supplements, is not only unnecessary but usually contains lots of bad advice. I can't even begin to imagine why you would be told that Granny Smith apples, which come in at around 12 net carbs per cup, are ok but brussel sprouts (~3.5g net carbs per cup) or carrots (11g net carbs per cup grated) are not. Doesn't even make sense. A spoon of peanut butter kick you out of keto? ~4-6g net carbs per 2T! The keto diet is not hard and it is very sustainable as a way of eating permanently. Part of America's problem with weight is that they think everything needs to be handed to them in a bottle or package, with no work or thinking involved. Keep your daily intake of net carbs very low (less than 30 is probably best) and get your carbs from healthy natural foods before you reach for prepackaged food. Moderate protein. Eating tons of fat is not a requirement. Keto is called high fat because in terms of percentages, you are getting the most calories from fat. If you eat moderate protein and very low carb, you need to get the rest of your calories from somewhere. I'm a 40 year old female and lost 100+ lbs eating keto with no purchased plan and no bs supplements. I still eat that way 4 years later. I have arthritis but I run, I lift weights, I ride horses, I ride bikes, I live a very healthy, active lifestyle since losing the weight and finding keto. I have tried to go back on a standard American diet and immediately lose my motivation and energy, my body feels awful. The benefits of keto go far beyond weight loss. The hardest part about eating keto is social because so many people think it's so hard and there are so many misconceptions. It is completely sustainable as an individual.
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.”
A ketogenic diet helps control blood sugar levels. It is excellent for managing type 2 diabetes, sometimes even leading to complete reversal of the disease. This has been proven in studies. It makes perfect sense since keto lowers blood-sugar levels, reduces the need of medications and reduces the potentially negative impact of high insulin levels.

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Mamalaki, E., Anastasiou, C. A., Ntanasi, E., Tsapanou, A., Kosmidis, M. H., Dardiotis, E., ... Yannakoulia, M. (2018, September 5). Associations between the mediterranean diet and sleep in older adults: Results from the hellenic longitudinal investigation of aging and diet study. Geriatrics & Gerontology International, 18(11), 1543–1548. Retrieved from https://onlinelibrary.wiley.com/doi/10.1111/ggi.13521

Alison Moodie is a health reporter based in Los Angeles. She has written for numerous outlets including Newsweek, Agence France-Presse, The Daily Mail and HuffPost. For years she covered sustainable business for The Guardian. She holds a master’s degree from Columbia University’s Graduate School of Journalism, where she majored in TV news. When she's not working she's doting on her two kids and whipping up Bulletproof-inspired dishes in her kitchen.
Some studies have proposed that women’s weight gain in midlife is more a factor of aging — which impacts both sexes — than of menopausal changes in hormones. Other studies note, however, that declining estrogen (estradiol or E2) at menopause changes women’s energy needs and metabolism, changes their location of body-fat accumulation from the hips to abdomen, and is associated with an increased rate of metabolic syndrome.
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.
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.
Almost everything in this diet is good for your heart. Olive oil and nuts help lower "bad" cholesterol. Fruits, veggies, and beans help keep arteries clear. Fish helps lower triglycerides and blood pressure. Even a daily glass of wine may be good for your heart! If you've never fallen in love with fish, try this Mediterranean-inspired recipe for Grilled Whole Trout With Lemon-Tarragon Bean Salad.
The solution? One way of approaching this issue is through dieting. To adapt to such an abundant food environment, you need to give your brain new food rules to follow (e.g, a diet). Your brain needs you to tell it what to eat and what not to eat to meet your health goals. One of the best ways to do this is by finding a diet with simple rules that you can follow for the rest of your life.
The “PREDIMED” study, published in the New England Journal of Medicine in 2013 conclusively showed that the Mediterranean diet group had a third less heart disease, diabetes and stroke than the low-fat group. They also lost a little weight and had less memory loss. The most recent results showed that it also reduced chances of breast cancer, albeit in a small number of women.
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?
From this foundation, Flynn’s plant-based olive oil (PBOO) diet was born. She determined its components based on validated research examining food and chronic diseases. The cornerstone foods of the diet are extra virgin olive oil, vegetables (with particular emphasis on those with deep color and those from the cruciferous family), and starches/grains (ideally those that are whole), with minimal animal protein. Flynn was initially curious as to whether or not her diet would aid in weight loss. She hypothesized that as long as calories were controlled (~1500 calories per day for women, ~1800-2000 calorie per day for men), having healthy fats at every meal, in the form of nuts at breakfast and extra virgin olive oil at lunch and dinner, along with vegetable-heavy lunches and dinners, would help individuals feel more satiated and help them lose weight. Overall, those who follow her diet eat four to five servings of fat daily, most of which is extra virgin olive oil.
Consuming three tablespoons of EVOO isn’t enough to start shedding the kilos, Flynn says, explaining that the weight-loss effect kicks in when it’s combined with a healthy Mediterranean-style diet. This is rich in vegetables, fruit, legumes and whole grains, moderate in dairy and low in meat (about three serves of white meat or fish a week for women, and red meat only once or twice a month).
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