Morning Sickness Ketosis

The Real Cause Of Hyperemesis Gravidarum?

Preventing HG Podcast: Hyperemesis Gravidarum | Pregnancy | Morning Sickness | Nutrition | Root Causes | Alternative Treatmen © All Rights Reserved. 2014 Dr. Michael Fox is not the first person to suggest that the cause of morning sickness and hyperemesis gravidarum starts with blood sugar dysregulation but he is one of the few OB-GYN and Reproductive Endocrinologists who suggests that eating a ketogenic diet during pregnancy is not only safe for mom and baby but also the answer to this blood sugar dysregulation. Dr. Fox thinks that the problem starts with hypoglycemia (low blood sugar), then gets worse when women eat carbohydrates (which turn into sugar in the blood) to combat the nausea (crackers anyone?), which can spike insulin 2-3 times what it would be in a non-pregnant woman, then add in dehydration, which makes everything worse, loss of nutrients (from vomiting and not eating) (especially magnesium, zinc and b vitamins) and so begins the cascade of symptoms that spirals out of control leaving the newly pregnant women feeling like she's dying with no hope of coming out of it. Add in doctors and nurses telling a women that it's "normal" and there is nothing that can be done and you have a very bad scene. In this episode we discuss: Ideal diet for Fertility, pregnancy, and beyond Fat provides the most sustained energy for the longest length of time Carbs= Sugar "Fat protects you against hypoglycemia better than any other macronutrient." Minimum time to be on diet to prepare for pregnancy, 6 weeks. 12 weeks would be ideal. Older cultures had special foods and preparations for fertile couples to have healthy babies. It's hard to convince women that they need to eat a lot of fat If ketosis was bad, we wouldn't be here. Not enough studies about nutritional ketosis and Continue reading >>

43: Fat Digestion, Morning Sickness, Binge Eating, Carb Cravings, Steam Room Effect On Ketones

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 have another educational and entertaining show for you in Episode 43. **Special THANK YOU to Louann, Laura, Richard, Chris, Pedro, and Diane** KEY QUOTE: “Most women with significant morning sickness have a problem with B6 and B12. These vitamins are fat-soluble and need enough animal fat to absorb them well. If you take the huge prenatal pill with a large dose of folic acid, those can be nauseating by themselves. Eating keto helps prevent this.” — Dr. Adam Nally Here’s what Jimmy and Adam talked about in Episode 43: – Should I be concerned about the fat related digestion results of my stool analysis? Hi guys, I recently had a CDSA stool analysis to look for more information about my health. Under the absorption category, my fat related di Continue reading >>

Hyperemesis Gravidarum

Hyperemesis gravidarum is uncontrollable vomiting during pregnancy that results in dehydration, weight loss, and ketosis. Diagnosis is clinical and by measurement of urine ketones, serum electrolytes, and renal function. Treatment is with temporary suspension of oral intake and with IV fluids, antiemetics if needed, and vitamin and electrolyte repletion. Pregnancy frequently causes nausea and vomiting; the cause appears to be rapidly increasing levels of estrogens or the beta subunit of human chorionic gonadotropin (beta-hCG). Vomiting usually develops at about 5 wk gestation, peaks at about 9 wk, and disappears by about 16 or 18 wk. It usually occurs in the morning (as so-called morning sickness), although it can occur any time of day. Women with morning sickness continue to gain weight and do not become dehydrated. Hyperemesis gravidarum is probably an extreme form of normal nausea and vomiting during pregnancy. It can be distinguished because it causes the following: Hyperemesis gravidarum may cause mild, transient hyperthyroidism. Hyperemesis gravidarum that persists past 16 to 18 wk is uncommon but may seriously damage the liver, causing severe centrilobular necrosis or widespread fatty degeneration, and may cause Wernicke encephalopathy or esophageal rupture. Clinicians suspect hyperemesis gravidarum based on symptoms (eg, onset, duration, and frequency of vomiting; exacerbating and relieving factors; type and amount of emesis). Serial weight measurements can support the diagnosis. If hyperemesis gravidarum is suspected, urine ketones, thyroid-stimulating hormone, serum electrolytes, BUN, creatinine, AST, ALT, magnesium, phosphorus, and sometimes body weight are measured. Obstetric ultrasonography should be done to rule out hydatidiform mole and multifetal pregnan Continue reading >>

