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.
I’ve been LCHF Ketogenic for 1 year I’m at my natural weight, but had to face the doc today re-chol, fasting glucose 4.8 good, HDL 1.09 good, trig 1.75 ok LDL 8.91 shock horror, total cholesterol 10.8 shock horror. Trying to discuss pattern A and pattern B LDL particles cut no ice! Got to face a surgeon soon, what the hell am I gonna say LOL In the UK LDL is indirect ie Freidewald Equation Drs do not want to discuss LDL-Particles
I have been with the Keto diet for about 3 weeks. It is a learning curve. I am learning new stuff every day. Your website is the best for me. I love your recipes and free information. I feel like I need to start counting my Macros. I use your recipes but I like to change things up a bit to suit my taste, like adding more veggies, switching out the almond milk for cream. How can I get counts for the recipes when I do substitutions?
Professor Jennie Brand-Miller, professor of human nutrition at The University of Sydney says, "There's not a lot in the scientific literature to judge [the health effects of the keto diet]. On the basis of current science, I wouldn't recommend it. Several observational studies suggest this diet [actually] increases mortality, diabetes and cardiovascular disease."
Blood levels of triglycerides have emerged as a very important risk factor for cardiovascular disease.  High serum triglyceride level is associated with abnormal lipoprotein metabolism, as well as with other risk factors including obesity, insulin resistance, diabetes mellitus, and lowered levels of HDL cholesterol. It has been shown in a number of studies that carbohydrate restriction lowers triglyceride levels significantly.
1/4 cup oats soaked overnight with 1/4 cup almond milk and 1/4 cup unsweetened yogurt is good, oats are easy to digest and soaking releases the phytates lowering the effect of the carbs. Add fresh strawberries, and a wee sprinkle of sugar-free sweetener if you need it, or a pinch of salt is nice too! 1/4 cup oats is not going to raise your blood sugar, but gives you the nutrients you need as a nursing Mum.
The benefits of LCHF diets in sports are mainly seen in long-distance running and other endurance events. The body’s fat stores are huge and dwarf the minuscule glycogen stores. This means that once an athlete has transitioned to burning fat instead of carbohydrates, he or she will be able to perform for long periods of time without needing much (if any) additional food for energy.
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.
If you select Gain Muscle as your goal, then you can select the Gain (surplus). The macro calculator will then recommend that you eat this percentage more calories than you need. Eating more calories than you need will result in weight gain, which will be in the form of muscle if you do weight training. For example, if you select 10% as the gain, the calculator will output 10% more calories than your body needs for maintenance.
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!

My husband and I started keto Jan 1st 2019. By mid Feb. He lost 11 lbs and I lost 8 lbs. Even though we were faithfully not eating many carbs I got out of ketosis and could not seem to lose another pound. Then we got sick with bad cold and stomach issues. We went off on the 14th of February. And I’ve already gained about 6 lbs. My husband gained about 4 lbs. Plus we got sick of eating the same thing over and over. He is a diabetic and while on it his numbers were so much better. HELP WHAT DID WE DO WRONG?


I have been following a very strict keto diet for 16 months- <20grC, 180g F, <40gr P. No cheating. At inception my HBAc1=4.8%. After 16 months: super strong Dawn effect no matter what I do. My FBG still always around 5-5.7 mmol/l, FBK have been lower and lower as time passes by usually 0.5-1mmol/l ( 9 months ago FBG was slightly higher 1.-2mmol/l). If one night I do not sleep well- like recently my FBG was 7.3mmol/l ! Neoglucogenesis! I have not gotten leaner- actually I am staying in status quo. I could get leaner I am a bit chubby. Whether I had insulin resistance prior I do not know, did not test, but possibly. Whether I have developed "physiological IR/glucose sparing" that could be. I feel really fine, but my FBG is still very very volatile with respect with other people's experience. The lack of fat reduction is also a symptom that is curious. As a child around age 9-11 I became spontaneously/accidentally ketotic for 2.5 years. I was actually not feeling well at all breath, dizziness, etc. had to test ketones- was loosing a lot of weight. The pediatrician called this "acetone" and required that I eat a diet with as low as possible fat and more carbs- after two years my body seemed to get back to usual diet. I remained under this impression all my life that I should not indulge in fat. I do not like that I do not understand what is happening and why my FBG is rather elevated in the morning, and always around 4.5 or lower in the evening. I have histamine issues and leaky gut, and obviously cortisol related issues, but would this explain it all?

