Low-carb questions & answers

FAQ: Low-carb & keto

Some questions about low carb and keto are very common. Here you can find answers to them. To jump down to each category of questions, just click the topic:

Do you miss any specific question? Let us know in the comments below.



Weight loss

I’m not losing weight as fast as I want to or I have plateaued. What to do?

There are a few things you can think about in order to lose weight, where the ones that might have the greatest impact are:

  • Eat a strict low-carb diet with less than 20 grams of carbs per day.
  • Eat only when hungry and avoid snacking.
  • Try intermittent fasting.
  • Sleep enough (7 or even 8+ hours per night) and avoid excessive stress.
  • Note that as you get closer to reaching your ideal weight, the rate of weight loss will most likely slow down. It’s normal to reach a temporary plateau at some point. Also weight fluctuations of several pounds happen every day. This is all OK, just keep on doing what you’re doing.

    However if your weight loss stops for many weeks or even months, or if you want to speed it up, here are more things to consider: How to Lose Weight

    Do people who stop a low-carb diet and return to their old eating habits regain weight fast? Can low-carb diets cause “carb intolerance”?

    When following low-carb diets people lose more weight than on other diets (on average). So it is logical that when people return to their old diet they regain more. It is simply a bigger step in the wrong direction, compared to going off other diets.

    There’s no evidence for the speculation that low carb would cause carb intolerance.

    However, a temporary “cheat day” may lead to filling up stored sugars in the body (glycogen), which binds more water, adding weight. This water weight (perhaps 1-2 pounds) quickly disappears within days when you go low carb again.

    How do I STOP losing weight?

    For some people it is very easy to drop a significant amount of weight on low carb. Normally weight loss stabilizes within the normal weight range, as long as you eat when hungry and don’t starve yourself.

    However, if you’re concerned that you’re losing too much weight, then you have several options:

    • Eat often, at least three times per day, including plenty of protein, and lift weights to put on muscle.
    • Eat slightly more carbs (like low-glycemic fruits, sweet potato etc.) to put on a bit more fat.

    To summarize there’s normally no need to stop a low-carb diet to stop losing weight. This will happen anyway, as you reach what your body perceives is the right weight for you.

    Should you want to, is it possible to gain weight on low carb?

    It’s very hard to gain fat mass. But it’s clearly possible to add lean mass, like muscle. Check out our guide here:

    How to Gain Weight on Low Carb




    Diabetes and blood sugar

    Is a low-carb diet good for people with diabetes type 2?

    Yes. In diabetes type 2, the body has a hard time to handling all the sugar in the body. The body produces a lot of the hormone insulin, to take control high levels of sugar in the blood by depositing the sugar in the cells. More and more insulin can be required for this, in a vicious cycle resulting in insulin resistance and consequences of high insulin (including weight gain).

    By following a low-carb diet, you reduce blood sugar levels, insulin levels and your need for medication. So yes, a low-carb diet can be very beneficial for patients with diabetes type 2. It can even start reversing the disease.

    Note though – this is very important – that if you are taking medications, especially insulin, you need to monitor your blood sugar levels closely when starting a low-carb diet, and adapt (lower) doses as appropriate to avoid low blood sugar. You should of course consult with your doctor, ideally he or she has knowledge about how to reduce medications on a low-carb diet.

    Learn more:

    Is a low-carb diet good for people with diabetes type 1?

    Yes. It can help stabilize blood sugar levels, and reduce the need for high insulin doses (also helping with weight loss if needed, as a bonus).

    Be very careful when starting a low-carb diet, as you’ll have to adapt your insulin doses. Big changes may be needed, e.g. a reduction by 30-70% depending on your specific situation. This can only be done by testing sugars and adapting insulin doses to your specific needs.

    Learn more: Type 1 diabetes

    Should I be worried about low blood sugar on low carb or while intermittent fasting?

    Generally, you don’t have to be worried as long as you feel fine. Sugars can be slightly lower than normal on a low-carb diet, especially when you are in ketosis. In this situation the brain can rely on ketones for fuel and does not have quite the same need for glucose. So if you feel great you probably have all the blood sugar that your body needs.

    If you’re not feeling well, you should eat something straight away, and break any fast.

    If you’re on medication, like insulin, low sugars is a sign that you may have to reduce doses (especially if you get any symptoms).

    High blood sugar in the morning – why?

    Elevated blood sugars more or less exclusively in the morning is a common concern. This is known as “the Dawn Phenomenon” and occurs due to hormonal effects in the morning. It may actually be even more pronounced on a low-carb diet, compared to other diets.

