Beta-hydroxybutyrate (BHB) – Not technically a ketone but a molecule. Its essential role in the ketogenic diet makes it count as the important ketone body. BHB is synthesized by your liver from acetoacetate. BHB is important because it can freely float throughout your body in your blood, crossing many tissues where other molecules can’t. It enters the mitochondria and gets turned into ATP (adenosine triphosphate), the energy currency of your cells. BHB = ATP = energy!
The ketogenic or “keto” diet is a low-carbohydrate, fat-rich eating plan that has been used for centuries to treat specific medical conditions. In the 19th century, the ketogenic diet was commonly used to help control diabetes. In 1920 it was introduced as an effective treatment for epilepsy in children in whom medication was ineffective. The ketogenic diet has also been tested and used in closely monitored settings for cancer, diabetes, polycystic ovary syndrome, and Alzheimer’s disease.

There's no one "Mediterranean" diet. At least 16 countries border the Mediterranean Sea. Diets vary between these countries and also between regions within a country. Many differences in culture, ethnic background, religion, economy and agricultural production result in different diets. But the common Mediterranean dietary pattern has these characteristics:
In this new study published in the European Journal of Nutrition, researchers from the Federal University of Viçosa in Brazil,  had a group of middle aged, overweight women receive a high fat breakfast that included 25 ml of oil. One group was given olive oil while the other group was given soybean oil. The oils were added to shakes that were consumed every morning. The participants were following a calorie restricted diet prescribed by a dietitian. After 9 weeks on this diet, both groups had lost weight, although the olive oil group had lost more weight but also more body fat. In fact, the olive oil group had 80% more body fat loss than the soybean oil group. The researchers noted that the results indicate that extra virgin olive oil should be included into calorie restricted programs for obesity treatment.
Lauric acid is naturally antimicrobial, antibacterial and antiviral. It is excellent for the skin and it has even been studied for its potential ability to help with severe acne for this reason! Coconut oil is the richest natural source, followed by human breastmilk, which contains up to 20% of its saturated fat content as lauric acid. (Side note to nursing moms: there are studies that show that consuming coconut oil helps improve the lauric acid content of milk.)
Emerging evidence suggests that eating this way may offer protective effects for those with and at risk for type 2 diabetes. For one, Mediterranean eating improves blood sugar control in those already diagnosed with the condition, suggesting it can be a good way to manage the disease. What’s more, given those with diabetes are at increased odds for cardiovascular disease, adopting this diet can help improve their heart health, according to a paper published in April 2014 in the journal Nutrients. (4)

The Mediterranean diet has received much attention as a healthy way to eat, and with good reason. The Mediterranean diet has been shown to reduce risk of heart disease, metabolic syndrome, diabetes, certain cancers, depression, and in older adults, a decreased risk of frailty, along with better mental and physical function. In January, US News and World Report named it the “best diet overall” for the second year running.
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.
The premise of the ketogenic diet for weight loss is that if you deprive the body of glucose—the main source of energy for all cells in the body, which is obtained by eating carbohydrate foods—an alternative fuel called ketones is produced from stored fat (thus, the term “keto”-genic). The brain demands the most glucose in a steady supply, about 120 grams daily, because it cannot store glucose. During fasting, or when very little carbohydrate is eaten, the body first pulls stored glucose from the liver and temporarily breaks down muscle to release glucose. If this continues for 3-4 days and stored glucose is fully depleted, blood levels of a hormone called insulin decrease, and the body begins to use fat as its primary fuel. The liver produces ketone bodies from fat, which can be used in the absence of glucose. [1]
“It makes other food, especially vegetables, taste delicious,” says Palinski-Wade. Raw broccoli? Salad with fat-free dressing? Meh. But broccoli sautéed with garlic and olive oil, salad drizzled with homemade vinaigrette — now we’re talking. “There are so many micronutrients in veggies with potential to help reduce belly fat — but they won’t work if you don’t eat them. I really think that’s a huge reason diets rich in olive oil have been shown to take off more weight,” says the pro. “Olive oil leads to greater vegetable consumption!”

