Lose weight by achieving optimal ketosis

Do you want to lose weight? Here’s number 16 of my 18 best tips. All of the published tips can be found on the How to Lose Weight page.

Before we get started, here’s a short recap of the tips so far: The first and most crucial piece of advice was to choose a low-carb diet. The next were eating when hungry, eating real food, eating only when hungry, measuring progress wisely, being persistent, avoiding fruit, beer and artificial sweeteners, review your medications, stressing less and sleeping more, eating less dairy and nut products, stocking up on vitamins and minerals, using intermittent fasting and finally, exercising smart.

This is number sixteen:

16. Get into optimal ketosis

Warning: Not recommended for type 1 diabetics, see below.

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We’ve now arrived at tip number 16. If you’re still having trouble losing weight, despite following the 15 pieces of advice listed above, it might be a good idea to bring out the heavy artillery: optimal ketosis. Many people stalling at weight plateaus while on a low carb diet have found optimal ketosis helpful. It’s what can melt the fat off once again.

So how does this work? A quick run-through: The first tip was to eat low carb. This is because a low-carb diet lowers your levels of the fat-storing hormone insulin, allowing your fat deposits to shrink and release their stored energy. This tends to cause you to want to consume less calories than you expend – without hunger – and lose weight. Several of the tips mentioned above are about fine-tuning your diet to better this effect.

Video course

How to Eat LCHF Video Course

Do you know exactly how to eat a low-carb and high fat diet (LCHF)? This is required for ketosis. If not the easiest way is watching this high quality 11-minute video course on how to eat LCHF, and the most important things to think about.

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Maximum effect from an LCHF diet

How do you know you’re getting the maximum hormonal impact from your low-carb diet? You do that by achieving what’s known as “optimal ketosis”. 

Ketosis

Ketosis is a state at which the body has an extremely high fat-burning rate. Even the brain runs on fat, via ketone bodies. These are energy molecules in the blood (like blood sugar) which become fuel for our brains after being converted from fat by the liver.

To encourage ketone production, the amount of insulin in your bloodstream must be low. The lower your insulin, the higher your ketone production. And when you have a well-controlled, sufficiently large amount of ketones in your blood, it’s basically proof that your insulin is very low – and therefore, that you’re enjoying the maximum effect of your low-carbohydrate diet. That’s what’s called optimal ketosis.

Measuring ketones

Today, there are reasonably-priced gadgets available for measuring ketone levels at home. One needle prick of the finger, and in just a few seconds you’ll know your blood ketone level.

Blood ketones are best measured on a fasted stomach in the morning (before breakfast, that is). Here are a few pointers on how to interpret the result:

  • Below 0.5 mmol/L is not considered “ketosis”. At this level, you’re far away from maximum fat-burning.
  • Between 0.5-1.5 mmol/L is light nutritional ketosis. You’ll be getting a good effect on your weight, but not optimal.
  • Around 1.5 – 3 mmol/L is what’s called optimal ketosis and is recommended for maximum weight loss.
  • Values of over 3 mmol/L aren’t neccessary. That is, they will achieve neither better nor worse results than being at the 1.5-3 level. Higher values can also sometimes mean that you’re not getting enough food. For type 1 diabetics, it can be caused by a severe lack of insulin, see below.

Ketones in urine

Ketone levels can also be measured in a more old-fashioned way, with urine test sticks (sold prescription-free in pharmacies or on Amazon). Ketone sticks give less reliable results for several reasons, and the above recommendations can’t be straightforwardly applied to them. They are, however, much cheaper.

My personal experience

Feel free to read my accounts of a two-month personal trial:

  1. Experiment: Optimal ketosis for weight loss and increased performance
  2. Four weeks of strict LCHF and ketone monitoring
  3. Final report: Two months of strict LCHF and ketone monitoring

Although I was quite happy with my weight before these trials, they resulted in a further loss of 4.5kgs (10 pounds) and 7cm (3 inches) around my waist – without additional exercise or even the slightest resemblance of hunger.

How to achieve optimal ketosis

Many who firmly believe they are eating a strict low-carb diet are surprised when they measure their blood ketones. They may be at around only 0.2 or 0.5 – quite far off from the sweet spot! Why?

The trick here is not only to avoid all obvious sourced of carbohydrate (sweets, bread, spaghetti, rice, potatoes), but also to be careful with your protein intake. If you eat large amounts of meat, eggs and the like, the excess protein will converted into glucose in the body. Large amounts of protein can also raise your insulin levels somewhat. This compromises optimal ketosis.

