Ketosis For Metabolism Control
We know that simply counting calories doesn’t work for weight loss. The threadbare ideas of “calories in versus calories out” and “just eat less and exercise more” are outdated concepts, and not effective long-term. However we do know that the quality of your diet has a tremendous impact on your hormones, satiety, and body composition. In this article, we cover how ketosis for metabolic control wins out over other ways to try and lose fat. How Ketosis Changes Metabolism Let’s do a very quick overview of metabolism in the context of ketosis: When the average person eats, their body breaks down carbohydrates into glucose to be used as energy for all functions of the body. In this case, carbohydrates provide the main fuel source for the body. But when someone is in ketosis, either from eating a ketogenic diet or from fasting, their body is instead breaking down fats into ketone bodies for energy. These ketone bodies are then used to provide the body with a constant source of energy instead of carbs. Being in ketosis allows you to literally shift your metabolism. Now, let’s look at some of the powerful ways ketosis can be used for maintaining a healthy metabolism: Calorie Restriction Versus Ketosis As we prefaced above, simply reducing calories to lose weight is not effective. We know this based on research from people like Gary Taubes. And that’s just part of the story: it can actually be harmful to your metabolism and lower metabolic rate (the amount of calories the body burns per day) — just look at the long-term results from past winners of the Biggest Loser. After forcing the body into caloric reduction, the contestants’ metabolisms dropped, leading to weight loss plateaus and weight regain. In contrast, research has also shown that when we fast, th Continue reading >>
Metabolic Effects Of The Very-low-carbohydrate Diets: Misunderstood "villains" Of Human Metabolism
Go to: The Ketone Bodies are an Important Fuel The hormonal changes associated with a low carbohydrate diet include a reduction in the circulating levels of insulin along with increased levels of glucagon. This activates phosphoenolpyruvate carboxykinase, fructose 1,6-biphosphatase, and glucose 6-phosphatase and also inhibits pyruvate kinase, 6-phosphofructo-1-kinase, and glucokinase. These changes indeed favor gluconeogenesis. However, the body limits glucose utilization to reduce the need for gluconeogenesis. In the liver in the well-fed state, acetyl CoA formed during the β-oxidation of fatty acids is oxidized to CO2 and H2O in the citric acid cycle. However, when the rate of mobilization of fatty acids from adipose tissue is accelerated, as, for example, during very low carbohydrate intake, the liver converts acetyl CoA into ketone bodies: Acetoacetate and 3-hydroxybutyrate. The liver cannot utilize ketone bodies because it lacks the mitochondrial enzyme succinyl CoA:3-ketoacid CoA transferase required for activation of acetoacetate to acetoacetyl CoA . Therefore, ketone bodies flow from the liver to extra-hepatic tissues (e.g., brain) for use as a fuel; this spares glucose metabolism via a mechanism similar to the sparing of glucose by oxidation of fatty acids as an alternative fuel. Indeed, the use of ketone bodies replaces most of the glucose required by the brain. Not all amino acid carbon will yield glucose; on average, 1.6 g of amino acids is required to synthesize 1 g of glucose . Thus, to keep the brain supplied with glucose at rate of 110 to 120 g/day, the breakdown of 160 to 200 g of protein (close to 1 kg of muscle tissue) would be required. This is clearly undesirable, and the body limits glucose utilization to reduce the need for gluconeogenesis Continue reading >>
Ketogenic Low-carbohydrate Diets Have No Metabolic Advantage Over Nonketogenic Low-carbohydrate Diets1,2,3
Abstract Background:Low-carbohydrate diets may promote greater weight loss than does the conventional low-fat, high-carbohydrate diet. Objective:We compared weight loss and biomarker change in adults adhering to a ketogenic low-carbohydrate (KLC) diet or a nonketogenic low-carbohydrate (NLC) diet. Design:Twenty adults [body mass index (in kg/m2): 34.4 ± 1.0] were randomly assigned to the KLC (60% of energy as fat, beginning with ≈5% of energy as carbohydrate) or NLC (30% of energy as fat; ≈40% of energy as carbohydrate) diet. During the 6-wk trial, participants were sedentary, and 24-h intakes were strictly controlled. Results:Mean (±SE) weight losses (6.3 ± 0.6 and 7.2 ± 0.8 kg in KLC and NLC dieters, respectively; P = 0.324) and fat losses (3.4 and 5.5 kg in KLC and NLC dieters, respectively; P = 0.111) did not differ significantly by group after 6 wk. Blood β-hydroxybutyrate in the KLC dieters was 3.6 times that in the NLC dieters at week 2 (P = 0.018), and LDL cholesterol was directly correlated with blood β-hydroxybutyrate (r = 0.297, P = 0.025). Overall, insulin sensitivity and resting energy expenditure increased and serum γ-glutamyltransferase concentrations decreased in both diet groups during the 6-wk trial (P < 0.05). However, inflammatory risk (arachidonic acid:eicosapentaenoic acid ratios in plasma phospholipids) and perceptions of vigor were more adversely affected by the KLC than by the NLC diet. Conclusions:KLC and NLC diets were equally effective in reducing body weight and insulin resistance, but the KLC diet was associated with several adverse metabolic and emotional effects. The use of ketogenic diets for weight loss is not warranted. Continue reading >>
Ketosis: What Is Ketosis?
Ketosis is a normal metabolic process. When the body does not have enough glucose for energy, it burns stored fats instead; this results in a build-up of acids called ketones within the body. Some people encourage ketosis by following a diet called the ketogenic or low-carb diet. The aim of the diet is to try and burn unwanted fat by forcing the body to rely on fat for energy, rather than carbohydrates. Ketosis is also commonly observed in patients with diabetes, as the process can occur if the body does not have enough insulin or is not using insulin correctly. Problems associated with extreme levels of ketosis are more likely to develop in patients with type 1 diabetes compared with type 2 diabetes patients. Ketosis occurs when the body does not have sufficient access to its primary fuel source, glucose. Ketosis describes a condition where fat stores are broken down to produce energy, which also produces ketones, a type of acid. As ketone levels rise, the acidity of the blood also increases, leading to ketoacidosis, a serious condition that can prove fatal. People with type 1 diabetes are more likely to develop ketoacidosis, for which emergency medical treatment is required to avoid or treat diabetic coma. Some people follow a ketogenic (low-carb) diet to try to lose weight by forcing the body to burn fat stores. What is ketosis? In normal circumstances, the body's cells use glucose as their primary form of energy. Glucose is typically derived from dietary carbohydrates, including: sugar - such as fruits and milk or yogurt starchy foods - such as bread and pasta The body breaks these down into simple sugars. Glucose can either be used to fuel the body or be stored in the liver and muscles as glycogen. If there is not enough glucose available to meet energy demands, th Continue reading >>
Ketosis: Metabolic Flexibility In Action
Ketosis is an energy state that your body uses to provide an alternative fuel when glucose availability is low. It happens to all humans when fasting or when carbohydrate intake is lowered. The process of creating ketones is a normal metabolic alternative designed to keep us alive if we go without food for long periods of time. Eating a diet low in carb and higher in fat enhances this process without the gnawing hunger of fasting. Let’s talk about why ketones are better than glucose for most cellular fuel needs. Legionella Testing Lab - High Quality Lab Results CDC ELITE & NYSDOH ELAP Certified - Fast Results North America Lab Locations legionellatesting.com Body Fuel Basics Normal body cells metabolize food nutrients and oxygen during cellular “respiration”, a set of metabolic pathways in which ATP (adenosine triphosphate), our main cellular energy source is created. Most of this energy production happens in the mitochondria, tiny cell parts which act as powerhouses or fueling stations. There are two primary types of food-based fuel that our cells can use to produce energy: The first cellular fuel is glucose, which is commonly known as blood sugar. Glucose is a product of the starches and sugars (carbohydrates) and protein in our diet. This fuel system is necessary, but it has a limitation. The human body can only store about 1000-1600 calories of glucose in the form of glycogen in our muscles and liver. The amounts stored depend on how much muscle mass is available. Men will be able to store more because they have a greater muscle mass. Since most people use up about 2000 calories a day just being and doing normal stuff, you can see that if the human body depended on only sugar to fuel itself, and food weren’t available for more than a day, the body would run Continue reading >>
Is It Possible To "screw Up" Your Metabolism?
