Following A Ketogenic Diet Without A Gallbladder
Since the 1920s, ketogenic diets have been used as a therapeutic method to treat obesity, epilepsy, diabetes, neurological disorders, cancer and many other pathological diseases (1). This very low carbohydrate diet that combines moderate protein consumption with high amounts of quality fats puts the body into a state of fat or ketone adaptation. Following a ketogenic diet without a gallbladder can pose complications because of the body’s inability to adequately secrete bile to break down fatty meals. Fortunately, these 7 strategies will answer your concerns for maintaining ketosis without a gallbladder. What Is Ketosis? When net carbohydrate consumption remains less than 50 g/day (in some cases under 30g/day), insulin concentration reduces and the body begins using stored fat for energy via lipogenesis (1). Following 3 to 4 days of this dietary carbohydrate restriction, the central nervous system (CNS) has an inadequate supply of glucose and must seek other fuel. The alternate energy source the CNS seeks along with tissues and organs is ketone bodies. These ketone bodies are produced at high concentrations in the liver during the metabolic state of ketogenesis which is also attainable during periods of prolonged fasting. The 3 major ketone bodies include acetate, acetoacetate and beta-hydroxybutyrate. Ketosis results in numerous health promoting benefits including: (1) Decreased fatty acid production Increased metabolism of fats and lipids Higher metabolic rate to use ketone bodies Improved mitochondrial function Modified satiety hormones including ghrelin and leptin Regulates blood lipid levels including triglycerides and cholesterol Reduced insulin signaling Improved glycemic control Reduced whole body inflammatory levels Is a Ketogenic Diet Right for You? When nutr Continue reading >>
Lipid Changes On A Very-low-carb Ketogenic Diet: My Own Experience
I'd like to preface this blog post by apologizing for its length, including links to several long articles. Also, for anyone who doesn't know me, I'm a vocal and enthusiastic supporter of low-carbohydrate diets, but I always strive to be balanced in my writing. I'm very nonconfrontational and don't like "getting into it" with people who disagree with me. However, I expect I'll receive plenty of negative feedback from this article because of the controversial topic. Cholesterol Results From June 2013 through November 2013 My cholesterol levels have always been higher than average. LDL has ranged from 120s-150s as far back as I can remember, long before I began following a moderately carbohydrate-restricted diet back in 2011. In June of last year, I reported my NMR (Nuclear Magnetic Resonance) LipoProfile results after almost a year of consuming a very-low-carb ketogenic diet (VLCKD) containing less than 50 grams net carb per day. I was very happy with these values and frankly a little surprised that I achieved them while eating delicious, satiating foods. Lipid Profile from November 2013 In November of last year, I had a standard lipid profile done as part of lab work for my annual physical: Total Cholesterol: 300 LDL-C: 160 HDL-C: 128 TG: 56 My numbers had increased, but I wasn't terribly concerned about the LDL-C, since on a few occasions it had been nearly that high in the past. Seeing a total cholesterol of 300 was a bit troubling, but I knew it was partially due to having extremely high HDL (Apparently high levels of some types of HDL can also be problematic, although I didn't realize this at the time). Looking back, although I wasn't tracking my intake online regularly back then, I'm pretty sure I was eating the same or perhaps a little more fat than when I had the Continue reading >>
I started using the Ketogenic Diet nearly a year ago, on the advice from a good friend. My first reaction was that it sounded like it could not possibly work and was actually unhealthy. However, I had tried just about everything else you could think of, and I was not healthy. I needed to make a change. I am obese. It is that simple. However, changing to the Keto diet was not about losing weight. It was more about getting good control of diabetes. If weight loss also came, that was a huge side-benefit, one that was I was not seeking, but was welcome. I have come to accept my size and weight.. it is who I am. I have been a big guy for years, since I was a young child. If I ever become thin, that ‘s great, but it is not the overall goal of my life. My goal is to live a good life with my family and enjoy living. Why I switched to Keto Back in 2015, I started using Insulin to gain better control of diabetes. At the time, I had brought my weight down to 250 pounds, which was less than I weighed when I was in High School. I really felt good at 250, and I was pretty happy. Then the doctor convinced me to start using insulin. After starting on Insulin, the weight started coming back on. I was eating the recommended low fat diet. Lots of salads, veggies. Limited meat, etc. I was strictly monitoring how many calories I was taking in. I was eating about 800 calories per day. I was almost always hungry. I was also gaining weight every day! Hungry. 800 Calories per day. Gaining a lot of weight. I was exercising most days. It did not make any sense. At that time, I was using 100 units per day of insulin. I talked to my doctor about it, and he told me that the use of insulin caused most people to gain weight. Hmm… well, my diabetes was better controlled, but still not perfect, but Continue reading >>