The secret to getting around this is usually to eat your fill with more fat. For example, if you have a bigger helping of herb butter to your steak, you might not feel like having a second steak, and instead feel satisfied after the first one.

A popular trick people use to ingest more fat is “fat coffee” (sometimes called “Magic Bullet Coffee” or MBC). It involves adding one tablespoon of butter and one tablespoon of coconut oil to your (morning) coffee, and requires a food blender for the right texture.

More fat in your food will fill you up more. This will ensure you eat less protein, and even less carbohydrate. Your insulin will drop and, hopefully, you’ll be able to reach optimal ketosis. And that’s when many a stubborn weight plateau is overcome.

If it doesn’t work

Being in optimal ketosis for a prolonged period of time (say, a month) will ensure that you experience the maximal hormonal effect from eating a low-carb diet. If this doesn’t result in noticeable weight loss, you can be certain that too many carbs are NOT part of your weight issue and not the obstacle to your weight loss. There are, in fact, other causes of obesity and being overweight. The next three tips in this series might help you.

Try it

Order a ketone meter online and start measuring. There are a few different models, the most popular one is probably the Precision Xtra ketone meter. Unfortunately these meters are all quite expensive to use, as the test strips can cost about $5 per test.

Here’s a complete package with everything you need to check your blood ketone levels.

More

Learn much more about ketogenic diets here:

A Ketogenic Diet for Beginners

What Is Ketosis?

Watch my video interview with the American doctor Peter Attia, on a strictly ketogenic low-carbohydrate diet: Very Low Carb Performance

Read all the tips on the How to Lose Weight page.

A word of warning

If you have type 1 diabetes, you should not follow the above advice on optimal ketosis – it may be risky. If you have ketones in your blood at all, you must be sure that your blood sugar levels are normal. If they are, you’re in normal ketosis – just like the ketosis of healthy people who stick to a strict low carb diet.

High blood sugar levels coupled with high blood ketones, on the other hand, will mean that you have a pathologically low level of insulin – something non-diabetics do not suffer from. This can lead to ketoacidosis – a potentially life-threatening condition. If this happens, you’ll need to inject more insulin; if you’re at all unsure of what to do, contact a medical professional. Coveting really high blood ketones for weight control is not worth the risk for type 1 diabetics.

341 Comments

Top Comment

  1. Ralph, Cleethorpes, UK
    Yes PC (10) that is simplistic. Good luck with that ;-)
    Read more →
1 2 3 4 5 6 7

All Comments

  1. Pentro
    Couple of questions.. how do you keep a keto diet interesting so it's sustainable long term? And what's the best way to stay satisfied? Thanks
  2. Pentro
    Chris, that's an interesting approach with the carb refeed. Although I don't know if I could follow your diet every day... that would get boring fast.
  3. Chris
    First to apicius, you suppress hunger aka ur Lepten hormone with fat. After you have fully reached a steady state of ketosis you can do a refeed once a week of say 400g of carbs. This will ramp up your motabilizm again. Look it up its true.

    I keep my carb below 30g a day even below 20 if I can. Also I work out a lot and replenish my glycogen stores once a week loook up the term cyclical keto diet ckd.

    To pentro- a TRUE keto diet is boring it's meat and fats that's it. You can't even eat onions the first couple weeks cause they have suger. Unless you are looking for more of a just low carb diet, but then you won't be in full ketosis. And the fat you eat will be stored on ur body,

    Your midacondria will choose to burn either carbs or fat for energy. If you burn fat you will not store fat, if you burn carb then the fat you are also ingesting with not burn off it will be stored.

    That's why if you do not do this diet properly it can harm you. I eat 200 grams of fat a day if I ate carbs that amount of fat could be catastrophic to my heart and organs. My blood pressure and everything would rise.

    Look up recipes online for fats bombs to keep it interesting.

    Lastly remember to use unrefined virgin coconut oil. The reason is it is an MCT versus most fats that are LCT

    Medium-chain tryglyceride and long-chain.

    Medium chain is broken down instantly and sent to liver for ketones for fast energy. Does not get stored on body. Long chain triglycerides take a while to break down.

    This may sound weird but go to bodybuilding .com and look up ketogenic videos. There is an hour long video on there. Great video and they also have great recipes in keto articles.

    Good luck

  4. Pentro
    Cheers Chris I already visit bodybuilding.com daily. Great site.
  5. 3 comments removed
  6. Peter Biörck Team Diet Doctor
    For certain reasons...

    We encourage debate in the comments but also a polite language.