    Many people get surprised as their average blood sugar (measured as A1c) goes down nicely on low carb, blood sugar is great during the day… but morning sugar may stays elevated.

    This is normally a natural phenomenon, caused by a morning elevation of cortisol and other hormones that cause the liver to release glucose, thus raising blood sugar levels. This can be thought of as a way for the body to prepare you for getting active again, after sleeping.

    Learn more: The dawn phenomenon – why are blood sugars high in the morning?




    Food, hunger and cravings

    Can I eat XYZ?

    There are a few foods that don’t contain too much carbohydrate, but which might not be optimal for health, craving and weight loss reasons. These include:

    • Dairy products such as milk, yoghurt and cheese. Fattier ones such as butter and heavy cream are better. Learn more
    • Sweeteners such as aspartame, sucralose, acesulfam-K and stevia. Tend to keep one’s sweet tooth alive, possibly causing cravings and overeating. In some cases they also contain quite a lot of carbs. Learn more
    • Nuts – some contain quite a lot of carbs, and they can easily cause overeating due to unconscious snacking. Low-carb nuts guide
    • Oils that are high in omega-6s, ex. canola and soybean oil, might be inflammatory and not optimal for health.
    • Alcoholic beverages that contain quite a lot of carbs. The best options are low-carb wine and pure spirits. Low-carb alcohol guide
    • Fruit. This is candy from nature, that contains a lot of sugar. Low-carb fruits guide
    • Low-carb cookies/bread/pasta. This is not a good idea, given that the vast majority of these low-carb “carb substitutes” are packed with carbs. Examples:

    I’m constantly hungry and craving food in between meals. What should I do?

    You’re not supposed to have to be hungry between meals on a low-carb diet. Here’s what you should try: Eat more food at meals. Especially eat more fat.

    Add more fat to your meals, until you feel satisfied. Add butter to food. Add olive oil to salads. And perhaps check out our low-carb condiments recipes for more inspiration.

    Also make sure to have some delicious and high-quality source of protein with most meals.

    You’re not supposed to be hungry all the time. If you are, you’re not eating enough. You’re not eating enough fat.

    If I’m lowering carbs and even limiting protein… What do I eat?

    Usually, there is no need to limit protein, it is fine to eat a “normal” amount. Just don’t overdo it with protein, remember that LCHF is supposed to be a low-carb and high-fat diet, not a high protein diet.

    For a standard low-carb meal, you remove the carb-heavy ingredients, like rice. You then add some vegetables and some healthy oil or fat-based sauce. But there are plenty of other options.

    Here are many delicious examples of what a meal can look like: Low-carb recipes.

    I’m craving carbs. Can I have a cheat meal – or a cheat day – once in a while?

    Only you can decide – cheating can be a good idea for some, and a terrible idea for others. It also matters how you cheat. Check out our guide:

    A guide to low-carb cheating

    I’m really struggling with cravings for carbs, even when I’m not hungry. What should I do?

    Learn more about sugar and carb addiction

    Do you need to eat resistant starch on low carb to feed your gut bacteria?

    Unknown, but there appears to be some potential benefits of doing so





    I have high cholesterol. How can I lower it?

    First of all, you may not need to worry about lowering your cholesterol. Without a doubt there has been too much of an emphasis on total cholesterol during the last few decades. Total cholesterol, by itself, says very little about your future chance of health.

    That said, if your cholesterol is abnormally high – e.g. over 400 mg/dL (10 mmol/L) – you may want to do something about it. If so check out our guide, focusing on elevated cholesterol on a low-carb diet.

    Elevated cholesterol on low carb

    Is it really bad to have high cholesterol?

    In the absence of other risk factors a raised total cholesterol is not necessarily a bad thing. Several studies even show that women with high cholesterol live longer than women with low cholesterol.

    The risk of heart disease is more influenced by many other things, like smoking, blood pressure, and blood sugars. When it comes to cholesterol it’s important to not just look at the total level, but also at the rest of the cholesterol profile, e.g. HDL (high is good) and triglyceride (low is good) levels.

    Learn more about cholesterol

    What do to if your doctor wants to put you on statins?

    Statins are mainly a good idea to reduce risk of heart attacks in people who already have heart disease (although the benefit might be much smaller than you would guess).

    In people without earlier heart disease the risk of side effects from statins (like muscle pain, weakness and doubling the risk of diabetes) often outweighs the chance of benefits. Ask your doctor how big the benefits are likely to be for you.

    There are also steps to greatly improve your cholesterol profile even without taking medications. See this guide about lowering cholesterol naturally.

    It’s likely that statins are way overprescribed, to people who do not benefit from them, in order to increase profits. Perhaps you’d like to watch one of these documentaries for some perspective on it:

    Statin Nation
    Statin Nation 2



    I’m taking this medication, will it prevent weight loss?

