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 >>
Aid-in-dying Loophole: Advocates Want You To Know You Can Stop Eating And Drinking
Guest contributor One sunny day in the spring of 2012, Kathleen Klein sat in a car by the California coastline with her 84-year-old mother, Jackie Wilton. The two women had been quietly gazing at the view, watching seagulls along the shore. “I’m ready to go,” Klein recalls her mother saying. “Not go home...Go.” Klein didn’t need the clarification. Her mother had been speaking of wanting to die for years, ever since Wilton was diagnosed with an unspecified dementia a few years before. Wilton’s memory had become significantly impaired. But even before her diagnosis, Wilton was clear: She wanted to die before she became severely incapacitated. Not long after the conversation by the water, Wilton asked Klein explicitly for help in ending her life. In interviews and a recent blog post, Klein remembers wanting to help her mother, but of being unwilling act illegally. Even if Wilton had lived in one of the five states with an aid-in-dying law, she would not have qualified for such aid from a physician. That would have required a doctor’s determining that she would likely die within six months. Given the usual course of chronic, progressive dementia, Wilton would likely have lived much longer. So Wilton needed another option for ending her life. Soon Klein heard a radio interview about "the possibility of helping someone die by letting them stop eating and drinking,” she wrote. “The way I understood it, it was the only legal form of assisted suicide.” Klein mentioned the scenario to her mother. Wilton said she would think about it. A few days later, Wilton again mentioned wanting to die. “I asked her if she remembered the idea I had run by her. She didn’t, so I told her again. I suggested we give it a try (a ‘dry run,’ we called it) for a day and s 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 >>
Journey Into Ketosis Part Ii
TL;DR This is a journal of my first month of ketosis. A quick recap of Part I: Ketosis is when your body metabolizes fat instead of sugar as its primary fuel source. To enter ketosis you must eat fewer than 50 grams of carbs per day for a minimum of two weeks, and ideally 60-80% of your diet is fat. You can measure blood ketones with over-the counter-tests. Ketones are the preferred fuel for organs like your brain, heart, and muscles. Ketosis is safe and all humans show improved blood lipid profiles, profound anti-inflammation, and weight loss with lean muscle mass preservation in ketosis, better than any other diet. May 2014: The Descent Of Insulin I had just returned from a two week long trip to Israel and Jordan. On the flight back I finished reading The Art And Science Of Low Carbohydrate Living, which answered all my questions about ketosis. (The Art and Science...Performance is a wonderful, short follow up, and Keto Clarity is on the to-read list.) I had been "paleo" for about five years, which for me meant avoiding grains and most sugars. I was not striving for high fat, and I still occasionally craved sugar. One way to know you've achieved ketosis is measuring blood levels of beta-hydroxybutyrate, or BOHB. It's the fuel your liver produces when it metabolizes fat. Your organs, especially your brain, consume it copiously. You can measure BOHB by pricking your finger with a Precision Xtra lance, bleeding on to a ketone test strip, inserting the strip into the Precision Xtra, and waiting. It will spit out your blood ketone density in milligrams of ketones per millimoler of blood. The (semi-arbitrarily) decided on level for a human to be in "nutritional ketosis" is a minimum of 0.5 mg/mmL. I was eating "low carb" for five years, so I figured this was easy, and I was Continue reading >>
Ketosis: Fear, Uncertainty And Doubt
Perhaps nothing is more damaging to the new low-carber than the intentional spread of fear, uncertainty and doubt regarding the state of ketosis compared to the dangerous state of ketoacidosis. The former is a natural and healthy state of existence, the latter is a condition that threatens the life of type 1 diabetics and type 2 diabetics whose disease has progressed to the point where their pancreatic beta cells can no longer produce insulin (ketoacidosis is also a risk for alcoholics). So if you’re not an alcoholic, a type 1 diabetic or a late-stage type 2 diabetic, fear of ketosis is misdirected. You should regard with suspicion anyone who confuses the two and warns you against a low-carb diet because they cannot tell the difference. The confusion between ketosis and ketoacidosis is a sign of a grave misunderstanding of basic biology (if not a