  7. Rainer
    Thanks for the great tips
  8. DrJenna
    Has anyone tried pruvit? Keto/OS is the drink and it puts you in a state of ketosis about 30 minutes after drinking it. Exogenous ketones......great tasting too.
    Replies: #340, #344
  9. 1 comment removed
  10. Joy
    Hi,
    I am fairly new to LCHF and a previous sugar addict, but am learning about the diet plan and sticking to a keto strict diet. I also intermittenly fast between 12-15 hours a day. I am happy to say I don't crave sugar anymore! I've lost 17 lbs in the month I have been on it. I drink a lot of coffee and use 1 packet of Spenda Naturals, which is an erythitol/stevia blend, in a cup with 1/2 tbsp. heavy cream. Measuring ketones in urine, my level was moderate about 3 hours after my last meal. I read on another keto blog that if erythitol was the 1st ingrediant, which it is in Stevia Naturals, that it has 0 net carbs. Is this true? Can erythitol keep you from reaching optimum ketosis? What is the best time to test ketones, after eating or after a fast?
  11. endurance athlete
    Hi guys,

    After 30 days in keto (Diabetic Type 1) I have proteins in my urine (one mark) along with ketones (3 marks). However, blood glucose has never been better. My endocrinologist (highly respected) says I have too little insulin and that my muscles started to catabolize and I have to get off of this diet plan. Emphasis => blood glucose have never in 20y been this good, perfection
    Can you comment on this?