About Sky News

The Duchess of Cambridge is once again suffering from a rare condition that causes severe morning sickness. This time the Duchess is being cared for at Kensington Palace, but she has previously been admitted to hospital for the condition. The severity of the vomiting caused by hyperemesis gravidarum can lead to dehydration, weight loss and a build-up of toxins in the blood or urine called ketosis. Hyperemesis gravidarum affects 3.5 per 1,000 pregnant women and can cause women to vomit blood. Sky News science correspondent Thomas Moore said: "The first step would be to get a woman on to a drip as soon as possible, get some fluid back into her bloodstream. "If that doesn't settle things, doctors can in fact stick a tube all the way through the stomach into the small intestines to make sure there is some nutrition getting into the mother. "There would also be the possibility of medication." :: Kate and William are expecting third child During the Duchess' first pregnancy, hyperemesis gravidarum sufferer Jennifer Burner told Sky News: "I think what makes it so difficult is that not many people understand it. What you are going through is deemed by many people as normal, they just think you are being sick quite a lot. "I was sick over 35 times a day, every day until the 35th week of my pregnancy, which means you lose weight. In my case I was put on drips to be rehydrated, put on steroids to keep my body warning. "I have never had normal morning sickness but I don't believe it is quite like that." Retired midwife Val Clarke told Sky News in 2012: "It often happens in very slim young ladies who - I don't know the reason why - become pregnant and the demands of the pregnancy are overwhelming to the point that vomiting becomes much more severe much earlier. "Poor Kate, it would Continue reading >>

My Low Carb Twin Pregnancy Journey

I realize this is much different than my regular food based posts, but none the less one that has raised many an inbox question. I just reached the halfway mark of my pregnancy with what we now believe to be two baby girls. We are so thrilled! We are expecting fraternal twins which means they are not identical. Basically two babies sharing the same birthday, but unique in every other way. We can’t wait to meet them! It was really funny and ever so slightly ironic that I had to test oodles of recipes for my recipe book in my first few weeks of pregnancy. YES! Nausea and new recipes… fun! But as they say, all is well that ends well. 1. WHY DID I CHOOSE TO CONTINUE WITH A LOW CARB LIFESTYLE DURING MY PREGNANCY? My family has been on a fully integrated low carb lifestyle for just over 18 months now. It is our new normal. It is our lifestyle. We cannot imagine feeling tired, emotional and hungry all the time anymore, so for me it made perfect sense to keep doing what is obviously working for my body. BUT the fact that I am also making decisions for someone else’s body… it made me ponder if I’m doing the right thing for them? I found confirmation after confirmation once I stopped reading pregnancy sites and shifted my research to what babies need for healthy growth. I devoted an entire chapter in my book to this. Basically, I looked at my entire nutritional regime and could not think of a time in my life that I actually ate a better amount of nutrients and less junk. I figured… our girls do not need junk like preservatives, colorants, enhancers, modified starches, hormone filled GMO Soy or GMO wheat. Sugar is void of any nutrients and really is the weakest form of energy so… not needed! I was shocked to see that most recommended pregnancy diets actually promoted Continue reading >>