complete lack of critical faculty). So too is the assumption that ketosis is the “early stage” of ketoacidosis or that “ketosis leads to ketoacidosis” in a person whose pancreas is still able to produce insulin. If you don’t trust me (and why should you), you should consider listening to some people who know a lot more about this than either you or I ever will: Nutritional ketosis is by definition a benign metabolic state… by contrast, ‘diabetic ketoacidosis’ is an unstable and dangerous condition that occurs when there is inadequate pancreatic insulin response to regulate serum B-OHB. This occurs only in type-1 diabetics or in late stage type-2 diabetics with advanced pancreatic burnout. (Dr. Phinney & Dr. Volek, The Art and Science of Low Carbohydrate Living, p.4) Later in the book (p.80), Phinney and Volek explain further: [Type-1 diabetics] need insulin injections not just to control blood glucose levels, Continue reading >>
Death From Dehydration Is Usually Serene
Though the legal wrangling in the Terri Schiavo case has been loud and contentious, the brain-damaged woman's physical response to having her feeding tube removed is likely to be very serene. "The process of starving to death seems very barbaric but in actuality is very peaceful," said Dr. Fred Mirarchi, assistant clinical professor of emergency medicine at Drexel University College of Medicine in Philadelphia. "The patient's experience is really pretty benign," said Dr. Joanne Lynn, a hospice physician associated with Americans for Better Care of the Dying, a group working for improved end-of-life care. "Overwhelmingly, what will happen is nothing." Lynn, who has worked with numerous families facing end-of-life situations, said most patients who are removed from life support will die within a matter of a few days or weeks. "Some people can last four or five days -- some people can last 20 days," she said. Schiavo's feeding tube was removed March 18 following a contentious battle between her husband, who said his wife would not want to live in a vegetative state, and her parents, who wanted her kept on life support. Schiavo's feeding tube was removed twice before, in 2001 and 2003. The second time, the tube was replaced after six days when Florida Gov. Jeb Bush signed a hastily passed law allowing him to intervene in the case. "Terri's Law" was later ruled unconstitutional. The Body Begins Shutting Down The physical process of dying after life support is removed follows a pattern familiar to hospice workers. And the fact that Schiavo is in a vegetative state will likely make her death faster and less painful, Lynn said. "It depends on whether she has the ability to swallow anything -- and if that anything is offered," she said. "If she's unable to swallow anything, the Continue reading >>
Dying To Find The Right Diet For You?
In today’s world, we live among an abundance of options to choose from when it comes to the foods we eat. There are many factors to consider when making this daily decision, whether it is based on lifestyle, allergies, or even your blood type! We get that there is a lot of hype surrounding some of these avenues as well, but they all have their benefits! Although we are not doctors, we are definitely informed wellness advocates who do know that no matter the route you take, having plant-based options weaved throughout your day to day is still paramount. Fruits and vegetables provide our bodies with vitamins, minerals, and all the essential nutrients like not many other food groups have the ability to do! Some ways you can navigate the sea of options would be through either trying an “elimination diet”, a cleanse, or checking with your physician. Some diets may be temporary to fulfill a certain goal, others are lifelong and represent a life that feels more balanced and supported. Even trying out interesting online quizzes like this one (linked) by BBC to show whether you are more of an emotional eater, feaster, or constant craver. All in all, we hope that your aim is to live not only a long life, but a great quality life. If you are wondering what Raw Republic can do for you on your health journey, just step foot inside and ask our amazing staff how we can serve you what you need! Vegan / Vegetarian Vegans and vegetarians are similar in the case that they both are diets that do not include meat. One of the main differences is that vegetarians have more flexibility in whether they choose to include either dairy or some fish (pescatarian). Vegans can also decide on whether they do not want to consume honey, or even use lifestyle products that have anything to do with Continue reading >>
How Do I Survive Low-carbs & High Protein? Feel Like I'm Dying...