  12. Babs
    Bionicbabs
    I'm on a no carbs diet, it's not easy, but have my Dr keeping an eye on me as she recommended it and I have the added complication of type 2 diabetes!
    May I ask someone who knows, can I have tea, no sugar, and a splash of skimmed milk? My only sin, apart from roughly 100 plum tomatoes 🍅 the other day!! It's ok I won't do it again 😭 I just want tea .... sob!!! PS this is a massively helpful website, thank you
    Reply: #346
  13. Gentiann
    Why skimmed milk???? It's a Low Carb HIGH Fat diet........
    Heavy cream is OK or it should be "a splash of FULL FAT milk"...
    Tomatoes contain naturally a small quantity of sugar, so one small one may not hurt but a lot is really bad.
    It seems that you are still afraid of fat......trying to do Low Carb and Low Fat is not sustainable, you'll be hungry all the time. Read what DietDoctor is saying about eating fat. Your doctor should have let you know about the importance of eating fat.
  14. Babs
    Hi Gentiann, thanks for replying! You may regret it!! I'm on a specific diet, through a company, recommended by my GP. All the food is provided, at a cost of course, and supplements are also provided! I have definitely struggled and I'm still learning! I'm not losing as fast as expected, and only just understood ketosis which is the ultimate aim! Apparently I came out of it after the tomatoe incident. I just miss tea, sounds daft, but I do, I have anxiety depression and it is one of my many crutches! I've not had sugar for over three wks and the other problem is ... I have type 2 diabetes. My daughters wedding is in July, so I'm running out of time .... One good thing, I've ordered a treadmill 😁👍🏼 Xx
    Reply: #331
  15. Gentiann
    I do not regret it.....!
    Did you read DietDoctor site at all?
    You do not need to waste money on a diet company, because the LCHF diet is quite easy to implement and does not have to be expensive.... It just requires some discipline for not buying the wrong food.
    If you have diabetes type 2 you can reverse it by following the Low Carb HIGH Fat diet strictly as many have done on this site.
    The problem with having meals delivered to you is that you are not learning how to be a long term low carb eater. Usually when people reach the desired weight and stop using this meal delivery service, they put back the weight......are you going to pay for such a service for the rest of your life?
    I hope you will try to read the diabetes section (and weight loss as well) on this site so you become well informed (it's free) and not dependant on a diet company.
    I wish you the best
  16. Gentiann
    One more thing... about the treadmill, exercise is probably going to make you just more hungry, not make you loose weight.
  17. jamie
    Have you heard of the insta-ketones? They are supposed to help kick you into fat loss / ketosis, even if you mess up and eat a little sugar or carbs. Wondering if there's anything to that...Thanks in advance!
  18. Michelle T
    I have been low carving since January. Then in February started counting because I wasn't seeing results. I keep it under 20 g carbs and fat is around 80g. I still wasn't loosing even though my k strips are ready very purple (4+). I gained two lbs and it stayed a full week. Then I said screw it and ate normally( not excessive) and included breads. Lost the two pounds the next day. What the hell?
  19. Josh
    Been low carbing since Jan 1. Lost 17 lbs so far. Combining low carb/ high fat with a 16 hour daily fast is the best thing I've done and the only thing that has ever worked. All my lchf food is consumed between noon and 8p. I go to bed at ten and actually sleep better too. My meals are typically salad for lunch with a tuna creations flavor of choice (they have a lot of flavors and are very reasonably priced). The salad is heavy on leafy greens and I do throw in half a dozen cherub tomatoes occasionally. I'll have an avocado for a snack around three or four o'clock and a good protein in the evening like a steak or tilapia. I always use fresh veggies on the side like buttery asparagus with fresh lemon juice and fresh steamed bean beans. Avoid canned vegetables! Buy frozen veggies if you have to. The cravings for carbs are mostly gone and people are noticing a difference in my appearance. I check my urine often and maintain moderate ketosis almost all of the time. Last night, I ordered a supreme pizza from pizza hut and ate only the toppings and about 8 wings and I was still in ketosis this morning and had lost two pounds. It doesn't have to be boring. If you love wings, this diet is perfect for you. Just do a reasonable amount of research on the place you're buying from. No fast food wings. Wing stop and buffalo wild wings are A-okay! They key is the 16 hours of fasting. This activates a mechanism in your body that burns fat to provide you the energy you need to find food. It's an ancient part of your makeup that goes back to when humans were mostly hunter gatherers. Hope this makes sense and helps you out! Good luck to you! - Josh
  20. Josh
    Oh! And i ONLY drink water with a lemon wedge. No magic flavored drinks, no protein shakes and no coffee. NO SODA. EVER. Not even diet soda. One last piece of advice, add some salt. It helps with satiety and relieves headaches you might get from hunger in the beginning. - Josh
    Reply: #339
  21. Ann in TX
    I have a question for anyone who is doing the LCHF eating plan. I started on Jan 30th, I lost 8 lbs in 10 days. After one cheat meal and another week of LCHF eating, I lost 4 lbs. The following weekend, things went crazy and I wasn't able to stick closely to my eating plan as I had been. I went off balance 2-12 days and gained the 2 lbs back. Got strict again on week 3, lost 4 lbs. The following week, lost 1 more lb. Total lost by end of February (4 weeks) was 15 lbs. First week in March and through today, I have not lost any further weight. My energy level is good, the inflammation in my joints is gone as well after cutting out sugars and carbs. I'm not yet to a good weight to exercise or do much walking (have lower back injury and a hip issue) but had hoped to get the other 16 lbs off this month. Here we are 10 days in, and not moving. I have two questions actually: 1) Any suggestions on getting the fat burning loss kicked in again? and 2) Through this whole process, I have had BM issues, completely different from before I started this eating plan. Where as I would go 2-3 per day before, it became once in 2 days and that was assisted by an oral laxative. Now, it's a problem because it's gone on to 3 days, and laxatives are not working. I drink mostly unsweet tea and water. Recently I discovered Diet Coke made with Splenda, which I've had a total of 2 in a week. (I cannot do other sweeteners because I'm allergic to Aspartame), and I have 1-1/2 cups coffee with Splenda and half n half in the mornings. I eat salads almost daily, so I am getting fiber. I eat a lot of fresh or frozen veggies such as squash, zucchini, asparagus, cauliflower, broccoli, avocado a couple times a week. Salad consists of iceberg lettuce, 3 cherry tomatoes and a few sliced cucumbers. A lot of chicken, either in fajita mean, or boneless skinless breasts, rotisserie shaved chicken breast, rib eye steak, pork chops. I try to eat 2 scrambled eggs with ham, or bacon, or sausage 4-5 mornings a week.
    What do I need to do to get my colon expelling waste on a daily basis again? Oh, and a third question....when counting my carbs per day, I have been doing total carbs (around 20 but sometimes a bit over), not net. How much difference in the weight loss process does it make if it's on net carbs as opposed to total? Should it always be total carbs? and I have been keeping my protein around 50ish per day, fat and sodium much higher. Calories around 1,000 per day.
    Reply: #325
  22. Josh
    Ann,

    Stop counting calories! You wouldn't have to even worry about counting carbs if you just monitor your foods and be conscious about what you eat. LCHF will mean more calories but they are calories your body will instantly burn off. Intermittent fasting will also fire up your ketosis. Please read my other two posts right above yours. It works. I promise! Just remember, no bread, pasta or dairy. Lots of water. When counting carbs, deduct the dietary fiber from the total carbs and you'll get the net carbs. Net carbs are what you want to count. You may not be getting enough carbs if going by total carbs. Good luck - Josh