Your Diet And Heart Disease: Rethinking Butter, Beef And Bacon
Is it okay to eat butter now? “It’s not a sin,” says Steven Nissen, MD, chair of Cardiovascular Medicine at Cleveland Clinic. Dr. Nissen and other top cardiologists want you to know that things are changing in our view of diet and heart disease. Indeed, the new federal government-commissioned Scientific Report of the 2015 Dietary Guidelines Advisory Committee includes some surprising departures from previous advice. Old beliefs have been overturned and new research avenues opened. Some controversies have heated up. Things are moving fast. In case you missed something, Health Essentials shares this roundup of the latest developments in our understanding of diet and heart disease. Cholesterol Okay, take a deep breath. We’re going to talk about cholesterol. High-levels of cholesterol in the blood are strongly associated with coronary artery disease in patients of all types and ages. If you have a high level of cholesterol in your blood, you need to work with your doctor to make it lower, or face a higher risk of heart attack, stroke or other cardiovascular event. But here’s the big news – you may not have to give up high cholesterol foods like butter, beef and bacon. Many kinds of fat “High cholesterol is a metabolic condition that can only be moderately influenced by diet,” says Dr. Nissen. “Most circulating cholesterol is produced by the liver. Dietary cholesterol accounts for only about 15 to 20 percent of blood cholesterol. Changing the diet typically has only a modest effect on serum cholesterol levels.” According to the above-cited Scientific Report, “Available evidence shows no appreciable relationship between consumption of dietary cholesterol and serum (blood) cholesterol.” Down with no-fat diets Dr. Nissen is strongly opposed to highly pub Continue reading >>
Ketogenic Diet: Is The Ultimate Low-carb Diet Good For You?
Recently, many of my patients have been asking about a ketogenic diet. Is it safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost 100 years to treat drug-resistant epilepsy, especially in children. In the 1970s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss. What is a ketogenic diet? In essence, it is a diet that causes the body to release ketones into the bloodstream. Most cells prefer to use blood sugar, which comes from carbohydrates, as the body’s main source of energy. In the absence of circulating blood sugar from food, we start breaking down stored fat into molecules called ketone bodies (the process is called ketosis). Once you reach ketosis, most cells will use ketone bodies to generate energy until we start eating carbohydrates again. The shift, from using circulating glucose to breaking down stored fat as a source of energy, usually happens over two to four days of eating fewer than 20 to 50 grams of carbohydrates per day. Keep in mind that this is a highly individualized process, and some people need a more restricted diet to start producing enough ketones. Because it lacks carbohydrates, a ketogenic diet is rich in proteins and fats. It typically includes plenty of meats, eggs, processed meats, sausages, cheeses, fish, nuts, butter, oils, seeds, and fibrous vegetables. Because it is so restrictive, it is really hard to follow over the long run. Carbohydrates normally account for at least 50% of the typical American diet. One of the main criticisms of this diet is that many people tend to eat too much protein and Continue reading >>
Does A Ketogenic Diet Change Your Lipid Profile
Wrong and outdated health information often causes worry about the healthiness of the ketogenic diet. One of the biggest concerns is: does a ketogenic diet change your lipid profile? In order to tackle and address these concerns, we’ll be covering what lipid profile means, why it’s included in myths about the ketogenic diet and why you don’t need to worry about most of what you’ve been told. Lipids and the Ketogenic Diet The main purpose of the ketogenic diet today is to provide a measurable state of metabolism through nutritional ketosis. There are many benefits of ketosis, including weight loss, better mental clarity, and more energy. These benefits make the ketogenic diet enticing, but what about how it affects lipids in the body? To understand this, let’s discuss what lipids are and the beliefs surrounding them and the keto diet. What is a Lipid Profile? A lipid profile is the measure of fats and fatty substances (lipids) that your body uses as energy. These are usually measured via a lipid panel of blood tests meant to look for any irregularities in your lipid amounts. Lipids include: Triglycerides Cholesterol High-density lipoprotein (HDL, often know as “good,” cholesterol) Low-density lipoprotein (LDL, often known as “bad,” cholesterol) The ketogenic diet raises some concerns around the diet negatively affecting one’s lipid profile and increasing their risks of diseases related to high cholesterol or triglycerides. Let’s take a look at these concerns. Myths About Fat and Cholesterol Below are some of the myths when it comes to the ketogenic diet and lipid profiles. We’re used to hearing many of these due to bad or old science — and we all know the internet is rampant with poor (and sometimes harmful) information. Myth: Cholesterol is bad Continue reading >>
Is The Ketogenic Diet Safe For Everyone?
