Keto questions answered

Q&A about keto
Do you have questions about the ketogenic diet? Here’s quite an expert panel.

In this interesting session from the Low Carb USA conference, keto experts Dr. Dominic D’Agostino, Dr. Jacob Wilson, Ryan Lowery, Dr. Adam Nally, Bryon Jaymes and Dr. Angela Poff answer all these questions:

  0:30  High morning blood sugar while in ketosis?
  3:13  Performance improvements in ketosis?
  4:48  Loss of muscle – metabolic syndrome
  7:30  Reversing atherosclerosis with a ketogenic diet?
  8:54  Can you improve osteporosis on keto?
13:15  Ketone supplementation and blood sugar for type 1?
18:22  Transition period into the ketogenic diet?
21:10  Protein, acidity, cancer? Help to shift people towards keto?
26:12  Ketogenic diet and cancer
28:15  Timing of exercise, fasting and keto diet
32:39  McArdle’s Disease and ketosis
36:51  Visual to help with adopting a keto diet?
39:49  Science behind exogenous ketones?
46:00  Excess skin?
48:40  Exercise and insulin resistance

Watch it

You can watch the full 53-minute session (so far rated 4.9 out of 5) on our member pages, including captions and transcript:

Q&A About Keto

Start your free membership trial to watch it instantly – as well as over 175 video courses, movies, presentations, interviews, Q&A with experts, etc.

Top videos from the Low Carb USA conference

  • How to avoid complications of type 1 diabetes
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Guides

A Ketogenic Diet for Beginners

A Low-Carb Diet for Beginners

The next conference

The presentation is from this year’s Low Carb USA. It’s the top low-carb conference in the US. Next year’s conference will take place on August 3 – 6, 2017 in San Diego. Sign up now for an early bird discount (50% off).

33 comments

  1. Jamie Lane
    Ok! I have been on the ketosis diet with my husband for 6 months he has lost 50 lbs. me on the other hand 12 lbs. I cook all our meals we do to eat processed food all natural, he goes into ketosis deep purple, my test strip still shows nothing. I have been faithful with this diet, but for whatever reason it does not work for me why?
  2. Carla
    How frustrating! But there could be a number of reasons why. My first guess would be that you might be sensitive to dairy or nuts and he isn’t. Many people can not tolerate dairy and it completely stalls or slows down weight loss drastically. Don’t give up! Try the 30 Day Ketogenic Cleanse (Google it). That will help you determine if dairy is the cause. Have you tried IF? I use this to give my weight loss a boost too.
  3. Tanya Cameron
    I have been doing the Keto diet as well since October. The scales haven’t moved and I follow it religiously!! I lost in the very first week or so and it was great!! But now I feel like I’m bloated or even have gained. So frustrating!! Help!!
  4. Annette
    I’m really confused as to when you can eat the truly Keto desserts? Are they in place of a meal? Also if I’m hungry can I eat Keto snacks?
  5. Nicole
    Does anyone answer these questions? I see no replies anywhere.

    I’ve been on Keto diet since Jan 6. I have only lost 7 lbs but my jeans are falling off. Is this typical? When will the weight drop? Also, was in ketosis, ketostix was dark purple for past week and suddenly, without cheating, now is showing only trace! What causes this? Is this a false negative?

    Reply: #6
  6. Peter Biörck Team Diet Doctor
    Hi Nicole!

    If your ketostix doesn't turn purple then my recommendation is that you double check everything you are eating. Be aware if you "cheat" just one day then it can take a few days before you are in ketosis again.

    You can find all our recommendation regarding losing weight here:
    https://www.dietdoctor.com/how-to-lose-weight.

    Good luck! :)

    Does anyone answer these questions? I see no replies anywhere.
    I’ve been on Keto diet since Jan 6. I have only lost 7 lbs but my jeans are falling off. Is this typical? When will the weight drop? Also, was in ketosis, ketostix was dark purple for past week and suddenly, without cheating, now is showing only trace! What causes this? Is this a false negative?

