Hi Tiffany! I’m a big fan of the keto diet and have been following it for a while. Out of interest do you practice any carb refeed days? I have found that if I add a small amount of carbs to my evening meal twice a week (not a lot – just for example, 1 piece of fruit or half a sweet potato), I fare a lot better. I think this is because I came from a place where I had a lot of healing to do (adrenal stuff). Interested to know your experience?
You’re not losing because you’re not in ketosis, the body is burning the extra carbs you eat and because you’re not eating enough you might feel lethargic. I’m a guy, I started at 145kg am now at 139kg after two-three weeks, zero exercise, occasional lifting dumbells once a week if that, rest of the time sitting in a chair, never go out and it just keeps dropping. I had 2 days where I felt terrible too, didn’t stop me. You can deff. stay at -20 carbs unless you’re vegan then it would be much harder I think. Most of the time for me it’s fish, lean meats, all kinds of cheese although I try to eat mozarela mostly, green veggies and low carb bread. In the morning I usually have low x2 carb bread slices (3.7g each) on toast with butter and a slice of cheese, coffee with stevia and milk. For sweet I eat dark choc and whipped cream with stevia and sometimes dark choc on its own, 65/75+ ones, delicious. I have some low carb choc spread too. For snacks I gobble down peanuts mostly, occasional bag of crisp and an ice cream lolly at about 5-10 carbs each, you always have to keep an eye on it and work it out. If you eat 18 grams of high carb in the morning then you have to restrict it later in the day by eating idk meat, eggs and cheese.
We began eating this way in January of 2016 and have lost over a combined 140 lbs (63 kg). We personally feel that this well-educated and well-balanced dietary approach to carbohydrate intolerance, with whole nutritious low carb foods, as optimal for us. The blog is intended to share our experience & to provide resources for what we’ve learned, & continue to learn, about Keto Macros.
Thank you for writing this post, it’s very helpful! I started low carbing a while back (probably more than a year ago) and ended up backsliding, as can often happen when trying to drastically change your eating habits. On Friday I had my annual physical and my doctor ordered blood work for glucose and insulin because previous results indicate I’m insulin resistant. The results from Friday indicate I still am, so now I’m a little worried and going back to low carb. One phone app (and website) I’ve found to be really helpful is Fat Secret. You can choose exactly which macro nutrients you want to see and it also shows percent of fat, carbs, and protein in a pie chart that I find helps me wrap my head around what I’ve consumed. It also helps that the app and website don’t seem to promote one eating plan over another.
When your body burns its stores of fat, it can be hard on your kidneys. And starting a ketogenic diet -- or going back to a normal diet afterward -- can be tricky if you’re obese because of other health issues you’re likely to have, like diabetes, a heart condition, or high blood pressure. If you have any of these conditions, make diet changes slowly and only with the guidance of your doctor.
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Cut back on ultra-processed foods and drinks – healthy wholegrain carbs are not the enemy, but junk food certainly is, says Professor Collins. "In Australia, one third of our total daily kilojoule intake comes from 'discretionary choices'." Always being prepared with healthy snacks is a great way to stop you from going to the vending machine mid-afternoon.
Other things that are fantastic for milk supply are fenugreek capsules (start with 3 caps three times a day for about a week, then reduce to one, three times a day as your supply kicks in). Brewers yeast or nutritional yeast are extra helpful, as is coconut oil! My little bub gained lots of weight and my milk suply was great after doing these things. (My previous two children I had a lot of trouble with supply). Small portions (again, about a 1/4 cup serving to limit carbs) of quinoa once a day are also helpful when breastfeeding.
Although amino acids from protein foods can be converted to glucose, under experimental conditions, only a small percentage actually are. This may be related to individual factors, such as degree of insulin resistance. However, even people with type 2 diabetes usually do well with the adequate levels of protein Diet Doctor recommends, if their diets are also low carb.
It is important to remember that people have different needs, and that no single weight-loss diet suits everyone. A ketogenic diet may be an option for some people who have had difficulty losing weight with other methods, but if you choose to go on a ketogenic diet, it’s best to be under the supervision of a doctor and an accredited practising dietitian.

Hence low carb diets should emphasize larger amounts of fat, but the source of this dietary fat is critical as there are plenty of bad fats out there. A good rule of thumb is to stick to naturally-occurring fats from nature, rather than chemically processed ones created in a factory. As an example, organic grass-fed butter and margarine are poles apart regarding their respective health merits. And hopefully, you know that butter is the healthy one!
This type of macro scheme works well for people who want to avoid dense starchy sources of carbs (potatoes, rice, bananas) to keep their blood sugar under control, but who  still eat more fresh vegetables than they can fit into a traditional keto plan. If you’re not aiming for keto specifically, you also have way more flexibility with protein – ramping up the protein content can help prevent hunger, and maintain muscle mass during weight loss.
Great Q. While the answer isn't totally black and white, Zeitlin says that for most healthy people, if you're trying to lose weight, a low-carb diet would be the better fit because it doesn't aim to put your body into an unnatural state (ahem, ketosis). Instead, by cutting back on foods that are high in sugar and starches, you're able to drop weight and still maintain a healthy form of energy for your brain and body to run on.
Jill – Low carb has a much looser definition. It’s pretty open to whatever you want to do. You may want to eat a bit more for satiety if nothing else. But no, you don’t HAVE to go as high in fat. Since there is no real outline for low carb eating, you can pretty much adjust it to anything you want. Experiment and see what your body reacts best to. I’ve brought down my fat intake a bit more as well because I found that I was stalling with 80% fat, 15% protein. I do more like 70% fat and 25% protein now. Got my weight loss moving again. So it’s just about what works best for you and your body.

