Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, Gómez-Gracia E, Ruiz-Gutiérrez V, Fiol M, Lapetra J, Lamuela-Raventos RM. Primary prevention of cardiovascular disease with a mediterranean diet supplemented with extra-virgin olive oil or nuts. New England Journal of Medicine. 2018 Jun 13. [Note: reference updated in June 2018 due to retraction and republication]

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.


Fish, dairy products and grass-fed/free-range meats contain healthy fatty acids that the body needs, working to help you feel full, manage weight gain, control blood sugar, and improve your mood and energy levels. But if you’re more of a plant-based eater, legumes and whole grains (especially if they’re soaked and sprouted) also make good, filling choices.
The Mediterranean diet is not a low-fat diet. Fat is actually encouraged, but only healthy varieties such as monounsaturated fat from olive oil and polyunsaturated fat (specifically omega-3 fatty acids) from certain fish and shellfish. Unhealthy fats such as trans fats and saturated fats, which are often found in processed foods and red meat, are discouraged. While the Mediterranean diet is strongly plant-based, it is not exclusively vegetarian. Fish, shellfish, and a little poultry are welcome, but they should never trump whole grains, fruits, vegetables, or legumes in a meal.
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.
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."

Starting in Italy thousands of years ago and spreading to Greece, Spain and other areas around the Mediterranean, this diet is now successful all over the world for promoting health and longevity. While it’s always existed, even before books and studies were dedicated to it, the diet really began to take hold around the world in the 1990s, when a Harvard University doctor showcased it as a diet useful for improving heart health, losing weight and clearing up other health issues.
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.
The ketogenic diet is a diet based on the consumption of predominately fat, giving less emphasis to the other two macronutrients, particularly carbohydrates. While ratios vary depending on the individual and their goals, consumption typically consists of only five to ten percent carbohydrates, fifteen to thirty percent protein and the remainder of the diet is made up of fat.
As evidence continues to mount affirming that inflammatory substances in the blood promote plaque growth, plaque rupture, and clot formation, all of which likely increase the risk of heart attacks, “we’ve got to start asking ourselves: ‘Is any fat, even so-called good fats, beneficial in terms of preventing heart attacks and strokes?'” says Kimberly Gomer, MS, RD, Director of Nutrition at the Pritikin Longevity Center.

Your brain is largely made up of fatty acids, so you need a steady supply from your diet to feel your best, think clearly, perform well at work and stay sharp well into older age. Medium-chain fats are believed to be one of the most easily digested, utilized and protective fatty acids that exists. According to leading Neurologist Dr. Perlmutter, you can boost the availability of ketones for your brain by simply adding coconut oil or MCT oil to your daily regimen. But to make this effective, carb restriction is a must! “MCT oil not only feeds your brain cells, but also improves your gut health—which is largely connected to cognitive functioning thanks to the “gut-brain connection.”


I like this product a lot. I am on my 2nd bottle now and I'm working on low carb/ketogenic lifestyle. this has helped with keeping me out of energy crash and burns, no jitters, and no headaches. If you are a coffee drinker it specifically says to avoid more caffeine if you take the full dose (3 capsules) during the day, just so you know. (Guarana is a source of caffeine). Everyone is different. I started with 1 capsule then worked my way up to 3 within a few days to see how my body handled it.

Hi, my name is Kate and I would like to share my story. Up until about 2 years ago, I was 30 pounds overweight. Over the years I had followed many different diet plans, but failed every single time. I was "blessed" with a pear shaped body and no matter what i did, I always retained lots of stubborn fat in my lower body. Everything changed when I found the right diet program. Read my story here ==> http://bit.ly/mydietstory

Once fat adapted, cut back on extra fat: One of the great joys of low-carb keto eating is adding back fat into our bodies after denying them fat for so long. But a keto diet is not carte blanche to gorge yourself on fat, the experts note. If you want to lose weight, you have to burn your own fat stores for energy, not consume all the energy you need by eating fat. So stop the bulletproof coffee and fat bombs for now.
The Harvard pyramid is based on the Mediterranean diet. Its structure came from the diets of the inhabitants of Crete and Southern Italy in the 1960’s. The study was presented in 1993 by Walter Willett of the Harvard School of Public Health at the International Conference on the Mediterranean Diet held in Cambridge Massachusetts. Note that oil is one of the basic components, in direct opposition to the current USDA pyramid. This pyramid has enjoyed a decade of increasing acceptance.