Severe Vomiting In Pregnancy

Sickness in pregnancy is common. Around 7 out of every 10 pregnant women experience nausea and/or vomiting, and this doesn't just occur in the morning. For most women, this improves or disappears completely by around week 14, although for some women it can last longer. Some pregnant women experience excessive nausea and vomiting. They might be sick many times a day and be unable to keep food or drink down, which can have a negative effect on their daily life. This excessive nausea and vomiting is known as hyperemesis gravidarum (HG), and often needs hospital treatment. Exactly how many pregnant women get HG is not known as some cases may go unreported, but it's thought to be around 1 in every 100. If you are being sick frequently and can't keep food down, tell your midwife or doctor, or contact the hospital as soon as possible. There is a risk you may become dehydrated, and your midwife or doctor can make sure you get the right treatment. Symptoms of hyperemesis gravidarum HG is much worse than the normal nausea and vomiting of pregnancy ("morning sickness"). Signs and symptoms of HG include: prolonged and severe nausea and vomiting – some women report being sick up to 50 times a day dehydration – not having enough fluids in your body because you can't keep drinks down; if you're drinking less than 500ml a day, you need to seek help ketosis – a serious condition that results in the build-up of acidic chemicals in the blood and urine; ketones are produced when your body breaks down fat, rather than glucose, for energy weight loss Unlike regular pregnancy sickness, HG may not get better by 14 weeks. It may not clear up completely until the baby is born, although some symptoms may improve at around 20 weeks. See your GP or midwife if you have severe nausea and vomiti Continue reading >>

Hyperemesis Gravidarum

Practice Essentials Hyperemesis gravidarum is the most severe form of nausea and vomiting in pregnancy, characterized by persistent nausea and vomiting associated with ketosis and weight loss (>5% of prepregnancy weight). This condition may cause volume depletion, electrolytes and acid-base imbalances, nutritional deficiencies, and even death. Severe hyperemesis requiring hospital admission occurs in 0.3-2% of pregnancies. [1] Signs and symptoms The defining symptoms of hyperemesis gravidarum are gastrointestinal in nature and include nausea and vomiting. Other common symptoms include ptyalism (excessive salivation), fatigue, weakness, and dizziness. Patients may also experience the following: See Clinical Presentation for more detail. Diagnosis Physical examination in women with suspected hyperemesis gravidarum is usually unremarkable. Findings may be more helpful if the patient has unusual complaints suggestive of other disorders (eg, bleeding, abdominal pain). Examination includes the following: Vital signs, including standing and lying blood pressure and pulse Volume status (eg, mucous membrane condition, skin turgor, neck veins, mental status) General appearance (eg, nutrition, weight) Laboratory tests Initial laboratory studies used in the evaluation of women with hyperemesis gravidarum should include the following: Imaging studies The following imaging studies may be used to assess women with hyperemesis gravidarum: Obstetric ultrasonography: Usually warranted to evaluate for multiple gestations or trophoblastic disease Upper abdominal ultrasonography: If clinically indicated, to evaluate the pancreas and/or biliary tree Abdominal computed tomography scanning or magnetic resonance imaging: If appendicitis is suspected as a cause of nausea and vomiting in pregnanc Continue reading >>

Signs & Symptoms

Your symptoms will usually begin around week 4-6 and peak between 9-13 weeks. However, they may start before the pregnancy is confirmed by a pregnancy test. Some women feel changes within days of conception. If onset is later than the first trimester, you do not have HG. Rather, you may need to have your liver and gall bladder function checked, or it may just be the physical changes of pregnancy. There are many other conditions that can cause similar symptoms. Typically, you will find symptoms end or at least improve significantly somewhere around 14-20 weeks, however, some women (10-20% or more) continue to have symptoms for their entire pregnancy. Occasionally, a woman will have a worsening or return of symptoms later in pregnancy. This is uncommon if you have had several weeks without any nausea/vomiting. Symptoms may increase and decrease throughout pregnancy and as long as you feel any nausea, go very slowly when trying to go off of (wean) a medication. Unfortunately, HG often recurs and follows similar patterns in future pregnancies, though severity may vary each time. See the Merck Manuals for more information on the below conditions: Common symptoms you may notice and should mention to your obstetrician: Vomiting, mucus, bile or blood** Food aversions Increased sense of smell Sensitive gag reflex Excessive salivation Constipation (If severe**) Difficulty sleeping Fainting** or dizziness Ketosis** Vomiting small amounts food/drink** Dry, furry tongue, thirst Loss of skin elasticity Pale, waxy, dry skin Body odor (from rapid fat loss & ketosis) Rapid heart rate** Headache Confusion** Extreme fatigue Rapid weight loss (2+ lbs/wk)** Secondary anxiety/depression Intolerance to motion/noise/light Signs & Symptoms your health professional may note: Ketosis Vitamin/elec Continue reading >>

