Keto flu is a real thing. Cutting your carbs to the bone and going into a state of ketosis (where your body burns fat for energy) can bring on a cluster of uncomfortable symptoms, such as headaches, fatigue, muscle aches, nausea, and diarrhea. The side effects are the result of your body transitioning to using fat as its primary source of energy instead of carbs, explains Kristen Mancinelli, MS, RDN, author of The Ketogenic Diet. Once it adapts to the new fuel source (usually within a week or two), you’ll start to feel better.
Research shows that greater adherence to the traditional Mediterranean diet, including plenty of monounsaturated fats and omega-3 foods, is associated with a significant reduction in all-cause mortality, especially heart disease. A striking protective effect of a Mediterranean diet rich in alpha-linolenic acid (ALA) from olive oil has been shown in many studies, with some finding that a Mediterranean-style diet can decrease the risk of cardiac death by 30 percent and sudden cardiac death by 45 percent. (6)

"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."

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.

Set realistic expectations: Both Dr. Hallberg and Jackie Eberstein note this tip is particularly important for women, of all ages. Some women are aiming for an arbitrary number on a scale, perhaps from a long time ago or an idealized weight they have never achieved — a number that has no real bearing or relationship to their actual health and wellness.
Perhaps one of the biggest reasons that MCT oil sales have skyrocketed in recent years is due to growing popularity of “The Bullet Proof Diet.” “The Bulletproof Diet,” written by Dave Asprey, is a dietary approach for rapid weight loss and better cognitive health that recommends you receive 50 percent to 70 percent of your energy from healthy fats, especially MCT oil, grass-fed butter and coconut oil. (1) The plan’s signature breakfast, “bulletproof coffee” — a mix of coffee, MCT oil and butter — promises decreases in hunger levels, the ability to fast easily, better brain function and mental clarity. While coconut oil benefits are still recognized by Bulletproof dieters, MCT oil is considered the gold standard, and the official Bulletproof site sells its own MCT oil, called Brain Octane Oil.
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.
Eat the right amount of protein. Too much protein can increase insulin levels and decrease ketone levels, while not consuming enough protein can cause you to burn muscle rather than fat. If you exercise, protein levels should be hovering around 0.8g – 1.0g protein per lean pound of body mass a day. This helps with muscle mass retention and growth. However, if you are not exercising – your protein intake doesn’t need to be as high. A protein intake of 0.6g – 0.8g of protein per lean pound of body mass is going to be fine for sedentary individuals.
Excessive ketone bodies can produce a dangerously toxic level of acid in the blood, called ketoacidosis. During ketoacidosis, the kidneys begin to excrete ketone bodies along with body water in the urine, causing some fluid-related weight loss. Ketoacidosis most often occurs in individuals with type 1 diabetes because they do not produce insulin, a hormone that prevents the overproduction of ketones. However in a few rare cases, ketoacidosis has been reported to occur in nondiabetic individuals following a prolonged very low carbohydrate diet. [4,5]
Hello, I am doing IF 16:8 & my eating window is in the evening. I’m confused as to what to eat during those 8 hours. I’ve been eating 1 meal & a snack. Is this enough? I’ve been doing Keto dieting for 6 months. Initially lost 5 #. (Realize it was water #) Now I weigh more than I ever have, as of today!! Drink loads of water, eat healthy fats, mod protein & limited carbs, non processed. Can you help? Thanks!!
Day 5: As fate would have it, 3 p.m. rolls around and we get a message that there are cookies in the conference room. I have been snacking on keto-approved foods like Granny Smith apples (the tart green apple has way less sugar than, say, a red Gala), and full-fat cottage cheese with blueberries (where have you been all my life, snack?) with no real trouble with cravings. But just knowing there are cookies that I can't eat makes me feel a little cheated. (Though These Low-Carb Keto Desserts Help With That.)

Constipation is a common side effect of low-carb eating plans, including the ketogenic diet. Severely curbing your carb intake means saying goodbye to high-fiber foods like whole grains, beans, and a large proportion of fruits and vegetables, says Ginger Hultin, MS, RDN, Seattle-based nutritionist and spokesperson for the Academy of Nutrition and Dietetics.
As a gut health doctor, this is my biggest pet peeve about keto diets: They sometimes overemphasize foods high in dietary fat like meat and full-fat dairy at the expense of gut-supporting plant foods. Knock your gut flora out of balance and you're almost sure to hit a plateau since gut health affects weight loss. Even on the strictest keto diet, you can incorporate fermented and cultured foods including sauerkraut, kimchi, and kefir.

