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Reintroducing Carbs After Ketosis

I Just Started Ketogenic Diet. I'm Losing Weight, But Once I Reach Target Weight, Is There A Way I Can Go Back Into A More Normal Diet That's Not Super High Carb Of Course, But Perhaps A Bowl Of Rice A Day Without Gaining The Weight Back?

I Just Started Ketogenic Diet. I'm Losing Weight, But Once I Reach Target Weight, Is There A Way I Can Go Back Into A More Normal Diet That's Not Super High Carb Of Course, But Perhaps A Bowl Of Rice A Day Without Gaining The Weight Back?

Sure. Paoli et al. did just that in a research study back in 2013. He had participants do 20 days of ketogenic dieting and then transitioned them to a low carb, high protein diet, and then finally had them on a Mediterranean diet – a moderate intake of fats, carbs, and protein for six months. They repeated this process. They found that during the bouts of keto, the participants lost body fat and maintained that loss throughout the transition to the Mediterranean diet. The key to transitioning successfully without gaining body fat – depending on how long you were in ketosis, insulin resistance can be a problem – is to take the transition slow. Meaning, don’t go from ~12 g carbs straight to 200g. Here’s what I’d recommend: One way to do this is is to slowly add 20-30 grams of carbs per week while holding your fat and protein intake where they are, until you’re out of a deficit and back to maintenance. As an example. Let’s assume you end the diet at 1700 calories. And you want to start bringing your calorie intake back up to your new maintenance of 2300 calories. This is how I would do it. If you’re end of diet macros were: 150g protein / 50g carbs/110g fat. Week 1:​ +20 grams carbs/ keep fats as they are / protein stays the same – 150g protein / 70g carbs / 110g fats (1870 calories) Week 2: ​+30 grams carbs/keep fats as they are/ protein stays the same – 150g protein / 100g carbs / 110g fats (1990 calories) Week 3: ​+30 grams carbs/ fat remains the same / protein stays the same – 150g protein / 130g carbs / 110g fats (2110 calories) Week 4: ​+30 grams carbs/ fat remains the same / protein stays the same – 150g protein / 160g carbs / 110g fats (2230 calories) At this point you can either keep things as they are, or start reducing fat intak Continue reading >>

Running Without Carbs – A Week Trialling A Ketogenic Diet

Running Without Carbs – A Week Trialling A Ketogenic Diet

After spending some a lot of time trying to understand the role food plays in running a marathon, this post is about my attempt train for a week whilst on a ketogenic (super low carbohydrate) diet. For an explanation of what ‘ketogenic’ actually means & why I’d do this to myself it’s worth checking out my previous post “Nutrition for a marathon – what should you eat?”, but here’s a summary of the most relevant part: During moderate to high intensity exercise, carbohydrate is the body’s preferred fuel source. There’s a limit to how many calories worth of carbohydrates you can store, and so for endurance events like the marathon it can be difficult to take on enough in order to avoid running out. The other main energy source – fats – are almost inexhaustible, so making your body more efficient at using them during exercise may help delay the point at which fatigue sets in. This theory was enough to make me curious about the application and effects of low carbohydrate, high fat (LCHF) diets. Could an approach almost completely opposite to the ‘carbo-loading’ norm actually help you run further, faster? Fatty fatty run run! The assumption behind following a carbohydrate restricted diet is that it helps the body become more effective at utilising fat as a fuel source. In short, eating yourself to metabolic flexibility. Whether this actually translates to improved endurance ability is another debate, but for now let’s just say there isn’t conclusive proof it doesn’t work, so I thought it was worth a closer look. To be clear from the outset, here’s what the week wasn’t about… I didn’t take any baseline data. I didn’t measure any effects (other than how I felt during the week). 7 days isn’t long enough to become properly fat adapted. Continue reading >>

