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Keto Period Spotting

Ketosis And Menstrual Function: A Canary In The Mine?

Ketosis And Menstrual Function: A Canary In The Mine?

In the 1920’s, researchers at the Mayo Clinic used a ketogenic diet to treat adults with ideopathic epilepsy. In 1930, Dr. Clifford Barborka published a paper detailing their findings with their first 100 patients. Among other findings, Barborka notes that 20% of the women involved in the study experienced complete cessation of menstruation during treatment, which didn’t return until a normal diet was resumed. He only reported on menstrual cessation, but given more contemporary research on the subject we can reasonably speculate that many more women experienced menstrual irregularities that stopped short of complete cessation. Subjects were eating appropriate calories to maintain their weight, so weight loss was not a confounder here. He speculates that it may have been related to a vitamin B or E deficiency, but has no clear explanation. (Note that this was many decades before the discovery of Leptin and it’s role in hormonal regulation.) In 2003, researchers published their retrospective study of 45 adolescents aged 12-19 treated for epilpsy with a ketogenic diet over 8 years. They noted that 45% of the girls involved in the study reported menstrual irregularities, most (2/3) of whom experienced complete cessation of menstruation (the other 1/3 were reported as experiencing delayed puberty or menstrual irregularity). Most resumed menstruation after ending the diet. 2 were treated with hormone therapy to induce and regulate menstruation. A majority of the girls did not lose weight on the diet, so again, weight loss was not a confounder in most cases. Researchers speculated that: “The diet may mimic the menstrual side effects seen in starvation and certain female athletes.” In 1999, a group of researchers published a review of a small group (9 women, 2 men) of Continue reading >>

For Ladies Only: A Keto Guide

For Ladies Only: A Keto Guide

Shark week. Checking into the Red Roof Inn. Surfing the Crimson Wave. Getting a visit from Aunt Flo. The Red Badge of Courage. That time of the month. Whatever euphemism you use for it, women inevitably have to deal with menstruation and all the weird junk that goes along with it. We here at Ketovangelist get a lot of questions about keto and periods. A. Lot. So, at the behest of our coaches- and after much whining on my part- I’ve put together this little “what to expect” guide for women to help a sister out when it gets down to the issue of menstruating. You’re welcome. One thing to keep in mind: Your period is still your period. If I’ve said it once, I’ve said it a zillion times: keto is not magic. and it isn’t the cause of everything that will happen to you after you start eating this way. For the most part, your period is going to be your normal period while you’re keto. You might have cravings, you might cramp, you might be light or heavy, or early or late. All the same stuff you dealt with during menstruation pre-keto you will probably continue to deal with now that you’ve changed your food lifestyle. That being said, there are a few issues we do see pop up from time to time and I will address them, in no particular order: If you’re hungry, eat A direct quote, if I may, from our lovely coach, Mary Roberts: “Hormone hunger is real hunger.” And she’s right. Right after ovulation the body ramps up production of estrogen and progesterone, both of which can cause your body to feel hunger. The bottom line is that, as we all should know, our menstrual time is a stretch of a few days where hormones are screwy. We might be tired, we might be cranky, and we will probably be hungry. All of that is perfectly normal and you are not expected to sit an Continue reading >>

Metrorrhagia – What Is It And Why It Can Happen?

Metrorrhagia – What Is It And Why It Can Happen?

Metrorrhagia is also commonly known as spotting and is the kind of off schedule bleeding that women experience which is not part of their monthly menstrual bleeding (which can range anywhere between a 22 days to 35 days cycle). Not only is Metrorrhagia extremely inconvenient because the bleeding is irregular and unpredictable, it is also a potentially serious problem because of the underlying problems that could be causing it and the fact that chronic Metrorrhagia could also lead to anemia. Any deviation of more than seven days from a woman’s monthly cycle can be termed as irregular bleeding which could mean Metrorrhagia and which would require investigation as to reasons why it is caused. Metrorrhagia could have a number of causes including: Endometriosis, the condition where material of the endometrial lining of the uterus may be found elsewhere, outside or other than the uterus could be a cause for Metrorrhagia Adenomyosis, which is the condition where endometrial tissue is found in the thick muscular layer of the uterus. An ectopic pregnancy, which is the implantation and development of a embryo in an area other than the uterus could also be the underlying cause of Metrorrhagia A hormone imbalance where there is a preponderance of one hormone over another disturbing the monthly cycle which leads to Metrorrhagia Endometrial hyperplasia is where there is excess growth of the cells of the endometrium The presence of a polyp in the uterus, the vagina, or cervix could all cause intermittent bleeding which could result in Metrorrhagia Ketosis Diets, which concentrate on increasing protein and fat intake while reducing sugar Certain progestin-only contraceptives could cause this irregular bleeding as can several medications such as hypothalamic depressants, anticholinerg Continue reading >>