  7. Sam
    When it says Cream Cheese to a recipe is there a particular brand and do you mean cream cheese as in spread cheese or cottage cheese. Please can you give me some ideas I can then google to see if I can find a match that I can buy.
    Reply: #8
  8. Gentiann
    I believe it's the American style cream cheese (as Philadelphia cream cheese). Any spreadable fresh cheese should be fine. In France, I use a store brand spreadable fresh cheese cheaper than Philadelphia brand and get good result.
  9. 1 comment removed
  10. Chris
    I have a question just starting Keto about 6 days ago. My family has never eaten healthy, heavy fruits, occasional veggies non organic, lots of sugar, candy, lots of starch, always adding lots of salt and seasonings, no grass fed animals, and lots of supplements of vitamins and extras. So my question is, the family went cold turkey into keto on a less than 30g net carb per day. well myself, my wife, my oldest daughter (11) ate the right stuff and are doing good so far. My youngest (7) was an EXTREME picky eater BEFORE the diet and didn't eat much that had any essential vitamins and nutrients, well on the diet, she eats even less and is even more picky. Well we have not been supplementing with multivitamins anymore, and 4 days on the change she caught a cough from school, well just a cold no biggie. Well within 16 hrs of getting the cold she had extreme tightness of chest and wheezing and very rapid breathing. To the ER we went. They immediately started her on albuterol. She had not really eaten much at home except some egg white (refuses to eat the yolk), and meat she will eat meat, chicken soup. And at school she would not eat the lunches we sent with her. She would eat the schools lunch. Well when in the ER I informed all of the doctors and nurses of the diet and that she didn't eat healthy before the diet change, and they all told me that being deficient in nutrients would have nothing to do with what was happening. I asked them to run a vitamin blood test to be sure and they refused. she was on and off albuterol and other steroids from about 945am till 7pm when I brought a keto pizza and a full dose of multivitamin for her. when i fed her the pizza she was so lethargic that she could barely lift her arm to eat the pizza. she ate all of what i brought for her including the multivitamins. at 7pm can barely move or eat or talk, to 8 pm she was up, mobile talking playing, she was her old self. Doctors came in and celebrated that the albuterol was finally working!! well my wife says that I am completely inaccurate because the doctors basically said essential nutrients don't play a part in the function of our systems. and that there is no way that this could have been related. I am sorry this was very long but I would like to know if I am that stupid and that there was no way her not eating could have weakened her system enough for a common cold to do this? Also the doctors said it was a virus (used every test they had for virus, was not viral), then they said just normal respiratory dysfunction and was really common (asked what that was and they couldn't explain it other than restricted airway), her final diagnosis leaving was asthma. She has never been to the hospital for any health related concern aside from a physical type injury.
  11. theresa
    Hi this will likely seem a silly question but when it states 1 gram of protein per kilogram of weight is that the total weight of the protein or the amount of protein for the weight. Ie an egg weighs 46 grams and has a value of 5.8grams of protein. I've just started this journey and want to start off in the right direction and not get discouraged starting bad habits. thanks in advance for your reply.
    Reply: #12
  12. Peter Biörck Team Diet Doctor
    Hi Theresa!

    You count the protein ... as in your example 5,8 gram.

    Hi this will likely seem a silly question but when it states 1 gram of protein per kilogram of weight is that the total weight of the protein or the amount of protein for the weight. Ie an egg weighs 46 grams and has a value of 5.8grams of protein. I've just started this journey and want to start off in the right direction and not get discouraged starting bad habits. thanks in advance for your reply.

  13. Joan Mercantini
    I have been reading that ketones can relieve arthritic pain. Any proven results.
  14. nancy cardenas
    PLEASE I NEED HELP... I WILL HAVE BEEN ON KETO A MONTH THE 20TH..THE SCALE HAS NOT MOVED..MY STICKS ARE DEEP PURPLE.. I AM 75 AND AM IN MENOPAUSE BROUGHT ON BY STRESS...CLOTHES FIT THE SAME..I LOVE THE WAY KETO MAKES ME FEEL AND HAVE NOT CHEATED ONCE... I ONLY NEED TO LOSE ABOUT 7-10LBS...
    Reply: #31
  15. James
    Okay so I've been doing keto for about a month and I've lost close to 15 lbs, but I party with friends regularly and when I drink (more specifically 100 proof tvarscki) my ketone strips show I'm negative, same with the next day, but when I stop for a couple days it shows I'm back into ketosis heavily (I am extremely anal about this diet I stay under 20 grams of carbs normally some days I go over but never over 50) does the vodka affect to measurements of the strips and give me a false negative? Everything I've read shows it should read higher but mine read nothing at all when I'm drunk
  16. Mouafak
    Can i use Vitamin B12 during my KETO diet ?
    Reply: #17
  17. Peter Biörck Team Diet Doctor
    Hi Mouafak!

    Yes

    Can i use Vitamin B12 during my KETO diet ?