Hi guys, I'd love your help. I'm on day 12 of Paleo, and I went from a pasta-heavy (though pretty healthy)diet onto full Paleo because I needed to lose weight. Day 4 I could hardly walk and I had t cancel meetings and go back to bed. Then I felt a bit better. Day 7 I had to go back to bed again. I had zero energy and couldn't even walk up the stairs in my house without collapsing into bed. I haven't ever felt hungry on the diet (which is a Paleo miracle that I absolutely love), but I've felt like my body was cannibalising itself. In general I'm fairly sensible, and feel that maybe I've gone a bit OTT by going to such a protein-heavy diet (from about 15% to 50%). I'm very active and have to cycle to work and back, about 15 km (the reason i went Paleo was because I couldn't believe I was doing that much exercise, not eating more than I usually do, and yet not losing weight). But I'm so tired on the diet (I can literally feel my muscles searching for energy that isn't there), that I'm worried a) I can't keep up my active lifestyle and b) maybe I'm actually doing something really dangerous to my body. I went on the Internet and read all about ketosis - which made me feel better because I decided I wasn't actually dying - but my good friend who is a distinguished doctor is begging me to stop the diet because he says over-eating protein can lead to devastating other illnesses, and in extreme cases, can even kill you. Any thoughts? And if I wanted to increase my carbs a bit (just because my body seems to need the energy to function), any suggestions? My average diet is: Breakfast: an avocado, fruit (strawberries, blueberries, grapes, banana), almond and walnuts. Or 3 times a week I have scrambled eggs or an omelette. Lunch: salmon sashimi, or grilled chicken with big salad Sna Continue reading >>
Cancer’s Ketogenic Kryptonite With Patricia Daly – #339
Why you should listen – Patricia Daly is a fully-qualified nutritional therapist based in Dublin, Ireland. Following her cancer diagnosis, she left her corporate career and started studying nutrition, specializing in the area of Integrative Cancer Care. As a Swiss native, she regularly attends training courses in Switzerland/Germany, including at the renowned Tumor Biology Center in Freiburg, Germany. She’s working on a new book on the benefits of the low carb and ketogenic diet, which she’s co-writing with Irish foodwriter Domini Kemp. On today’s episode of Bulletproof Radio, Patricia and Dave talk about the ketogenic diet, tips for battling cancer, lights to avoid, hormonal irregularities, grounding, her story of overcoming cancer and more. Enjoy the show! Watch Listen Follow Along with the Transcript! Dave: Looking for a career in tech, maybe business data design or marketing? Trying to get that promotion or raise to excel in your career? You need 21st century training and skills. General Assembly is the largest and most respected school worldwide for people seeking to grow their talents and master the marketplace. Whether it’s learning remotely online or in person at one of their beautiful campuses, you can join the 350,000 people who had already gone the training needed to propel careers in tech and business. More than 2500 companies worldwide hire GAs graduates with 99% of graduates who participate in GA’s career services lending a new role in their field within 6 months of starting their job search. Take control of your talent and career now. Find out more at ga.co/bullet that’s ga.co/bullet. Enter the promo code bullet to save on your first class workshop or event. That’s ga.co/bullet code word bullet. Speaker 1: Bulletproof Radio a station of hi Continue reading >>
What Is Ketosis?