Is a ketogenic diet safe for you? Is a ketogenic diet safe? Before you try this at home… First and foremost, if you pick up a copy of Jimmy Moore and Dr. Eric Westman’s excellent new book, Keto Clarity (which I highly recommend–see my review here) and feel (understandably) inspired to immediately embark on a ketogenic diet, I would caution anyone with a serious chronic health problem, especially anyone who is taking prescription medications, not to attempt a ketogenic diet on his/her own without medical supervision. Medications and Early Ketosis Even though I personally believe in the power of ketogenic diets to improve and even reverse many chronic illnesses, from diabetes to chronic fatigue to mood disorders, the diet does this by causing very real shifts in body chemistry that can have a major impact on medication dosages and side effects, especially during the first few weeks. Examples of problematic situations include sudden drops in blood pressure for those on blood pressure medications (such as Lasix, Lisinopril, and Atenolol), and sudden drops in blood sugar for those on diabetes medications (especially insulin). These changes in blood pressure and blood sugar are very positive and healthy, but the presence of medications can artificially intensify these effects and cause extreme and sometimes dangerous reactions unless your dosage is carefully monitored by you and your clinician in the first month or so. Another important example of a medicine that would require careful monitoring is Lithium, an antidepressant and mood stabilizing medicine. The ketogenic diet causes the body to let go of excess water during the first few days, which can cause Lithium to become more concentrated in the blood, potentially rising to uncomfortable or even toxic levels. These Continue reading >>
About 2 Keto Dudes
Two middle-aged men One in the USA One in Australia Both overweight Both diagnosed with type 2 diabetes Both convinced they've been fooled Eating fat does not make you fat High insulin levels make you fat Journey with them Learn the facts Reverse diabetes Live well Latest Episode: 2018 Holiday Hangout 65 minutes Hang out with the dudes and their keto friends Brenda Zorn, Kim Howerton, Daisy Brackenhall, and Nick Mailer. Listen Richard Morris It started in 2003 in Las Vegas when Richard (born 1965) gave up smoking under his doctors' supervision (using drugs). He compensated by eating just enough more to put on about 20lbs. Doctors told Richard his triglycerides were getting high and so he should diet. He started drinking SlimFast nutritionally complete meal replacements. At his next blood test he found out he was pre-diabetic and was referred to an internist who got him on metformin and statins. Then, his glycemic control worsened. So, they upped the drugs. His blood pressure started marching north, so he reduced all salt in his diet. Shortly after, Richard met the Atkins low carb high protein diet. That was 2005, the height of the first low carb diet craze when supermarkets were switching from selling bread to low carb wraps, and fast food joints were doing low carb breakfast bowls. After 3 months of Atkins, Richard's blood glucose was normal, his lipids were normal, and his blood pressure had normalized. He figured he was cured! He took a victory lap and moved to Australia, retiring from software development to concentrate on getting his health back. He'd do it by exercising and eating clean - which meant learning to cook, and to grow food, and to do things like hand make cheese. Fast forward 10 years. Richard had a personal trainer working him ragged for 3 x 30 minute Continue reading >>
3 Reasons Why You Shouldn't Fear Bacon
Bacon has gained a bad reputation in mainstream media. There are three main reasons for that: it has high level of saturated fat it has high level of sodium it contains nitrates (sodium and potassium nitrates) Let's talk about each one of them... 1) Saturated fat As I highlighted in an article about saturated fat, there is NO evidence that: too much saturated fat raises cholesterol saturated fat causes heart disease high cholesterol causes heart disease lowering cholesterol reduces heart disease there is a correlation between obesity rates and the amount of fat consumption there is a correlation between obesity rates and the amount of protein consumption The types of fat you should be worried about are toxic trans fats and polyunsaturated fats, particularly high omega 6 / omega 3 ratio. Bottom line: Don't be afraid of saurated fat. 2) Sodium and low-carb diets It's a fact that bacon is high in sodium, but is it bad for us? The general advise is to keep sodium low. However, for low-carb ketogenic diets, an increased amount is desired. The RDA of sodium according to the USDA is 2,300 mg, which may not be enough for a low-carb diet. The reason is that insulin, which also has the effect of reducing the rate at which sodium is extracted through kidneys, drops and it can cause sodium levels to drop significantly, too. Also, as you eliminate processed foods from your diet, your sodium intake will likely be lower than what you've been used to. You can also check my post about sufficient intake of electrolytes. Increased intake of electrolytes will help you overcome the side effects of giving up carbohydrates (fatigue, cramps and headaches). So, how much sodium is adequate? You should add about 3,000-5,000 mg in addition to sodium naturally occurring in food (Lyle McDonald, "The Continue reading >>
What Causes Heart Disease?