  18. Meredith
    My husband and I have been trying to convince our third child for three months now, with one, possibly two chemical pregnancies. Our first two children were conceived on the first try. I have been following a ketogenic diet for 11 month and am in the best shape if my life! From what I've heard, ketosis is supposed to help with fertility issues (particularly pcos and other complications from obesity). Is there any connection to our troubles conceiving and my ketogenic diet? Or is it likely no connection and we just need to be patient and keep trying? Thank you!
    Reply: #19
  19. Kristin Parker Team Diet Doctor
    I am so sorry for the trouble you are having. Keto, in general, stabilizes hormones and SHOULD make conceiving easier, not more difficult. If you are concerned, you may wish to see your medical provider for specific lab work.
  20. E-train
    So I'm not overweight or anything just trying to stick to a healthy diet and do one meal a day. I'm 34, 167lbs, and 6'1. Problem is It takes me 2-3 hours to eat my meal and i'm full and that one meal a day seems like plenty for me. So I do a bulletproof coffee in the morning then for dinner 2-5 i eat 3 leaves of kale with 5 oz of raw tenderloin with 2tbs onions, cilantro, mint, fish sauce, 1 garlic clove, 1 oz of mushrooms, 1 egg, 1 avocado, 16 almonds, some 1tsp himalayan sea salt, juice of 1 lime. I figure I can eat this pretty much daily. Is it a problem If i'm only getting 60g of fat and 53g of protein? 25 carbs? Do i need to add anything to my diet or will this be fine for keto? Thanks so much for your time
  21. Carrie Priest
    I have lost 60 lbs + on strict Keto diet. Normally cookbooks on Keto go back on the shelf for too many carbs. I was in Target found Keto Cooking with your Instant Pot (which I have and is quick and convenient) by Dr. Karen S. Lee for 20% off. Frankly, I am impressed because I am so limited on Keto and this gives tasty options. I stay away from sugar but a cheat day every 3-4 months the desserts rule here for that is going to be less carbs that in I binge in the grocery store and possibly tastier. Page 176 Chai Tea- this is my concern. I love Chai tea but it says 25 carbs which is insanely out of my reach and I'd have never bought the book if this was the norm. I'd opt for NO sweetner but still how many carbs are we talking about. The ingredients seem harmless I don't know why any would be high carb. It sounds so delicious but I can't do it without help. Something is not quite right about the Carbs for this am I right?
    Reply: #22
  22. Kristin Parker Team Diet Doctor
    The carb count may come from heavy cream, if that's called for in the recipe. You may wish to contact the cookbook author for more specific information.
  23. Brandi
    Im going to be starting a keto lifestyle change right away here. I work 14 hour shifts on a 4 on and 4 off work schedule. I'm gone from home for 14 hours a day and usually do meal prep on my last day off for my 4 days of work because I eat breakfast, lunch and dinner at work. So my question is: for those 4 days of work can I eat the same thing for breakfast, lunch and dinner and still achieve weight loss and the benefits of keto? It will be very difficult to make different meals as I'm not home and on top of a mountain without the ability to cook or even heat food.
    Reply: #24
  24. Kristin Parker Team Diet Doctor
    Yes, as long as your meals are very low carb, moderate protein and high fat, there is no harm in eating the same thing for all 3 meals.
  25. Katie
    I have been following a keto diet for about two weeks and check my blood ketone levels regularly. I haven't really changed my diet, however, when I started I got reading of 1.0-3.0 easily and now I am usually in the 3.2-3.8 range. Is there a reason for this? Is there something I should be doing differently to get back in optimal ketosis range? I have lost several pounds just in two weeks, so I know I'm doing something right!
    Reply: #26
  26. Kristin Parker Team Diet Doctor

    I have been following a keto diet for about two weeks and check my blood ketone levels regularly. I haven't really changed my diet, however, when I started I got reading of 1.0-3.0 easily and now I am usually in the 3.2-3.8 range. Is there a reason for this? Is there something I should be doing differently to get back in optimal ketosis range? I have lost several pounds just in two weeks, so I know I'm doing something right!

    Higher values can sometimes indicate that you are not getting enough food. You can read more about keto and optimal ketosis here - https://www.dietdoctor.com/lose-weight-by-achieving-optimal-ketosis

  27. June Kerr
    can u use almond meal to replace almond flour
    Reply: #28
  28. Kristin Parker Team Diet Doctor

    can u use almond meal to replace almond flour

    Fine ground almond flour is a better option as it keeps recipes from being too gritty.

  29. Greg
    Can I use my Herbalife shakes that have sugar in them and still get good results doing the Keto diet
    Reply: #30
  30. Kristin Parker Team Diet Doctor

    Can I use my Herbalife shakes that have sugar in them and still get good results doing the Keto diet

    With keto, there is no need for shakes or pills of any kind.

  31. Joe
    Did anyone answer this question_ having the same issue- 2 months scale hasn't moved down, only up... gym 5 days a week haven't had a starchy carb or sugar at all. My test strips always read that I'm in optimal ketosis. I'm confused, my body seems to be changing shape, midsection —no loss... eating a lot of fat, protein may be a little high— but still reads optimal ketosis
    Reply: #32
  32. Kristin Parker Team Diet Doctor

    Did anyone answer this question_ having the same issue- 2 months scale hasn't moved down, only up... gym 5 days a week haven't had a starchy carb or sugar at all. My test strips always read that I'm in optimal ketosis. I'm confused, my body seems to be changing shape, midsection —no loss... eating a lot of fat, protein may be a little high— but still reads optimal ketosis

    You can read our top weight loss tips in this article.
    https://www.dietdoctor.com/how-to-lose-weight

  33. Joann Ross
    I suffer with high cholesterol and is on medicine to lower it. Will keto diet raise my cholesterol levels?
    I weigh 282 pounds. How much water should I drink a day?
    Reply: #34
  34. Kristin Parker Team Diet Doctor

    I suffer with high cholesterol and is on medicine to lower it. Will keto diet raise my cholesterol levels?
    I weigh 282 pounds. How much water should I drink a day?

    You can find our guide to cholesterol at the link below. As for water, we recommend drinking to thirst. Hydration needs can vary based on conditions like physical activity, weather and more.
    https://www.dietdoctor.com/low-carb/cholesterol-basics

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