The traditional Mediterranean diet is based on typical eating habits from the early 1960's in some Mediterranean areas, including parts of Greece and Southern Italy. During that time, the rates of coronary heart disease were among the lowest in the world and the life expectancy rates were among the highest. These trends were attributed to the eating habits in the regions. More recently, in a study published in the New England Journal of Medicine, the Mediterranean diet was shown to reduce the risk of heart attack, stroke and death related to heart problems by 30%.
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?

Keep in mind, however, that consuming too much protein at any given meal can decrease your levels of ketosis. To mitigate this effect, you can divide your protein intake into equal amounts throughout your meals. If you workout, then consider consuming more protein after and/or before your workouts because this protein is less likely to spike insulin levels and reduce ketone levels.

As you start removing carbohydrates from your body, your body will begin using the glycogen stored in your liver and muscles as its primary fuel source. This is exactly what you want, because once your body gets through the glycogen, it will start burning fat instead of glucose. And when this happens, you’ve made it to the holy land: ketosis. We’ll talk more about this in Phase 2.

Weight-loss history — If you’ve lost weight in the past, you’ll have a more difficult time losing weight now. That’s because as you lose weight, your metabolic rate decreases. If two men weigh 200 pounds, but one man used to weigh 275 pounds, the man who used to weigh 275 will burn fewer calories per day since his metabolic rate has decreased from where it once was.
I lost most of my weight on a high protein, low carb diet prescribed by my surgeon, but I’ve recently started the Deeper State Keto program which is much higher fat. I’ve cut out the protein bars and shakes and have so much energy. I feel like I could do cartwheels at all times. It’s not like I felt bad before. I wasn’t sleepy, lethargic, or sluggish. Now, I’m alert, bright and energized all the time."
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.

Olive oil is made by crushing then pressing olives. It has been a staple of the Mediterranean diet for thousands of years. Extra-virgin olive oil comes from the first pressing of ripe olives, and, according to the Ochef website, it has less than 1 percent acid and offers the richest flavor. Virgin olive oil also comes from the first pressing, but can contain as much as 4 percent acid and its taste is slightly less smooth. The labels “light,” and “extra light” you see on bottles of olive oil refer to the color and flavor, not to how many calories or how much fat they contain. All olive oils contain the same number of calories, so choose olive oil based on your taste preferences.
I am researching keto plans and was so pleased to read your perspectives and personal story. It seems many over complicate things. I am 44, 5 ft 8 in and 236 pounds. I had kids at 35 and 48 yrs old and have had a really tough time with my body changes and overcoming this “doomed” feeling when it comes to weight. I want to be confident that this can happen but not sure where to start. I am a nurse, want to run and play with my 2 boys and really want to feel confident and show my horses again. This extra 60 pounds has got a hold of me! What do u recommend I do to start. Thank you for your inspiration!
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!
Generally a good source of fiber, vitamin C and antioxidants, fresh fruit is a healthy way to indulge your sweet tooth. If it helps you to eat more, add a little sugar—drizzle slices of pear with honey or sprinkle a little brown sugar on grapefruit. Keep fresh fruit visible at home and keep a piece or two at work so you have a healthful snack when your stomach starts growling. Lots of grocery stores stock exotic fruit—pick a new one to try each week and expand your fruit horizons.
Eliminating several food groups and the potential for unpleasant symptoms may make compliance difficult. An emphasis on foods high in saturated fat also counters recommendations from the Dietary Guidelines for Americans and the American Heart Association and may have adverse effects on blood LDL cholesterol. However, it is possible to modify the diet to emphasize foods low in saturated fat such as olive oil, avocado, nuts, seeds, and fatty fish.
Fat isn’t unlimited either. As with wine, it's possible to get too much of a good thing when it comes to healthy fats. The American Heart Association points out that while the Mediterranean diet meets heart-healthy diet limits for saturated fat, your total fat consumption could be greater than the daily recommended amount if you aren't careful. That’s 65 g per day. (32)
This research also demonstrated that the monounsaturated fatty acid oleic acid (olive oil is 78% oleic acid) resulted in a marked increase in LPS attached to chylomicrons in the bloodstream. Chylomicrons, also known as cholesterol remnants, are large, fat-rich lipoprotein particles that research has found contribute to the growth of cholesterol-filled plaques. (8) After a fatty meal, the blood is so full of chylomicrons that it turns milky, like a strawberry shake.
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.