16 Ways Keto For Women Is Different + Doesn’t Need To Suck

16 Ways Keto For Women Is Different + Doesn’t Need To Suck

As a female, we have to tinker the keto diet a little more than our male keto-ers do. For example, during shark week I can’t eat meat or I’ll end up on the couch in agony, with a heating pad, wanting to tear my ovaries out. So, I have to opt for things that are more easily digestible to my puffy, unhappy insides. Keto for women is just different. For one week every month we have brain-consuming cravings, we weigh more, have a hard time digesting, we get headaches and cramps and dammit we just want a blanket, some chocolate and a tub of icecream. end OK, but you get it. We also have other things to think about, like vaginas and boobies. For these two special things, we need to make some alterations too. You can’t just cut out some things. How to make keto for women easier and less grouchy Here are some tips I’ve cooked up over the past year that I’ve been told have been really helpful, enjoy! Eat yogurt. The diet says no, but I SAY YES. Men don’t need to care about the Lactobacillus acidophilus in yogurt, but a good healthy vagina does! Dannon makes a Light & Fit “Diabetic Friendly” vanilla yogurt that’s only 3 carbs per cup. Take cranberry supplements. Additionally, we need cranberry to ward away pesky urinary tract infections if we ever plan on forgetting to pee after sex again. So, take a cranberry supplement every day, and accept the carbs that come with it. Prepare for the lady in red. When the red devil is in town and you “need” sweets, opt for a handful of dark chocolate chocolate chips. The gourmet ones, real dark chocolate ones have the least carbs. The Milk Chocolate Almond Bars from Meleleuca only have 7 carbs for the entire bar, 9 for the DHA-enhanced dark chocolate ones which is also awesome. Remember that meats take more Continue reading >>

Symptoms Of Ketosis:

Symptoms Of Ketosis:

If you are considering the ketogenic diet or have already started down this carb-free road, you may wonder what you can expect. Here’s the thing. Ketosis looks different for everyone, but I will share many of the most common symptoms with you today. If something other than what’s listed here is happening to you, just do a quick Google search for that symptom and keto. You should be able to find what you’re looking for! The Early Signs: The early signs of ketosis vary from person to person. The biggest impact on how quickly you notice the symptoms of ketosis will have a lot to do with how you ate before you started the diet. If your diet was very high carb, you might get hit pretty quickly and furiously with what we like to call the “Keto Flu.” This can last anywhere from 3 days to a week or more. Once your body has adapted to burning ketones for energy instead of glucose, you’ll be golden so don’t give up! Here’s what you can expect within the first 2-3 days of starting the Ketogenic Diet: Fatigue & Weakness (lack of concentration) Headaches Metallic taste or sweet taste in your mouth (I experienced this, and it tasted like blood in my mouth) Lightheaded / Dizzy upon standing Heightened Thirst Hunger / Sweet or Carb Cravings Dry Mouth possibly paired with “Keto Breath.” Stomach Discomfort / Mild Nausea / Cramping Trouble Sleeping or Staying Asleep (early waking) Water weight loss (perhaps an excessive loss of weight within the first two weeks) Frequent Urination Allergies or cold like symptoms may flair up For the ladies: Period issues: You may experience a longer, shorter, earlier, later period because of Keto. Seriously it causes all of that. Each woman is different, and I have experienced every one of those issues with my period since starting ket Continue reading >>

