Ketosis: Why Women Need To Drink Their Way Through Labour
If you labour for a long time, you could be in danger of dehydration and developing complications such as ketosis. Here’s how to keep yourself safe and healthy during birth. There's so much going on during labour that the last thing that either you, or your birth partner, may think of is getting you to drink enough. Not that sort of drink obviously. There's no ordering a cheeky mojito with your epidural but you do need to keep your intake of water up when you're giving birth if you want to stay healthy, hydrated and keep any chance of developing a nasty case of ketosis at bay. What is ketosis? Ketosis is a complication of dehydration, and a lack of carbohydrates (or glucose) for energy in the body. It is the result of the abnormal accumulation of ketone bodies in the blood stream, body tissues and urine. When does ketosis occur? Ketosis happens when the muscles have little, or no, glucose for energy to be able to function efficiently. Once the glucose supply in the blood stream is depleted, the body starts to break down its fat stores for energy instead. This produces ketones, often causing a fever, body weakness and the muscles to function inefficiently, including the uterus. In cases where the ketosis is prolonged, the condition can develop into ketoacidosis. Ketoacidosis makes the person feel unwell and can damage their body organs. This is something that can occur for people who have uncontrolled diabetes. Ketosis and labour Ketosis is a common outcome for women who experience a prolonged labour (or pre-labour), becoming dehydrated and often causing their contractions to weaken, slow or stop. This can start to happen if glycogen (or glucose) is not being replenished through eating and drinking during labour. During labour, a woman has high-energy needs and her sto Continue reading >>
Dear Mark: Ketosis And Testosterone, Dehydration Hormesis, And Isomalto-oligosaccharides
38 Comments For today’s edition of Dear Mark, I’m answering three questions. The first one concerns a potentially combative and controversial topic: ketogenic diets. What’s the deal with their effect on testosterone? You can find keto anecdotes across the web both inspiring and flaccid, but what, if anything, does the science say? Next, might there be a way to derive beneficial hormetic effects from acute bouts of dehydration? It seems like every other stressor can actually make a person stronger, so perhaps an otherwise wholly negative one like dehydration might as well. And finally, is the prebiotic fiber known as isomalto-oligosaccharide safe and/or good to eat? Let’s go: Mark, There is a ton of conflicting information on the internet about whether the standard ketogenic diet increases or decreases testosterone levels. What is your opinion? Thanks, Adam In women with PCOS, a ketogenic diet lowers testosterone. Sounds bad, right? In PCOS, lower testosterone is actually an improvement as the disease is characterized by unnaturally high testosterone levels. What about in men, the population worrying about T levels most — does keto improve testosterone in them, too? Unfortunately, there aren’t many studies that examine the effect of ketogenic diets on testosterone in males. We have a bit of data about the opposite — an increase in carbs and a reduction in fat. In an older study, men who customarily ate a 40% fat diet were placed on a 25% fat diet; the lower-fat diet also had a higher PUFA/SFA ratio and more fiber. Their total and free testosterone levels were measured pre- and post-intervention. After going lower-fat and higher-carb, total T dropped from 22.7 to 19.3 and free T from 0.23 to 0.2. Resuming their old diets partially restored their lagging T le Continue reading >>
Keto Headache Guide
Try 5 keto headache remedies proven to work within 30 minutes. Learn why a keto headache happens on a low carb diet and find out how long yours will last. See how to prevent a keto headache from recurring in the future. Keto Headache Cures If you need immediate keto headache relief, here are five different proven remedies you can use to cure it within 30 minutes. This works just as well if you have a keto headache first day in versus a keto headache two weeks in. 1. Drink warm water with half teaspoon of table salt. You might want to try the simplest solution first. Add half a teaspoon of table salt to a 24 ounce glass of warm water (3 cups) and drink it. This should cure your headache within 20-30 minutes if it’s being caused dehydration or sodium deficit. I have tried this drink both cold and warm. When the water is cold it’s damn near intolerable, but when the water is warm, I can get it down. 2. Drink a carton of bone broth. If warm salt water isn’t to your tastes, then try sipping down a carton of bone broth. You can drink chicken or beef bone broth, doesn’t matter. Drink 16 ounces (2 cups) or more to ensure you get enough sodium. The beef bone broth pictured above is a bland, almost tasteless drink that I much prefer with a spoonful of butter added. Butter improves the taste and keeps you inline with your keto macros as it adds a lot of fat. 3. Drink vegetable bouillon dissolved in two cups of water. Boil two cups of water in the microwave, then drop in a bouillon tab and stir it with a spoon to help it dissolve. Drink up. This is a good headache remedy if you’re doing vegan keto. It’s also surprisingly delicious. The vegetable bouillon is definitely the best tasting of the 5 keto headache remedies. I had never even heard of it before I started my rese Continue reading >>
