There are now few years since I started educating patients with overweight, obesity or signs of the metabolic syndrome about the possible health benefits of LCHF. I have seen many of them having a great success with this lifestyle. Most have managed to improve their general health and modify their cardiovascular risk factors in a positive way. By this, I’m not saying that other methods don’t work, but I can confirm that LCHF very often works in real life.
This is how most people do keto – enough wiggle room in the carb count that you can at least have a salad and some cauliflower pizza crust, but not enough wiggle room to actually go out of ketosis. Unlike the carnivore plan, the goal of garden-variety isn’t to eat only meat and avoid plant foods; the goal is to get a specific set of macros (high fat, very low carbs).
This article is very useful, i am happy to see a medical expert reporting on the benefits of a low carbohydrate and high protein diet. It is also very helpful to see some scientific thought being put behind the report and the analysis. I have been involved in coaching combat athletes, boxers and martial artists for almost 30 years and have also been a personal trainer working with body builders and strength athletes. I have always been an advocate for the use of Low carb/High protein for a number of reasons mostly though because this type of diet makes sense.… Read more »
Hello. I am new to the Keto diet. This has article and the macro calculator has been very informative. I just feel a little confused… what is the best way to figure out what 143g of fat, 93g of protein, and 25g of carbs really means? As in, how do determine what foods and portions are within those limits? Keto is sounding very difficult and laborious and I’m starting to reconsider following the diet lol (just joking, kind of). Any help would be very much appreciated! Thank you.
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Rather than worry only about fats, you might want to watch calories as well. As we age, we need fewer and fewer calories each day. Because of this, I don’t eat as much fat as recommended on keto because it’s so calorie dense. The thing is that if you consume too much fat, your body might use it instead of the fat stores already in your body. I recommend using a keto diet app to keep track of all macros and see how adjustments affect your weight loss. Good luck!
Thanks For all your hard work to making all this information available. I am new to Keto and my question is what is the easiest and quickest way to meet my fat requirements daily? I can figure from the nutrition facts info how many carbs I am eating but when you say 69% fats for a day I am confused how do I figure that? Same thing with the protein.
Focus on fresh low-carb foods: Even if you don’t eat sugary and starchy foods, you may still be consuming ingredients that can cause skin issues. Bologna and other processed meats often contain sugar, corn syrup, fillers or other additives that raise insulin levels and potentially provoke inflammation. Stick to fresh food whenever possible, and read labels on processed meats and other packaged foods.

Ketogenic diets usually do cause weight loss and may improve insulin sensitivity in patients with diabetes. In fact when compared to a low-fat diet a ketogenic diet appears to achieve greater long term reductions in body weight. However, the success long term is dependent on your ability to adapt your dietary habits once you start to introduce a more balanced and healthy approach to eating.
Heart attack in April 2019, very little heart damage. Typical:- high cholesterol, high blood pressure, prescribed atorvastatin, 80mg (serious muscles aches and worrying chest pains) ACE and Beta Blockers. Aspirin and clopidogrel. HbA1c reading 43 in July, Started a low carb high fat diet and was doing intermittent fasting for minim 12hrs max 20hrs and my results are that I have lost 5kg in 4weeks. HbA1c 6weeks after starting was 39, waist reduction, blood pressure is lower, I’m Moving easier, got lots more energy, I’m more focused, no gym visits only walking the dog in the morning. If you’re fat, then you’ll be sick, not if, when.. Focus on the basics and keep it as simple as you can. Eat when your hungry, but try and fast for over 12hrs (use your sleeping to fast as much as possible) fasting increases your body’ ability to tune back into to burning fat. But DONT eat carbs until you’ve got your health back (weight is a poor measure of health) How you feel when your moving about is more important than a number. There’s lots of info on the public health collaboration website, also, you tube Aseem Malhotra, very interesting stuff.
I was on keto for 4 months and felt like CRAP. I ate 1500 cals a day, ate plenty of fat – kept it “clean keto” and could not for the life of me maintain enough energy to workout by the end of the day. It sucked. Yeah, I lost close to 70 lbs, but I felt lousy all the time (and yes, my electrolytes were fine; I took mag and potassium supplements, drank salted bone broth daily – I did it all).

Dr. Sigurdsson, This is a very interesting post that highlights the potential benefits of low carbohydrate, high fat diets (LCHF) for overweight and obese individuals. As someone who is very interested in healthy diet and lifestyle, when I ran into your post I was very much intrigued. I do, indeed, agree with your belief that the standard dietary recommendations do not factor in individualism and does not work for all of us. Like your personal successful experience through this particular diet, I have tried this too in the past and it was very much successful. Given my field of interest… Read more »


But with all that said, there are a few big macronutrient patterns that tend to emerge within the Paleo/keto/ancestral health community because they work well for a lot of people and offer some kind of structure for people just starting out. For example, a lot of people adapt Paleo food choices to a ketogenic (keto) macronutrient pattern. But there are a lot of Paleo-friendly macro choices that aren’t anywhere near keto. Paleo is a way of thinking about food that could theoretically be adapted to a wide range of macros, while keto is a specific set of macronutrient ranges – you can combine the two, but you can also do Paleo in a non-keto way.
To provide the body with energy, you will increase the consumption of natural healthy fats. You will eat dairy fat, animal fat and plant-derived fat. You will avoid low-fat dairy products because they are usually rich in artificial sugar. Then slowly, later on, you start selectively adding carbohydrate to your diet, in the amount tolerated so that you will not start to gain weight again.

I enjoyed reading your article! I too have been following a very strict keto diet. I lost 25 lbs in two months!!! I could not believe it. The toughest part was telling myself that it was okay to consume more fats and that even the sugar in most fruits cause them to have lots of carbs. I use to be a smoothie fanatic, now occasionally I will treat myself to sliced up strawberries and heavy whipping cream whipped up.

Note that the term “reversal” in this context simply means that the disease gets better, improving glucose control and reducing the need for medications. In the best case, it can be so much improved that blood glucose returns to normal without medication, long term. In this context, reversal means the opposite of the disease progressing or getting worse.
Doug. These numbers are not uncommon on a ketogenic diet. Some people respond with a very high LDL-cholesterol and high total cholesterol. However, we don’t know what this means in terms of risk. Although LDL-cholesterol is generally associated with increased risk of cardiovascular disease, we don’t know what it means in this particular metabolic situation. Your LDL particle number is most probably too high as well, although we really can’t tell much about particle size in your situation. However, a TG/HDL-C ratio less than 2 is to your benefit. If you want to lower your LDL-cholesterol you will probably have… Read more »
Hi Mellisa, I still recommend eating a variety of vegetables on a keto diet! You can include low carb berries as well. That being said, a multivitamin usually can’t hurt anything, so you definitely can if you feel like you are missing something. As always, I’m not a doctor and recommend consulting with your doctor for ultimate recommendations on these types of questions.
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