The cheaper forms of olive oil (those labelled regular or virgin) didn’t show any benefit – it had to be extra virgin. The difference between the grades of oil lies not just in the lower acidity, freshness and richer taste but in the number of chemicals released called polyphenols. High grade extra virgin oil, especially if cold extracted, has around 30 polyphenols that act as antioxidants, which reduce inflammation and also help reduce the effects of aging particularly on the heart and brain.
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.
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According to the Centers for Disease Control and Prevention, even modest weight loss — anywhere from 5 to 10 percent of your body weight — can provide huge health benefits including improvements in blood sugar levels, cholesterol, and blood pressure. Furthermore, a study in the National Weight Control Registry cited that participants who maintained significant weight loss reported increased “energy levels, physical mobility, general mood, and self-confidence.” In other words, losing weight on the keto diet won’t just help you look better, it will be better for your overall health, energy, mood, and confidence. Keeping all of this in mind will help you stay motivated on your ketogenic journey.

Lauric acid is naturally antimicrobial, antibacterial and antiviral. It is excellent for the skin and it has even been studied for its potential ability to help with severe acne for this reason! Coconut oil is the richest natural source, followed by human breastmilk, which contains up to 20% of its saturated fat content as lauric acid. (Side note to nursing moms: there are studies that show that consuming coconut oil helps improve the lauric acid content of milk.)

Here’s encouragement…it’s not all about weight in the beginning. As you ween off of sugar (which is really poison to your body), your body has to start getting rebooted. I had a solid week or more of serious detox. I knew that getting the poison out of my body was going to be significant, and it was. Don’t be discouraged. It’s well worth it to truly rid your gut and body of cancer-causing poison, not to mention your ability to fight disease. The acid level will change. Your arthritis (joints) will improve. Stick with it and don’t give up. Your family is worth it!
Today’s healthy pasta meals have roots that stretch back to ancient times. Thousands of years ago, people ground wheat, mixed it with water to make a wheat paste, dried it, and then boiled it to go with meals. Today’s consumers welcome pasta to their tables for its versatility and convenience, just as nutrition scientists recognize pasta meals for their place in healthy eating patterns, such as the “gold standard” Mediterranean Diet and the traditional Latin American diet.  Read more
While it’s delicate and not necessarily the best oil for cooking, cold-pressed or expeller-pressed oil hasn’t been refined so it holds all of its natural vitamins, essential fatty acids, antioxidants and other nutrients better. While unrefined oil is separated without high heat, hot water, solvents and left unfiltered, on the flip side some oils are heated to a high degree, which reduces their benefits.
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!
50 yr old ~ retired dancer (huge discipline with diet exercise most of my life) ~ yoga practitioner/teacher ~ through menopause at age 45, developed hypothyroidism, gained 50 lbs. ~ very high nightime cortisol, morning low ~ on NDT (natural dessicated thyroid medicine) ~ am easily exhausted, poor sleep since 2009, love juicing everything and find it easy to consume since appetite is low most days and eating food usually triggers intestinal discomfort…I like pea protein shakes a lot ~ always on the hunt for natural sweeteners but rarely find one I like that is healthy ~ love butter ~ recently found grilled salmon to be delicious ~ love all sorts of fruits & veggies ~ NEED to lose this burdensome weight!!! ~ exercise is limited due to adrenal fatigue, but love my gentle yoga 5 days per week
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A 2013 study conducted by the German Research Center for Food Chemistry indicates that even just smelling EVOO may lead to greater feelings of fullness: when the scent was added to foods via an aromatic extract, it lowered the number of calories consumed by study participants, and improved blood sugar response. Additionally, compared to other oils and fats, when EVOO was added to yogurt, the group that had eaten the yogurt enriched with olive oil showed the largest increases in blood levels of serotonin, a hormone associated with satiety.
The polyphenols in extra virgin olive oil act as antioxidants to rid the body of free radicals that would otherwise damage cells, or even lead to cancer. A study found that drinking olive oil inhibited colon cancer at various stages of the disease. So why not use it to fend off cancer to begin with? This is not to say that you should skip those recommended colonoscopies after age 50, but go ahead and add olive oil to your daily regimen as a preventative measure.