  23. Gentiann
    magnesium tablets help with irregular BM but do not take too much or you may end up with diarrhea
  24. Toni
    Hi guys...love diet doctor and so many of my friends are giving it a go too.
    Question - i have been limiting my carbs to 15gm a day and mid morning my bloods were 1.8. Then I tested after dinner eating steak n 2 tbs sour cream and only got .4. ...i am only eating 100gm protein per day..i also do crossfit and lift heavy. (Just incase that makes a difference).
    When testing after eating is it normal for ketones to reduce? I will test again in the morning before my buttery scrambleded eggs.
  25. Kelly Valentine
    I have lost 16 pounds in the past 5 weeks on LCHF diet, plus intermittent fasting daily. I gave up grains completely and have noticed I suddenly have vivid dreams at night and also many skin rashes have disappeared. I am a 47 year old female and I was 65 pounds overweight, so I still have a long way to go. In the past 10 days, my weight loss has substantially slowed down. I just took a urine ketone test with results at 4.0, which is supposed to be high. I wonder if I should test for diabetes? Any thoughts on this? Also, I am eating avocodos, fish, nuts, bacon, tamari, lots of vegetables and different meats - moderate dairy and cheese. It took 9 days to lose 1.5 pounds. I feel this is a bit slow considering how overweight I am and that my diet has changed dramatically. I only went completely off wheat in the last two weeks. Prior to that, I ate 1 ezekial muffin a day and was achieving faster results. Any thoughts or suggestions?
  26. Sandra
    Hello!
    QUESTION: my boyfriend and I are on keto diet since the end of February. This is our 3rd. Week. But I'm so worry for my boyfriend because he is feeling pain in his liver area. The pain started during the second week. He says that he doesn't feel hungry and the pain starts everyday 2 hours after he takes breakfast. Is this part of the keto flu?
    Thanks on advance for your help.
  27. Angie
    Hello guys need reassurance please!!

    I started lchf a month ago and IF just 10 days back. I've been fasting for 17-18 hrs zero food and liquid intake (religious reasons)! I usually break my fast with 2 glasses of water with apple cider vinegar at 7pm then a keto/lchf dinner online recipe (usually some protein, low carb veggies in some heavy cream sauce r sour cream and cheese mix.. I don't over eat) around 8pm then by 10 or 11pm I take a bullet proof coffee adding a lil whip cream, heavy cream, vanilla extract, butter and coffee! By midnight or 1am I'm not really hungry but I need to eat before I sleep so I don't starve I usually do 3 boiled eggs, with a spoon of store bought mayo, a lil mustard and 2 small cucmber pickles. Sometimes I also munch on a few pepperonis and beef salami (Hebrew national brand) slices while I prepare the eggs!
    My Keto urine test is usually on the light to dark purple side. I also drink a few glasses of water to catch up! Can someone please advice if I'm on the right track to loosing weight? I'm definitely under 25grams of carbs! Should I cut down on fats to lose more I haven't really lost any weight maybe a half inch on my waist! I'm 4'11 and 135lbs that 150cm and around 62kgs. Want to loose 12-15 lbs! I use to log my daily intake to make sure I hit my macros always below the carb and fat and might be a lil over in protein some days! Am I on the right track or should I start extended fasts to switch things up? Thanks

    Reply: #332
  28. Fran
    i need help....

    My blood ketone levels are 0.9 in the morning and in the middle of the day 0.7. How long should it take to reach optimal ketosis? I tend to keep my carbs intake close to 0g a day.