In the famous Lyon Diet Heart Study, people who had heart attacks between 1988 and 1992 were either counseled to follow the standard post-heart attack diet advice, which reduces saturated fat greatly, or told to follow a Mediterranean style. After about four years, follow-up results showed that people on the Mediterranean diet experienced 70 percent less heart disease — which is about three times the reduction in risk achieved by most cholesterol-lowering prescription station drugs! The people on the Mediterranean diet also amazingly experienced a 45 percent lower risk of all-cause death than the group on the standard low-fat diet. (11)


Try stress reduction techniques: Examine the stresses in your life and see if you can do anything to alleviate any of them. Stress increases cortisol release. But don’t stress about stress — that is no win. Many women during menopause find they are caught in the sandwich of still dependent children but aging or ill parents. Death of loved ones and loss are common during the menopausal years.
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.
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.
I lost most of my weight on a high protein, low carb diet prescribed by my surgeon, but I’ve recently started the Deeper State Keto program which is much higher fat. I’ve cut out the protein bars and shakes and have so much energy. I feel like I could do cartwheels at all times. It’s not like I felt bad before. I wasn’t sleepy, lethargic, or sluggish. Now, I’m alert, bright and energized all the time."
For the sake of science and my book I was trying to emulate the diets of Cretan fishermen from the 1960s, who reportedly had a glass of olive oil for breakfast before a hard day of fishing or goat herding. These high intakes of oil had been suggested as a cause of their remarkable longevity, despite the large amounts of saturated fat they consumed as a result.
Includes Beta-Hydroxybutyrate (BHB) – When You Drop Your Carbs, You’re Eliminating a Source of Energy for Your Brain as Well as Your Body. Your Brain Requires About 100g of Glucose a Day to Function, So on Low-Carb Diets, You Can Feel a Bit Slow or Fuzzy. BHB is an Exogenous Source of Ketones That Will Help Combat This by Providing Fuel for Your Brain.
Benefits The main ingredient in hummus, chickpeas pack an impressive amount of fiber (more than half of a woman’s 25 g daily quota), as well as iron, zinc, folate, and magnesium, according to a paper published in November 2014 in the journal Applied Physiology, Nutrition, and Metabolism. (15,16) The stats above are for a whole cup, but you only need ½ cup per day to reap the benefits.
The one important caveat: Eating keto also ups the risk for diabetic ketoacidosis, a life-threatening condition where fat gets broken down too fast and causes the blood to become acidic. It’s much more common in people with type 1 diabetes, but if you have type two and are eating keto, talk with your doctor about what you should be doing to diminish your risk.

It's more than just Greek and Italian cuisine. Look for recipes from Spain, Turkey, Morocco, and other countries. Choose foods that stick to the basics: light on red meat and whole-fat dairy, with lots of fresh fruits and veggies, olive oil, and whole grains. This Moroccan recipe with chickpeas, okra, and spices fits the healthy Mediterranean profile.


Keto Weight Loss™ our #1 ketogenic weight loss formula combines key performance ingredients to help you boost mental focus and promote endurance. Keto Weight Loss™ contains MCTs (Medium Chain Triglycerides) and Raspberry Ketone to help support your weight loss efforts. BHB salts (Beta Hydroxybutyrate), a ketone body, are included to help fuel your brain during low-carb dieting and support electrolytes, which may be depleted during a ketogenic diet. If you're looking to boost performance and build your dream physique...Keto Weight Loss™ has you covered.
It’s no secret that carbs—especially refined ones like sugary cereals, white bread and pasta, or sweet drinks—cause your blood sugar to spike and dip. So it makes sense that eating less of them can help keep things nice and even. For healthy people, this can translate to more steady energy, less brain fog, and fewer sugary cravings, Mancinelli explains.
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.”
Eating a keto diet can have some short-term health perks. But in the long run, it also has the potential to create some serious health problems. That’s why many experts say you shouldn’t attempt it on your own. “In general, if a person follows a ketogenic diet, they should only do so for a brief time and under close medical supervision,” says Hultin.
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You've probably heard of the Mediterranean diet, but do you actually understand the science behind it? Full of diverse plant-based foods, healthy fats, whole grains, and yes—the occasional glass of red wine—the Mediterranean diet is widely embraced by top medical professionals and experts. This age-old eating habit is deeply rooted in the coastal cuisines of Mediterranean countries such as Greece, Spain, Italy, France, and northern Africa.