Carb Reloading

Carb Reloading

Guest post written by: Sarah Strange I’d like to share with you my recent journey out of the low carb maze, which I’ve been more or less stuck in since 2010. My initial launch into Paleo started off like most people’s as a 30 day reset 4 years ago. I fell for Robb’s used car salesman pitch and gave it a shot. I felt so great and I liked it so much that it’s still going on today and now I even work for the guy! Imagine that! When I started this whole thing, I consciously decided that I wanted to try no starches or fruit for the 30 days, really only because I found it interesting (thanks Vilhjamur Stefansson) and wanted to see what would happen. I’m curious that way. I was having amazing results at 30 days, so I extended it to 60. Then I planned on reintroducing starches and fruit, and including them regularly from then on forward. I tried… but it didn’t go so well. I was a little surprised. (I wish I was smart enough to turn that “and then I got high” song into something that would cleverly explain what I was going through every time I tried to bring the carbs back in, but I know my talents and rappin’ ain’t one.) Basically, trying to eat modest, normal amounts of fruits and starches sucked for me. It seemed to reverse all of the joy and warm fuzzy feelings from my initial Paleo high. I’d experience a whole grab bag of symptoms: joint inflammation (I have some creaky worn out business from all the ballet and hypermobility plus carpal tunnel), 5lb’s of instant water retention, wicked PMS… and I mean every symptom there was, aaand weight gain- which was always hard to gauge with the stupid water retention, but when I’d return to low carb and shed the water there was some undeniable extra weight. I wasn’t in freak out mode about it I just t Continue reading >>

How To Eat Carbs After Low-carb Dieting

How To Eat Carbs After Low-carb Dieting

Low-carb dieting is a great way to lose weight quickly and get that super-lean conditioning that is necessary for a competition-winning physique. However, adding carbs back to the diet after a stint of low-carb dieting can cause a "yo-yo" effect if done too fast or incorrectly. Carbs can cause the body to overcompensate by storing large amounts of body fat. Follow a few simple guidelines to prevent gaining weight after low-carb dieting. Video of the Day Add carbohydrates to the diet slowly. For example, a typical low-carb diet involves eating 30 to 50g of carbs a day for five days, then carb-loading 100 to 200g for one or two days. Try adding 30g extra carbs a day for the first week, without loading carbohydrates on the sixth and seventh day of the week. Stick to low-glycemic carbs. Eating high-glycemic carbs causes a huge spike in insulin, which could quickly trigger body fat storage. Instead, eat oatmeal, brown rice, whole-grain breads and pastas and fresh fruit. Avoid carb binges to prevent fast weight gain. Time your carbs to further discourage them from being stored as body fat. For example, add your carbs to a pre- or post-workout meal, when they are less likely to be used for fat storage. Or, take most of your carbs in during the day when they will be burned for energy. Avoid large amounts of carbs close to bedtime. Drop your dietary fats to keep calories stabilized. You may have added extra fats to your diet while on your low-carb regimen. When they add carbs back, the hike in calories is sufficient to cause weight gain. Do not cut your healthy fats completely--just cut down your fat intake, especially saturated fats. You can also stagger your meals by alternating between healthy fat and protein and low-glycemic carbs and protein. Continue to have one cheat meal Continue reading >>

Losing Weight By Giving Up Carbohydrates

Losing Weight By Giving Up Carbohydrates

Last August, a routine physical left me surprised. I learned that I had gained 20lbs since college, roughly 40% of which came in the last year. I had an exercise routine, I walked a lot, and I thought I ate well. I didn’t think I felt or looked noticeably fatter, but the data doesn’t lie. This was not the “up-and-to-the-right” graph that I like. In retrospect, I think I indulged in the free sweetened drinks and desserts at work a little too much. It was clearly time for a dietary change. At the time several of my coworkers were espousing the virtues of a keto diet, one that significantly reduces carbohydrate intake and replaces it with fats and protein. The overly simplified premise is that consumption carbohydrates spike secretion of insulin, and insulin is responsible for fat storage. By eliminating the carbohydrates, there is significantly less fat storage. Without carbs, the body goes into a state of ketosis where it uses ketones for fuel. Ketones are from the breakdown from fat stores when there’s not enough glucose. This causes weight loss and a variety of metabolic improvements. I’m missing a lot of detail, of course, but this is the gist of it. The TL;DR: I lost 15lbs in 2 months by giving up carbohydrates. Then 5lbs more in the months that followed. After my first couple days, I experienced the “keto flu”, the uncomfortable transition of entering ketosis. I had a headache, felt lethargic, and endured a stomach cramp, but the symptoms only lasted for a day. I didn’t see any weight improvements after a week, but after two, the improvements were noticeable. I’ve heard people who claim that this diet gave them more energy, and they felt sharper, etc. Mentally, the only change I noticed was that I would wake up quicker and feel less bleary-eyed. Continue reading >>