    thanx

    Reply: #350
  29. SteveLee
    You can have as much tea with full fat milk as you like, just don't eat loads of carbs - tomatoes are packed with sugar - you will not go into ketosis eating those, it's simple, no bread, no pasta, no rice, no cereal of any kind, no sugar of course, no fruit juice, very limited (or no) citrous fruit. What you CAN eat:- meat (the fattier the better), dairy, nuts and leafy veg - that's it - you will go into ketosis within two days and will not feel at all hungry, fat will fall off you. The closest thing to grain you can eat is buckwheat - but even then I wouldn't touch it until the ideal body composition is obtained as it is still carb rich even though it's not actually a cereal. Most nutritionists and doctors are stuck with the modern fad that (dietary) fat is bad - it's not, cholesterol levels are completely irrelevant too. Just stop eating carbs and you will be healthier and slimmer for the rest of your life.
  30. Jenn
    Angie, try 79gms Protein-20gms Carbs & 59gms fat.
    NO Sugar, Dextrose, Maltodextrin etc.
    NO Milk, try unsweetened almond milk or heavy cream.
    NO veggies from underground
    NO starches-NONE.
    Try mashed cauliflower if you are craving potato's
    Take Magnesium after your meals (5 hours apart) and 12 hours from last to first
    Water only to quench thirst.
    Anything is worth 30 days of trial?
    This will work if you work the system!
    NO Cheating.
    Good luck :)
  31. Lisa
    Jenn how did you come up with these numbers for Angie?
  32. Georgia
    Hello. I have been using your site for some time now… it’s my daily to go site for the last 4 months I am doing the lchf way of eating… how ever I have a problem getting in ketosis… I have set as goal to eat less than 20gr usable carbs a day and usually I am between 10-15.. I also pay a close attention to protein and try not to eat more than 60gr a day… I am 119kg and i am in desperate need to loose some (aka a lot of weight)..i lost three in the past two months… I bought the ketostixs and for the last two months they are usually some sort of pink-purple which would mean I am in ketosis but for the last month I bought a blood meter and it seems to be stuck at 0.4mmol/l… am I in ketosis or not? Is there anything else I can try? Thank you in advance for your reply
  33. LS
    Is there anyone that's having a problem getting into ketosis? Yesterday was my one year anniversary of doing the keto diet. No matter what I do I cannot get keto adapted I just came off a three day fast and I'm still at only ,4. My liver keeps spitting out sugar and my blood sugars range in the high 90s. I am not cheating I am not doing anything I'm not supposed to be doing, my liver is fighting me has anyone had this happen? I'm so frustrated I've been trying for so long. I thought if you did it correctly it would definitely work for you and apparently that's not always the case.
  34. Eric
    Try eating once per day?
    I eat at noon and by 10 pm my ketones are higher than my glucose.
    Ketonbe 3.5 mm or higher and be 62 or less 3.2 mm
    Eat 2000 calories at noon
    6 ft tall
    173 lbs less 80 kilos
    Was over twice that weight 10 years ago
    Eric
  35. Maggie
    My urine ketone strip was next to highest (fasting, upon arising). I was very happy, 'til it said "moderate" and spoke in numbers that I cannot relate to optimal ketosis. Can anyone help? I understand it is not as accurate as the blood test--but Am I near optimal ketosis? Thanks
  36. AlanP
    Good evening, I'm in my first week on the Cambridge diet which is a low carb diet, I'm on less than 1000 calories a day, weight in day tomorrow. Been really hard as I crave texture in my food and the diet has none, but if I need to stay on this as I have no will power and I'll just eat too much again otherwise.
  37. Mark
    Hey Josh, lots of good advice. I'm in agreement with you on everything but am curious for the no coffee rationale. Lots of suggestions on LCHF and keto sites recommend coffee, although may suggest no dairy if it becomes an issue. Anyway, good work on your progress. Keep it up.
  38. Jody
    Hello I am a user and promotor for Keto-os. I have been with my company for almost a year. Your absolutely right about Keto putting your body into Ketosis in about 30 mins from the time you shake it up. I have lost 45 lbs of fat and since I started I now have my husband and children on the product. My daughter who has epilepsy has been on it and with the low carb lifestyle we had cut the amount of pills she takes daily. I'm not speaking from any medical stand at all, I'm not a doctor and make no medical claims, just our personal expirenece with the product. My energy level, sleep habits and all around health has absolutely improved and we were failrly healthy before and living even better today. Get in touch with me if you have any questions or would like to talk more. Thanks!
  39. Angela
    Hello. I'm new to the Keto diet. It's week one. I'm down 6 lbs. I walk a mile every morning. I'm eating less than 15g of carbs a day. I'm using the urine stix to check for ketosis and it says small. Could my water intake have an effect on this? I drink atleast 8 bottle of water daily.
    Reply: #343
  40. Keith
    Hi Angela, my understanding after being keto for 10 months (since september) is that weight loss is not a straight line there are a few stages where weight loss will stall for a couple of weeks. For veryone the reasons will differ I can only speak from my own experience. Initially for the first month I was limiting to a low sugar diet about 40 grams carb per day mostly from cranberries and vegetables. Your weight loss 6lbs in a week is extremely fast although I suspect it could be more if you drank less fluid but you know best how much fluid you need. As always observe and adjust you will learn many different ways to tweak keto as you go on especially in combination with intermittent fasting.