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.


There isn't "a" Mediterranean diet. Greeks eat differently from Italians, who eat differently from the French and Spanish. But they share many of the same principles. Working with the Harvard School of Public Health, Oldways, a nonprofit food think tank in Boston, developed a consumer-friendly Mediterranean diet pyramid that offers guidelines on how to fill your plate – and maybe wineglass – the Mediterranean way.
Refined carbs lack nutrients and can wreak havoc on your blood sugar. Whole grains are best; have four small daily portions of whole-wheat bread, or try a pasta made from quinoa. And always eat grains with healthy fats and protein. Incorporate sprouted or fermented grains (hello, sourdough!) for easier digestion and better nutrient absorption. Or look for creative ways to swap out grains, such as using spaghetti squash in place of noodles.
The diet primarily consists of foods and ingredients that are very close to nature, including olive oil, legumes like peas and beans, fruits, vegetables, unrefined cereal products, and small portions of animal products (that are always “organic” and locally produced). In contrast to the typical American diet, it’s very low in sugar and practically free of all GMOs or artificial ingredients like high fructose corn syrup, preservatives and flavor enhancers. For something sweet, people in the Mediterranean enjoy fruit or small quantities of homemade desserts made with natural sweeteners like honey.
Hallberg suggests caution, however, around very long fasts lasting multiple days. “If you are skipping meals because you are not hungry from doing a proper low-carb, high-fat diet that is just fine.” She is concerned, however, about very long fasts in which people are ignoring hunger signals and for the potential for a dangerous physiological fluid and electrolyte imbalance called refeeding syndrome that can arise after very long extended fasts, lasting many days, when normal eating is resumed.
The results in body fat percentage lost was even more striking. The average body mass percentage decreased by 2.9% in the Atkins diet group. In contrast, it decreased by 1.5% in the Ornish diet group, by 1.3% in the Zone diet group, and 1.0% in the LEARN diet group. [16] This means that subjects in the Atkins diets decreased their average body fat percentage at least twice of any other group- including those eating the low-fat, high carbohydrate Ornish diet.