The true evidence of what causes heart disease is finally coming to light, and it's not the evil cholesterol and saturated fat in our diets. You may be surprised at the list below, but there is a great deal of real research in Pubmed which backs up the information in the list below. I'll also note below that a ketogenic diet improves the risk factors for heart disease. What Causes Heart Disease: The Main Players Wheat consumption. Surprised? Unconvinced? Okay, take a look at Denise Minger's analysis of the data from the China Study here. Or you can read this study, in which the authors wrote: "The consumption of wheat flour...was positively correlated with all three diseases [cardiovascular disease, hypertensive heart disease, and stroke]." A diet high in carbohydrates. More and more research is pointing to a high carb diet as one of the main factors in what causes heart disease. Here's why. Eating lots of carbohydrates on a daily basis has the following effects on heart health: Elevates blood glucose levels and in turn, increases circulating insulin levels, contributing to insulin resistance. High blood glucose is inflammatory and damages body tissues through glycation of the protein structures (think of what pouring maple syrup on a keyboard would do to its performance). See this paper and this paper. Increases your risk of coronary heart disease and mortality through the ravages of high blood sugar. See this study and this study and this paper. Elevates triglyceride levels. High levels of triglycerides are strongly associated with heart attack risk. increases the prevalence of small, dense, glycated LDL cholesterol in the blood (that's the dangerous kind). See this paper and this paper. Reduces blood levels of healthy HDL cholesterol. Low levels of HDL are associated Continue reading >>
Ketogenic Diet And Heart Failure
1 In some cases, yes: Aaron, There are some very small studies that suggest that ketogenic diets may increase the risk of arrhythmia in children with epilepsy by increasing the QT interval on the ECG. There are no large studies of good quality that I am aware of that ...Read more 2 4 6 9 I'm taking a percription diet pill call phintermine which is the generic brand of adapex. I've had success with this med but I'm worried about possible heart failure in the future. My heart looks good now and my doctor has no concern with me taking it. Sh 10 Complex genetics: Recommendations on gene mutations are best given by a medical geneticist, who needs a detailed understanding of the exact test that you had done and the detailed results. Many gene mutations cause a loss of function so you don't necessarily want to turn off the mutated gene. Modern genetics is discovering many genetic markers that convey only ...Read more 11 19 24 27 28 30 36 Continue reading >>
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Should Endurance Athletes Go Keto? Ketosis And Ketogenic Diets For Endurance Athletes
When it comes to weight loss and endurance performance, dietary ketosis is the strategy everyone is asking about this year. On the surface, ketosis or a ketogenic diet offers everything an endurance athlete could dream of: endless energy, freedom from bonking, and an efficient pathway to weight loss. The diet has been all over mainstream magazines, it’s the subject of several new books, and the supplement companies have already jumped in with new products and a ton of marketing dollars. So, is it time for cyclists, triathletes, and runners to go Keto? First, a refresher course on what a ketogenic diet is. To achieve dietary or nutritional ketosis you need to severely restrict carbohydrate intake (fewer than 50 grams of CHO/day) so the body transitions to using ketones for fueling muscles and the brain. Ketones are produced from fat, which is why nutritional ketosis is so appealing to sedentary people as a weight loss solution. It’s appealing to athletes because we have a virtually unlimited reserve of fat calories to pull from but can only store 1600-2000 calories worth of carbohydrate in muscles, blood, and the liver. An athlete fueled by ketones would be theoretically “bonk-proof”, since bonking is the result of running low on blood glucose. [blog_promo promo_categories=”coaching” ids=”” /] Dietary ketosis for athletes is one of the most hotly contested subjects right now. Proponents point to the metabolic advantage of relying on fat instead of carbohydrate, and critics point out the physiological limitations of eliminating carbohydrate as a fuel for performance. You’ll find bias in both groups, either because scientists and coaches (including me) have been in the high-carbohydrate camp for many years, or because there’s a lot of money to be made b Continue reading >>
Video: What Eating “high-fat” Or “keto” Does To Your Cholesterol
