For any individual with diabetes, discussing dietary changes ” especially those as dramatic as the ones the ketogenic diet requires ” with your healthcare team is essential. Because carbohydrates are broken down into glucose in the blood, cutting carbohydrates from your diet could cause levels to crash rapidly depending on your current medication regimen. Such a change may require significant adjustments to medication and insulin to prevent dangerous side effects such as low blood sugar, called hypoglycemia. (8)
Your glycogen stores can still be refilled while on a ketogenic diet. A keto diet is an excellent way to build muscle, but protein intake is crucial here. It's suggested that if you are looking to gain mass, you should be taking in about 1.0 “ 1.2g protein per lean pound of body mass. Putting muscle on may be slower on a ketogenic diet, but that's because your total body fat is not increasing as much.5Note that in the beginning of a ketogenic diet, both endurance athletes and obese individuals see a physical performance for the first week of transition.
There are so many tricks, shortcuts, and gimmicks out there on achieving optimal ketosis “ I'd suggest you don't bother with any of that. Optimal ketosis can be accomplished through dietary nutrition alone (aka just eating food). You shouldn't need a magic pill to do it. Just stay strict, remain vigilant, and be focused on recording what you eat (to make sure your carb and protein intake are correct).
Cyclical ketogenic diet: The Bulletproof Diet falls into this category. You eat high fat, low carb (less than 50 grams of net carbs a day) five to six days of the week. On day seven, you up your carb intake to roughly 150 grams, during what's called a carb refeed day. Carb cycling this way helps you avoid the negative effects some people experience when they restrict carbs long term, like thyroid issues, fatigue and dry eyes.  Full ketosis isn't for everyone, and adding carbs such as sweet potatoes, squash, and white rice one day a week keeps your body systems that need some amount of carbs functioning properly.
This short-term hack originated in clinical settings to help obese patients shed excess fat quickly. It was described in Dr. Atkins' New Diet Revolution for the same purpose. The diet consists of 1000 calories or less of almost entirely fat, with a little protein. This can be useful for people who have been on a ketogenic diet for at least three weeks, or who have had a weight plateau that has lasted at least three weeks. Since it's so high in fat, you have to be keto-adapted for it to be effective, not just in ketosis.
It truly depends from person to person. While some may be able to stay in ketosis while consuming 80 grams of carbs, others may not be so lucky. Quite a lot of people within the population can go quite high in their carbohydrate consumption and stay in ketosis, granted they have no blood sugar dysregulation. The longer you have followed the keto diet, the more your metabolism remains in ketosis after a higher carb consumption.
Add bone broth to your diet, which can help restore electrolytes that are lost during ketosis. When you follow a keto diet, even if you're drinking a lot of water, you will lose a lot of water weight and also flush essential electrolytes out of our system, including magnesium, potassium or sodium. Adding bone broth is a great way to replenish these naturally, in addition to getting other nutrients and amino acids.
On the other hand, the types of foods you'll avoid eating on the keto, low-carb diet are likely the same ones you are, or previously were, accustomed to getting lots of your daily calories from before starting this way of eating. This includes items like fruit, processed foods or drinks high in sugar, those made with any grains or white/wheat flour, conventional dairy products, desserts, and many other high-carb foods (especially those that are sources of œempty calories).
You're transitioning. Your body is equipped to process a high intake of carbs and a lower intake of fat. Your body needs to create enzymes to be able to do this. In the transitional period, the brain may run low on energy which can lead to grogginess, nausea, and headaches. If you're having a large problem with this, you can choose to reduce carb intake gradually.
In addition to helping with weight loss, the Keto Diet has been used to treat epilepsy, help with Type II diabetes polycystic ovary syndrome , acne , potential improvement in neurological diseases (Parkinson's and multiple sclerosis), certain types of cancer, and reduces the risk factors in both respiratory and cardiovascular diseases. Emerging studies are digging into its effects on Alzheimer's and other conditions as well.
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