Slow Carbs, Not Low Carbs: The Truth About Low-carb Diets

Slow Carbs, Not Low Carbs: The Truth About Low-carb Diets

The low-carb frenzy hit its zenith in the early 2000’s and has since ebbed and flowed in popularity. I’ve seen patients get impressive results doing very low-carb diets, but eventually many become burned out and regain the weight as the novelty of eating bacon and other formerly forbidden foods becomes monotonous. Traditional thinking suggests carbohydrates are bad for you. I have something surprising to say that might go against everything you’ve heard: Carbs are the single most important thing you can eat for health and weight loss. In fact, I often say my plan is a high-carb diet. But wait, you say, don’t carbs contribute to insulin resistance, heart disease, and other health concerns? Some do, but the truth is more complicated. You see, “carbohydrates” encompasses a huge category. A hot fudge sundae and cauliflower both fall into the “carbs” category, yet they are entirely different foods. In fact, almost all plant foods fall into the carbs category. These are what I refer to as slow carbs, which are low-glycemic and don’t spike your blood sugar or insulin. These slow carbs come loaded with nutrients, fiber, and amazing molecules called phytochemicals. When you eat a cornucopia of fresh fruits and vegetables teeming with phytonutrients — carotenoids, flavonoids, and polyphenols – they help improve nearly all health problems, including dementia, diabesity, and aging. Ideally, about 75% of your carb intake should come from non-starchy veggies plus low-glycemic fruits. By volume, most of your plate should be carbs. Note I said volume, not calories. Many plant-based carbs actually have very few calories. Why All Carbs Are Not Created Equally Carbs are necessary for long-term health and brain function. But not the doughnuts, breads, bagels, and swee Continue reading >>

What Is A Keto Diet? (the Ketogenic Diet 101)

What Is A Keto Diet? (the Ketogenic Diet 101)

The Ketogenic Diet (also known as Keto) has gone mainstream, leaving many people (including me!) asking: What is a Keto Diet? After all, you’re seeing ripped bodybuilders, figure competitors, and even normal men and women who just lead busy lives shed massive amounts of weight through this things called Keto. What is it? Why do it? Is it sustainable? What are the benefits? What are the downsides? These, and many more questions, I’m going to answer in this article, so if you’re asking “what is a keto diet?” you will have all the information you need to decide if a Ketogenic Diet is for you, you’ll have all the tools you need to get started. Related Reading: How I lost 23 pounds & 20 inches in 60 days of Keto What Is A Ketogenic Diet? A Ketogenic Diet, also know as the Keto Diet, is a very high fat, very low carb, moderate protein diet that is very popular because it can cause you to lose body fat very fast, and study after study after study has linked Keto with benefits against cancer, diabetes, Alzheimer’s, epilepsy, and more. Eating Ketogenically involves cutting carbohydrate intake from 200-300g daily down to 20-50g daily and replacing those missing carbs with fat. Reducing carbohydrates this drastically puts your body in a state of Ketosis. Ketosis is a metabolic state in which you body uses fat for fuel, rather than carbohydrates. When you eat normally, when you consume more carbohydrates than you body needs to run for the next 24 hours or so, you body turns those excess carbs into fat and stores them as (unwanted) body fat. But if you cut the carbs in your diet drastically, your body enters Ketosis and starts burning that stored fat for fuel, resulting in better health and body composition for you. 4 Types of Ketogenic Diets Cutting your carbs sounds Continue reading >>