    My weight loss in body fluid anything from 60 to 120 grams per day. It was then I discovered dietdoctor and started the keto diet. No ketostix but after 2 weeks had a week long bout of diarrhoea as my microbiome adjusted to the new diet after 40 years of eating bread and fruit it was quite a change. Started to sleep really well at night out within 10 minutes no effort at all. My first 2 week stall was a couple of months later after losing 6 kilos no idea why but the body was up to something or maybe I was eating too much dairy did not keep a exact record. Another 3 week stall occured after new year I took up a series of several 4 day intermittent fasting within a month (see Jason Fung) and really enjoyed the noradrenaline boost and leptin satiety that kept me free from thinking about food. Proceeded to lose another 8 kilo got BMI down to 22.

    After that 8 kilo loss I felt fine for a while but then mysteriously started to get periods of cravings especially in the evenings I would eat nuts, olives, beef jerky non stop and yo yo up and down 2 kilos as I desparately tried to control my apetite. . The reason for craving I can not exactly be sure as I only measured my weight do not a a ketostix or glucose meter. However one conclusion I have come to s that with weight loss their is less adipose tissue secreting the leptin hormone. The body can cope with this in several ways their are so many pathways but I guess that the adipose tissue is lagging and has to adjust to fewer cells pumping out the same amount of leptin and maybe the adipose receptors have to be more sensitive to L cell PYY signals from the small intestine which is a signal telling the adipose that food has been eaten so produce some leptin.

    What ever the reason I now avoid nuts not because they make me eat more nuts but they often are the start of a snaking binge that has me eating olives, jerky, cheese, etc. Your experience will be your own don't worry you certainly wont starve on the keto diet and there lots of opportunity to tweak it to your own liking. Look out for the metabolic health benefits its all worth it.

  41. Keith
    P.S Angela it may also take you about a month to become keto adapted which is why your ketosis is still measuring low. Even after adaptation ketosis is only about 50% as there is always a baseline level of glucose due to lypolysis the reverse flow of fat to the liver to be converted to glucose and free fatty acids. The baseline glucose level in healthy people is steady but in people with type 2 diabetes the liver can be overwelmed with the triglycerides flow as the adipose tissue will also be insulin resistent, a sort of double push back. This is the dawn phenomenon and even in people who are pre diabetic they will feel the effects of the high blood glucose (hyperglycemia) above baseline.
  42. UponDuhMnt
    Yes tried it & loved it!
  43. 1 comment removed
  44. Ann
    I'm on the same diet and monitored by a doctor and a nutritionist. I also have type II. Yes you can have tea with skim milk. They also tell me I can have an artificial sweetener. I do worry that the sweetener causes hunger though. I recommend avoiding it if you can.
  45. Mina
    You might lose your hair as well.
  46. Ellen
    I have been doing LCHF with less then 25 g, most days, aiming for less then 20 gC per day. Some days less then 10. since June 2017.Was newly dx with DM2 with a very high HgA1c in July. Am morbidly obese much of my adult life, have lost loads of wt in lots of diets, mostly WW lately. In any case this WOE is very sustainable to me as sites like dietdoctor have so many yummy recipes and meal ideas. Have also been doing IF almost from the start. Never eat brekkie. No snacks. 1-2 longer fasts each week eg 44 h, also OMAD. Have lost a sig amt of wt, gone down 3-4 clothes sizes. HgA1c normalized with diet only by 3 mos and continues to go down. Am off bP med. Chokesterol profile, though very good to start, now better.
    Feel great, loads of energy, good sleep, never hangry or even really hungry, eczema cleared up, fab exercise tolerance etc etc.
    Decided to kick off the. Y with an ext fast just to see if I could do it. Have not msd ketones u til the week of the fast when I acquired a meter( Precision Free Style. Swam 100 laps, eg 2:5 km on day 3 of fast no prob( usually swim 40-65laps) almost daily. No prob. Purchased meter and excitedly msd ketones . Dismayed that evening to find were only 0.9 mmol/L. BS was 5:1 . Had not had anything exc 1:5 cups of beef vone broth daily, plus water with salt and A V and green tea for 3 days. Next morning ketones up a bit to 1:1 and 5 th day 1.4.
    What gives?
    If 5 days of severely restr caloric intake preceded by strict keto prior doesn’t bring up your ketones what will.
    Not sure it is something to necessarily aspire to as am achieving other results, eg lowered HgA1c and sugars, gradulally reducing wt, smaller clothes, better energy, ibetter mood etcetc.
    My carbs come primarily fr above ground veg, sparingly nuts and seeds, as a treat mostly, 7-10 eggs a week, 8-10 oz of cheese a wk, olives, pickled cucumbers (1g) , occl sq of 85% dark chocolate. Rarely make keto desserts, breads. Eat 3 homemade keto seed crackers ( triscuit size) a day with my cheese, tho not every day. Have made fathead pizza maybe once a month when have company( always a hit!) and eat 2 small pieces. Dont use tomatoe sauce on it to spare the carbs.
    I am not sure how much lower I can go without going to the much vaunted “just bacon “ diet. I love bacon but....
    Have not tried a strict fat fast, is next on my list.
    My thought is may be eating too much protein though on the days I count stay under 100g if eating 2 meals a day and much less when doung OMAD.