In one animal study published in the Journal of Animal Feed and Sciences, when pigs were either fed a standard feed mixture (the control) or the same mixture supplemented with two grams each of caprylic or capric acid MCTs, the pigs receiving MCTs showed improvements in bacterial gut health, performance, growth and digestion of nutrients, including proteins and fiber. (7)
In one animal study published in the Journal of Animal Feed and Sciences, when pigs were either fed a standard feed mixture (the control) or the same mixture supplemented with two grams each of caprylic or capric acid MCTs, the pigs receiving MCTs showed improvements in bacterial gut health, performance, growth and digestion of nutrients, including proteins and fiber. (7)
Eat less often. It’s much easier to eat fewer calories and maintain higher levels of ketosis when you eat less meals. Instead of snacking throughout the day, try getting all of your calories from 2-3 meals every day. You can also try intermittent fasting by restricting all your meals to an 8-hour eating window. This will allow your blood sugar and insulin to drop down to baseline levels so that your body can go into its fasting state and burn body fat for fuel.

Are you tracking your calorie intake? Healthy fats also have higher calories and can put you at or over your bodies calorie requirement. Calculate the calories that you have been eating over the past while and then check how many calories you should actually be taking in. If you want to lose weight you have to be in calorie deficit regardless of whether you are in ketosis or not.

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.

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.
The study looked at more than 7000 participants who were divided into three groups and were tracked over five years. The first group was asked to follow an unrestricted-calorie Mediterranean diet supplemented with additional extra virgin olive oil; the second group was asked to follow an unrestricted-calorie Mediterranean diet supplemented with additional nuts; and the third group was asked to follow a low-fat diet. More than 90% of the participants were overweight or obese at the time of the study and were between the ages of 55 and 80 years of age.
The study found that those people eating a Mediterranean diet that was supplemented with the olive oil deliveries were 30 percent less likely to die of heart attack, disease, stroke or death from cardiovascular causes than those eating a low-fat diet. (1) In fact, the study finished earlier than planned, because the results were drastic enough that it was considered unethical to continue conducting it. For those of us who advocate eating a Mediterranean diet, this study was a welcome validation.

There’s room for interpretation in the Mediterranean diet, whether you prefer to eat lower carb, lower protein or somewhere in between. The diet focuses on consumption of healthy fats while keeping carbohydrates relatively low and improving a person’s intake of high-quality protein foods. If you refer protein over legumes and grains, you have the option to lose weight in a healthy, no-deprivation-kind-of-way with a high amount of seafood and quality dairy products (that simultaneously provide other benefits like omega-3s and often probiotics).
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.

Spinach is a great source of iron, which is a key component in red blood cells that fuel our muscles with oxygen for energy. But researchers in Sweden identified another way in which these greens might keep you charged: Compounds found in spinach actually increase the efficiency of our mitochondria, the energy-producing factories inside our cells. That means eating a cup of cooked spinach a day may give you more lasting power on the elliptical machine (or in your daily sprint to catch the bus).
One review, published in April 2016 in The American Journal of Medicine, looked at five research trials on overweight and obese people and found that after one year those who followed a Mediterranean diet lost as much as 11 pounds (lbs) more than low-fat eaters. (6) (They lost between 9 and 22 lbs total and kept it off for a year.) But that same study found similar weight loss in other diets, like low-carb diets and the American Diabetes Association diet. The results suggest, the researchers say, that “there is no ideal diet for achieving sustained weight loss in overweight or obese individuals.”

Move more. You’ll lose pounds faster if you increase your daily physical activity. Keep in mind you don’t have to go to the gym 6 times a week or jog every morning, just move more in your everyday life. For instance, take a short 2-minute break from sitting in your chair every hour, take the stairs instead of the elevator, walk to make errands if you can, get a standing desk, or take phone calls standing up and pacing around. These small calorie-burning movements add up at the end of the day.
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.

There is not one “standard” ketogenic diet with a specific ratio of macronutrients (carbohydrates, protein, fat). The ketogenic diet typically reduces total carbohydrate intake to less than 50 grams a day—less than the amount found in a medium plain bagel—and can be as low as 20 grams a day. Generally, popular ketogenic resources suggest an average of 70-80% fat from total daily calories, 5-10% carbohydrate, and 10-20% protein. For a 2000-calorie diet, this translates to about 165 grams fat, 40 grams carbohydrate, and 75 grams protein. The protein amount on the ketogenic diet is kept moderate in comparison with other low-carb high-protein diets, because eating too much protein can prevent ketosis. The amino acids in protein can be converted to glucose, so a ketogenic diet specifies enough protein to preserve lean body mass including muscle, but that will still cause ketosis.