Treatment Of Hyperemesis Gravidarum

Go to: Abstract Hyperemesis gravidarum, or pernicious vomiting of pregnancy, is a complication of pregnancy that affects various areas of the woman’s health, including homeostasis, electrolytes, and kidney function, and may have adverse fetal consequences. Recent research now provides additional guidelines for protection against and relief from hyperemesis gravidarum. Alterations to maternal diet and lifestyle can have protective effects. Medicinal methods of prevention and treatment include nutritional supplements and alternative methods, such as hypnosis and acupuncture, as well as pharmacotherapy. Key words: Hyperemesis gravidarum, Nausea, Vomiting, Pregnancy Hyperemesis gravidarum, or pernicious vomiting of pregnancy, is a complication of pregnancy that affects various areas of the woman’s health, including homeostasis, electrolytes, and kidney function, and may have adverse fetal consequences. Nausea and vomiting are common in pregnancy, affecting up to 70% to 85% of pregnant women.1 Hyperemesis affects between 0.3% and 2.3% of all pregnancies.2 The condition is defined as uncontrolled vomiting requiring hospitalization, severe dehydration, muscle wasting, electrolyte imbalance, ketonuria, and weight loss of more than 5% of body weight.3 Most of these patients also have hyponatremia, hypokalemia, and a low serum urea level.4 Ptyalism is also a typical symptom of hyperemesis.5 The symptoms of this disorder usually peak at 9 weeks of gestation and subside by approximately 20 weeks of gestation.6 Approximately 1% to 5% of patients with hyperemesis must be hospitalized.7 Women who experienced hyperemesis in their first pregnancy have a high risk for recurrence.6,8,9 The differential diagnosis of hyperemesis gravidarum (Table 1) includes urinary tract infection, ure Continue reading >>

Hyperemesis Gravidarum: Duchess Of Cambridge's Morning Sickness Condition Explained

Kensington Palace have announced the Duchess of Cambridge is pregnant with her third child, adding that she was unable to attend an event due to morning sickness. A Kensington Palace statement said: "Their Royal Highnesses the Duke and Duchess of Cambridge are very pleased to announce that the Duchess of Cambridge is expecting their third child. "The Queen and members of both families are delighted with the news. "As with her previous two pregnancies, the Duchess is suffering from Hyperemesis Gravidarum. "Her Royal Highness will no longer carry out her planned engagement at the Hornsey Road Children's Centre in London today. "The Duchess is being cared for at Kensington Palace." The Duchess, who is under 12 weeks pregnant, has suffered from Hyperemesis gravidarum - a very severe form of morning sickness - during both of her previous pregnancies. At a glance | Hyperemesis gravidarum Some pregnant women experience excessive nausea and vomiting. They might be sick many times a day and be unable to keep food or drink down, which can have a negative effect on their daily life. The condition, known as hyperemesis gravidarum, is more severe than morning sickness and often needs hospital treatment. Signs and symptoms Prolonged and severe nausea and vomiting – some women report being sick up to 50 times a day Dehydration – not having enough fluids in your body because you can't keep drinks down Ketosis – a serious condition that results in the build-up of acidic chemicals in the blood and urine Weight loss Low blood pressure when standing Unlike regular pregnancy sickness, HG may not get better by 14 weeks. It may not clear up completely until the baby is born, although some symptoms may improve at around 20 weeks. Treatment There are medications that can be used in pregna Continue reading >>

Duchess's Rare Illness Could Mean She Is Expecting Twins: Doctors Reassure Wills And Kate That Condition Is Not Dangerous If Treated (and Could Mean Double Baby Joy)