How To Reintroduce Carbs Coming Off A Ketogenic Diet

How To Reintroduce Carbs Coming Off A Ketogenic Diet

Reintroducing carbs at the end of a ketogenic diet requires a structured and gradual approach to avoid adding body fat, say Jacob Wilson and Ryan Lowery Iron Insights Carb control Following a keto diet means you are no longer carb-adapted, so you can’t suddenly expect to be able to return eating them at your former level and not see any negative impact. Start slowly Our study shows that adding carbs back in at 1g per kilo of bodyweight doesn’t result in fat storage, and allows you to then increase intake each week while maintaining your physique. Avoid overspill We also found that reintroducing carbs at 3g per kilo led to a fat overspill within one day because your body is not well-adapted to deal with carbs after avoiding them for so long. Continue reading >>

How Low-carb Diets Wrecked Our Health: As Women Reveal How They Suffered Fertility Problems, Thin Hair And Fragile Bones, Do You Still Fancy A Trendy High-protein Diet?

How Low-carb Diets Wrecked Our Health: As Women Reveal How They Suffered Fertility Problems, Thin Hair And Fragile Bones, Do You Still Fancy A Trendy High-protein Diet?

Brooke Power, 27, suffered migraines and dizziness Nutritionists say a balanced diet is better Gillian O'Toole, 32, nearly passed out on the Paleo Diet Emma-Victoria Houlton loves her food; whether it's a Sunday roast with all the trimmings or an Italian meal, she's always happy to tuck in. But just five years ago, Emma, 29, would have baulked at eating pasta, bread, pizza dough, potatoes and Yorkshire puddings. Why? Because, like thousands of others, she believed high-protein, low-carb regimes like the Atkins or Paleo diets were the most effective way to be slim. Diet damage: Emma-Victoria Houlton, left, broke a bone in her foot due to calcium deficiency while Brooke Power, right, suffered migraines and dizziness during ten months on a low carb diet But, after cutting down on carbs so much that she wouldn't even eat dairy products as they contain lactose - a sugar - Emma-Victoria believes she has permanently damaged her health. 'I was only a size eight but found it hard to stay slim,' she says. 'Then, when I was 22, I saw a documentary about the Atkins diet, thought it was great and cut most carbs out of my diet. 'Breakfast was an omelette, lunch was chicken with lettuce and dinner was something meaty with vegetables like kale, cabbage, sprouts or runner beans, which don’t contain starch. 'I got all the classic symptoms associated with a low-carb diet: dry mouth, tiredness, crankiness and bad breath. But I saw great results - my 8st 7lb weight was much easier to maintain.' Unbelievably, Emma-Victoria, a creative director in Manchester, stuck to the regime for three punishing years. 'At restaurants, every meal had to be steak and salad,' she says. 'I'd go to a friend's house for dinner and if they'd made pasta, I'd eat a tiny amount, so as not to be rude, and end up f Continue reading >>

Episode 55: What To Expect When Adding Carbs Back Into Your Diet

Episode 55: What To Expect When Adding Carbs Back Into Your Diet

Thanks for joining us for episode 55 of The Ancestral RD podcast. If you want to keep up with our podcasts, subscribe in iTunes and never miss an episode! Remember, please send us your question if you’d like us to answer it on the show! Today we are answering the following question from a listener: “Hi ladies. I’ve been listening to your advice about eating more carbs. For the past few years with Paleo, I’ve definitely been under eating carbs unintentionally. My question is, what is normal to expect with transitioning to a more moderate carb diet? I have a lot more energy and better bowel movements, but I am also having a lot of abdominal pain and bloating. This is a noticeable increase since a lower carb diet. My typical carb intake in a day is white potato or acorn squash with breakfast, chia seed pudding with banana/berries for a snack, potato again with lunch, sweet potato with dinner, and fruit with nuts in the evening, plus lots of non-starchy veggies. I’m a group fitness instructor and quite active. P.S. I’m in Canada and just got accepted to a dietetic internship. Can’t wait to be a real food RD!” Are you experiencing bloating or other digestive discomfort when adding carbs back into your diet after a period of restriction? Don’t throw in the towel just yet! Many people experience some degree of gut issues when adding foods back into their diet. Often times these symptoms are not a sign that you need to keep avoiding the food, but rather a common occurrence when reintroducing foods. The good news is that the majority of the time the symptoms are only temporary as your body readjusts to eating a healthy variety of foods again. We have been learning that restrictive diets may not be so good for us after all. Listen today as we discuss the consequ Continue reading >>

Ketones And Carbohydrates: Can They Co-exist?