However, this diet is gaining considerable attention as a potential weight-loss strategy due to the low-carb diet craze, which started in the 1970s with the Atkins diet (a very low-carbohydrate, high-protein diet, which was a commercial success and popularized low-carb diets to a new level). Today, other low-carb diets including the Paleo, South Beach, and Dukan diets are all high in protein but moderate in fat. In contrast, the ketogenic diet is distinctive for its exceptionally high-fat content, typically 70% to 80%, though with only a moderate intake of protein.
Those who’ve had their gallbladder removed may need ox bile supplementation to support their body in breaking down fats[*] and aid in overall digestion. When taken with a meal, ox bile provides a concentrated source of bile which takes the place of the bile that would have been secreted by your gallbladder. As mentioned before, proper digestion is key to helping aid in weight loss and optimizing overall health and wellness.
"I'm not obsessed with food anymore. Before keto, I was constantly hungry and thinking about food. If we got takeout, I would open all of the containers to see which one had the most in it and I would grab that one. It makes sense now because everything I was eating was full of sugar and carbs and I was in that vicious cycle. Growing up, if we had a bad day my dad would say, "Let’s go get some ice cream." He wasn’t trying to raise a food addict.
Day 8: I'm still struggling to find a morning beverage that I enjoy and that keeps me full, so I try flavorless collagen protein powder with my coffee plus a splash of macadamia nut milk. It still isn't the same as a French press with cream, but it's a win! On the solid-food front, I'm starting to get a little grossed out about all the meat I've eaten in the past week. It's more than I'd normally eat in three times as long. Lamb burgers, turkey lettuce-wrap tacos, chicken salads. My digestion is off (even though I take probiotics every morning), so Dr. Axe recommends his Keto Digest supplements at lunch. They contain fat-digesting enzymes to help break down the extra fat and protein that my body isn't used to consuming, and it helps.
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.
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.

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.
Seems to be working well. Mixes well with cold liquids, which is nice, and doesn't leave oily lips as much as coconut oil does. Do be careful about using too much, or using it with too empty a stomach. I recommend having food in your system if you are going to take this (unless you intentionally need a good cleaning out, then please take a double dose and you are guaranteed results!)

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.

The high-grade extra virgin olive oil contains around 30 polyphenols that act as antioxidants and reduce inflammation in the body. The monounsaturated fatty acids in extra virgin olive oil help increase HDL (“good”) cholesterol while decreasing LDL (“bad”) cholesterol. Plus, the additional antioxidants have been shown to reduce the risk of heart disease.


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. [24]

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.
Not intended for use by persons under age 18. Do not exceed recommended dose. Do not take for more than eight (8) consecutive weeks. Do not use if you are pregnant or nursing. Discontinue use two weeks prior to surgery or if upset stomach occurs. Get the consent of a licensed physician before using this product, especially if you are taking medication, have a medical condition, or thinking about becoming pregnant. Do not take this product close to bedtime. Keep this product and all supplements out of the reach of children., The recommended serving of this product contains approximately as much caffeine as two cups of coffee. Do not consume caffeine, or combine with synephrine, including but not limited to coffee, tea, soda and other dietary supplements or medications containing phenylephrine or caffeine. Too much caffeine may cause nervousness, irritability, sleeplessness, and occasionally rapid heartbeat. Discontinue use if you experience dizziness, severe headache, rapid heartbeat or shortness of breath.
On a ketogenic diet, your entire body switches its fuel supply to run mostly on fat, burning fat 24-7. When insulin levels become very low, fat burning can increase dramatically. It becomes easier to access your fat stores to burn them off. This is great if you’re trying to lose weight, but there are also other less obvious benefits, such as less hunger and a steady supply of energy. This may help keep you alert and focused.
Remove artificial sweeteners: If you have been including artificial sweeteners like aspartame or sucralose in your low-carb or keto diet, our experts recommend you wean yourself off them. “While there are not a whole lot of scientific studies, anecdotally we find when people get rid of artificial sweeetners, they were able to lose weight. Come off them as soon as you can,” advises Dr. Westman.
I’m going to keep eating like this until I lose another 13-15 kilos, then I’ll reevaluate how I want to eat… But really i’ll probably stick to this diet most of the time, it’s easy once you get into it and I love how I feel on it don’t expect to lose weight as quickly as guys do by the way if you’re a woman, my missus is doing this diet too and she’s losing weight about half as quickly as I am but it is still coming off (she’s lost 6 kilos so far) but she cheats a bit and can’t help having dessert a lot of the time (she whips some cream and adds a few frozen raspberries and vanilla essense) plus she only recently started the intermittent fasting as well so I think it will speed up for her now too.
Researchers attributed this to the increased metabolism and fat burning that comes with consuming MCTs. I love coconut oil because it provides the very best natural source of MCT oils to boost metabolism, cut your hunger, lower triglycerides, reduce fat storage, and even improve athletic performance.  On top of all these benefits, MCTs make excellent brain and cellular fuel.
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
Follow this dude’s advice to the letter. Put up with the keto flu for a few days, it will pass, and after it does you’ll feel better and have more energy than you have had in a long time! Be strict with yourself, don’t have cheat days, they’re never worth it, trust me, it just ends up demotivating you by making you feel physically terrible and mentally kicking you in the balls when you see the weight gain (even though its only temporary). Also any time you up your carb intake you’ll find you start feeling hungry again, don’t do it, it sucks.
If you look at your diet and worry that there's barely a green to be seen, this is the perfect opportunity to fit in more veggies. A good way to do this is to eat one serving at snacktime, like crunching on bell pepper strips or throwing a handful of spinach into a smoothie), and one at dinner, like these quick and easy side dishes. Aim for at least two servings per day. More is better. At least three servings can help you bust stress, Australian research notes.