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!

Picking through the data, the researchers found that the extra olive oil group did slightly better than the extra nut group, but both were clearly superior to low fat diets. The research was also much more reliable than many diet studies because it was a randomised control trial that looked at a large group of people over a long period of time, rather than just monitoring people on one diet for a few days or weeks.
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.
A plant based diet, one that includes lots of fruits and vegetables, is the cornerstone of the Mediterranean diet, which can help fight cancer in nearly every way — providing antioxidants, protecting DNA from damage, stopping cell mutation, lowering inflammation and delaying tumor growth. Many studies point to the fact that olive oil might also be a natural cancer treatment and decrease the risk of colon and bowel cancers. It might have a protective effect on the development of cancer cells due to lowered inflammation and reduced oxidative stress, plus its tendency to promote balanced blood sugar and a healthier weight.
The ketogenic diet has been shown to produce beneficial metabolic changes in the short-term. Along with weight loss, health parameters associated with carrying excess weight have improved, such as insulin resistance, high blood pressure, and elevated cholesterol and triglycerides. [2,7] There is also growing interest in the use of low-carbohydrate diets, including the ketogenic diet, for type 2 diabetes. Several theories exist as to why the ketogenic diet promotes weight loss, though they have not been consistently shown in research: [2,8,9]
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.
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).
Your midday meal is crucial fuel for afternoon energy, so make it count. Grain bowls make a perfectly packable lunch and deliver a diverse offering of healthy ingredients, from quinoa to canned tuna or salmon to roasted veggies. Here, it’s all about convenience—add a protein boost to a crisp, leafy green salad with cannellini beans or chicken, then pack into a Mason jar.
Jackie Eberstein agrees: “Measure your success by a loss of inches, rather than the scale.” She advises that you accept that weight loss in middle age will be slower than when you were younger. “Remember that you are in this for the long haul. It is an investment in your health as you get older. Have patience. Your long-term goal is to make a permanent lifestyle change as well as lose the excess fat.”
The most important part of the ketogenic diet is consistency. Approach this diet (or any other diet that you try) with the mindset that you will make it into a long-term sustainable lifestyle. When you hit a plateau, don’t give up — we all hit plateaus eventually. Take it as an opportunity to recalculate your calorie needs, adjust your goals, and implement new strategies.
I have also been doing 16:8, but not everyday. If You eat too few calories for too long you may lower your basic metabolic rate which you don’t really want to do. I eat something around 10 or 11 in the morning such as 3 deviled eggs, then a decent size meal at about 12:30 and my last meal at about 6. This seems to work well for me. I also use my fitness pal( free app), which is awesome and tracks all your macro ratios. It is important to keep it as Keto as you can. 70%fat, 5%carb, and 25% protein. I found at first that I just wasn’t eating enough fat, and my protein levels were too high. I think most people run into that same trap at first. Good luck!
A systematic review of 26 short-term intervention trials (varying from 4-12 weeks) evaluated the appetites of overweight and obese individuals on either a very low calorie (~800 calories daily) or ketogenic diet (no calorie restriction but ≤50 gm carbohydrate daily) using a standardized and validated appetite scale. None of the studies compared the two diets with each other; rather, the participants’ appetites were compared at baseline before starting the diet and at the end. Despite losing a significant amount of weight on both diets, participants reported less hunger and a reduced desire to eat compared with baseline measures. The authors noted the lack of increased hunger despite extreme restrictions of both diets, which they theorized were due to changes in appetite hormones such as ghrelin and leptin, ketone bodies, and increased fat and protein intakes. The authors suggested further studies exploring a threshold of ketone levels needed to suppress appetite; in other words, can a higher amount of carbohydrate be eaten with a milder level of ketosis that might still produce a satiating effect? This could allow inclusion of healthful higher carbohydrate foods like whole grains, legumes, and fruit. [9]
Day 4: Grabbing lunch out has been successful thus far. Today was some tilapia, zucchini, and yellow squash, and a kale and tofu side salad. I tossed on half an avocado for good fatty measure. Oh, and I notice that I've lost a pound already, which is definitely just water weight-carbs hold water so limiting them is a surefire way to release some fluid in your body-but nonetheless. Weight loss wasn't my objective, but I doubt I'm alone in thinking, "I'll take it!"
In fact, in a recent study, Dr. Borge Nordestgaard at the University of Copenhagen demonstrated just how dangerous cholesterol remnants like chylomicrons can be. He and colleagues followed nearly 12,000 people in Denmark who had established coronary heart disease, diagnosed between 1976 and 2010. The scientists found that each 1 mmol (38.7mg/dl) increase in nonfasting remnant cholesterol caused a nearly 3-fold greater risk of a coronary heart disease event. (10)

