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.
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.
During this first phase, people can expect to lose anywhere from 2 to 7 pounds of water weight. Some people may even lose up to 10 pounds! Studies indicate that each gram of glycogen in human muscle is bound to about 3 grams of water. So, as your body burns through the glycogen, it also rids your body of water. Even though you’ll be losing mostly water weight in these early stages, this is a great sign that you are on your way to achieving ketosis.
As the tide began to turn in the early 2000s and the claims for low-fat diets grew more dubious, new dietary culprits were called into question, such as refined carbohydrates and gluten. Meanwhile, more research emerged exploring the benefits of diets rich in healthy fats. These days, Flynn is noted for seemingly having known before others that low-fat diets were not optimal for health. “I constantly hear from people now ‘How did you know low-fat diets were unhealthy?’ ” She laughs this off remarking that she would simply always read the references supporting dietary guidelines and was a critical reviewer of the evidence. “I constantly tell my students to not take dietary guidelines at face value; look into the evidence.”
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