Ketosis Vs. Ketoacidosis: What You Should Know
Despite the similarity in name, ketosis and ketoacidosis are two different things. Ketoacidosis refers to diabetic ketoacidosis (DKA) and is a complication of type 1 diabetes mellitus. It’s a life-threatening condition resulting from dangerously high levels of ketones and blood sugar. This combination makes your blood too acidic, which can change the normal functioning of internal organs like your liver and kidneys. It’s critical that you get prompt treatment. DKA can occur very quickly. It may develop in less than 24 hours. It mostly occurs in people with type 1 diabetes whose bodies do not produce any insulin. Several things can lead to DKA, including illness, improper diet, or not taking an adequate dose of insulin. DKA can also occur in individuals with type 2 diabetes who have little or no insulin production. Ketosis is the presence of ketones. It’s not harmful. You can be in ketosis if you’re on a low-carbohydrate diet or fasting, or if you’ve consumed too much alcohol. If you have ketosis, you have a higher than usual level of ketones in your blood or urine, but not high enough to cause acidosis. Ketones are a chemical your body produces when it burns stored fat. Some people choose a low-carb diet to help with weight loss. While there is some controversy over their safety, low-carb diets are generally fine. Talk to your doctor before beginning any extreme diet plan. DKA is the leading cause of death in people under 24 years old who have diabetes. The overall death rate for ketoacidosis is 2 to 5 percent. People under the age of 30 make up 36 percent of DKA cases. Twenty-seven percent of people with DKA are between the ages of 30 and 50, 23 percent are between the ages of 51 and 70, and 14 percent are over the age of 70. Ketosis may cause bad breath. Ket Continue reading >>
Keto Tip: 5 Reasons You Need To Drink More Water On A Ketogenic Diet!
It’s often been said that most problems you run in to on a ketogenic diet can be solved by doing one of three things; drink more water, eat more salt, or eat more fat. Over the years as I’ve done this, I’ve found this adage to be fairly accurate as most of the “tweaks” I’ve done to get over a plateau or speed up my weight loss has been some variation of these 3 things. Probably the most powerful part of that truth is to drink more water. I’ve seen over and over again how upping my water intake leads to faster weight loss and a healthier overall feeling as I continue on this little weight loss journey of mine. Here are 5 reasons you should be drinking more water on a Ketogenic Diet Replaces Lost Water This is something I just didn’t know when I started cutting out the carbs and wasn’t prepared to deal with in those early days. Your body stores glycogen in water in your muscles. As your body burns through that stored glycogen and you don’t replace it because you aren’t eating carbs, your body’s water stores get depleted as well. This is why you tend to lose up to 10 lbs in the first week on keto and also what causes the “keto flu” or the miserable feeling that happens just before you switch over to being fat adapted. That feeling is caused by mild dehydration and can be shorten tremendously just by drinking more water. Like I said, that would have been awesome to know in those early days. Suppresses Appetite and Curbs Cravings This is another one of those things that I really wish I had known early on but every time you have a hunger pang or a sugar craving, just drink some water and they go away fairly quickly. In fact, even though I’m almost 2 years into this journey of mine, it is still the ever present glass of water on my computer desk t Continue reading >>
The 4 Ketosis Symptoms You Should Be Looking For
Ketosis is the condition in which your body begins burning fat instead of carbs for its energy source. The benefits of ketosis range widely, but some of the best include: fat loss increased endurance less cravings shredded physique neurological optimization But how do you know when you’re in ketosis? Are there symptoms that you’re in ketosis? Is there a way to “feel” like you’re in ketosis? Obviously the best way to see if you’re in ketosis is to test you breath, blood, or urine. However, we’ve constructed the following list to help you detect the signs that you’ve transitioned into ketosis and turned your body into a fat burning machine! If you’ve been on the Ketogenic Diet for at least a week, run through this list of ketosis symptoms, and see if they fit what you’re experiencing! 1. Ketosis Breath A popular report from many low-carb and keto dieters is that their breath is less than desirable. The smell has been compared to fingernail polish remover, which is believed to come from the presence of acetone. Acetone is, of course, a ketone body, and is also found in many brands of nail-polish remover. 2. Keto Flu After a life full of ingesting large portions of carbs for energy, dropping carbs and moving into ketosis can often result in ketosis symptoms known collectively as the “keto flu.” It’s not unheard to feel light-headed, fatigued, or anemic when your body runs out of carb stores and begins turning to fat for its fuel source. You might feel irritable, or short-tempered; this is your body’s natural reaction to having sugar removed. Much like an addict in rehab, when you cut out mass amounts of processed sugars, you turn into a bit of a monster. Ketosis symptoms also include nausea, or stomach aches. These can be caused by your stomach r Continue reading >>