Ketones And Carbohydrates: Can They Co-exist?

For reasons I’m still struggling to understand, the idea of “nutritional ketosis” (NK, to be distinguished from starvation ketosis, SK or diabetic ketoacidosis, DKA) is often discussed and debated in much the same way as religion or politics. Perhaps this can be said of all nutrition, which is a shame. Nevertheless, in my continued defiance of such sensitive topics, I’d like to add another layer of complexity and nuance to this discussion. The “rule of thumb” for NK is that caloric intake is determined as follows (this excludes a subset of ketogenic diets known as calorie-restricted KD which, as the name suggests, is specifically restricted in calories): Carbohydrate (total, not “net”): less than 50 gm/day, but ideally closer to 30 gm/day Protein: up to 1 to 1.5 gm/kg, but ideally below about 120 gm/day Fat: to satiety Let me illustrate what this looks like for Joe (left), Jane (middle), and Jeff (right — an example of a calorie restricted KD), three hypothetical people in NK — but each with different caloric requirements. As a general rule, as caloric requirement increases the proportion of calories derived from carbohydrate and protein decreases (and the contribution of dietary fat increases), even while absolute intake of carbohydrate and protein increases. Anyone who has bought a blood ketone meter knows how tough it can be to get “into” ketosis by carbohydrate restriction (since everyone asks, I use the Abbott Precision Xtra meter which uses two different strips: one for glucose and one for beta-hydroxybutyrate, or BHB). Most practitioners consider the minimum threshold of NK to be a fasting serum level of BHB above 0.5 mM. I’m a bit more stringent in my practice and like to see fasting BHB levels above 1 mM. To give you a sense of one per Continue reading >>

Is A Low-carb Diet Ruining Your Health?

Is A Low-carb Diet Ruining Your Health?

I am adding some research gathered from other posts on this site regarding Candida, as I suspect it will help people whose Candida infections are getting worse, or are not improving, while on a low carb diet. As Jeff Leach has pointed out, when people switch to very low carb diets their fermentation drops considerably — which means that there is less acid being produced as Short Chain Fatty Acids (SCFAs). Candida is a dimorphic fungus, which means that it can be either benign or pathogenic (extending hyphae). Candida is only hyphal when it gut pH is extremely acidic (somewhat rare, but can happen with gut diseases like ulcerative colitis) or too alkaline (which happens from not eating enough resistant starches and fibers). If you read through the half dozen studies in that link, you’ll see that Candida has a number of growth genes that are sensitive to pH. These hyphal growth genes switch on when gut pH is too high or too low. In other words, Candida is benign when gut pH is normal. It’s the SCFAs from our fiber and RS fermentation that keep our guts slightly acidic. And it’s no coincidence that acids like acetate or caprylic acid are well known to inactivate candida. Virtually any acid would inactivate candida and it’s the SCFAs from our own gut bugs that do a particularly good job. So, people on very low carb diets have guts that aren’t fermenting and are therefore too alkaline, which as we can see from above promotes candida overgrowth. For these people, increasing their safe starch consumption and taking RS will increase SCFA (acid) production, which helps normalize gut pH and switch off the candida growth genes — returning candida to its benign and harmless state. Simultaneously, RS and fibers tends to bloom good bacteria (which also contributes to in Continue reading >>