Weight Loss & Spotting

Weight Loss & Spotting

Spotting refers to menstrual bleeding that occurs between a woman's regular periods. Stress, eating disorders and extreme weight loss can all cause menstrual irregularities, such as total cessation of periods, reports Medline Plus. Although spotting is not specifically mentioned as a possible side effect of weight loss, hormonal irregularities that may result from extreme dieting and exercising may cause mid-cycle bleeding. Video of the Day Most women of childbearing age will experience spotting or light bleeding at some point in their lives, reports St. Johns Providence Health System. Spotting typically lasts 24 to 48 hours. Spotting can occur due to hormonal change. Hormonal fluctuations can be due to excessive vigorous exercise, yo-yo dieting and stress, all of which can result in weight loss. Rapid and severe weight loss in women may also lead to complete cessation of periods, medically referred to as amenorrhea. Amenorrhea is often caused by eating disorders such as anorexia and bulimia, over-exercising and malnourishment, according to the website ChildDevelopmentInfo.com. Lifestyle adjustments may prevent menstrual irregularities. Eating a nutritious diet that includes whole grains, fruits, vegetables and lean meats is generally recommended for a missed menstrual cycle caused by dramatic weight loss. Cutting back on exercise may also help regulate periods, reports Medline Plus. Spotting between periods may indicate medical problems such as sexually transmitted infections, thyroid disease, uterine fibroids, polyps or even cancer. Spotting can also be a side effect of contraceptives. It is especially common in women with intrauterine devices or IUDs and those who take the birth control injection Depo-Provera, notes St. Johns Providence Health System. Contact your do Continue reading >>

27: Keto Talk Mailbox Blitz, Low Energy, Headache, Stomachache, Breastmilk While Keto

27: Keto Talk Mailbox Blitz, Low Energy, Headache, Stomachache, Breastmilk While Keto

LISTEN AND DOWNLOAD AT ITUNES If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Arizona osteopath and certified bariatric physician Dr. Adam Nally from “Doc Muscles” who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at [email protected] And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam blaze through a bunch of listener questions in Episode 27! Here’s are the 12 questions Jimmy and Adam answered in this special Keto Talk Mailbox Blitz extended podcast today: – Testimonial from someone who learned his lesson why it’s important to stay ketogenic all the time Hey Jimmy and Doc, Just listened to your new Keto Talk podcast and what a great show you guys do. You mentioned pancreatitis in a recent episode and I wanted to share an experience I had with this. I cheated on the diet with lots of carbage and sugar. The next day I experienced an acute inflammation of the pancreas. It wasn’t a full blown case of pancreatitis but it was painful and lasted a few days. It also felt like I was having some gallbl Continue reading >>

Females, Carbohydrates, And Hormones

Females, Carbohydrates, And Hormones

Oh, carbohydrates. Just like politics and religion, discussion on this macronutrient is not dinner table material. There are many strong opinions on just how many carbohydrates are “safe” to consume. Some advocate “high” carb, others prescribe a “moderate” amount, others “low” or even “very low”. And to mystify things further, what’s considered a low amount of carbohydrates to some, may be considered too high for others. Even the scientific literature doesn’t seem to agree on a common definition. See how it can get confusing? The purpose of this post isn’t to tell you which way is better. In fact, that is a decision you may never make. What works for some people, won’t work for others. What works for you now, may not work for you next week. If something is working for you, great! Right now, I want to explore one piece on the topic of carbohydrates that isn’t discussed often in this community. I bring up this topic because I personally struggled with finding the “right” amount of carbohydrates for my body. I want to make sure others don’t have to go through what I did. In the past, I’ve done damage to myself by going too low (almost on accident) and I want to stop you before it’s too late. If you’re in the same boat as I was, I’m hoping this will be an aha! moment for you. When I first started with my Paleo lifestyle, I realized just how amazing I felt going lower carb (probably in the range of 100 grams a day). The problem was, I was also doing high intensity workouts (kickboxing, interval training) multiple times per week. At first, I felt great. I was recovering like a champ, my sleep was perfect, I had a very stable, positive mood, and even though I knew I would probably benefit from more carbohydrates, I stubbornly went on Continue reading >>

The Effects Of A Low-carbohydrate, Ketogenic Diet On The Polycystic Ovary Syndrome: A Pilot Study

The Effects Of A Low-carbohydrate, Ketogenic Diet On The Polycystic Ovary Syndrome: A Pilot Study

Go to: Methods Subjects were recruited from the Raleigh/Durham/Chapel Hill areas in North Carolina through a community PCOS support group and by word of mouth. After meeting initial eligibility criteria by phone, including replying "yes" to the question, "Have you been told by your health care provider that you have PCOS?," subjects were asked to attend a screening visit for a medical history and physical exam. Informed consent approved by the local Institutional Review Board was obtained. Baseline blood tests were also performed at the screening visit. There were no monetary incentives for participation. Inclusion/exclusion criteria The inclusion criteria were age 18–45 years, diagnosis suggestive of PCOS based on history of chronic anovulation and/or hyperandrogenemia, no other serious medical condition requiring medical supervision, body mass index (BMI) greater than or equal to 27 kg/m2, willingness to use acceptable contraception, and a desire to lose weight. Exclusion criteria included pregnancy, nursing or positive pregnancy test during screening period, and rapid progression of hyperandrogenic signs and symptoms. Intervention Subjects received an intensive group education program during monthly group meetings held every other week throughout the 6-month study period. During the first group meeting, subjects were instructed on both the rationale and implementation of the dietary intervention via use of a LCKD diet book and handouts containing suggestions on choice of appropriate foods.[18] Subjects were then instructed to begin the diet the following day. During follow-up group meetings, study outcome measures were obtained, and continued dietary counseling, adjustment of individual medications, supportive counseling, sharing of food choices, and review of urin Continue reading >>