"I start my day with coffee and heavy whipping cream. My first meal of the day is in the afternoon and is usually something small like leftovers or some eggs. It’s about getting in protein and making sure whatever I eat is quality and tastes delicious. For dinner, I have a bigger meal which is always an animal protein with a side of something green like spinach or broccoli."
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Notes Gomer, “There is also reason to believe that whatever modest health benefits are associated with consuming olive oil are largely due to the beneficial plant chemicals, such as polyphenols and plant sterols, found in the extra virgin olive oils, but these plant chemicals are largely lost in the more processed ‘light’ olive oils. These phytochemicals may provide some protection from the harmful effects caused by consuming a high-fat meal.”

The bulk of research suggests that the ketogenic diet is more effective than conventional diets in helping you lose weight and shed body fat. One of the reasons why the ketogenic diet provides such reliable weight loss results is because it consists primarily of highly-satiating whole foods like meat, high-fat dairy, and low-carb vegetables while removing all carb-rich, sugar-laden processed foods from the diet. By eating in this way, you will feel full while eating fewer calories and losing weight.
If you stop taking MCT oil for a while and then restart, begin with a small amount again to allow your digestive system to readjust. That said, MCT oil is often more easily digested by those struggling to digest other types of fat, such as those with malabsorption, leaky gut, Crohn's disease or gallbladder impairment (such as an infection or if you had your gallbladder removed).

“This is one of the really big issues I see for women — it is so much entwined with psychology, self-esteem, and societal pressure, and in many ways outside of women’s control, “says Dr. Hallberg. “They succumb to ways they think they need to be, rather than what is healthy for them. If you see victory as only a number on a scale, you are going to sabotage yourself.”
Following a very high-fat diet may be challenging to maintain. Possible symptoms of extreme carbohydrate restriction that may last days to weeks include hunger, fatigue, low mood, irritability, constipation, headaches, and brain “fog.” Though these uncomfortable feelings may subside, staying satisfied with the limited variety of foods available and being restricted from otherwise enjoyable foods like a crunchy apple or creamy sweet potato may present new challenges.
Flynn had always had an interest in dietary guidelines and how various diet patterns impact weight and disease risk. She was especially intrigued after having read the Seven Countries Study in the mid-1980s that demonstrated notable cardiovascular benefits from what is now widely known as the Mediterranean Diet, in which individuals consume considerable amounts of healthy fats, especially olive oil. Flynn had also spent time analyzing the literature behind dietary guidelines and recommendations and was “astounded” by the lack of evidence supporting the health claims made by proponents of low-fat diets. She went on to co-author a book, Low-Fat Lies (Lifeline Press, 1999), drawing on the scientific evidence revealing the numerous problems with extremely low-fat diets and demonstrating the positive effects of a more Mediterranean-style eating pattern.
The capric acid in XCT Oil doesn’t break down into ketones as quickly as pure caprylic, but capric acid is more affordable (but still works) so you can save money by going with the XCT.  XCT Oil still goes to brain energy, just not as quickly as Brain Octane. Both can be used for energy without processing by the liver, unlike many other fats and oils.