"Ketosis" is a word you'll probably see when you're looking for information on diabetes or weight loss. Is it a good thing or a bad thing? That depends. Ketosis is a normal metabolic process, something your body does to keep working. When it doesn't have enough carbohydrates from food for your cells to burn for energy, it burns fat instead. As part of this process, it makes ketones. If you're healthy and eating a balanced diet, your body controls how much fat it burns, and you don't normally make or use ketones. But when you cut way back on your calories or carbs, your body will switch to ketosis for energy. It can also happen after exercising for a long time and during pregnancy. For people with uncontrolled diabetes, ketosis is a sign of not using enough insulin. Ketosis can become dangerous when ketones build up. High levels lead to dehydration and change the chemical balance of your blood. Ketosis is a popular weight loss strategy. Low-carb eating plans include the first part of the Atkins diet and the Paleo diet, which stress proteins for fueling your body. In addition to helping you burn fat, ketosis can make you feel less hungry. It also helps you maintain muscle. For healthy people who don't have diabetes and aren't pregnant, ketosis usually kicks in after 3 or 4 days of eating less than 50 grams of carbohydrates per day. That's about 3 slices of bread, a cup of low-fat fruit yogurt, or two small bananas. You can start ketosis by fasting, too. Doctors may put children who have epilepsy on a ketogenic diet, a special high-fat, very low-carb and protein plan, because it might help prevent seizures. Adults with epilepsy sometimes eat modified Atkins diets. Some research suggests that ketogenic diets might help lower your risk of heart disease. Other studies show sp Continue reading >>
Does The Ketogenic Diet Cure Candida? The Ketosis-candida-mercury Link
You’ve been on the Ketogenic Diet for a while now and you’ve been promised weight loss, more energy, clearer head, better sleep or possibly even ascension? But instead you got some or all of the following? weight gain stiff neck fatigue brain fog heart palpitations head pressure burning sensation in the mouth insatiable thirst impaired breathing / coughing / shortness of breath headaches nausea stiff joints muscle stiffness depression insomnia rash bloated, painful intestines constipation or diarrhea white coated tongue phlegm or mucus or the feeling of having a “frog” in your throat just overall feeling more miserable But you aren’t willing to give up on the diet just yet because you were told all those negative symptoms you’ve started to experience were due to your body adjusting from a sugar to a fat burning metabolism? Or that your mtDNA was being repaired? That you just need to stick through it, or drink more water or take a few supplements? That in order to get well you have to get sick first? That the insomnia really is you having more energy and hence needing less sleep? And yet it’s been weeks, months, or more than a year but you still experience those symptoms and you’re not really feeling well and – surprisingly – you have actually GAINED some weight?! If so, then it might be time to consider that the Ketogenic Diet is actually making you sick. WHAAAAAT??!! How could that be? You ask. And: Who am I to suggest such blasphemy? I’m a former Keto Fanatic, someone who had been on the Ketogenic Diet for over 1 year until I realized that ketosis was wrecking havoc with my body, and now I’m here to tell you all about it. How did I get into the Ketogenic Diet? Did I go from eating pizza and drinking Cola straight to eating 4 eggs for breakfast Continue reading >>
Sudden Cardiac Death In Association With The Ketogenic Diet.
Abstract The ketogenic diet is a high-fat, low-carbohydrate, adequate-protein diet that is used to decrease the frequency of seizures in patients who have refractory epilepsy. Despite its positive effects in some patients, there are potential adverse effects. Two complications related to the ketogenic diet are selenium deficiency, which has been associated with impaired myocardial function, and QT prolongation as documented on electrocardiography. Reported here are two cases of death in a child on the ketogenic diet for seizure control. In case 1, the child who died of complications related to torsade de pointes, with documented QT prolongation; post mortem examination revealed selenium-deficiency cardiomyopathy. In case 2, a child experienced QT prolongation while on the ketogenic diet and later died suddenly at home. Both children exhibited selenium deficiency. These two cases suggest that patients on the ketogenic diet require monitoring of the QT interval by electrocardiography, myocardial function by echocardiography, and selenium levels before and during the ketogenic diet. Continue reading >>
The Cost Of Dying: Simple Act Of Feeding Poses Painful Choices