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!
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?
Additionally, they remarked that “concerns about adverse metabolic effects of the Atkins diet were not substantiated within the 12-month study period.” [16] They acknowledged that more research needs to be done on the long-term effects on cardiovascular and metabolic health especially on men. However, their study supports the idea that a low-carbohydrate diet can help you lower body mass and body fat better than higher-carbohydrate alternatives.
These findings fall in line with another meta-analysis on 13 randomized controlled trials that compared low-fat and low-carbohydrate diets. The researchers found that, after six months, subjects who consumed less than 60 grams of carbohydrates per day had an average weight loss that was 8.8 pounds greater than the subjects on low-fat diets. At one year, the difference had fallen to 2.3 lb (which is consistent with what was found in the meta-analysis conducted by the Brazilian researchers).
In the short term, you may lose a modest amount of weight over a year span and are likely to keep it off it you continue to eat following the diet. (6) If eating in the Mediterranean style prompts you to consume more fruits and vegetables, you’ll not only feel better physically, but your mental health will get a lift, too. Research shows that people who eat more raw fruits and veggies (particularly dark leafy greens like spinach, fresh berries, and cucumber) have fewer symptoms of depression, a better mood, and more life satisfaction. (36)
Keto meals seemed so heavy and rich to me, and it just wasn't how I was used to eating. Plus, I consider myself a flexitarian, so the thought of eating more meat-and more often than I typically would-gave me pause. Dr. Axe assured me that even vegetarians could pull off a keto diet if they planned well enough. (Vegans can, too.) That said, he's a proponent of animal products and red meat specifically, because of the iron it provides for women (who are more susceptible to deficiency) and because it can bolster energy when carbs are lacking. (These Are the Other Things Vegetarians Need to Be Aware of Before Going Keto.)
Don’t be surprised if you find yourself parched while you’re on the keto diet. Excreting all that extra water will likely cause a spike in thirst—so make it a point to drink up, Mancinelli advises. There’s no hard and fast recommendation for how much water you should be having on a keto diet. But in general, aim to drink enough so your urine is clear or pale yellow. If it’s any darker, bump your intake.
I just started keto this past week and I am on day 7. I am down 4lbs, but have a long way to go to reach my goal (40lbs). I was wondering about certain foods….are tomatoes/onions okay on a keto diet? I’ve read quite a few conflicting reports that claim you should not eat those while on keto. I’m not very good at tracking macros and calories yet. I’m just trying to stay focused on eating all the right foods. It has been a rough week with brain fog, headaches, fatigue, the works…and barely enough energy to get in any exercise. Still I try. I have two little ones and that tends to take up more of my time. I recently found out that milk is pretty high in carbs and replaced that as well. I was wondering if after your reaching your goal, whether or not I could transition to paleo and still keep the weight off. Do you think that would work? I love fruits and the occassional glass of milk that allows me to make a smoothie haha….I was just wondering, what are your thoughts on this?
My dad was diabetic even though he was a competitive cyclist and ate "healthy". I grew up in a Weight Watchers household where everything was sugar-free and fat-free. Back then, if you had diabetes, you switched your white bread, rice, and pasta to whole wheat and you were fine. My dad died of pancreatic cancer when I was 19 years old. They say there’s no cause for this cancer, but I think the stress from his diabetes on his pancreas had a lot to do with it.
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.
You'll find lots of free Mediterranean diet resources on the Oldways website, including an easy-to-understand food pyramid; a printable grocery list; gender- and age-specific tips on making the Mediterranean switch; a quick-read "starter" brochure; a recipe newsletter; and even a glossary defining Mediterranean staples, from bruschetta to tapenade.

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.
Don’t be surprised if you find yourself parched while you’re on the keto diet. Excreting all that extra water will likely cause a spike in thirst—so make it a point to drink up, Mancinelli advises. There’s no hard and fast recommendation for how much water you should be having on a keto diet. But in general, aim to drink enough so your urine is clear or pale yellow. If it’s any darker, bump your intake.
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).
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.

That doesn’t mean you’ll go hungry on a diet. It’s quite the opposite! You’re not starving yourself of calories but of carbohydrates. Your body won’t go into what’s known as starvation mode, which is where your metabolic rate drops considerably. You’re adding more fat to the diet and taking out the carbs, so the metabolism can still work, and you get the energy you need.
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!
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.

Day 1: It's 8:15 a.m. and my stomach is growling. It knows it's time for its breakfast, and I'm depriving it. I blended my protein coffee and ran out the door. My first thought is that the vanilla flavor is a nice complement to black coffee. But toward the end of the thermos, I realize that no matter how you dice it, vanilla bone broth protein coffee is not the same as a vanilla blonde roast with skim milk.
In 2017, Drs. Kevin Hall and Juen Guo published a meta-analysis of controlled feeding studies that compared diets of equal calorie and protein content with variations in carbohydrate and fat content. By designing the study in this way, the researchers could finally find out whether restricting carbs or limiting calories is more important when it comes to weight loss.
With all this talk of the great benefits of olive oil, let’s talk about how to take it. We know, of course, that it may be a bit difficult to start your day with an entire shot of olive oil on an empty stomach first thing in the morning. In fact, if oil is consumed in large amounts, it may actually upset the stomach that is not used to it. Here are a couple more ways to go about it.
A ketogenic diet may be an option for some people who have had difficulty losing weight with other methods.  The exact ratio of fat, carbohydrate, and protein that is needed to achieve health benefits will vary among individuals due to their genetic makeup and body composition. Therefore, if one chooses to start a ketogenic diet, it is recommended to consult with one’s physician and a dietitian to closely monitor any biochemical changes after starting the regimen, and to create a meal plan that is tailored to one’s existing health conditions and to prevent nutritional deficiencies or other health complications. A dietitian may also provide guidance on reintroducing carbohydrates once weight loss is achieved.
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In just about every study purporting to show that people or animals lowered their LDL bad cholesterol levels after starting to use olive oil, the subjects used olive oil in place of other dietary fats, often saturated fats like butter, coconut oil, or lard. Well, of course LDL cholesterol is going to be lower when olive oil replaces butter. The total amount of saturated fat and/or cholesterol in the diet takes a tumble when butter is removed.


