Milk is limited. There are no long-term risks to eating Mediterranean, says Cohen. But you may be put off if you’re big on eating a lot of milk and rely on it to get all the calcium you need. You’ll get to eat cheese and yogurt, but in smaller amounts. "To get enough calcium in the diet without milk, one would need to eat enough yogurt and cheese, or seek nondairy calcium sources," says Cohen. If needed, drink skim milk. Otherwise, nondairy calcium sources include fortified almond milk, sardines, kale, and tofu made with calcium sulfate. (30)
However, the researchers noted that it was still substantial and noted that “Evidence from this systematic review demonstrates that low-carbohydrate/high-protein diets are more effective at 6 months and are as effective, if not more, as low-fat diets in reducing weight and cardiovascular disease risk up to 1 year.” [20] They emphasized, however, that more research needs to be done to evaluate the long-term effects of the ketogenic diet on weight-loss.

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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.
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.
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.
At the end of the twelve months, 60 participants (about 82%) in the low-fat group and 59 participants (about 79%) in the low-carbohydrate group successfully completed the trial. The decrease in body weight was substantially greater in the low-carbohydrate diet group which lost four times as much weight as the low-fat group (1.1 kg vs. 4.4 kg). [18]
Compared to other types of oils and fats, MCTs seem to have positive effects on fat burning and weight reduction. As part of a healthy diet, MCT oil can help increase satiety and even raise the metabolic rate at which the body functions. Does this mean eating large amounts of MCTs daily will make you drop pounds? Not quite. Not every study has shown that MCTs can produce weight loss necessarily, but some definitely have shown the positive effects of MCTs on metabolic function.
"Even though it's called the Mediterranean diet, it's not really a diet," said Atlanta registered dietitian Rahaf Al Bochi, a spokeswoman for the Academy of Nutrition and Dietetics. "It doesn't tell you what to eat and not eat. It's a lifestyle that encourages consuming all food groups but gives more weight to those which have the most health benefits."
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.”

Until recently it was thought these antioxidant polyphenols acted directly on genes and blood vessels. But it turns out that they also work via our gut microbes that make up our microbiome. This is the community of trillions of diverse bacteria which live in our large intestine. They feed off the different polyphenols and produce other small chemicals (short chain fatty acids) that dampen down inflammation and help our immune system.
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 2013 study conducted by the German Research Center for Food Chemistry indicates that even just smelling EVOO may lead to greater feelings of fullness: when the scent was added to foods via an aromatic extract, it lowered the number of calories consumed by study participants, and improved blood sugar response. Additionally, compared to other oils and fats, when EVOO was added to yogurt, the group that had eaten the yogurt enriched with olive oil showed the largest increases in blood levels of serotonin, a hormone associated with satiety.
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.

A 2013 study conducted by the German Research Center for Food Chemistry indicates that even just smelling EVOO may lead to greater feelings of fullness: when the scent was added to foods via an aromatic extract, it lowered the number of calories consumed by study participants, and improved blood sugar response. Additionally, compared to other oils and fats, when EVOO was added to yogurt, the group that had eaten the yogurt enriched with olive oil showed the largest increases in blood levels of serotonin, a hormone associated with satiety.
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.
Another thing that's worked for me: holding myself accountable on Instagram. Since starting the keto diet back in 2017, I've religiously posted photos of my progress. Seeing those photos shows me how far I've come, and it helps inspire those starting their own weight-loss journeys—learning about people who I've touched also inspires me to keep moving forward with my goals.
It has a belly-melting X factor. Olive oil is what scientists call a monounsaturated fat (MUFA). And while the mechanism that makes MUFAs melt ab fat isn’t yet fully understood, one thing is for sure: MUFAs lower levels of insulin, a hormone programmed to turn excess blood sugar to belly fat. No wonder studies show that when we choose mostly MUFAs, our bellies shrink up to 350 percent faster than when we choose other fats or no fat at all. Says Palinski-Wade: “This actually works better than really crazy diets.”
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