A small plastic tube is all that stands between survival and starvation. The benefits of a feeding tube — helping elders who have forgotten how to eat — seem so obvious that it is used on one-third of demented nursing home residents, contributing to a growing device market worth $1.64 billion annually. Except it does little to help. And it can hurt. Decades after the tube achieved widespread use for people with irreversible dementia, some families are beginning to say no to them, as emerging research shows that artificial feeding prolongs, complicates and isolates dying. The tale of the feeding tube, known as percutaneous endoscopic gastrostomy (PEG), is the latest installment of “Cost of Dying,” a series exploring how our technological ability to stave off death creates dilemmas unimaginable decades ago, when we died younger and more quickly. Food is how we comfort those we love; when all other forms of communication have vanished, feeding remains a final act of devotion. So the easy availability of feeding tubes forces a wrenching choice upon families: Do we say yes, condemning a loved one to dependency on a small plastic tube in their stomach? Or do we say no, consenting to their death? Blessing, then a curse Tubes are useful as a nutritional tool for patients struggling with a critical illness, such as Lou Gehrig’s disease, or recovering from stroke, cancer or anorexia. But if no turnaround is in sight — particularly in elders with progressive neurological illness — they can be a dreadful mistake, medical researchers now say. For families praying for a reversal, or just the gift of a few more days, the decision to insert a tube into the stomach can initially feel like the right choice. The device helped sustain Fran Cole’s beloved mother when Parkins Continue reading >>
Why Your Diet Should Include More Fat
Think back to the '80s and '90s when buying anything that didn't don a low-fat label was simply taboo. Back then, butter and egg yolks topped the "do not eat" list, while refined carbs and packaged foods weren't given a second thought. But times have definitely changed. These days, experts tout fat as a must-have macro and full-fat products, like whole milk, avocado, ghee and coconut oil, join the ranks of superfoods. Yet, some people still question what kinds of fat they should eat and exactly how it affects the body. That's why we called on Mark Hyman, MD, author of the "Eat Fat, Get Thin Cookbook," to help us wipe clean the greasy mess of info and lay down the facts on fat. Reality: Even though this myth is the basis for low-fat diets and food products, it's far from the truth. Eating fat won't make you fat. Completely eliminating or limiting fat from your diet can actually make you gain weight, often because it leaves you feeling so deprived. Conversely, some studies have found that fatty foods can aid in weight loss. "The problem with most diets is that they lack the key ingredient that makes food taste good and cuts your hunger," says Dr. Hyman. And you guessed it, that's fat. "Healthy fats are the best source of energy for your body, and they keep your metabolism and fat-burning mechanisms running as they're meant to," Dr. Hyman explains. Research supports this, showing that a low-fat diet could slow down metabolism. So now you have permission to enjoy a spoonful of nut butter with an apple before your next workout or a satiating piece of steak for dinner every once in a while. Reality: Not so fast. While saturated fat has long been known as public health enemy number one, recent research proves it's not so scary. Of course, you shouldn't always opt for a meal fu Continue reading >>
The Beginners Guide To Ketosis: Investigating Low-carb, High-fat Eating
The only hard and fast rule of health is that health is personal and what works well for one person may not work for someone else. Aside from that rule, there are “frameworks” that seem to benefit large groups of people. One more level down from that are alternative strategies that benefit smaller groups. Ketosis is likely one of those alternative strategies that works well for certain, smaller groups of people. So, right off the bat I want you to understand that Ketosis might not be for everyone. I’m going to lay out the case for potential benefits of Ketosis. If it sounds interesting and beneficial to you, then consider trying it. (see our free cheat sheet to help you). What is Ketosis Ketosis occurs when liver glycogen gets depleted and the body burns fatty acids for fuel. The primary driver of this state is a very low carbohydrate intake. Often, it also requires a low protein, higher fat intake. You can also achieve a state of ketosis by not eating altogether. The creation of ketones is a byproduct of this metabolic state. Ketones are a source of fuel, just as glucose is a source of fuel. Ketones tend to have some added benefits, though. What role does Ketosis play in human health? Ketosis allows our bodies to function in the absence of carbohydrates, both physically and mentally. Instead of burning carbohydrates, or converting protein to glucose, the body burns ketones. This is pretty much a survival mechanism. It allows your body to function in a state of caloric deprivation. This is why ketosis often gets bad press (as it’s linked to “starvation”). Being a survival mechanism doesn’t make it invalid as a strategy, though. There can still be potential benefits to be had. Let’s cover a few of them… Ketosis and Accelerated Fat Loss Being in ketosis Continue reading >>