For Brown University researcher and Associate Professor of Clinical Medicine Dr. Mary Flynn, the development and advocacy of a plant-based, olive oil diet was at one time considered outrageous. In the 1990s when the notion of consuming low-fat and fat-free foods for health was gaining widespread popularity, Flynn, who is also a nutritionist at The Miriam Hospital, was a vocal dissident. She openly expressed her concerns that this eating pattern was largely unsupported by sound science, even though many others in her field opposed her views. “I know that people in the nutrition community thought I was a near heretic,” Flynn says.
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“However, it may be time to question the wisdom of promoting diets with 20 to 35% fat or more for people with cardiovascular disease and/or type 2 diabetes. Diets this high in fat appear to greatly increase both acute and chronic low–grade inflammation in the body. Increasingly, inflammation is being linked to not only more cardiovascular disease but also insulin resistance and type 2 diabetes.”
The retention and need for a diuretic in the past may have been from excessive carb/wheat/dairy intake… Something you may find resolves with a ketogenic diet. Decreasing iodized salt and increasing sea salt, especially himilayian pink salt might help you to maintain sodium levels without the fluid retention effects also. For example I always buy unsalted butter and add pink salt for the flavour/sodium component. It’s made a big difference for me (a fellow massive found retainer haha)
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).
MCTs and saturated fats are good for you in other ways, too: They reduce the risks of low-fat diets, and they’re supportive of your gut environment, especially since they have the capability to combat harmful bacteria, viruses, fungi and parasites. Additionally, MCTs contain antioxidant properties, which is why coconut oil has far-reaching inflammatory benefits that have led it to be used to treat dozens of health problems in folk medicine for centuries.
Current weight — In order to lose weight, you need to be in a caloric deficit which means you need to burn more calories than you consume. That being said, your current weight is the number one determining factor for how fast you’ll be able to lose weight. This is because the heavier you are, the higher your metabolic rate is (your ability to burn calories in a given day). So, individuals with more weight to lose typically lose weight faster and more easily in the initial stages than those who don’t weigh as much.
"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.
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.
This meta-analysis also provides us with an explanation for why keto and low-carb diets have not always been found to confer better weight loss than low-fat diets. When protein and calories are controlled, changes in weight loss results remain relatively equal. This not only supports the theory that calorie deficits are the key to weight loss, but it also provides evidence against the hypothesis that carbs and insulin are the cause of obesity. [25]
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.
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“However, it may be time to question the wisdom of promoting diets with 20 to 35% fat or more for people with cardiovascular disease and/or type 2 diabetes. Diets this high in fat appear to greatly increase both acute and chronic low–grade inflammation in the body. Increasingly, inflammation is being linked to not only more cardiovascular disease but also insulin resistance and type 2 diabetes.”

The solution? One way of approaching this issue is through dieting. To adapt to such an abundant food environment, you need to give your brain new food rules to follow (e.g, a diet). Your brain needs you to tell it what to eat and what not to eat to meet your health goals. One of the best ways to do this is by finding a diet with simple rules that you can follow for the rest of your life.

I've been on Ketogenic diet now for almost 4 wks. Iv'e lost 6 lbs., my diabetes 2 is in total remission with a morning fasting glucose reading of 92. I'm off my high blood meds they are no longer needed. The eczema inside my ears has totally disappeared! I have no problem with not eating carbs because after the 4th day with almost zero carbs, I no longer crave them. The only last question I have is ................will my high cholestrol get worst?? I'll post another comment after I have my blood work done in one more month.


The kidneys play an important role in metabolizing protein, and it’s possible that eating too much of the nutrient can have a negative impact on kidney function. While ketogenic diets are supposed to be much higher in fat than they are in protein, many keto eaters make the mistake of loading up on lots of meat, Mancinelli says. The result? You could end up eating way more protein than you actually need.

And monounsaturated fat isn't the only thing olive oil has going for it nutritionally. Some olive oils come with phytonutrients that may offer their own disease protection benefits (still, it's not clear whether most of us can take in enough of these phytonutrients without going overboard on olive oil, says Joyce Nettleton, DSc, RD, researcher and editor of the PUFA Newsletter).
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