Adverse Reactions To Ketogenic Diets: Caution Advised

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 >>

Ketosis & Measuring Ketones

Ketosis & Measuring Ketones

Generally, ketone concentrations are lower in the morning and higher in the evening. Whatever time you pick to measure ketone levels, make sure to keep it consistent. Also, do not measure your ketone levels right after exercise. Ketone levels tend to be lower while your glucose levels higher so you won't get representative numbers. Keep in mind there are daily fluctuations caused by changes in hormone levels. Don't get discouraged! Another aspect that affects the level of ketones is the amount of fat in your diet. Some of you may show higher concentration of ketones after a high-fat meal. Coconut oil contains MCTs that will help you boost ketones. To easily increase your fat intake on a ketogenic diet, try fat bombs - snacks with at least 80% fat content. Ketone levels tend to be higher after extensive aerobic exercise as your body depletes glycogen stores. Exercise may help you get into ketosis faster. ketogenic "fruity" breath is not pleasant for most people. To avoid this, drink a lot of water, mint tea and make sure you eat foods rich in electrolytes. Avoid too many chewing gums and mints, as it may put you out of ketosis; there may be hidden carbs affecting your blood sugar. Increase your electrolyte intake, especially potassium. You are likely going to lose some sodium and potassium when switching to the keto diet. Finally, if you find it hard to lose weight on a ketogenic diet, there may be plenty other reasons than the level of ketone bodies: Not Losing Weight on Low-Carb Ketogenic Diet? Don’t Give Up and Read Further. Continue reading >>

Ketosis & Late Menstrual Cycle

Ketosis & Late Menstrual Cycle

Ketosis occurs when a person is deprived of dietary carbohydrates, causing the body to burn glycogen and fat stores for energy. This can lead to rapid weight loss, which may cause late or missed periods in some women. If you are experiencing ketosis and your period is much later than usual, consult your doctor. Video of the Day Your body burns dietary carbohydrates for energy. If you do not provide it with carbohydrates, it burns its fat stores instead. This process releases small carbon fragments called ketones into the blood, which causes the state known as ketosis. A common sign of ketosis is unpleasant fruity-smelling breath that results when your body tries to expel excess ketones by breathing them out. Although it is often marketed and promoted as a safe weight-loss and detox solution, ketosis can cause long-term liver and kidney damage. Ketogenic diets are extremely strict, high-fat, low-protein and low-carbohydrate diets that intentionally cause a state of ketosis, usually for quick weight loss. These diets may produce the desired results, but the weight loss is rarely sustainable since it returns quickly once you return to a normal diet. More importantly, they are not safe. Ketogenic diets can cause a host of problems, including kidney stones, constipation, cognitive problems, osteoporosis, high cholesterol and disruptions in the menstrual cycle. There are many reasons your period may be late. Some fluctuations in your menstrual cycle are normal, or may occur due to stress, your contraceptive method or even pregnancy. More serious causes include hormonal imbalances, thyroid problems or menopause. Extreme weight loss such as that caused by ketosis can cause your menstrual periods to diminish or stop altogether. If you are following a ketogenic diet and your peri Continue reading >>

Have You Lost Your Period To A Low Carb Diet?

Have You Lost Your Period To A Low Carb Diet?

