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Ketosis Effects Menstrual Cycle

Ketogenic Diet Side Effects

Ketogenic Diet Side Effects

Although the adverse effects related to the ketogenic diet are generally less serve than those of anticonvulsant medications used to treat epilepsy, individuals following the diet may experience a number of undesirable effects. Short-Term Side Effects There are several short-term side effects that are most evident at the beginning of therapy, particularly when patients commence the diet with an initial fast. Hypoglycemia is a common side effect in this instance, and noticeable signs may include: Excessive thirst Frequent urination Fatigue Hunger Confusion, anxiety and/or irritability Tachycardia Lightheadedness and shakiness Sweating and chills Additionally, patients may also experience some constipation and low-grade acidosis. These effects tend to improve when the diet is continued, as the body adapts to the new diet and adjust the ways in which it sources energy. Alteration in Blood Composition As a result of the changes in dietary consumption and the body’s adaptive mechanisms to cope with the reduced carbohydrate intake, there are several changes in the blood composition of individuals following the ketogenic diet. In particular, the levels of lipids and cholesterol in the blood are commonly higher than what is considered to be normal. More than 60% of patients have raised lipid levels and more than 30% have high levels of cholesterol. If these changes are profound and there is some concern about the health of the child, slight changes to the diet can be made for the individual patient. For example, saturated fat sources can be substituted for polyunsaturated fats. In some cases, it may be necessary to lower the ketogenic ratio and reduce the proportion of fat to carbohydrate and protein in the diet. Long-Term Effects When the ketogenic diet is continued for exte Continue reading >>

Ketogenic Diet And Menopause

Ketogenic Diet And Menopause

Menopause can be very difficult on a number of levels. Although each woman's experience is different, many find that they gain fat, lose muscle tone, and struggle with hot flashes, insomnia, and mood swings during this time. In this article, I'll discuss how a low-carb or keto diet combined with other lifestyle strategies may help you manage some of the physical, mental, and emotional symptoms of menopause. What is the Menopause Transition? Although a woman technically reaches menopause when she has gone 12 months without a menstrual period, symptoms related to perimenopause – the time where hormonal changes begin - can start much earlier. In addition, they may last for several years after this point, and new symptoms may develop within the first few years after menopause. The average age of onset for perimenopause is 46, and it typically lasts about 7 years. However, a woman may start perimenopause anytime between her mid-30s and mid-50s, and the transition can last from 4 to 14 years (1). The day after a woman has gone 12 months without a menstrual period, she is considered postmenopausal. During and after the menopause transition, as many as 34 symptoms may occur. The most common ones include: Hot flashes and night sweats Weight gain, especially around the middle Insomnia Vaginal dryness Mood swings Fatigue Poor memory, ie, “brain fog” Interestingly, while some women find that their symptoms are more severe during perimenopause, others report that their symptoms intensify after they are postmenopausal. Hormone Fluctuations and Insulin Resistance During Menopause During a woman's reproductive years, follicle stimulating hormone (FSH) causes the release of an egg from one of her ovaries approximately every 28 days and stimulates ovarian production of estrogen. Af Continue reading >>

Low-carb Eating During Your Period

Low-carb Eating During Your Period

Eating right at any time of the month is challenging, but many women find it especially difficult in the week before or during their period. Your nutritional needs do not vary significantly during your menstrual cycle, but you need to eat a balanced diet throughout the month to meet your dietary requirements. A low-carb diet restricting breads, pasta and sugars is one of the many different ways of eating to meet your dietary needs that is suitable for some women throughout their fertility cycle. Nutrition During Your Cycle Women tend to eat differently depending on where they are in their menstrual cycle, as reported in a review article published in 1997 in "Human Reproduction." For example, most women eat less during the first part of their cycle and then increase their food intake after ovulation, probably due to a slightly accelerated metabolism during the 10 to 14 days preceding your period. This does not apply if you are taking birth control pills. Authors of this review also found that women tend to consume more carbohydrates and less protein and fat when they are premenstrual. There is no contraindication to consuming a low-carb diet at any time during your menstrual cycle. Roughly 35 to 40 percent of women experience moderate to intense cravings during their period, making it hard to adhere to a low-carb diet during this time. Try to satisfy your cravings with lower carb options, such as berries, plain yogurt, butternut squash or pumpkin to help adhere to a low-carb diet. For most low-carb diets, you must aim to keep your daily carb intake under 100 grams per day. Replenishing Lost Iron Iron lost during menstruation places women at an increased risk for iron-deficiency. You can combat this with a low-carb, high protein diet by including lean, iron-rich meats and Continue reading >>

