Keto questions answered

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Do you have questions about the keto diet and ketosis?

Here’s a full questions and answers session with keto experts Bryon Jaymes, Professor Dominic D’Agostino, Dr. Jacob Wilson, Ryan Lowery, Dr. Adam Nally and Dr. Angela Poff.

Watch the full Q&A session above (transcript).

Table of contents

  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

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23 comments

  1. lorna white
    My question is if you are on LCHF diet only and not the Keto diet does it help with sugar levels and blood pressure.
    Reply: #2
  2. Dr. Andreas Eenfeldt, MD Team Diet Doctor
    Yes.

    A keto diet is simply a very strict low-carb diet, for maximum power.

  3. Carole
    My ? Is can you have freshly squeezed lemon in water I find after bulletproof coffee I want something tart. Also sugar free gum is it permitted.
  4. Ken field
    I'm 6-1 started at 283 have lost 23 pounds in 15 weeks I am not showing on the strips that I am in ketosis. I eat less than 30 carbs a day and lots of fat. Does this seem like a reasonable rate of weight loss
  5. Barbara
    Net carbs versus whole carb........what should I be counting?
    Reply: #6
  6. Peter Biörck Team Diet Doctor
    Hi Barbara!

    We count net carbs.

    Net carbs versus whole carb........what should I be counting?

  7. Jenneah
    Hello, Can I eat Elli Quark while doing keto?
  8. Nancy
    If you have gout or a high uric acid count on your blood work, can you do this lifestyle? Ten of the worst things to eat with gout are listed online. Fish, shellfish, caffeine, fried food, beef and rich sauces made with butter and fat. These are the main ones that I enjoy on the LCHF lifestyle.

    Please advise, thank you

  9. 1 comment removed
  10. Rachael
    Hello,

    I am new to Keto Diet and like to make my own breads, crackers and muffins (low carb & keto of course) I am wondering how much/many is allowed per day? Also the same with dairy. I love my cheese, cream and butter but how much is too much?

    Regards Rachael

  11. 1 comment removed
  12. Roxanne
    I'm 3 weeks on and all of sudden in week I'm not losing weight. All my numbers have been consistant this whole time. Is there something I can do to get my lost started again
  13. Susan Dill
    I am on a Warfarin diet due to DVT Blood Clots. I can't have 90% of the veggies that are on the Keto diet. What can I do?
  14. Maria linder
    I need my question answered an no one has one. First I have no gall bladder. I’m fine and it doesn’t bother me at all with keto meals but more fat I eat like avacados I am having foul flatulance? When I didn’t diet it didn’t happen very often? What’s going on?
  15. 3 comments removed
  16. Selina
    I have the same issue as Maria and would like an answer to that question as well. I have been on Keto for 4 weeks. I lost 20lbs in the 1st 3 weeks but this last 4th week nothing. In fact I think I gained a couple. Any suggestions. My measurements are changing but I still would like to see the weight loss. Should I fast. I am new to Keto and am unsure about some of it. I stick to about 20 carbs a day.
    Reply: #20
  17. Jean
    For Selina: I have been on Keto for twelve weeks, and lost eight kilos so far. (This is a miracle result for me, at age 74). There have been 'slow weeks', and 'fast weeks'...…. Do not worry about it, just keep on counting your carbs. You do your part, and your body will do its own part. I cannot comment on the lack of a gall-bladder, only to say that I also had flatulence at first, but it settled down quite soon. As for fasting...…. it will take some time for your body to become 'fat-adapted'. In my case it took ten weeks, in some people more than that. You will know when you are 'fat-adapted' because you will suddenly find that you can comfortably go a long time between meals without feeling the urge to eat. This is the ideal time to begin the 16:8 fast (overnight, between an early dinner and a late breakfast the following morning. It just seems to happen naturally. Relax, and count your carbs. Just stop worrying, and your body will take care of everything. Count your carbs faithfully, and all will be well. It will soon be the easiest thing you have ever done, and all the overweight will just melt away in a hurry. My best wishes, Jean
  18. Kristin Parker Team Diet Doctor

    I have the same issue as Maria and would like an answer to that question as well. I have been on Keto for 4 weeks. I lost 20lbs in the 1st 3 weeks but this last 4th week nothing. In fact I think I gained a couple. Any suggestions. My measurements are changing but I still would like to see the weight loss. Should I fast. I am new to Keto and am unsure about some of it. I stick to about 20 carbs a day.