    There are certain medications that might make it harder to lose weight, but not necessarily prevent weight loss. The most important are:

  • Insulin
  • Other diabetes medications
  • Cortisone
  • There are other medications which too might interfere with weight loss, you can read more about that here: How to lose weight: 10. Review any medications

    If you’re doing everything right and not losing weight while on one of these drugs, it might be a good idea to consult your physician to see if it would be possible for you to either lower your dose or quit the medication all together.


    The science behind low carb

    Is there scientific proof that LCHF is good for weight/blood sugar/cholesterol/blood pressure?

    Yes. Learn more

    Is There Science to Support Low Carb? – Interview with Dr. William Yancy
    Also feel free to watch this interesting interview with a doctor who’s been doing some high-quality research on the topic:

    Why are so many Americans obese?

    Because many people eat too much ultra-processed food and highly-refined carbs. Learn more

    Does insulin play a role in weight gain / loss?

    Yes, insulin – the fat-storing hormone – plays a crucial role in weight gain and the development of common obesity. It’s a biochemical fact:

    Is Obesity Caused by Too Much Insulin? – Interview with Dr. Ted Naiman
    Hyperinsulinemia – What Insulin Does in Your Body – Ted Naiman

    Learn more

    Why are Asian people thin, despite eating rice?

    First of all, there is now a huge epidemic of weight problems and type 2 diabetes in countries like China and India. So it’s no longer true that these people are necessarily “thin”.

    But it’s true that these countries traditionally had very lean populations. Probably because they don’t eat a lot of sugar or refined starch, plus a few other reasons. Learn more



    Common fears about low carb


    For our full guide to low-carb fears check out this guide:

    Top 14 low-carb fears (and whether you should be worried)

    I fear XXX…

    What is the biggest fear that people have when starting a low-carb diet? We recently asked our members this question. Here are the results:

    Other answers include some brave people having no fear at all, concerns about safety, losing sports performance as well as the fear of losing too much weight.

    So what can be done? Here’s our guide to conquering these fears

    Is saturated fat dangerous?

    No. That’s an old and disproven theory. It’s been a mistake from the beginning. Learn much more in the interviews below, or check out our science page for references.

    Is Saturated Fat Bad?
    The Big Fat Surprise – Nina Teicholz
    The Myth of Vegetable Oils – Nina Teicholz

    Will the brain stop working without carbohydrates?

    Does the Brain Need Carbohydrates? – Answers to Common Questions
    Certainly not. The brain runs fine on carbs, but it runs equally fine on ketones, made from fat. In this way you use your very energy-hungry brain to burn fat for you, 24-7. Not a bad thing.

    Check out the video to the right for more details from some very smart doctors.

    Can’t red meat give you cancer?

    This is highly unlikely, although favoring unprocessed meat is the best choice. On the contrary, replacing meat with processed carbs may be one of the worst things that you can do for your health and weight.

    Another interesting interview topic:

    Can Red Meat Kill You? – Nina Teicholz

    Read more: Do unhealthy meat eaters live shorter lives?

    Is salt dangerous?

    No. At least not in moderate amounts. Learn more

    Can you get osteoporosis (weak bones) by eating low carb?

    No. Learn more

    What about gallstones and LCHF?

    High fat food can give you short-term trouble if you already have gallstones. Low-fat food gives you gallstones in the long term. Learn more

    Can you get hypothyroidism on a very low-carb diet?

    No, hardly on a well-formulated low-carb diet, meaning that you replace the energy from carbs by eating more fat. In scientific studies on LCHF there are no problems with the thyroid and low-carb doctors generally report seeing no new thyroid issues in patients going strictly low carb.

    However, starvation can lead to hypothyroidism, and if you remove carbs AND fat from your diet you will be starving. So you do need to eat carbs or fat to fuel your body.

    Podcast: Livin’ La Vida Low Carb: Do low-carb diets lower thyroid function? Let’s ask the experts!




    Low-carb side effects

    I’m getting XYZ side effect – should I be concerned?

    There are a few side effects that are quite common during the first few weeks when your body adapts to a low-carb diet. These are usually temporary, and nothing to worry about (even if they can be unpleasant). These include:

    • Induction flu
    • Dizziness
    • Leg cramps
    • Constipation
    • Bad breath
    • Heart palpitations
    • Reduced physical performance.
    The trick that usually works in ameliorating these problems is drinking water with salt (and maybe some squeezed lemon).

    However, if you use blood pressure medications and you feel dizzy, it might be because low-carb diets can reduce blood pressure and you may thus need to lower your medication.