In the end, I'm pleased with my keto diet results both internally and externally. I lost 4 pounds in two weeks, gained some energy and efficiency with my training, and more often than not felt that I could see better muscle tone instead of feeling bloated or weighed down. While the ketogenic diet may not be my go-to on a regular basis, Dr. Axe's final feedback was encouraging: He says because I've now had a successful keto trial run, if I wanted to cycle through some keto weeks (or even a month, next time), I'd be able to easily, potentially reaching ketosis even more quickly. While going full-force back on the carbs could derail me or anyone else who wants to keto-cycle, Dr. Axe says the odds are in my favor. "Ninety percent of the time if someone's done it once, they will get into ketosis quicker and easier the next time," he says.
A perfect plate reflecting the Mediterranean diet is nutritionally balanced, diverse, and full of color, flavor, and texture. It’s crisp, leafy greens; deep purple grapes; ruby-red salmon; vibrant rainbow carrots; and nutty, crunchy farro. It’s Greek yogurt topped with figs, dates, and a drizzle of honey. Is your mouth watering? That’s exactly the point—the Mediterranean diet should never feel restrictive. Instead, it’s an enlightened way of eating defined by plant-based foods such as vegetables, fruits, healthy grains, legumes, nuts, and seeds.
But much has changed on Crete – and throughout the Mediterranean – since then. Today, the people of Crete still eat a lot of olive oil, but their intake of whole, natural foods has gone way down, as has their physical activity. The island’s new staples are meat, cheese, TV, and the Internet. Today, more than 60% of Crete’s adult population – and an alarming 50% of its children – are overweight.
MCT oils are particularly good for cooking because they have a high “smoke point,” meaning they don’t oxidize from heat easily and can withstand high temperatures. This is crucial, because even certain “good fats” are not well-suited for cooking (like extra virgin olive oil or flaxseed oil, for example) and can become rancid oils somewhat easily. Both coconut oil and MCT oil can be used for the most part in baked goods, sautés, stir-fries and grilled foods without oxidizing.
A diet high in fresh plant foods and healthy fats seems to be the winning combination for longevity. Monounsaturated fat, the type found in olive oil and some nuts, is the main fat source in the Mediterranean diet. Over and over, studies show that monounsaturated fat is associated with lower levels of heart disease, cancer, depression, cognitive decline and Alzheimer’s disease, inflammatory diseases and more. These are currently the leading causes of death in developed nations — especially heart disease.
It is important to note that while you’re in this first phase, you’ll want to make sure to drink extra water to prevent yourself from becoming dehydrated. Additionally, you may also notice flu-like symptoms — nausea, vomiting, tiredness, and maybe even some irritability. This is what people call the keto flu and could last anywhere from a few days to a few weeks. Don’t fret. This is simply a sign that your body is getting adjusted to a new fuel source i.e. transitioning to fat-burning mode.
We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. We may share your information with third-party partners for marketing purposes. To learn more and make choices about data use, visit our Advertising Policy and Privacy Policy. By clicking “Accept and Continue” below, (1) you consent to these activities unless and until you withdraw your consent using our rights request form, and (2) you consent to allow your data to be transferred, processed, and stored in the United States.
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)

Coconut oil contains MCT’s, but only in relatively small quantities. C8 MCT (Caprylic Acid) comprises roughly 6% of coconut oil, and C10 (Capric acid) is usually around 9%. These two forms of MCT are particularly valuable because they take far fewer steps to convert to caloric energy than the other saturated fat forms found in coconut oil. Coconut oil is great, but if you really want to benefit from the fast acting fuel of MCT’s, choosing Onnit MCT oil is the way to go.
The group who ate yogurt with the extract had increased blood flow in brain areas typically associated with fat consumption—even though the overall fat content of the snack was low. That's all thanks to the scent of olive oil, which might help you feel full, according to the researchers. (This isn't the first time studies have shown that olive oil can increase feelings of satiety and fullness.)

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.

This is the ultimate “trimmifying” oil, with 100% Medium Chain Trglycerides 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!
Τhe number one concern I get when I present or suggest using plenty of olive oil in the recipes I post here, is worrying about the calories and fat. Too much fat and you will gain weight, right? Well, no not exactly. As I have explained, when you have one of the many vegetable based Greek dishes which are made with vegetables and olive oil, the percentage of fat will be somewhat high because the calories from the vegetables is so low, but overall the calories balance out. As Dr. Antonia Trichopoulou, M.D., Ph.D., top Mediterranean diet researcher and one of the developers of the Oldways Mediterranean Pyramid, has said “Certainly olive oil has many calories, but a diet can be followed that can include oil while staying within normal limits calorie wise”.
Just like most health issues, many different factors contribute to obesity. The factors most responsible for the obesity epidemic seem to be our genetics and the environment, and how they interact to create our eating behavior. To gain a deeper understanding of how they contribute to obesity, let’s explore the organ responsible for our eating decisions — the brain.