Our brains, in relation to weight, are responding, adapting and planning "machines." Just for a single example, the brain of an anorexic has learned that it is STARVING - that food is very, very, very scarce and that it needs to absolutely maximize any "energy" (food) that it gets. Given that our brains/bodies are not separate, and "metabolism" is a whole-body process/event, this has profound implications.Just because in time the body/brain begins to be fed does not mean that it will just "snap to" and interpret this as the new "normal." It has learned, sometimes over many years that food is extremely scarce and when the next food/energy is coming is unpredictable and can take a loooooong, looooong time from last ingestion and even then will be in a scarcity amount. Thus, it responds accordingly. Even yo-yo dieting brings about huge changes. And that makes sense as well. Our brain is our "regulator." It learns with yo-yoing another version of the above. Who knows when the next time of scarcity with come... The implications are very real for those who have been substantially overweight, eating disordered, have a history of yo-yoing 10 lbs up and down, sometimes many, many times in their lives. One of my favorite pieces on this is Ned Koch's blog piece on compensatory adaptation...which doesn't just apply to eating...but to all behaviors and delves into the less than conscious mechanisms that are at work in response to even subtle signals in this adaptation process. What it boils down to for me, in "person-speak" is that we are constantly signaling and communicating with our bodies/brains and our bodies/brains in turn are continuously responding and adapting...for better or worse. We may not think or know we are "communicating," but we are. For me, Dr. Sharma is high, hig Continue reading >>
My Experience With The Ketogenic Diet & Repairing A Damaged Metabolism
Ever since I started doing some research on health and fitness, I joined the millions of North Americans who fell into the trap of obsessing over weight loss through dieting. Granted I wasn’t in poor shape or anything, I had a about 5-10 pounds I was looking to lose. I read up on some diets on popular fitness websites such as bodybuilding.com seeking a lose fat quickly avenue. Just a little background on myself before I explain how the diet went, I have an addictive personality and I’ve struggled through battling a few addictions in the past already. Once I set my mind to something, I tend to get pretty invovled in it, I put a lot of my focus and energy into it whether its by choice or not. The Ketogenic diet caught my attention and I decided to try it out and see if it actually works, well according forums many people swear by it so I thought it was pretty reliable. My first problem is that I dove into my first real diet without really doing a full research of the pros, cons, and following a plan. There’s a saying that goes”fail to plan, plan to fail”, Which is what happened, I was really reacting and making it up as you go. A ketogenic diet is essentially a HIGH fat, medium protein, and LOW carbohydrate intake. The idea is that carbohydrates are not an essential macro nutrient, the human body can survive without it. However, it cannot survive without protein and fats. Normally, our bodies run off carbohydrates as a main fuel source, a typical North American diet consist of high carb, medium fats, and low protein if you eat out at restaurants and processed foods. So the philosophy behind the Ketogenic diet is switching to a High fat, medium protein, but LOW carbohydrate diet. This will switch the body to use Fats as a main source of fuel instead of carbohydra Continue reading >>
Metabolism And Ketosis
Dr. Eades, If the body tends to resort to gluconeogenesis for glucose during a short-term carbohydrate deficit, are those who inconsistently reduce carb intake only messing things up by not effecting full blown ketosis? If the body will still prefer glucose as main energy source unless forced otherwise for at least a few days, is it absolutely necessary to completely transform metabolism for minimal muscle loss? Also, if alcohol is broken down into ketones and acetaldehyde, technically couldn’t you continue to drink during your diet or would the resulting gluconeogenesis inhibition from alcohol lead to blood glucose problems on top of the ketotic metabolism? Would your liver ever just be overwhelmed by all that action? I’m still in high school so hypothetical, of course haha… Sorry, lots of questions but I’m always so curious. Thank you so much for taking the time to inform the public. You’re my hero! P.S. Random question…what’s the difference between beta and gamma hydroxybutyric acids? It’s crazy how simple orientation can be the difference between a ketone and date rape drug…biochem is so cool! P.P.S. You should definitely post the details of that inner mitochondrial membrane transport. I’m curious how much energy expenditure we’re talkin there.. Keep doin your thing! Your Fan, Trey No, I don’t think people are messing up if they don’t get into full-blown ketosis. For short term low-carb dieting, the body turns to glycogen. Gluconeogenesis kicks in fairly quickly, though, and uses dietary protein – assuming there is plenty – before turning to muscle tissue for glucose substrate. And you have the Cori cycle kicking in and all sorts of things to spare muscle, so I wouldn’t worry about it. And you can continue to drink while low-carbing. Continue reading >>
Is There A Dark Side Of Ketosis?