    If you want to learn more about how to treat these specific side effects and other less common ones, use this guide:

    Common low-carb side effects & how to cure them



    Ketosis, ketones and ketogenic diets


    Is it dangerous to be in ketosis?

    No, ketosis is a natural state, and normally safe.

    People often confuse ketosis with ketoacidosis. This is a dangerous state, caused by a shortage of insulin, that mostly happens to people with type 1 diabetes who take too little insulin.

    There are also certain instances when you might need to be extra careful, such as during breast feeding or if you’re on some other medications for diabetes.

    Why am I not in ketosis despite eating low carb?

    The most common reason why people don’t achieve ketosis is due to too many carbs (maybe because of hidden carbs, or the dreaded carb creep, which is where you after a while eat more and more carbs without noticing).

    Another big obstacle to getting in to ketosis is eating too much protein. To be in optimal ketosis, you should aim approximately for one gram of protein per kg desired body weight.

    Insulin resistance can also make it harder to get into ketosis.

    Learn more about how to get into ketosis

    Do I need to be in ketosis to lose weight, or to burn fat?

    No, you don’t have to be in ketosis to lose weight. And your body is always burning some fat, whether you are in ketosis or not. The difference is that in ketosis you burn more fat.

    Top tips on how to lose weight

    A quick guide to ketogenic diets



    Can XYZ follow a low-carb diet?

    Can people with diabetes eat low carb?

    Yes. Diabetes is too much sugar in the blood, so by eating less carbohydrates that turn into sugar in the body, you can start reversing type 2 diabetes.

    People with type 1 diabetes can also benefit from low carb.

    However, you’ll have to monitor your blood sugars closely to avoid hypos, since the need for insulin drops on low carb.

    How to reverse your type 2 diabetes

    Is a low-carb diet suitable for someone who has had a gastric bypass surgery?

    Yes, very much so. Here’s just one of many happy people who have tried it: “What an amazing journey”

    Can people that have had their gallbladders removed eat low carb?

    Yes. Learn more

    Can kids eat low carb?

    Sure. Children are better off ditching sugars, starches and refined junk food, and eating real food such as healthy fats, meat, poultry fish, vegetables, nuts and low-glycemic fruits and berries instead.

    This is a very nutritious diet for their growing bodies. But there is usually no need for children to follow a strict low-carb diet. Just let them have real food.

    How to raise children on real low-carb food

    Can women who want to get pregnant eat low carb?

    Yes. It can even be a good way to boost fertility, since a common cause of infertility (PCOS) can be caused by too high insulin levels, caused by consuming too many dietary carbohydrates.

    What to Eat to Get Pregnant – Dr. Michael Fox

    Can women eat low carb during pregnancy?

    As far as known it seems to be safe to eat a LCHF diet with real food when pregnant. Many people have done so successfully. However, no scientific studies have ever investigated putting women on low-carb diets during pregnancy, meaning it’s hard to know for certain.

    For this reason we recommend not doing a strict low-carb diet during pregnancy, unless there is a specific reason to do so. It may be wise to do a more liberal low carb diet with more than 50 grams of carbs per day.

    When you’re eating real low-carb food such as natural fats, meat, poultry, fish, sea food, vegetables and berries you give both your own body and the baby enough nutrients to be healthy.

    Learn more: Is low carb safe during pregnancy?

    Can women eat low carb during breastfeeding?

    A diet consisting of real, natural food is a great way to give both yourself and the baby plenty of nutrients to stay healthy and keep excessive weight off. However, we don’t recommend a strict low-carb diet, since it, in very rare cases, might cause a condition known as ketoacidosis.

    Our recommendation is that women make sure that they eat at least 50 grams of carbs per day when breastfeeding to stay safe from this rare complication.

    Eating low carb when breastfeeding

    Can healthy, slim people eat low carb?

    Yes, definitely. There will always be health benefits to eating real food and ditching refined food, sugars and starches. If you’re healthy and slim you can take a more liberal approach to your carb intake however.


    How much should I eat?

    OK… but how much should I eat?

    The short answer is that you should eat when you’re hungry, and stop when you’re full.

    You shouldn’t stuff yourself full, or go uncomfortably ravenous between meals. This is usually easy for people who stick to a low-carb diet with real food. Counting is usually overcomplicating things. It’s better to instead (re-)learn how to listen to our bodies.

    Why don’t you advice people to count calories?

    Because insulin is the main factor determining whether we lose or gain weight – not the amount of calories we consume in a day. By instead focusing on doing things that lower insulin – the fat storing hormone – you can reduce weight without calorie counting.