Duchess of Cambridge 'dehydrated' after developing acute morning sickness She will be kept in hospital as a precautionary measure - royal sources Duchess likely to be between six and eight weeks pregnant Morning sickness can be triggered by enlarged placenta This could signal multiple births such as twins or triplets Medics reassure couple that treatment will keep mother and baby healthy Atomic Kitten star Jenny Frost, who is expecting twins, and TV presenter Kirstie Allsop suffer from same condition The acute morning sickness suffered by the Duchess of Cambridge causes nausea for up to five months of pregnancy or even until the birth - and it increases the chance of having twins. Known as hyperemesis gravidarum, it afflicts one pregnancy in 50 and is much more serious than the nausea commonly experienced by expectant mothers. The condition can lead to severe dehydration and puts both mother and baby at risk of being deprived of essential nutrients. Sufferers can be left vomiting up to 30 times a day, with exhausting and hazardous consequences. They cannot eat or drink without retching and may lose up to 10 per cent of their body weight, which can trigger a build-up of toxins in the blood or urine known as ketosis as the body tries to compensate for lack of food by mouth. Hospital treatment for these women is essential, as without intravenous feeding and fluids they are at risk of becoming dangerously dehydrated. Experts revealed last night that there is a ‘tiny excess’ of women who give birth to twins after enduring the condition. An enlarged placenta - which is a known risk factor for morning sickness - is more common in multiple pregnancies, such as twins or triplets, or during a molar pregnancy, where the fertilisation of the egg goes wrong and leads to an abnor Continue reading >>

The Ketogenic Diet Is Probably Not For You

All the big claims are way ahead of the evidence. Michael Easter Oct 27 2017, 8:16pm Hex/Stocksy Low-fat was high fashion two decades ago. Cutting carbs and pounding protein was big in the 2000s. Now, fat is making a serious comeback: The ketogenic diet—comprised of 80 to 90 percent fat—the pitch goes, is the secret to everything from losing more weight to adding 10 years to your life, increasing your productivity, and purging your body of cancer cells. As of this writing, two of Amazon's top 10 nutrition books are ketogenic diet-focused. Google searches about the diet have grown nearly 20-fold over the last five years. Kim K, Lebron, Tim McGraw, and Gwyneth Paltrow have all gone keto. But just as other "don't eat this" or "eat more of that" diets of the past didn't cure all, so goes the ketogenic diet. "It's one of these diets where so many people are talking about losing tons of weight, improving their health risks, beating cancer, and all these other lofty claims," says Stephan Guyenet, an obesity researcher and author of The Hungry Brain. "But all those big claims are far ahead of the current scientific evidence." Advertisement Then there's this catch: Eating keto is a big, fat pain in the ass. Some background: The ketogenic diet "works" by altering how your body powers itself. By cutting carbs to nearly nothing, eating minimal protein and mostly fat, you shift from drawing energy primarily from glycogen—a sugar stored in your muscles and liver that you mainly draw from carbohydrates—to ketones, molecules your liver produces in the absence of glycogen. It takes about one to three days to enter this ketone-fueled state, called ketosis. Think of the process like converting your car's gas engine to a diesel engine. Your car and the experience of driving it is b Continue reading >>

The Keto Diet Podcast Ep. #021: Pregnancy On Keto

Interview with Lily Nichols, a real food-focused registered dietitian and diabetes educator, chatting about the ins and outs of balancing a ketogenic diet while pregnant. Strategies for amenorrhea and other fertility issues, when to go low-carb during pregnancy, breastfeeding tips, and more. For podcast transcript, scroll down. SHOW NOTES + LINKS Try ZenSweet mixes (international shipping) RSVP for my book tour Subscribe on iTunes or your favorite podcast app Watch free video series on managing gestational diabetes with real food Watch Leanne’s keto pregnancy video TIMESTAMPS Steps to accepting diet change (19:54) Pregnancy carb requirement (34:50) Fasting when you’re expecting (44:54) PARTNERS OF THE KETO DIET PODCAST Get the nourishment your body deserves and try Vital Proteins collagen protein, gelatin or liver capsules today. 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. 100% grass-fed & finished FERMENTED beef sticks with 1 billion naturally-occurring, gut-healing probiotics! Go to PaleoValley.com for 20% off. TRANSCRIPT FOR THIS EPISODE Leanne Vogel: You’re listening to episode number 21 of The Keto Diet Podcast. 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 a becoming fat burning machines. If you’re in need of keto recipe food prep inspiration, I’ve prepped a free seven day keto meal plan exclusive for podcast listeners. The plan is complete with a shopping list and everything you need Continue reading >>