Keto-adaptation: What It Is And How To Adjust
What is keto-adaptation? Keto-adaptation is the process of shifting your metabolism from relying mostly on glucose for fuel, to relying mostly on fat-based sources of fuel. Not only does fat oxidation itself increase, but your body starts producing enough ketones that they can be used as a significant source of fuel as well. Ketones are derived from partially metabolized fat, and they can be used in many of the same tissues of the body as glucose can, including much of the brain. The benefits of using fat and ketones rather than glucose for fuel are many, and are the main subject of this site. However, it takes time for the metabolism to adjust to producing and using ketones at a significant rate. Even though changes are evident within days of carbohydrate restriction, improvements continue for weeks. In brief: Carbohydrate-based fueling is a self-perpetuating cycle: it runs out quickly, and every time you eat more carbs you delay adaptation to fat-burning. Fat-based fueling is sustainable, because it allows access to a very large store of energy without you frequently stopping to refuel. Blood sugar is maintained though precise internal processes without wild swings. These two together create a desirable flow of even, stable energy, mood, and alertness. There is a delay between first reducing the amount of carbohydrates that you eat, and having a smoothly running fat metabolism. In the intervening days, you may feel slow, or even unwell. These symptoms can be minimized by making sure to eat lots of fat, staying hydrated, and using salt liberally. Other electrolytes may also be helpful to add -- homemade broth makes a good supplement. Keep carbs consistently low, or you will never adapt and the process will go on indefinitely. Carbohydrate-based fueling is a self-perpet Continue reading >>
Not to be confused with Ketoacidosis. Ketosis is a metabolic state in which some of the body's energy supply comes from ketone bodies in the blood, in contrast to a state of glycolysis in which blood glucose provides energy. Ketosis is a result of metabolizing fat to provide energy. Ketosis is a nutritional process characterised by serum concentrations of ketone bodies over 0.5 mM, with low and stable levels of insulin and blood glucose. It is almost always generalized with hyperketonemia, that is, an elevated level of ketone bodies in the blood throughout the body. Ketone bodies are formed by ketogenesis when liver glycogen stores are depleted (or from metabolising medium-chain triglycerides). The main ketone bodies used for energy are acetoacetate and β-hydroxybutyrate, and the levels of ketone bodies are regulated mainly by insulin and glucagon. Most cells in the body can use both glucose and ketone bodies for fuel, and during ketosis, free fatty acids and glucose synthesis (gluconeogenesis) fuel the remainder. Longer-term ketosis may result from fasting or staying on a low-carbohydrate diet (ketogenic diet), and deliberately induced ketosis serves as a medical intervention for various conditions, such as intractable epilepsy, and the various types of diabetes. In glycolysis, higher levels of insulin promote storage of body fat and block release of fat from adipose tissues, while in ketosis, fat reserves are readily released and consumed. For this reason, ketosis is sometimes referred to as the body's "fat burning" mode. Ketosis and ketoacidosis are similar, but ketoacidosis is an acute life-threatening state requiring prompt medical intervention while ketosis can be physiological. However, there are situations (such as treatment-resistant Continue reading >>
Does Keto//os Have Any Side Effects?
Supplementing with KETO//OS or following a ketogenic diet can cause a slightly diuretic effect, and can deplete magnesium, potassium and sodium stores. This can be rectified by supplementing with a good electrolyte or increasing the sodium in your diet. However KETO//OS adds additional sodium to the formulation to counter-act this sodium depletion. The first signs of dehydration are fatigue, headache, dizziness, dry mouth, swollen tongue, constipation, possible elevation of blood pressure, palpitations or muscle cramping. If this occurs, decrease your serving size of Uncharged Keto//OS or BioMax, drink plenty of water. KETO//OS 2.1 and Keto Kreme is blended with medium chain triglycerides, which can often times cause digestive distress. This is due to the fact that your body has not yet adapted to the increased fats in your diet, and is less efficient at utilizing ketones as its fuel source. Once the body has adapted to this increased fat in the diet, the digestive distress should resolve. We recommend to start slowly with a reduced serving size and build up to a full serving twice a day, but it is totally up to the individual. If diarrhea, stomach cramping or constipation occur, reduce your serving size of Keto//OS and/or consume Keto//OS with food (fat or protein) until bowel movements have returned to normal. Do not increase Keto//OS if you are experience digestive stress. Please make sure that you are drinking enough water and taking a multi-mineral supplement or an/ electrolyte. Experiencing Diarrhea and cramping then decrease Keto//OS, drink slower (over 20-30minutes) and consume with food. This will slow down the absorption of the exogenous ketones. Do not increase Keto//OS until bowel movements have returned to normal and use the uncharged version. Experiencing Continue reading >>
Of The Keto Diet?