Knowing What To Expect Can Keep You From Panicking

Knowing What To Expect Can Keep You From Panicking

If you are eating a carb-restricted diet, sooner or later, no matter how much weight you've lost or how well controlled your blood sugar has become, you are going to run into the carby treat with your name on it, and when that happens, chances are you're going to eat it. What happens next may be the single most important moment in your diet. Are you going to be taken by surprise by normal physiological changes that occur? Will you start the three month binge-from-hell that leaves you wallowing in self-hatred while you pack on all the weight you lost and more? Or will you use the experience of going off-plan to strengthen your long-term diet success? The choice is up to you. Knowing What To Expect Can Keep You From Panicking When you boost your carbs above the low carbing threshold--the specific amount varies from person to person--two things will happen. You will become hungry and you will immediately gain a startling amount of weight. The reasons for your sudden weight gain are explained here. Why Carb Intake Causes Hunger Cravings The hunger is a bit more complicated, especially since it may not kick in right after you eat the carbohydrates that send you off-plan but may take a day or two to develop--when you are eating low carb again. If you experience intense hungers immediately after you eat your first carby meal, the explanation is this: After you have been low carbing for a while, your body stops producing some of the enzymes needed to digest complex starches and sugars. It takes a day or two for these to ramp back up. But in meantime, when you eat carbohydrates your blood sugar may go up a lot higher than it normally would, even if you don't usually have blood sugar problems. This is why some researchers have reported that low carbing can actually cause insulin Continue reading >>

Getting Off Your Low-carb Diet Without Gaining Weight

Getting Off Your Low-carb Diet Without Gaining Weight

As predicted, many people are growing tired of #low-carb diets because, like all diets, they have a low long-term success rate, offer little variety and — well, I guess people miss carbs. But the truth is that you can continue to lose weight, or maintain the weight you lost on your low-carb #diet, if you follow a few simple rules. PATIENCE You’re not going to lose weight as quickly when you go off your low-carb diet, and, in fact, you might actually gain a few pounds at first. “Don’t freak out. When you start #eating healthy carbs, you may gain some water weight, because some of the weight you originally lost was water, especially in the intro stages,” says Samantha Heller, M.S., R.D., senior clinical nutritionist at New York University Medical Center in New York City. How long do you have to give yourself to adjust? “Give it about three to four weeks,” suggests Dawn Jackson, R.D., L.D., of Northwestern Memorial Wellness Institute and a spokeswoman for the American Dietetic Association. DON’T GO WHITE One of the biggest mistakes low-carb dieters make is going back to the white stuff. It’s very easy to overindulge in empty-calorie foods, such as cookies, cakes, white bread, potatoes and pasta. “And white carbs are also convenient — too convenient! — available at every turn: in the vending machine, the open box in the pantry, as side orders in restaurants,” explains nutritionist Molly Kimball, M.S., R.D., of the Ochsner Clinic Foundation in New Orleans. Instead, make sure your starchy carbs come from whole grains. “When you reintroduce carbs, the whole grains give you a more consistent release of energy, whereas eating foods with refined white flour or sugar may make you hungry sooner,” says Heller. Whole grains have a high fiber content, whi Continue reading >>

Targeted Ketogenic Diet: An In-depth Look

Targeted Ketogenic Diet: An In-depth Look

The Targeted Ketogenic Diet (TKD), simply put, is nothing more than a regular keto diet – with the exception of eating carbs around your workout times. That means any day you exercise, you will be consuming carbohydrates. If your goal is still fat loss, make sure to include the extra calories from the carbs in your totals. Assuming that you ARE reading this because you exercise, this means that fewer fats should be consumed on these days. Benefits of a TKD The TKD is a “compromise” between a Standard Ketogenic Diet and a Cyclical Ketogenic Diet, meaning that you can still perform high intensity activity, but you won’t have to be out of ketosis for long periods of time. For most people’s purposes, TKD can withstand performance in high intensity exercise – although not as well as CKD. It’s most appropriate for beginner or intermediate strength trainers or for those who cannot use a CKD diet for health reasons. As of now, there are no studies out that will show the limitations of weight training based on low sources of blood glucose. There are studies that give carbs prior to resistance and strength training, but have not found increased performance over the long run. However, many SKD keto-ers report strength and endurance improvements in high intensity environments if they consume pre-workout carbs. Most people that are involved in anaerobic training on an SKD typically report improved performance with pre-workout carbs. The problem is that SKDs can even be as limiting to low intensity exercise performance due to the limited glucose and muscle glycogen. If you’re an athlete, or in the process of training, I recommend that you experiment with carbohydrates around your training. Although performance increase is a great benefit of a TKD, it is not the primar Continue reading >>

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