I can’t remember what appetizer she pointed to, but the woman sitting to the left of me said this so casually, and several folks at the table knew exactly what she meant, confirming what I’d long suspected: Ketogenic diets have officially gone mainstream – or recognizable at a party mainstream at least – in 2017. Let’s back up and demystify ketosis, which simply means you’re utilizing ketone bodies – more commonly called ketones – rather than glucose as your body’s primary fuel. Just like your car uses gasoline, your body needs fuel. That usually means glucose. But let’s say you’re on a very-low carbohydrate, higher-fat diet. Your body doesn’t get a lot of glucose, which primarily comes from carbohydrate and to a lesser degree protein. That means your liver’s backup glucose (glycogen) also becomes in short supply. Unlike your car, your body doesn’t just shut down. Thankfully, you have an alternative fuel source called ketones. Ketones are organic compounds your liver always makes. You’re cranking out ketones right now as you read this. During starvation or (more likely) when you restrict carbohydrate and increase fat intake, your body uses ketones as its primary fuel. In other words, when your body doesn’t receive or can’t make enough glucose, it shifts to this alternative fuel. Almost every organ can utilize ketones except for your red blood cells (which don’t have ketone-metabolizing mitochondria) and liver. Your liver, in fact, does the heavy lifting. This hardworking organ metabolizes fat into three ketone bodies: acetoacetate (ACA), beta-hydroxybutyrate (BHB), and acetone.(1) BHB is the first substrate that kicks ketosis into action. Among its benefits, BHB reduces chronic inflammation and restores healthy inflammation levels. In Continue reading >>
When Not To Be On A Ketogenic Diet
When Not To Be on a Ketogenic Diet A ketogenic diet is a very low carbohydrate, moderate protein and high fat based nutrition plan. A ketogenic diet trains the individual’s metabolism to run off of fatty acids or ketone bodies. This is called fat adapted or keto adapted, when the body has adapted to run off of fatty acids/ketones at rest. This nutrition plan has been shown to improve insulin sensitivity and reduce inflammation. It also improves cellular healing and mitochondrial biogenesis which supports stronger and healthier cells. All of this leads to reduced risk of chronic disease as well as improved muscle development and fat metabolism (1, 2). Where Ketosis Can Be Extremely Beneficial There are certain cases, where I typically recommend a ketogenic diet as the research appears to support that ketosis significantly improves the functionality of these individuals. Overweight or Obese Neurodegenerative Conditions such as dementia, Alzheimer’s and Parkinson’s Most Cancers but especially those of the brain, nervous system and blood (leukemia) Chronic Pain Seizure Disorders Non-Elite athletes or individuals looking for higher mental & physical performance The final one is the area that I and many others who have pursued a state of ketosis fall into. At this point in my life, I have no chronic diseases, I feel great 99% of the time, but I am always looking to improve my productivity and performance. I have found being in mild-ketosis to be one of the best ways to improve my energy, mental acuity, creativity, physical strength and overall life performance. There is no one diet that works perfectly for everyone. Ketosis has the potential to benefit everyone, but under unique circumstances it would not be warranted. Here are a list of special cases where long-term st Continue reading >>
What's Up With The High-fat Diet Trend—and Does It Work?