I've been doing the keto diet for a couple of years now, and there's one thing I can tell you: the longer you follow it, the more benefits you get! It also gets much easier! That's because, once your body is fat adapted for a long period of time, it get's easier to get back into ketosis. You simply need to train your body to do it. Once you've been fat adapted for a few months, you can even add a few carbohydrates back into your diet from time to time. So understand that you aren't saying goodbye to carbs forever, you are just getting smarter about how to use them! For more go to http://www.easyketomealplan.org/
Finally, watch your protein intake, it’s very easy to go over on that and excess protein will be converted to sugars in your body (so it’s fine if you work out a lot but if you don’t then just be aware and don’t go overboard). It’s practically impossible to eat too much good fats (avoid trans fats like the plague and try to limit polyunsaturated too as too much of them can promote inflammation in the body and unfortunately they’re in lots of stuff), fats are so satieting though that you’ll nearly always feel way too full before you can eat too much of them (provided the food that they’re in isn’t secretly hiding carbs and protein too, I.e. be careful with the kind of nuts you eat, macadamia only have 5 grams of carbs per 100g but cashews have 20+ so a couple big handfuls of those will nearly knock you out of ketosis like that!)
But your heart health might depend on what you actually eat. Research published in the New England Journal of Medicine suggests that low-carb diets based mostly on plant sources of fat and protein (like avocados or nuts) can lower heart disease risk by 30 percent. But those benefits didn’t hold for people who ate mostly animal-based proteins and fats. (Think: bacon, butter, and steak.)
The media have made much of the fact that low-fat diets like Pritikin are problematic because science has shown that HDL levels drop in response to low-fat eating. But science has also found (and the media rarely point it out) that the HDL particles of people on a low-fat diet are working very, very efficiently. (17) There may not be as many garbage trucks, but those that are in force are functioning superbly well and clearing the LDL garbage out.
This content is strictly the opinion of Dr. Josh Axe and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
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.
Olive oil contains biophenols, which suppress the oxidization of LDL (or “bad cholesterol”) which has been shown to play a role in the development of cardiovascular disease. High levels of LDL in the blood amplify oxidative stress which hardens the arterial walls (called atherosclerosis). The biophenols in olives reduce blood pressure, therefore reducing the development of arterial plaque as well.
Sleep enough – for most people at least seven hours per night on average – and keep stress under control. Sleep deprivation and stress hormones raise blood sugar levels, slowing ketosis and weight loss a bit. Plus they might make it harder to stick to a keto diet, and resist temptations. So while handling sleep and stress will not get you into ketosis on it’s own, it’s still worth thinking about.
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.
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.

You still have to cap alcohol. The hallmark of a Mediterranean diet is that drinking red wine socially is thought to be one reason why the diet is so healthy. But women should still stick to one glass, and men two glasses. If you have a history of breast cancer in the family, know that any alcohol consumption raises that risk. (31) In that case, talk to your doctor to find out what’s right for you.
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What is even more surprising is that the monounsaturated-fat-rich diet and saturated-fat-rich diet were equally damaging. “The monkeys fed monounsaturated fat developed equivalent amounts of coronary artery atherosclerosis as those fed saturated fat,” wrote Dr. Lawrence Rudel and colleagues at Bowman Gray School of Medicine at Wake Forest University in Winston–Salem, North Carolina.
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