The Keto Diet Podcast Ep. #042: Optimizing Your Menstrual Cycle On Keto

The Keto Diet Podcast Ep. #042: Optimizing Your Menstrual Cycle On Keto

Interview with Alisa Vitti, a functional nutritionist, women’s hormone expert, best-selling author and founder of floliving.com, chatting about how to adjust the ketogenic diet to compliment your menstrual cycle, heal your hormones, and boost energy and vitality… every day. For podcast transcript, scroll down. SHOW NOTES + LINKS TIMESTAMPS Fats that cause PMS (14:34) FREE hormone testing from the comfort of your home (33:43) Eating to support your cycle (50:56) PARTNERS OF THE KETO DIET PODCAST 100% grass-fed & finished FERMENTED beef sticks with 1 billion naturally-occurring, gut-healing probiotics! Go to Paleovalley.com for 20% off. The podcast is partnered with Wolfe Clinic Royal Flora, my choice in soil-based probiotics. Get 20% off your soil-based probiotics with the coupon code GUT at checkout. Use the coupon code HEALTHFUL all in caps, no spaces, for 15% off your first Perfect Keto order at perfectketo.com/hp. Once you’ve loaded up your cart, use HEALTHFUL for 15% off your first order. Again that’s HEALTHFUL at perfectketo.com/hp for 15% off your first order. TRANSCRIPT FOR THIS EPISODE Leanne Vogel: You’re listening to Episode Number 42 of the Keto Diet Podcast. Today, we’re chatting about fats that cause PMS, free hormone testing from the comfort of your own home, and eating to support your cycle. So, stayed tuned. Hey, I’m Leanne from HealthfulPursuit.com, and this is the Keto Diet Podcast, where we’re busting through the restrictive mentality of a traditional ketogenic diet to uncover the life you crave. What’s keto? Keto is a low-carb, high-fat diet where we’re switching from a sugar-burning state to becoming fat-burning machines. All listeners of the podcast receive a free seven-day keto meal plan complete with a shopping list and everyt 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 >>

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 >>

Much Ado About Ketosis: Are The Adverse Effects Really That Adverse?

Much Ado About Ketosis: Are The Adverse Effects Really That Adverse?

I recently read a blog post decrying anyone that would recommend a low carbohydrate / ketogenic diet to their patients. What?! In fact, this particular blog outlined a number of “adverse reactions” to a ketogenic diet, and based upon these perceived reactions, the writer advised severe caution with its use in just about anyone. It is important to note at the outset that most of the data this blogger quotes are from older studies completed in children for the treatment of epilepsy with specific liquid ketogenic dietary meal replacements. (Not what you’d expect in a low-carb / ketogenic diet for the average obese adult today.) Thanks to recent misinformation by a number of medical professionals, including the person writing the blog referenced above, a poor understanding of fatty acid metabolism by the general community, and a distinct lack of understanding of human adaptability recorded over the last 5,000-6,000 years, there is still significant confusion about ketogenic diets. It is important to recognize the crucial fact that the human body is designed to function quite well when supplied any of three macronutrients: carbohydrates, proteins or fats. It does so through an amazing series of enzymatic reactions referred to as the Krebs (tricarboxylic acid) cycle, producing needed ATP (adenosine triphosphate) required for our muscles to contract, our heart to beat and our diaphragm to expand our lungs. What’s even more amazing that that the body was designed to recognize the season we are in based up on the food we eat. That is, until we invented refrigerators in 1913. (Now our bodies think it’s year round summer time . . . wait . . . I live in Arizona where it is year round summer time.) No, this is not a post about unplugging your refrigerator, living on solar, 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 >>

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 >>

Ketosis And Hormone Changes

Ketosis And Hormone Changes

While working as a nurse with Dr. Robert Atkins, I adopted a low carb diet. My goal was to avoid my genetic tendency for developing obesity and type 2 diabetes. I had the tools at hand to monitor urinary and breath ketones frequently. After months I noticed that a few days before my period, ketones would drop or even disappear. This coincided with mild PMS symptoms including weight gain and the re-emergence of hunger and cravings. Ketones would return by the 2nd day or so of my menses. I began to mention this to my patients who wanted to monitor urinary ketones. I didn’t want them getting discouraged if they experienced the same. Many would return and tell me they noticed the drop in ketones as well. They appreciated having advanced warning. We also observed that with low-carb regimen, PMS symptoms over time would decrease, sometimes to the point that a woman would be surprised when she began her flow. At the start of the plan others would mention that the first period would in some way be worse before getting better. To my knowledge this has not been studied. What I learned is that any hormone changes in women can increase insulin resistance, which makes the body produce more insulin to get the same insulin benefit. At puberty and menarche when girls need to gain body fat they become more insulin resistant. I have been a carb addict but my cravings increased significantly at this time as did my weight. Hormones also fluctuate during the menstrual cycle. During pregnancy, peri-menopause, and menopause there are significant hormone changes accompanied by increased insulin resistance. This change of life stage (peri-menopause) for me was difficult. I lost ketones but still gained weight on my maintenance plan (my strategy was to adopt a 20 gram carbohydrate level and st 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 >>

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 >>

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 >>

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 >>

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