If you're looking for the trendiest diet since Paleo, this might be it—only with more fat, way less protein, and virtually zero carbs. The ketogenic diet, which has reportedly been used by celebs like Kim Kardashian and NBA player Lebron James, is a high-fat, low-protein, low-carbohydrate diet that was originally developed to treat epilepsy in children (experts can't say for sure why it reduces the frequency of seizures, but it does seem to work). The whole diet is based on a process called ketosis, which is when your body is so depleted of carbs that your liver converts fat into fatty acids and ketone bodies, which can be used as energy, says Tracy A. Siegfried, M.D., medical director at The N.E.W. Program, a bariatric and metabolic weight-loss center in California. The ketones replace carbohydrates as your body’s main energy source, meaning you are running on (and burning) fat. To tell if your body is in a state of ketosis, you can measure your blood or urine for elevated levels of ketones (Ketostix, used to test keto-dieters ketone levels, are available at many pharmacies). If this sounds familiar, it's probably because ketosis is also the goal of the first stage of the Atkins diet. But unlike the keto diet, the Atkins diet aims to get you into a mild state of ketosis and allows for more carbohydrates. In other words, keto is more hardcore. So What the Heck Do You Eat? To get your body to reach ketosis, 80 to 90 percent of the calories you consume should come from fat, and the rest should come from a combo of protein and carbs, says Siegfried. Plus, your carb intake is limited to 10 to 35 grams per day. That's roughly the amount in a single apple, glass of milk, or piece of bread. In fact, it's pretty much impossible to eat fruit or milk-based products without su Continue reading >>
What Is Ketosis?
"Ketosis" is a word you'll probably see when you're looking for information on diabetes or weight loss. Is it a good thing or a bad thing? That depends. Ketosis is a normal metabolic process, something your body does to keep working. When it doesn't have enough carbohydrates from food for your cells to burn for energy, it burns fat instead. As part of this process, it makes ketones. If you're healthy and eating a balanced diet, your body controls how much fat it burns, and you don't normally make or use ketones. But when you cut way back on your calories or carbs, your body will switch to ketosis for energy. It can also happen after exercising for a long time and during pregnancy. For people with uncontrolled diabetes, ketosis is a sign of not using enough insulin. Ketosis can become dangerous when ketones build up. High levels lead to dehydration and change the chemical balance of your blood. Ketosis is a popular weight loss strategy. Low-carb eating plans include the first part of the Atkins diet and the Paleo diet, which stress proteins for fueling your body. In addition to helping you burn fat, ketosis can make you feel less hungry. It also helps you maintain muscle. For healthy people who don't have diabetes and aren't pregnant, ketosis usually kicks in after 3 or 4 days of eating less than 50 grams of carbohydrates per day. That's about 3 slices of bread, a cup of low-fat fruit yogurt, or two small bananas. You can start ketosis by fasting, too. Doctors may put children who have epilepsy on a ketogenic diet, a special high-fat, very low-carb and protein plan, because it might help prevent seizures. Adults with epilepsy sometimes eat modified Atkins diets. Some research suggests that ketogenic diets might help lower your risk of heart disease. Other studies show sp Continue reading >>
The Ketogenic Diet And Weight Loss Plateaus
I keep hearing people talk about their weight loss plateaus, and how they can get around them. Some go the extreme route of doing liquid fasting, others will ignore it and keep on keeping on. I wanted to put together a short list of common things that may be wreaking havok on the average ketogenic dieter, and go over some solutions that might help out. Keep in mind, this does not cover everything and it also covers a wide range of topics. As you read this, please read to the end. Don’t form ideas about your own body and apply the things that I am saying with no thought behind it. This is strictly for people that are hitting weight loss plateau’s and need some help. If you have only lost 1 or 2 pounds in a week, that is still weight loss and does not require action against it. Hidden Carbohydrates People on ketogenic diets eat more carbohydrates than they think. They’re hidden in vegetables, nuts, and certain meat products. Yes, that peanut butter you’re chomping on could be causing a problem! Especially if it’s