    It’s much more effective to eat an LCHF diet, intermittent fast, sleep/de-stress and do resistance training (which all serve to reduce insulin) rather than spending time counting calories.

    Counting and restricting calories is not only extra work and usually ineffective in the long term. It often also leads to hunger, and giving up.

    Do You Have to Count Calories to Lose Weight? – Dr. Jason Fung
    What To Do Instead of Counting Calories – Dr. Jason Fung

    How many carbs should I eat?

    When trying to lose weight, the less carbs, the better. Ideally less that 20 grams of carbs per day (a strict low-carb diet).

    People that are healthy and slim usually don’t have to go that low, they will be just as well off with moderate (20-50 grams) or liberal (50-100 grams) low-carb diets.

    How much protein should I eat?

    Once again, there is usually no need to count protein intake as long as you stick to natural low-carb food and eat until satisfied. If you’re losing weight (if that is your intention), there is no need to worry about having too much protein.

    However, if you’re not being successful in losing weight, then you might benefit from counting and moderating intake to around one gram of protein per kg of desired body weight. If you’re an athlete or working out, then you might benefit from a little bit more protein.

    How much fat should I eat?

    If you’re limiting carbs and moderating protein, then you should eat enough fat to feel satisfied. Once again, you shouldn’t eat so little fat that you’re hungry between meals, but you shouldn’t force feed yourself until you’re stuffed either.



    Sugar addiction

    What is sugar addiction?

    Are you struggling with cravings for food or sweets? Many, many people are. All over the world, people are unaware of the fact that they’ve become addicted. Addicted to something that’s added in almost everything. And there is no way to avoid it completely; you need to eat, in order to live.

    In our video course, sugar-addiction expert Bitten Jonsson, RN, presents insights and advice on how to stop food and sugar cravings. She’s been helping people with addictions for decades, as well as battling with her own, to get them under control.

    Do you experience a loss of control when you eat, especially sugary foods? Processed foods perhaps? Then take a look at the video and start taking the control back.

    What Is Sugar Addiction? – Bitten Jonsson

    How do I know if I’m addicted to sugar?

    It’s not entirely easy to know if you’re really addicted, of if you simply have some bad habits. Habits are relatively simple to change, but an addiction may even need professional help. At the very least an addiction requires other tools to bring it under control.

    In this video our addiction expert Bitten Jonsson discusses using a simple 1-page screening test to discover if you could be addicted to sugar or other bad carbs.

    How Do I Know if Addicted – Bitten Jonsson

    What should I do if I’m addicted to sugar?

    Watch our full sugar-addiction course to get required insights in how to get your addiction under control. There really are many things that need to be done right, to maximize your chances of success.

    After having watched the course, here’s what to do today to get started:

    1. Join a support group on Facebook or elsewhere.
    2. Clean out your pantry (free guide via the low-carb challenge), and avoid exposure to junk food etc. as much as possible.
    3. Get shopping lists and meal plans, available by signing up for the low-carb challenge.
    4. If you need a distraction: take a walk and enjoy nature.
    5. Drink plenty of water, or coffee/tea with coconut oil in it between meals.

    Best of luck!


    This is the end of the Q&A page. Did you miss any important question? Feel free to ask it in the comments below, and we’ll consider adding it to this guide.

    There is much more about low carb on Diet Doctor. Here are a few of our most popular guides:



    Feel free to ask your question or discuss with others below.

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    1. Martina
      I have two or three coffees a day and add a teaspoon of cream. Is this okay?
      Frustrated and need answers. I have been doing the low-carb high-fat for an entire six weeks and have not lost anything. That was okay because I was mainly doing it to lower my blood sugar which seemed to be rising, not diabetes yet but it was 112. I have been very devout on this diet and after 6 weeks got my test results and my blood sugar was 109! I'm so discouraged. Not losing weight is one thing but no test results changes make me even more discouraged. I'm a post-menopausal woman and I know it's harder but this is ridiculous and I just thought this was my last shot. Help me please with anyone who's had similar results.
    3. Camilla
      Hello, the recipe for Low-carb vegetarian cheese burger does not include the ingredient of Lemon Juice, which is listed in the instructions for preparing the Eggplant Dip. Could someone please advise as to how much Lemon Juice we should use for this recipe. Thank you in advance. Cheers
    4. andre
      can you eat sausages and mince
    5. Sylviaanne Wibberley
      Can I have Greek yoghurt or other yoghurt?
    6. Rossynet
      I am confuse with the recipes in the page.

      For example :

      keto mushroom and cheese frittata one serving is carb 2% prot 12% (32g)
      (6g) fat 86% (101g) just with that amount of fat I will be almost done with the fat of the day. So I eat only once with most of your recipes ?