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.
Maryann – Bad as in still too many carb or not enough? While I can’t really make a dietetic recommendation, you can try adjusting 5 grams one way or the other until you get the right number. I started with 20 or less, and have moved up just slightly because my body seems to do better that way. In order to experiment, you really need to track your food with a counter like MyFitnessPal.com. There are many out there, but it’s invaluable information when you are trying to figure these things out.
Hi Michele, Calories don’t directly correlate with rate of weight loss. If you are looking to lose weight, then I suggest looking at the amount of fat you are consuming in a day and possibly adjust that. With keto, fat is used as a lever. You don’t have to eat the full amount of fat listed in your macros if you don’t need it. Eat until you are no longer hungry.
My husband and I started keto Jan 1st 2019. By mid Feb. He lost 11 lbs and I lost 8 lbs. Even though we were faithfully not eating many carbs I got out of ketosis and could not seem to lose another pound. Then we got sick with bad cold and stomach issues. We went off on the 14th of February. And I’ve already gained about 6 lbs. My husband gained about 4 lbs. Plus we got sick of eating the same thing over and over. He is a diabetic and while on it his numbers were so much better. HELP WHAT DID WE DO WRONG?
I eat a diet that varies from ketogenic to simply very low carb, and I love it. After a lifetime of being overweight and unfit, I am now, in middle age, in the best shape of my life. I weigh less and wear a smaller size than I did in my teens. I am also stronger and fitter than ever. In addition, my physician was "keep[ing] an eye on" a number of health issues of the type that most people assume are the inevitable result of ageing: Elevated blood lipids; elevated blood pressure; elevated blood sugar. I attribute a great deal of my success to the fact that I was motivated this time much more by health than vanity. They wanted me to go on statins, and I just refused. I applied myself in earnest to a low-carb way of eating, and in the course of my research I learned about ketogenic diets. I normally eat about 75 grams a day of fat; when I am riding regularly, that's often 100 or more; during long-distance rides, 150+.
I have been dealing with a chronic digestive condition for 15 years, interacting with specialists in three different states. In that time, not one single medical professional had ever asked me about my eating habits!!! It’s as though what you put in your mouth is completely unrelated to what happens to your health. If it doesn’t entail a prescription pad or a scalpel, it’s not of interest. Farmers don’t pay kickbacks the way Big Pharma does. When it comes to nutrition, we are on our own.
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?
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.
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 just adore the recipes that are giving out on this program they are so easy to prepare I must admit though some items can be a little expensive in the long run it is well worth it. since I have started taking on the recipes I have found that no doubt I feel better for the recipes I have done, not only do they taste great but are completely different in flavour as well.


Hey there. I have been on a low carb diet for 5 years now. I lost weight in the beginnng but now I’m simply just maintaining my weight. I have gotten so used to eating this way I will probably always will. I just feel so healthy. My problem is my body has obviously gotten used to the way I eat and I can’t seem to lose any more weight. What do you suggest? I have done an “egg fast” for a week and maybe I lost a pound.

Low carb wasn’t designed to put people into nutritional ketosis (although many of you might actually be in ketosis when you’re eating a low carb diet).  Low carb was mainly designed to restrict your carb intake.  Keto, on the other hand, is designed to put you into nutritional ketosis.  And it just happens that in order to get into nutritional ketosis, you decrease your carb intake and increase your fat intake.

After doing a lot of research, my wife and I have decided to practice a low carb diet instead of keto. Keto is too restrictive, and excludes too many food items that are are essential to long term health. I’m in good shape, she can lose 20-30 lbs. With a low carb diet and exercise, she’s already lost 6lbs in the first two weeks. I think keto may be good for people who need to lose 40 lbs fast. It’s not necessary for people who are in relative good health and know how to lose weight by conventional methods – low carb, HIIT workouts, slight caloric deficiency. Other than the fast results, I don’t see unique benefits of keto diet.

You can read my response to Melanie (from Feb 7). I, too, have experienced stalls in my weight loss. Like I said, I lost 16 lbs. the first 6 weeks, then only 14 lbs. in 2 mos., then nothing for over 2 mos. I just stuck with the regimen, then over 2 days I lost 5 lbs. The weight seems to come off in fits & starts rather than an even, steady pace. I’d like to lose another 35 lbs, so I would love to read your thoughts on how to best achieve my goal if you decide to write a blog as you indicated above!
I have been with the Keto diet for about 3 weeks. It is a learning curve. I am learning new stuff every day. Your website is the best for me. I love your recipes and free information. I feel like I need to start counting my Macros. I use your recipes but I like to change things up a bit to suit my taste, like adding more veggies, switching out the almond milk for cream. How can I get counts for the recipes when I do substitutions?
Hi Victoria, Beginning any new diet is a lot of work! There are a lot of rules to learn and foods to acclimate to. This is also the case with keto or low carb. Start by reading labels and learning how many carbs are in the foods you eat. If your goal is to get to 25g carbs or less a day, then work on that first. It will become easier as you go, please be patient and stick with it! Here is a Keto Food List Guide to help you learn which whole foods to add to your day.
This is a very extreme approach and it’s worth noting that there’s almost no research on the long-term efficacy or safety of carnivore diets – and nothing on long-term consumption by overweight people in the 21st century looking to drop a few pants sizes. One of the best long-term accounts we have is the notes taken by Vilhjálmur Stefansson back in the early 1900s – his report on the Inuit diet is interesting and cool but not really a great scientific foundation by modern standards. There are a lot of unanswered questions here about nutritional deficiencies, especially if you’re not eating a lot of organ meats.
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 »
Carbohydrates have been linked to this skin condition, so cutting down on them may help. And the drop in insulin that a ketogenic diet can trigger may also help stop acne breakouts. (Insulin can cause your body to make other hormones that bring on outbreaks.) Still, more research is needed to determine exactly how much effect, if any, the diet actually has on acne. 
A food journal, or apps like MyFitnessPal that track overall calories as well as macronutrients, can offer a more detailed assessment of your diet. Check out the 2015–2020 Dietary Guidelines, which offers recommended daily servings of each macronutrient–carbohydrates, protein, and fat. For example, the average 30-50 year guy eating 2200 calories is advised to get roughly 45-65 percent of his daily calories from carbohydrates. That's about 150 grams, but many Americans consume well over 200 grams of carbs per day, says Boehmer.
Let's start with some background. The ketogenic diet was created in the 1920s to treat children with seizure disorders for whom medication was no longer working. Research had shown that being in the state of ketosis—meaning the body is using fat for fuel instead of its natural and preferred source, glucose—reduced the frequency of seizures. The fat-burning benefit obviously gave this diet its now mass appeal.
This content is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of such advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
Hi Michele, Calories don’t directly correlate with rate of weight loss. If you are looking to lose weight, then I suggest looking at the amount of fat you are consuming in a day and possibly adjust that. With keto, fat is used as a lever. You don’t have to eat the full amount of fat listed in your macros if you don’t need it. Eat until you are no longer hungry.
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