There are many awesome benefits that come with adopting a low-carb ketogenic diet, such as weight loss, decreased cravings and even possibly reduce disease risks. With that being said, it’s also good to talk about possible ketosis side-effects when ingesting these specific ketone supplements, so you know fully what to expect when you get started on this mission. If you’ve already heard about some of the side-effects that come with this special diet and are starting to freak out, don’t panic. We’re going to break down everything you need to know when it comes to what your body will experience when using these supplements for the first time. It’s important to remember, not everyone experiences side-effects when starting a ketogenic diet and thankfully, the symptoms are all very temporary and it can pass very quickly. It varies with the individual, but just to make sure all your bases are covered, we’re going to break down each possible side effect that you could possibly experience. 1. Flu Symptoms Within the first 2-4 days of beginning this diet, a common side-effect is known as the “ketosis flu” or “induction flu” because it mimics the symptoms of the actual flu. This means you might experience: Headaches Lethargy Lack of motivation Brain fog or confusion Irritability Although these symptoms typically go away completely within a few days, they are also completely avoidable if you stay very hydrated and increase your salt intake and like always, be sure you're eating enough fat. 2. Dizzyness & Drowsiness As you start dumping water, you'll lose minerals such as salt, potassium and magnesium. Having lower levels of these minerals will make you tired, lightheaded or dizzy. You may also experience muscle cramps, headaches and skin itchiness. Fatigue Continue reading >>
Low Carb Diet Side Effects
Low carb diet side effects are manageable if you understand why they happen and how to minimize them. Understanding your physical reactions will help you avoid the worst of the symptoms, and keep you from quitting before you get out of the chute, so to speak. After several weeks, these side effects will subside as you become "keto-adapted" and able to burn fat instead of glucose for fuel. The list below includes the most common low carb diet side effects, and I've included tips on how to handle them. The only caveat is that you have no contraindicated health conditions. I have detailed here who should NOT follow a ketogenic diet. Frequent Urination After the first day or so, you'll notice that you are in the bathroom urinating more often. Your body is burning up the extra glycogen (stored glucose) in your liver and muscles. Breaking down glycogen releases a lot of water. As your carb intake and glycogen stores drop, your kidneys will start dumping this excess water. In addition, as your circulating insulin levels drop, your kidneys start excreting excess sodium, which will also cause more frequent urination. (see this reference). Fatigue and Dizziness As you start dumping water, you'll lose minerals such as salt, potassium and magnesium as well. Having lower levels of these minerals will make you very, very tired, lightheaded or dizzy, give you muscle cramps, and headaches. You may also experience skin itchiness. Fatigue and dizziness are the most common of the low carb diet side effects, and they can be avoided for the most part by making sure you stay ahead of mineral loss. You can counteract mineral losses by eating more salt or sipping salty broth throughout the day, and eating potassium rich foods. (Dairy foods, green leafy vegetables and avocados are high in potas Continue reading >>
8 Low-carb Conundrums
Thinking of making the switch to low carb? Here's the lowdown on eight low-carb diet side effects. The good news? They're temporary. Low-carb diets are known to burn serious blubber. Many followers of the low-carb life experience quick fat loss, lower hunger levels, and stable energy. Since low-carb lovers cut out most "cheat" foods, like donuts and candy, they also have a fairly easy time controlling total caloric intake. Sounds like fat-loss paradise, right? As those who have undergone the "low-carb switch" can attest, the early fat loss often comes at a price. The first few days or weeks of low-carb living can be a bear, physically and mentally. As your brain and body struggle to adapt to post-glycogen life, you might be downright miserable. Don't pound a Mountain Dew in despair—the misery is often temporary. Before you pay thousands to have that "ketogenic 4 life" tattoo removed, check out this list of common short-term side effects that accompany the switch to low-carb. You won't necessarily suffer from them all, but knowing the signs can help you prepare. The first major side effect that you'll likely experience—usually about 2-3 days into your low-carb "induction"—is a mental lethargy often called "brain fog." You may find yourself staring at the wall for extended periods of time, feeling half-drunk, and unproductive at work. What gives? The primary reason this occurs is because your brain, if given the opportunity, will run almost entirely on glucose. Once your body makes the switch from burning carbs to burning fat, your brain will begin to use ketones as fuel—but not until you've burned up your body's glycogen stores. This is why people often go super-low carb at first: To use up that dwindling glycogen as quickly as possible. In the meantime, you are Continue reading >>