    7. Greg
      Since an approximate amount of fat is not mentioned, how much fat is too much? If you have set a weight goal, how do you know if your over doing it with ingesting to much fat? You mention carbs being less than 20 g a day and protein approximately 1g Per kilo of protein. So is there not a rough estimate number to go with fat consumption.? Greg H
      Reply: #308
    8. Peter Biörck Team Diet Doctor
      Hi Greg!

      We think that the best way is to eat until satisfied but not more than that instead of counting the exact amount of fat. You can find more reading here:

      Since an approximate amount of fat is not mentioned, how much fat is too much? If you have set a weight goal, how do you know if your over doing it with ingesting to much fat? You mention carbs being less than 20 g a day and protein approximately 1g Per kilo of protein. So is there not a rough estimate number to go with fat consumption.? Greg H

    9. Michelle
      What if I have gall stones? I do not want gallbladder surgery. Everything I’ve read for natural remedies calls for a week long consumption of apple juice. I’m freaking out about doing the Apple juice prep because of all the sugar in the apple juice.
      I have read several blogs, the ones that are supported by people who may have monetary losses from people healing themselves say it’s a hoax. However, people with no profit loss, swear by it.
      I’m so conflicted. I read that there’s an acid or protein in apple juice that softens the stones so you can pass them. It’s just sooo much sugar.
    10. Timo
      I like kefir and it is ok with my gut. I like to make my own kefir from normal milk with lactose etc. How much lactose stays in kefir after the fermentation process? I suppose the kefir fungis eat a lot of the lactose?
    11. Nissa
      I used to take a weight loss/appetite support supplement. Now I am doing Keto, am I still able to take that supplement? Or should I? It's called LeanMode, it did work for me in the past.
    12. Barb
      Wondering if anyone has an answer or info on this question I have? I am a type 2 diabetic taking metformin for the past 18+ years. My A1c in October 2017 was 11.8 and through keto and fasting my April 2018 A1c was 7.1. Not low enough yet to get off metformin but I am getting there. I understand that metformin works by preventing your liver from dumping too much sugar into the bloodstream. My question is whether or not the metformin is actually slowing down the healing process by keeping the sugar hidden? Any thoughts?
    13. Maribel del Rosario
      How many servings do I follow for 2 people
    14. Jen
      I have a question. How do I get deeper into ketosis to make this easier? I have got this low carb lifestyle down as far as the eating goes. I have followed the lose weight tips. I eat usually less than 20 carbs a day. I even cut back on the fat and protein because I read your article on how to do this for women over 40. I practice the 16 hour fasts as best I can (hard to do when not in deep ketosis). I try really hard to eat only between 11 and 7. Sometimes I just can’t make it to 11 because I’m way too hungry and sometimes I’m eating after 7 because it’s just been way too busy of a day. I have completely cut out beer and only have a half a glass of red wine on occasion (I really miss my wine! Haha!). I usually eat only 2 low carb meals a day, although I haven’t seen any change between eating 2 or adding lunch back in and eating 3. The only thing I can think of that I haven’t added in is regular excercise. I am a busy mom. I garden, play with my kids at the park and base them around our land (we live out of town). On occasion I hike, kayak, and just plain enjoy the outdoors. Oh and I’ve had my hormones checked a billion times. I guess the other thing I haven’t really looked at are my supplements (calcium mag zinc combo, glucosamine and msm combo, mercola probiotics). I do have to take Zyrtec for severe animal and seasonal allergies. I also take a low dose of melatonin since I have never been able to get to sleep at night. Last but not least, the one I have checked and am trying to ween off of is lamictal. I take this for a bi polar like depression that I go through after childbirth (about 7-8 months after) and that I experienced after puberty. In my opinion this means there is something funky about my hormones, but they always test within the normal range, so no doctor is willing to pursue it further. I am taking the supplement Happy camper to help me ween off the lamictal. Ok...With all of this, I still cannot get into a decent level of ketosis that takes the hunger away. I am losing weight. About 20lbs so far, but it has not been effortless. More so than any other option for sure, but I still have to really focus on ignoring my hunger as long as possible to not over eat. What am I missing or what else can I do to help myself do this more effortlessly.
    15. Marie Breed
      Dear Dr
      I started with Keto but suffers terrible with loose bright yellow stools......It wears my out and leave me without any energy I tried to look on Diet Doctor for information about it but unsuccessful
      Can you please help
      I have to take Immodium but I know I can't use it for long periods of time
      My email is
    16. Joy