A 2004 study published in the Journal of Neurobiology of Aging found that the MCTs in coconut oil helped improved memory problems, including Alzheimer’s disease in older adults. (6) It only makes sense that a food that supplies fuel for your brain and also helps you absorb vitamins and minerals better will also make you feel more clearheaded, energetic and positive.
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.
When you think about Mediterranean food, your mind may go to pizza and pasta from Italy, or lamb chops from Greece, but these dishes don’t fit into the healthy dietary plans advertised as “Mediterranean.” A true Mediterranean diet consists mainly of fruits and vegetables, seafood, olive oil, hearty grains, and other foods that help fight against heart disease, certain cancers, diabetes, and cognitive decline. It’s a diet worth chasing; making the switch from pepperoni and pasta to fish and avocados may take some effort, but you could soon be on a path to a healthier and longer life.
The point here is that olive oil is not the magic bullet that made populations along the Mediterranean in the 1950s so healthy. Olive oil was simply a bellweather, or marker, for other features of the Mediterranean diet, like plenty of fruits, vegetables, whole grains, and exercise, that actually did make Mediterranean populations healthier than those in the U.S. or Northern Europe, where more fatty animal products were consumed.

Finally, people eat about nine servings of fruits and vegetables a day on a Mediterranean diet. (1) Produce packs an array of disease-fighting antioxidants, and people who fill their diet with these foods have lower risk of disease. Yet as the National Institutes of Health points out, it’s not known if it’s the antioxidants or other compounds (or general healthy eating patterns) that are responsible for these advantages. (5)
If lunch was a nutritional bust, then dinner is your chance for redemption. Focus on creating a balanced plate, and challenge yourself to go meatless at least once a week. Find small ways to boost the nutrition of your meal, whether it’s piling fresh arugula over homemade pizza, tossing leftover grilled veggies into pasta, or sprinkling chopped nuts or seeds over a salad.
Day 10: I'm starting to get sick of the same foods that I know are safe bets. And the number of times I've Googled: "Is _____ keto?" is getting out of hand. I've realized that the only real gripe I have with the keto diet is that there are so many healthy, nutritious foods that you can't eat while on it. (Maybe that's why experts say you should give up restrictive diets once and for all.) Carrots? Sweet potatoes? Brussels sprouts? What vitamins and nutrients am I missing out on by leaving these foods off my plate?

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."
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.
A: You’ll find a detailed menu earlier in this article (also, recipes from Everyday Health!), but generally, you’ll want to make plants and whole grains the stars of your plate. If you look at a Mediterranean diet food pyramid, sweets are up top (indicating they should make up only a small part of your diet), followed by meat and dairy, and then fish. Last are fruit, veggies, and whole grains (suggesting they can be eaten liberally). Also, enjoying food with friends and family is a tenet of the eating approach, so make your meals a social affair!
Therefore, consuming a lot of olive oil (or any other fat) can easily lead to weight gain and obesity, which leads us straight to poor heart health. That’s because weight gain increases insulin resistance in many people and leads to a variety of metabolic changes that promote heart disease, including higher levels of cholesterol and triglycerides, as well as higher levels of markers linked with chronic inflammation, like inflammatory cytokines.
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