Is Low Carb And Keto Safe During Pregnancy?

When Carolina Cartier discovered she was pregnant with twins this past March, she never questioned whether she would continue eating a ketogenic diet. The 31-year-old Seattle area woman had been plagued by metabolic issues literally all her life: precocious puberty at age 3; polycystic ovarian syndrome (PCOS) by age 14; weight gain of 320 lbs (145 kg) on her 6 foot (183 cm) frame and pre-diabetes by her 20s. Her PCOS caused her ovaries to be enlarged and covered in cysts. She was told she was infertile and likely never able to have children. In August 2014, aged 28, her health was so poor that she went on medical disability from her job as a financial analyst. That first month off, however, she discovered and adopted the ketogenic diet. Between summer 2014 and February 2017, she lost 120 lbs (54 kg), experienced her first ever natural menstrual period that gradually established into a regular 28-day cycle; her blood sugar normalized and her ovaries reduced to 3.5 cm (< 1.5 inches) size. Her long-standing depression lifted. While she lost two early pregnancies at the start of 2016, likely because of poor egg quality, she knew she was getting healthier every day. Her positive pregnancy test in March 2017 was a happy surprise, as was the news soon after that she was carrying healthy twins. Except for a bout of extreme nausea and sea sickness for a week on a low-carb cruise early in this pregnancy, she has adhered to the ketogenic diet now through to 20 weeks of pregnancy and counting. She plans to continue this way of eating for the rest of her life. She feels great and looks wonderful; the twins in utero are thriving. “My life is transformed. Why would I even consider abandoning this way of eating when all of my positive health changes, and my pregnancy, I owe to this d Continue reading >>

What Is Hyperemesis Gravidarum (severe Morning Sickness)?

Hyperemesis gravidarum is a severe form of nausea and vomiting in pregnancy. (1) In fact, the words ‘hyperemesis’ (pronounced ‘hye-pur-em-ee-sis’) and ‘gravidarum’ (pronounced ‘gra-vid-ah-room’) literally translate to ‘excessive vomiting’ ‘during pregnancy’. (10) What are the symptoms of hyperemesis gravidarum (HEG)? The main symptoms of hyperemesis gravidarum are: continued and severe nausea and vomiting – particularly if vomiting occurs more than 3-4 times a day and prevents one from keeping down food or fluids weight loss – which may be over 10% of body weight nutritional deficiencies infrequent urination dehydration – which in turn may cause headaches, palpitations, confusion and hypotension (low blood pressure) when standing fainting feeling tired and dizzy ketosis caused by a raised number of poisonous acidic chemicals in the blood pale skin jaundice muscle wasting Ptyalism – excessive secretion of saliva (1-4, 13) How long does hyperemesis gravidarum last? Hyperemesis gravidarum can last much longer than normal morning sickness – which tends to settle down around 12-14 weeks of pregnancy. Hyperemesis gravidarum generally diminishes around 21 weeks into the pregnancy, but it may continue much longer. (1, 2) What causes hyperemesis gravidarum? There are several theories regarding what causes hyperemesis gravidarum. Some theories concern the hormonal changes that occur in pregnancy. In particular, theories focus on the increase in human chorionic gonadotropin (hCG). This hormone is said to be associated with the peak in symptoms of morning sickness. There have been difficulties with directly demonstrating a link between hCG concentrations and severity of morning sickness however due to the variation in hCG concentrations in the popu Continue reading >>