      Two things
      1. I drink a glass of water kefir (fruit flavoured) each day, will this interfere with me achieving ketosis.
      2. I don't drink coffee at all but have been drinking a bulletproof hot chocolate most mornings instead. I got it from another keto web page and it is made with 1/4 cup cream, 1 cup almond milk, 1 tbspn butter, 1 tbspn coconut oil and sugar free chocolate powder. My stomach does not cope with a cooked breakfast and this has been keeping me going all day and most days i don't need lunch. I have been paleo for a while and weightloss is just not happening for me. Is this alright to continue with?
    17. Frank
      From whAt age on can we introduce our children to keto safely?
    18. Liliana
      Can I have a protein shake after workout? During the two week challenge and on the going. Any brand you recommend?
    19. Jill Bolton
      I like to have an occasional alcoholic beverage. Usually wine, (which I will likely eliminate) but I do like Gin and sugar free Tonic. I understand that Gin has no carbs, but the regular tonic is a low carb killer! Can I use sugar free (0 carb) diet tonic in place of regular tonic? Will this cause any problems with ketosis?
    20. silvia
      can a 14 year old boy do the low carb challenge?
    21. Debbie
      I have a strange issue and can't seem to find any reference to it. Each time I have tried keto I feel nauseous about half way through a meal. Because of this I have always thrown in the towel. I fast regularly, my body adapts to it easily and I fully believe in this program and the benefits of fasting. I would just like to understand why I have difficulty finishing a "standard" sized meal as I've only ever encountered it before.
    22. Margaret
      What about LCHF for Arthritis sufferers?
    23. 1 comment removed
    24. Janet Johnson
      Hi I have dinner diverculiitas fatty liver and barrets can I follow this diet please
    25. Tracey
      Hi, I’m new to this I’ve only been doing it 8 days . So far I’m really pleased with the results 5lb loss in the first week . I don’t eat eggs and have been having a smoothie most mornings for breakfast with either strawberry or blueberry. Is fruit ok to eat every day like this? Skyr is high protein yogurt could I use this as a replacement for Greek yogurt?
    26. April
      Do macros need to be adjusted from 75-20-5 for those with gastric bypass?
    27. Prof. Celene
      I am an Integrative Health and Wellness practitioner practicing for over 40 years. I have seen so many programmes of eating - vegan, vegetarianism, Blood group, Low Glycaemic Load, Atkins, and now the Ketogenic diet. I am not overweight at all. I am satisfied with my weight. However I decided to follow the ketogenic diet as this seems the way to go. I do not eat dairy in any form nor meat, chicken, processed, packaged,bottled foods etc. I do not eat pasta, flours of any kind, nor grains, potatoes, sweet potatoes. No sugar except some xylitol and stevia in the pea protein isolate shake I use at 11.30am every morning with berries, a handful of greens and a fat with water. The carb and sugar content = 0.07 grams At supper now and again I will have 1 small carrot or beetroot. I eat loads of greens, vegetables either steamed or I will stir fry in water. I add olive oil or macadamia nut oil or avo oil and apple cider vinegar to my salads I add free range eggs or mackerel, or sardines in organic oil to my salads. I eat avos and macadamia and pecan and almond nuts . I do intermittent fasting. Eating like this has created a 2kg loss in weight. I feel absolutely great. I think by doing the intermittent fasting - eating at 11.30 every morning has probably created the loss in weight. I am not hungry at all. I do have 1 tablespoon of apple cider vinegar every morning in a glass of filtered water , 1/2 hour later probiotics . About 9am I have collagen powder with a fresh lemon slice with turmeric, ginger and a dash of cinnamon every morning. I do take supplements. I am 75 years old and have not been on any medication and not seen a doctor for over 40 years. The one problem is I have familial cholesterol and I take red yeast rice to help bring it down which it has. I have the APOE4 GENE and I am dead scared to add coconut oil or fry in coconut oil as it did increase my cholesterol. I then cut it out and my cholesterol came down. Nevertheless, I have added 1 teaspoon of MCT oil to my salad every evening. Hope that won't raise my cholesterol. Please share your thoughts on my eating programme and your opinion on coconut oil in my case. Looking forward to your comments. Thank you Kind regards, Prof. Celene Bernstein
    28. Mary Margaret
      Hi. I am just starting the challenge, and I'm confused by the calories (I know it's not supposed to be eattracked) in the first two days of meals. Breakfast contains 325 kcal, lunch has 1023, and dinner has 671. I've been sticking to a 1200 calorie diet and have very slowly lost weight. Is it possible to lose weight eating that number of calories?

      Also, should I eat the entire serving that it the recipe makes (it seems like a lot) or serve myself some and stop when no longer hungry (as suggested). Is it then okay to eat the remaining portion as a "snack" if hungry between meals. Thanks so much. Wish me luck!