What happens to your cholesterol when you eat high-fat, keto? Jimmy Moore and I review my 9 month cholesterol numbers since going low-carb, high-fat, keto. I’ve been following a high-fat, low-carb, keto eating style for 9 months (as outlined in my 30-day keto program) and my blood test results are in! Today; with the help of Jimmy Moore, we’re reviewing my results and chatting about what eating high-fat, low-carb, keto does to your cholesterol, HDL, LDL and triglycerides. AND! We show you how to interpret the results of your blood tests, the cholesterol numbers you should watch for, foods that put you at risk, the connection between triglycerides and carb intake, and how to change your numbers for the better. If you’re curious about cholesterol, HDL, LDL, triglycerides, today’s video will give you the full picture so that you can make a healthful, informed decision about yourself, your health and your high-fat, keto life. Highlights… What eating “high-fat” or “keto” did to my cholesterol (HDL, LDL and triglycerides) What cholesterol numbers to watch for The food your body needs to increase your HDL The connection between carb intake and triglycerides What eating high-fat, keto does to your cholesterol numbers Resources… Get Jimmy’s Book, Cholesterol Clarity My 30-day Meal Plan + High-Fat, Keto Guidebook, The Keto Beginning VIDEO TRANSCRIPTION Leanne: Jimmy, you’re here in the flesh. Jimmy Moore: Hey, hey, hey. Leanne: For those of you guys who don’t know Jimmy Moore, first of all you’ve probably been living under a rock because this guy’s huge. Excited to have you here on the show today. Jimmy busted on health scene in 2004 after a phenomenal 180 pound weight loss that enabled him to come off of his prescription drugs for high cholesterol, Continue reading >>
What Everybody Ought To Know About Ketosis
Recently I wanted to explore the world of Ketosis. I thought I knew a little bit about ketosis, but after doing some research I soon realised how wrong I was. 3 months later, after reading numerous books, listening to countless podcasts and experimenting with various diets I know have a sound understanding of ketosis. This resource is built as a reference guide for those looking to explore the fascinating world of ketosis. It is a resource that I wish I had 3 months ago. As you will soon see, a lot of the content below is not mine, instead I have linked to referenced to experts who have a greater understanding of this topic than I ever will. I hope this helps and if there is something that I have missed please leave a comment below so that I can update this. Also, as this is a rather long document, I have split it into various sections. You can click the headline below to be sent straight to the section that interests you. For those that are really time poor I have created a useful ketosis cheat sheet guide. This guide covers all the essential information you should know about ketosis. It can be downloaded HERE. Alternatively, if you're looking for a natural and sustainable way to improve health and lose weight head to this page - What is Ketosis? What Are The Benefits from being in Ketosis? Isn’t Ketosis Dangerous? Ketoacidosis vs Ketosis What Is The Difference Between a Low Carb Diet and a Ketogenic Diet? Types of Ketosis: The Difference Between Nutritional, Therapeutic & MCT Ketogenic Diets Is The Ketogenic Diet Safe? Long Term Effects Thyroid and Ketosis - What You May Want To Know What is a Typical Diet/Macro Breakdown for a Ketogenic Diet? Do I Need to Eat Carbs? What do I Eat On a Ketogenic Diet? What Do I Avoid Eating on a Ketogenic Diet? Protein Consumption a Continue reading >>
Adverse Reactions To Ketogenic Diets: Caution Advised
As the ketogenic diet gains popularity, it’s important to have a balanced discussion regarding the merits of this diet. Let me emphasize right out of the gate that this is not a diet without merits (excuse the double negative); in fact, it has significant therapeutic potential for some clinical pathologies. However, it is also a diet with inherent risk, as evidenced by the extensive list of adverse reactions reported in the scientific literature—and this has not yet been a thorough enough part of the public discussion on ketogenic diets. The AIP Lecture Series is a 6-week video-based, self-directed online course that will teach you the scientific foundation for the diet and lifestyle tenets of the Autoimmune Protocol. This is the first of a series of articles discussing various facets of a ketogenic diet with an inclination toward balancing the discussion of the pros and cons of this high-fat, low-carb, low/moderate-protein diet. My interest in this topic stems from concerns I have over its general applicability and safety, simultaneous with its growing popularity. I feel a moral and social obligation to share what I understand of these diets, from my perspective as a medical researcher. The dangers of a ketogenic diet was, in fact, the topic of my keynote presentation at Paleo F(x) this year (links to video will be provided once available). This series of articles will share the extensive research that I did in preparation for this presentation, including all of the topics covered during my talk as well as several topics that I didn’t have time to discuss (also see the free PDF Literature Review at the bottom of this post). For every anecdotal story of someone who has regained their health with a ketogenic diet, there’s a counterpoint story of someone who derai Continue reading >>