    Thoughts?

  47. sboat6579
    I lost over 100lbs on this diet. The biggest addiction is to the sugar. In Western foods, from around 1920, food distribution in the USA (great Depression era) resulted in a marked increase at evaluating food spoilage resulting in sickness & mortality. Results confirmed that adding simple sugar cane glucose (today's processed white sugar) to foods preserved them much like salt did with meats. Adding sugars to food so that food became resistant to spoilage drastically reduced sickness & mortality in the United States, and adding sugar to MRE (Meals Ready to Eat) for the U.S. Military primarily in WWII showed virtually ZERO affect & soldiers were able to fight better & remain healthy. Adding to this was 1970s era add of plastics - a contained environment that virtually provided zero growth to bacteria & food (including soft drinks, candies, all kinds of processed foods, etc). The U.S. was able to virtually eliminate illness (sickness & mortality) due to food spoilage w/sugar & plastic containers. Sugar, however, is now much like tobacco use was in the 1970s. Sugar is actually addictive. Tests done on lab rats, to livestock show that foods high in sugars - virtually all animal life tested preferred those foods, almost immediately became sedentary, slept only to wake to eat much more, and much more frequently--the result is ALL of the test animals became obese. If they were weaned off this diet, all went thru withdrawl symptoms for about 2 weeks; but, after two weeks, returned to an active lifestyle and a normal weight. My own thoughts on a capitalist society is, if you can make money off people massively consuming food, you make a profit, and over adding sugar to everything can make anyone in the food industry quite rich off your health. The cost to your health, I wish, was passed onto places like McDonald's, or all the supermarkets that sell processed foods - foods that have added sugars in them to preserve them -- sit on a shelf for months til you come in and buy them. You are not on a Shackleford Expedition. You do not need to eat canned foods or processed foods. You should be getting most of your daily nutrition from the vegetable - produce section and virtually skip the other 95% of the store completely. I followed this diet. After 2 weeks, just like lab animals, I no longer had cravings for sugar. I did run into setbacks. That is, like crises, like death in family or personal challenges that didn't work out and it was easy to simply go buy a bag of potato chips & 2 Snickers bars, or start off w/a small box of chocolate candies but by the end of the week, I was eating whole bags of all of these processed foods exclusively, and had to wake up, and start the process of withdrawl all over again. It's a personal choice to remain healthy. Unfortunately, your Government isn't ensuring your best interest by banning these foods, or pricing them to equate to the health cost to Americans (ie., make a McDonald's order of fries or Double Cheeseburger cost like $750.00 - equal to the cost of the health care it costs Americans to treat the effect). Since your government, and virtually all your health care provider system doesn't call out the culprit directly, you have to be on your own and simply eat right. I went with Oatmeal for breakfast, a lunch salad, and no dinner & used that time to exercise. My diet before this was no breakfast, fast lunch..then graze on bon bon's, steak, just keep eating from the time I got home to the time I went to bed and I got fat in front of the TV. I basically purposefully foot stomped over the time where I was most vulnerable to eating bad food. After about 1 week, I felt better. I had more energy. I still was tempted by sodas, chocolate Dunkin Donuts as my office mates still ate them, but I would bring carrots or an apple. The other temptation was all the "forced" dinners and social events that people equate to how well their party went by how much of their food you ate. So, loading up my plate w/these foods but not eating them was the trick I used. There's lots of obstacles to eating right. Good luck to your on your own journey back to health.
  48. Tina
    Have you ever tried to drink VCO (Virgin coconut oil) to control Ketone?
  49. Marianne
    I just started my Keto Diet (not even a week in) and I must admit I am really not hungry at all. Of course I have ample stores of fat to fuel my body ;). I probably have around 100 pounds to lose but I am taking in day at a time. Many thanks for all the recipes and great videos on the site I am leaning so much!

    I do have one question though : I have a condition called Hemachromatosis (i.e. too much iron) will all the meat and great green veggies we eat on keto increase my iron? Most real and healthy foods are rich in iron like red meat, broccoli, kale and nuts.

    Thanks

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