    29. Ingrid
      I am not sure if this has been asked and answered but how is this diet different than Atkins? How do NET Carbs play a role in this diet?
    30. Linda
      Hello. My body has been tingling all today. Does anyone knows what this means?
    31. Virginia
      This is a question. I have had bariatric (gastric sleeve) surgery 6 years ago. I have gained back about 10 pounds, but that is not the only reason I am wanting to try Keto. I am diabetic, my kidneys are in stage 3 kidney failure, but have been at this point for the past several years. I'm having lots of memory problems and I have no energy. I'm 71 years old. I'm concerned about my small stomach capacity. I am full at about 1/2 cup, bu I am hungry again in just a few hours.. Most of your 1 serving recipes would be enough for 3 meals for me. Will your Keto diet work for me? How would I adjust it for my existing problems?
    32. Julie
      I see a lot of questions on here, but not a lot of answers. Hoping this one will get a reply. Many of the recipes call for coconut milk. When I go to the store there are sooo many different kinds of coconut milk. When I see this in a recipe, is it safe to assume you mean the coconut milk from a can? At my grocer, they have shelf-stable coconut milk in a carton. They have refrigerated coconut milk in a carton. They have coconut milk in a can. And they have coconut cream in a can. Please help!
    33. Helen
      I left a message yesterday but don't see it. I questioned the high calorie counts for some recipes, even though this is all about low carb. If I eat a meal which is 800 - 1000 calories I would bet I'll gain weight despite it being low carb??
    34. Vanda Smith
      Hi can you tell me if its safe for coeliacs and hypo-thyroid sufferes whom are also taking anxiety medication can eat a low carb/keto diet?
    35. Tanya
      Hi, I am reading conflicting information regarding Keto and sport. From what I can tell Keto is great for indurance activities ( triathlons/marathons) but not great for rowing which is my sport. Racing is at a very high intensity for 4-9min, depending on event and boat. Is there a way of incorporating Keto for weight loss but maintaining power for race/test day?
    36. tim
      My low carb diet has worked wonders. Lost 10% of my body weight in two months. Now maintaining and feeling great. How many carbs in sautéed mushrooms?
    37. val an Barry Woodward
      Hi my wife and i are on the keto diet can we eat frozen peas.thanks Barry
    38. Helen
      How many grams of fat should we aim for in a day. I want to make sure I am getting enough.
    39. Marianne Houle
      Good evening, I would like to know if you recommend to consume ketones exogenous to be in ketone and have more energy or fasting little do the work? Thank you for your answers !
      Reply: #340
    40. Peter Biörck Team Diet Doctor
      Hi Marianne!

      You will find some interesting reading here:

    41. Anne
      Good morning
      I have recently started the keto diet for various health reasons. I was diagnosed with fatty liver disease and had my gall bladder out 20 years ago. In the last few days I have noticed my poop has changed colour, it is like a light clay colour. My research suggests this could be as a result of the liver not producing enough bile.
      Has anyone else had this and how do I fix this without taking medication?
    42. Eddie
      Can I start this diet with a fatty liver condition and high uric acid levels causing gout flare ups
      Reply: #345
    43. Susan
      I was interested in any research results you know about the impact of HRT on insulin sensitivity. I’ve read a few academic studies that intimate a positive reduction of resistance. Would be encouraging to understand if this enables a more level playing field for women over a certain age with hormone imbalances. I’ve not yet seen any articles on this site about the subject.
    44. Palak Tatariya
      I am vegetarian. I am looking for veg options
      Reply: #346
    45. Kristin Parker Team Diet Doctor
      Low carb is a great treatment for fatty liver! https://www.dietdoctor.com/groundbreaking-study-low-carb-effective-tr...

      We have an article about gout as well! https://www.dietdoctor.com/low-carb/side-effects/gout


    46. Kristin Parker Team Diet Doctor
      Palak, we have good information and even meal plans for vegetarians! https://www.dietdoctor.com/low-carb/keto/vegetarian


    47. Dominique
      If dizziness occurs, and blood pressure is fine 132/79 and sugar count at 5, what could be the reason?
      Reply: #348
    48. Kristin Parker Team Diet Doctor
      There are numerous non-keto related things that may cause dizziness. If it persists, please consult your medical provider.
    49. sharon
      It says fibre isn't counted in the carbs and is ok to eat...
      can you tell me what foods are ok for fibre but don't have carbs in?
      Reply: #352
    50. sharon
      how many nuts are acceptable to eat in a day, and still be within the allowed limits?
      Reply: #353
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