store bought – that stuff is loaded with extra sugar. Some vegetables like Brussels sprouts, broccoli, and squash are common culprits that find their way into our lives on a frequent basis. You might think that they’re low carb, but in large consumption, those carbs really do add up. You can look at the list of the best low carb vegetables we’ve put together, so that you can be more aware of the vegetables you eat. Meat is the center of most of our lives, and there’s sugar everywhere you look. Some bacon is honey smoked, adding unnecessary carbs to an already delicious product. Why the madness? Look for bacon with no sugar added. When you start to look into Italian sausages, chorizo, and canned meats, there’s more carbs than most think. Some b Continue reading >>
The Ketogenic Diet's Effect On Cortisol Metabolism
(Related post: Red Light, Green Light: responses to cortisol levels in keto vs. longevity research) One of the myths surrounding ketogenic diets comes from misunderstanding the role of cortisol — the "stress hormone". In a previous post, we addressed one of the arguments behind this myth: the idea that to activate gluconeogenesis (to make glucose out of protein), extra cortisol must be recruited. That is just factually incorrect, as we showed in the post. The other argument, which we address here, is more complex. Like the previous cortisol myth, it involves a faulty chain of reasoning. Here are the steps: Ketogenic diets may raise certain measures of cortisol. Chronically elevated cortisol is correlated with metabolic sydrome, and therefore higher cortisol measures may indicate the onset of metabolic syndrome. Therefore, ketogenic diets could cause metabolic syndrome. Metabolic syndrome is a terrible and prevalent problem today. It is that cluster of symptoms most strongly identified with diabetes — excess abdominal fat, high blood sugar, and a particular cholesterol profile — but also correlated with other life-threatening conditions such as heart disease and cancer. In this post, we're going to explain some of the specifics of cortisol metabolism. We'll show how this argument is vague, and how clarifying it leads to the opposite conclusion. The confusion may all stem from misunderstanding one important fact: different measures of cortisol are not equivalent. First, though, there is an important reason why the argument doesn't make sense. We already know that a ketogenic diet effectively treats metabolic syndrome. As we will describe below, it turns out that certain cortisol patterns are strongly linked to metabolic syndrome, and might even be a cause of metabol Continue reading >>
- Low-Carb and Ketogenic Diets for Dogs with Diabetes
- Effect of Probiotics on Glucose and Lipid Metabolism in Type 2 Diabetes Mellitus: A Meta-Analysis of 12 Randomized Controlled Trials
- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus
Your Brain On Ketones
The modern prescription of high carbohydrate, low fat diets and eating snacks between meals has coincided with an increase in obesity, diabetes, and and increase in the incidence of many mental health disorders, including depression, anxiety, and eating disorders. In addition, many of these disorders are striking the population at younger ages. While most people would agree that diet has a lot to do with the development of obesity and diabetes, many would disagree that what we eat has much to do with our mental health and outlook. I believe that what we eat has a lot to do with the health of our brains, though of course mental illness (like physical illness) has multifactorial causes, and by no means should we diminish the importance of addressing all the causes in each individual. But let's examine the opposite of the modern high carbohydrate, low fat, constant snacking lifestyle and how that might affect the brain. The opposite of a low fat, snacking lifestyle would be the lifestyle our ancestors lived for tens of thousands of generations, the lifestyle for which our brains are primarily evolved. It seems reasonable that we would have had extended periods without food, either because there was none available, or we were busy doing something else. Then we would follow that period with a filling meal of gathered plant and animal products, preferentially selecting the fat. During the day we might have eaten a piece of fruit, or greens, or a grub we dug up, but anything filling or high in calories (such as a starchy tuber) would have to be killed, butchered, and/or carefully prepared before eating. Fortunately, we have a terrific system of fuel for periods of fasting or low carbohydrate eating, our body (and brain) can readily shift from burning glucose to burning what ar Continue reading >>