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.
hey Julius, love your blog and dirtyweights.com … im two weeks into keto and really seeing some great results..but i would liek to know what is the optimal calorie intake and macro split ishould be doing. im 31, 6 feet 2, at 195 lbs. ive put on muslce for the past year and want to burn body fat from what i am now (approx 21% fat) to ideally 15% or lower in next 6 weeks. what would you suggest?
Is there a plan out there that covers what to eat if you are histamine (and amines) intolerant and want to go keto? I have a food list from the Mast Cell Society. Another that is just published for histamines. Another from an allergy clinic for glutamates and amines… sigh! Exhausting trying to cross reference everything! That and I think it leaves little to eat, but no reactions LOL.

Loading up on fat lowers your levels of insulin. Insulin is a hormone that tells your body to store energy, either as fat or glucose.[4][5] The more insulin your body releases, the more fat that gets stored. Insulin also blocks leptin, the hormone that sends a signal to your brain when you’ve eaten enough to meet your energy needs.[6] That means when you eat carb-heavy foods, you’re at risk of overeating and won’t get that full feeling before reaching for a second helping of potatoes.

For example, the large Greek EPIC study investigated which components of the Mediterranean diet were most beneficial and found that monounsaturated fats like olive oil were not stars. (11) Following 23,349 people for 8.5 years, the scientists demonstrated that only 11% of the benefit from a Mediterranean diet came from a high ratio of monounsaturated to saturated fats, and all of the monounsaturated fats were not olive oil.  The biggest health benefits came from high vegetable intake, low meat intake, and moderate alcohol consumption.
Benefits It packs lycopene, a powerful antioxidant that is associated with a reduced risk of some cancers, like prostate and breast. Other components in tomatoes may help reduce the risk of blood clots, thereby protecting against cardiovascular disease, according to a review published in December 2013 in the journal Annual Review of Food Science and Technology. (9,10)
Day 6: When I thought back to what I ate today, I realized that between my salad and my lamb burger, I ate an entire avocado. The Keto360 plan recommends no more than half an avocado a day, and most nutritionists would probably agree. While the creamy, green fruit is filled with a lot of healthy fats, which I need in excess to stay in ketosis, at 300 calories a pop, that can quickly add up. (One gram of fat equals 9 calories, opposed to 4 calories per gram for both protein and carbs.)
Over the last few months, we have interviewed five people who have used the keto diet to each lose over 100 pounds. They shared with us the different kinds of life changing habits they developed along their keto journeys - the habits that kept the weight off. How do they deal with cravings? What was the hardest part? When did they decide to make a change? What do they eat every day? Listen to the interviews over at the Keto For Normies Podcast or stay and read them here! 
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.
When it comes to eating a healthy diet, olive oil is your best friend. It tastes delicious, it's full of healthy, good-for-your-heart fats, and it might even help fight off dangerous belly bugs. But there’s another way this golden health elixir can make your life better—and you don't even need to eat it. Simply smelling olive oil may help you lose weight, according to a recent study in the American Journal of Nutrition.
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."
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.

"I was on Reddit one day when I saw a weight loss transformation of a guy who had lost 140 pounds in a year using the keto diet. I started reading the keto subReddit and began researching the science behind it. After years of using upcoming events as excuses not to diet, I chose to start keto in January when the holidays were over and there weren’t any weddings or parties for the next few months. 
"The authors … use kilojoules to measure energy instead of calories, but when you convert the units, you'll see that few of the studies showed a benefit relevant to the real world. For example, one study found that 5 grams of MCT oil did indeed raise the metabolic rate of healthy men … by 11 calories a day … [Y]ou could burn more calories than that by walking for [five] minutes, or jumping rope slowly for [two] minutes."

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.


Dr. Fung suggests not doing the same fasting routine, day after day, but to “switch it up”; 16:8 one day, 24 hours IF the next, then a day of regular eating. That is because the body has a strong physiological drive to seek homeostasis — energy balance. “Whenever the body is exposed to a constant stimulus, it will become acclimated to it,” he 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.