Low-carb Diets And Dehydration
It is well known that dehydration is a potential adverse effect of a ketogenic diet, which is one higher in fat with adequate protein and lower in carbohydrates. Nutritionists should be watchful, in particular, of those who use ketogenic diets as therapy for certain conditions such as epilepsy and type 2 diabetes. A study in epileptic children on ketogenic diets, for example, found dehydration to be the "most common early-onset compllication"and higher in those who fasted (1-2). The dehydration could be partly blamed on the incidence of GI tract adverse effects (1). When treating those with type 2 diabetes with a ketogenic diet, it is advisable to instruct drinking up to eight 8 oz. glasses of water daily. There may also be need for adjusting those recommendations if certain medications were used such as diuretics. According to the researchers who performed an intervention trial on those with type 2 diabetes and a ketogenic diet that resulted in a few adverse effects, the following was concluded: "Until we learn more about using low carbohydrate diets, medical monitoring for hypoglycemia, dehydration, and electrolyte abnormalities is imperative in patients taking diabetes or diuretic medications" (1). The lower carbs can have a diuretic effect on the body, which should lead clinicians to be aware and make recommendations for increased water intake as necessary. 1. Duschowny MS. Food for thought: The ketogenic diet and adverse effects in children. Epilepsy Curr. 2005 July;5(4):152-154. Available at: Available at: 2. Kang HC, Chung da E, Kim DW, Kim HD. Epilepsia 2004;45:1116-1123. Available at: Continue reading >>
Low Carb Studies, Research And Media Clips About Atkins Diet And Low-carb Diets. Arguments For And Against Are Presented Here For Objectivity. In Our Opinion, Arguments Against Low-carb Dieting Are Based On False, Simplistic Assumptions.
Discuss this article! HCRC FAQ Sheet Health Care Reality Check Ketogenic Diets By Ellen Coleman, RD, MA, MPH Can a person eat unlimited calories, and still lose weight, as long as they severely restrict carbohydrates? No, they cannot. The basis of ketogenic diets, such as the Atkins Diet, is a severe restriction of carbohydrate calories, which simply causes a net reduction in total calories. Since carbohydrate calories are limited, intake of fat usually increases. This high fat diet causes ketosis (increased blood ketones from fat breakdown) which suppresses hunger, and thus contributes to caloric restriction. Low carbohydrate diets are also characterized by initial rapid weight loss, primarily due to excessive water loss. A decreased carbohydrate intake causes liver and muscle glycogen depletion, which causes a large loss of water, since about three parts of water are stored with one part of glycogen. Also, restricting carbohydrate intake reduces the kidney's ability to concentrate urine, leading to an increased excretion of sodium. All these factors combine to cause a powerful but temporary diuresis. Dieters cherish this rapid initial weight loss and assume it represents fat loss. Actually, their body fat stores are virtually untouched. And, as the body adjusts for the water deficit, the weight loss slows or ceases. The dieter often becomes frustrated and abandons the diet. Individuals who do stick with it may lose weight due to the caloric restriction mentioned above. A ketogenic diet may or may not have side effects, depending on the individual person. It is certainly riskier for overweight individuals with medical problems such as heart disease, hypertension, kidney disease, and diabetes than it is for overweight people with no health problems. Complications associ Continue reading >>
Never Thirsty On Keto Diet, Should I Be Drinking Lots Of Water Anyway?
When I'm consuming lots of fat I'm never thirsty. I do get some liquid from bone broth that I use as a soup base for many of my meals but I rarely just drink water. I've read on the web that one should drink lots of water on a ketogenic diet to flush out all those ketones. Can someone provide a credible reference to whether drinking lots of water is a really good idea or not? (There's too much personal opinion on the subject hence the desire for something more scientific.) If it matters, I typically eat 5 to 10 ounces of protein a day, so not a huge amount. Update 12/29/13: Oops. I meant EIGHT to 10 ounces a day of protein. That should be 50 to 60 grams of protein. And, I'll probably start adding 3 or 4 eggs. The whites should be good for 20 or so more grams of protein, Continue reading >>