A few weeks ago, I tweeted my concern about a low carb diet for young women. Apparently, my tweet was offensive to some people (men). They explained to me that it’s purely “anecdotal.” There is no known mechanism, they said, so it must not really be happening. Except it is really happening. Ask anyone who works with young menstruating women. Or not menstruating, as the case may be. True, we don’t know the exact mechanism. That’s because no researcher has yet asked the question: What does a very low carb diet do to periods? Until we have the answer, we can only surmise. I surmise that for some women inadequate starch signals the hypothalamus that there’s not enough food to reproduce. It may be via the hormone leptin. It may be via the microbiome. It is an adaptive starvation response, and may also be why a low carb diet can cause hair loss. [For an update and a possible mechanism, please see my 2016 post Are You Eating Enough to Get a Period?] In contrast, some women do well on a low-carb diet. They may even regain the periods they’d lost on a high-carb diet (see insulin-resistant PCOS discussion below). It comes down to this: There are different individuals in the world, with different glycemic responses. There are also different carbohydrates. For example, there is sugar and there is wheat, and they are two worst carbohydrates. Sugar is the worst carb Sugar is bad for health and for period health. High-dose fructose causes insulin resistance and inflammation and is more inflammatory than the long glucose chains of starch. That’s why some researchers have called for a ‘fructose index‘. I discuss fructose in my insulin resistance post, my PCOS post, and Chapter 6 of my book. Whole fruit is okay, but none of us should be eating desserts, sweet drinks, Continue reading >>

Does A Ketogenic Diet Affect Women’s Hormones?

Does A Ketogenic Diet Affect Women’s Hormones?

Does a ketogenic diet affect women’s hormones? Yes—you can count on your nutrition to affect your hormones. Does it ruin or destroy your hormones? No. The unfortunate part is that if women rely on hearsay and don’t source better information about ketosis and their hormones, they lose out on the benefits of ketosis, especially those who suffer from PCOS, endometriosis, and uterine fibroids. Women with these conditions can benefit significantly from the ketogenic diet. [1] In this post we’ll discuss the ketogenic diet’s impact on your thyroid and the HPA axis, then look at ways to evaluate your hormones, how you feel, and what adjustments to make. The Ketogenic Diet and Your Thyroid Is ketosis bad for your thyroid? No. Let’s break it down: It’s true that low-carb diets (like the ketogenic diet) and calorie restriction lowers T3, the thyroid marker hormone. [3] [4] T3 make your cells use more energy. Because of its function, scientists have hypothesized that “a reduction in T3 hormone may increase lifespan by conserving energy and reducing free-radical production.” [4] Together with T4, these hormones regulate your metabolism, heart rate and body temperature. Most of T3 binds to protein and some free T3 circulates in your blood. But a lowered T3 doesn’t mean you get thyroid dysfunction or hypothyroidism. Hypothyroidism is often a case of high levels of TSH (thyroid stimulating hormone) and low levels of free T4. The pituitary gland tries to get your thyroid gland to produce T4: high levels of TSH. But the thyroid isn’t responding: low levels of T4. When T3 is reduced, the thyroid is called “euthyroid.” A normal thyroid. For a more in-depth look at what a low-carb diet does to T3, T4 and TSH levels, read Dr. Anthony’s article on ketosis and women Continue reading >>

Absence Of Periods On Low Carb With If

Absence Of Periods On Low Carb With If

Can a low-carb diet combined with intermittent fasting result in an abscence of periods? And if so, what do you do? Get the answer to this and other questions – could dairy be a problem in PCOS? – in this week’s Q&A with the fertility specialist Dr. Fox: Loss of period Almost five months ago I started LCHF due to insulin resistance and PCOS. I lost about 40 pounds (18 kg), and feeling great. But, after two months of regular periods (31-35 days), I simply lost them. The last was on March 26th. This is now my third missed period. When I look back, it seems to me that perhaps I shouldn’t have done IF, (i didn’t fast first two months, and then I had my periods). Now my doctor has put me on progesterone to induce periods, and gave me cyclo-progynova to restore hormonal balance. What has happened doctor Fox? The last ultrasound showed that my endometrium is very thin (before was great). Though, my right ovary had no cysts. Can these hormonal pills harm my health? I am also taking glucophage xr 1000mg a day. I’ve also noticed increased hair loss… Thanks in advance, P.S Keep up the good work!!! Thanks for every advice, lecture, interview! Ivana Dr. Fox: That overall is a hard question. My best guess and it is a guess, is that you may have an underlying hypothalamic dysfunction, maybe due to prior exercise, or eating disorders, hypoglycemia, sleep apnea etc, that has predisposed you to be very sensitive to physiologic stress. The IF if not done during a time of absolute ketoadaptation, could produce such a stress signal that then could have shut off the signals from the hypothalamus to the pituitary and hence decreased the FSH (follicle stimulating hormone) signal to the ovary. This could explain your scenario and would be the most likely thing we would see. Evalua Continue reading >>

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