The authors noted that “weight loss was similar between groups” [21]. However, they emphasized that “effects on atherogenic dyslipidemia (cholesterol) and glycemic control were still more favorable with a low-carbohydrate diet after adjustment for differences in weight loss.” [21] Another study noted that the low-carb diet promoted greater weight-loss than a standard low-fat diet for the first six months. However, these differences were small after one year. [22]
Oh NO!!! You don’t have to starve yourself to lose weight… Where are your nutrients, fiber, electrolytes…etc..? I’m sure you looked great even before starting this. The two “biggest” issues with this… It’s really unhealthy and I’m sure you are aware of that. But what happens when you start “eating” again?… Please keep me updated and thanks for the compliment..
I used the keto guide at http://www.ketocookbook.org and I've lost 25 pounds of fat in one month! Since starting the keto diet, 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!
MCTs, also called “MCFAs” for medium-chain fatty acids, are believed to be largely missing from the diets of people eating “standard Western” diets, most likely because the public has been led to believe that all forms of saturated fats are potentially harmful. However, recent research has shown a lot of evidence about the real truth regarding saturated fats.
It’s estimated that over 50% of people are deficient in Vitamin D worldwide[*]. Although Vitamin D doesn’t play a major role in whether or not you are in ketosis, it is responsible for regulating immunity, inflammation, hormones and helping with electrolyte absorption[*][*] — all factors important for weight loss and overall health. Additionally, studies support the direct benefits of vitamin D for weight loss[*][*][*]. You can check your Vitamin D levels with a simple blood test and then supplement accordingly. When supplementing, choose Vitamin D3 as it is the form that’s best absorbed by your body[*][*].
Current lifestyle — Sleep, nutrition, and activity level are all key factors when it comes to weight loss. The more drastic the changes in these areas, the more likely you are to witness dramatic changes in your weight. In other words, if you currently eat healthy, get plenty of sleep, and are moderately active, you will lose weight on keto, but it won’t be as fast or as drastic as someone who isn’t eating healthy, getting enough sleep, or exercising.
What makes MCTs a top source of essential healthy fats? Medium-chain fats are digested easily and sent directly to your liver, where they have a thermogenic effect and the ability to positively alter your metabolism. This is one reason why many people claim that MCTs, including coconut oil, are burned by the body for energy, or “fuel,” instead of being stored as fat.

10 pound weight loss , chicken broth works to relieve . But have to be careful of salt intake . I retain fluid, Dr gave script for dieuretic before I even started Keto . I have had the retention problem for a long time , when I took the dieuretic on a normal high carb diet ( I would drop 4 lbs ) but would make me really tired , afraid if I take it now on Keto I will pass out. Any idea what I should try other than the chicken broth
We require these two ingredients (Fat + carbohydrates) to be eaten around the same time in order for our bodies to store/produce fat. If we are unable to store or produce any new fat, then any time that our body isnt given enough energy (such as through the sugars and starches we eat), it will be forced to break down old fat in order to meet our energy needs. In the world of dieting, we call this weight loss. Ketosis is the exploitation of this chemical nature of our body. One may either eat mostly carbohydrates with little to no fat, in order to achieve ketosis (you must eat protien though or your body will burn your muscles away in search of protien–luckily many grains are a good source of potien), or you can focus on eating fat and cut out most carbohydrates (leaving up to 20 to 50 carbs left in a daily intake)(again, ensuring that you do take in protien evrryday or else your body will burn your muscle as well as fat to meet its needs).
The findings below have been limited to research specific to the ketogenic diet: the studies listed contain about 70-80% fat, 10-20% protein, and 5-10% carbohydrate. Diets otherwise termed “low carbohydrate” may not include these specific ratios, allowing higher amounts of protein or carbohydrate. Therefore only diets that specified the terms “ketogenic” or “keto,” or followed the macronutrient ratios listed above were included in this list below. In addition, though extensive research exists on the use of the ketogenic diet for other medical conditions, only studies that examined ketogenic diets specific to obesity or overweight were included in this list. (This paragraph was added to provide additional clarity on 5.7.18.)
Results, she promises, can be quite dramatic. And sure enough, Woman’s World readers who tested Palinski-Wade’s olive oil diet menus melted up to eight pounds and four inches of ab flab in just seven days. “I tried Weight Watchers, supplements, fad diets, but nothing worked until this,” says Pennsylvania grandmother Eleanor Downing, 62. “I lost a pant size in a week!” Meanwhile, Colorado travel agent Erika Crocker, 47, who whisked four inches off her middle, still can’t believe such a simple approach could be so effective. As for 30-year-old Mississippi mom Lindsey Bradley, 30, dropping a size has her raving: “For once, my belly got flatter without hunger pangs.”
×