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

  19. Akhi
    Hello
    I am on my ketogenic diet,it hv been 25 days and I am noticing appreciable overall weight loss,but I am concerned about my arm fat and face fat it is not reducing at all why is so?I actually started keto diet because of that,please help
    Reply: #22
  20. Kristin Parker Team Diet Doctor

    Hello
    I am on my ketogenic diet,it hv been 25 days and I am noticing appreciable overall weight loss,but I am concerned about my arm fat and face fat it is not reducing at all why is so?I actually started keto diet because of that,please help

    Unfortunately, we can't spot target where we lose the fat from. It sounds like you are off to a great start, the arm fat will reduce in its own time.

  21. Mary
    I know that I posted this somewhere, but I can't find it, so I don't know whether anyone has responded.
    I am a 62 yo female, 210 lbs. I've lost 4 pounds in 4 weeks, but I am so frustrated because everyone seems to lose 26 pounds in the first week. What am I doing wrong? I'm counting carbs using carb manager (I wish DD had a carb/cal counting program), and keeping calories between 1200-1300, and am doing IF. I exercise 3x week. I have a sneaky suspicion that my protein levels may be too high (often more than fat). Carbs are sometimes well below 20 grams.

    If I am eating too much protein, how and where do I decrease it? Should I add more veg? Since starting IF, I am hardly hungry before 4-5 pm, so that is great. I'm ready to throw up my hands and order a pizza! Help, please!

    Reply: #24
  22. Kristin Parker Team Diet Doctor
    Mary, please don't compare your journey to anyone else's! You are losing weight at a good, healthy pace.

    I recommend starting back over with our two week challenge which will help give you and idea of good, balanced, keto friendly meals. You can omit meals if you are not hungry.
    https://www.dietdoctor.com/low-carb/get-started

  23. Pamela Bergan
    I am 73 female. My husband is 70. We have been on the Keto Diet for 4 weeks now. He is loosing slowly , but I am gaining belly fat , the most I have ever had since carrying a baby inside. We do drink a glass of wine 5 nights a week , but I do count carbs but not calories. Please let me know where I am going wrong.
    Reply: #26
  24. Kristin Parker Team Diet Doctor

    I am 73 female. My husband is 70. We have been on the Keto Diet for 4 weeks now. He is loosing slowly , but I am gaining belly fat , the most I have ever had since carrying a baby inside. We do drink a glass of wine 5 nights a week , but I do count carbs but not calories. Please let me know where I am going wrong.

    Here is a link to our troubleshooting tips for weight loss; and yes, alcohol could be a big factor.
    https://www.dietdoctor.com/how-to-lose-weight

  25. 2 comments removed
  26. daniela davies
    1) are ketones created by liver?
    2) is it beneficial for people to take multiple MCT oil product?
    3) is MCT oil powder a good meal replacement
    4) whats the difference between keto powder and regular protein powder
    Reply: #30
  27. Kristin Parker Team Diet Doctor

    1) are ketones created by liver?
    2) is it beneficial for people to take multiple MCT oil product?
    3) is MCT oil powder a good meal replacement
    4) whats the difference between keto powder and regular protein powder

    You may find our ketosis guide helpful. In general, we don't recommend meal replacements. The ketones you make and burn are the most effective.
    https://www.dietdoctor.com/low-carb/ketosis

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