I’m 68 yrs. old & was diagnosed as diabetic 6 mos. ago with an A1C of 6.8. My Dr. prescribed Metformin for me, but after seeing the side effects it could cause, I decided to not take it & try Low carbing instead. In 6 weeks, I lost 16 lbs. and lowered my A1C to 6.4. That was enough to convince my Dr. that I could forego the medicine and stick with my diet. 4 mos. later, I’d lost another 14 lbs. and my A1C was down to 5.9! My cholesterol ratio is in the middle of the recommended range, and my triglycerides (I have Fibromyalgia which is said to raise triglycerides) have dropped 100 pts. I’ve lost another 5 lbs. in the last 2 weeks. My Dr. And I are both thrilled, so I highly recommend a Low Carb diet for controlling your glucose level and cholesterol.
This is a typical lipid response to a low carb high fat diet. TG going town and HDL going up is clearly positive. Normally a slight elevation of LDL-C is not a cause for concern. I would suggest you check your lipids on 3-6 months. If there is further elevation of LDL-C you might try to reduce the relative contribution of saturated fat in your diet and use other fats instead, olive oil instead of butter etc.
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.
Following such a diet means you will be replacing carbs with foods rich in fat and protein, and if followed over an extended period of time this may have consequences. An intake of high fat foods is likely to increase your saturated fat intake which current UK government guidelines recommend that we limit to 30g for men and 20g for women. High levels of dietary protein are thought to be an issue if you have an underlying kidney condition. However, most ketogenic diets supply moderate rather than high levels of protein. 
Hi Maya, I have been eating keto for 3 months, and I’m very pleased with my 15-lb weight loss so far. But I still don’t understand how macros work. I recalculated my macros today and the calculator says I should eat 66g of daily protein. But that is just 2 ounces, which is miniscule. And I don’t understand how the 4 ounces of tilapia I had for dinner today shows up as just 20g of protein, when I plug the information into MyFitnessPal. Can you explain? I feel healthy, and I am not hungry. Generally, I have about 6-7 ounces of protein per day.

The aim of ketogenic diets is to send the body into a state of ‘ketosis’ by using a very strict low-carb diet. This umbrella term can include diets such as the Atkins diet, Dukan diet and LCHF (low carb, high fat) diets such as the banting diet, although the ratios of fat, protein and carbs and other specific features of each diet (e.g. ‘phases’) can vary.
When you’re following a traditional ketogenic diet, you consume around 75 percent of your daily calories from healthy fats, 5 percent from carbohydrates and approximately 20 percent from protein. In general, ketogenic diets typically limit daily net carb intake to just 20–30 grams, which is calculated by subtracting the number of grams of fiber from the total number of carbs.
The symptoms associated with ketosis are often temporary and may relate to dehydration. These may include headache, dry mouth, bad breath, fatigue and nausea. However, it’s worth noting that because the diet restricts carbs it is typically low in dietary fibre which may have a negative impact on gut health including the presence of gut friendly bacteria. 
“What should my macros look like on Paleo?” – it’s a common question and it’s sometimes frustrating to hear that there really is no one “right” answer. As far as anyone can tell, Paleolithic hunter-gatherer diets probably had a wide range of different macronutrient ratios, depending on the season and the geographic location of the tribe. That’s certainly how it works with modern hunter-gatherer groups – groups closer to the equator generally tend to eat more carbs, while groups closer to the poles generally tend to eat fewer carbs.
Thanks for this low carb slash keto macro calculator! I’ve been on the keto diet for almost 7 months now, but I have to admit that whenever I use these calculators, I get confused when it comes to what I should put under activity level. Say, I work an office job, where sedentary could be the option to choose because I’m sitting down 6-8 hours a day, but I also go to the gym up to 5x a week, which I guess would fall under moderate active? What do you think?
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.
Allow me to affirm the benefits of LCHF DIETS as described in the article, with some suggestion and additions to it. Fats do clog arteries by the means of increasing the blood plasma aggregability, in other words it doesn’t increase the viscosity of blood but obstructs its rate of entrance within capillary vessels. But this is OK. not a problem, if it is continued for a reasonable period. However it is a big damaging clogging element, if the blood vessels are not giving sometime to heal. On the otherhand excessive carbs intake will finally be converted to visceral stored fat, and again this is absolutely OK, as long as this doesn’t continue fo ever, brcause it will start clogging body organs, like the liver, the pancreas, and the heart. However, if at a certain juncture, excessive carbs intake is disrupted, and a person alternates between LCHF & LFHC diets, this should periodically takes full advantage of each diet, and still give ample time to heal from its disadvantages… think about that. Nature usually forced all living beings to alternate between different categories of food depending on each season. And as a matter of fact, this is what body builders do. It’s called cyclic carbing….
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