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.
Can you share a few of your low carb recipes with me? I’m trying to lower blood pressure naturally, but at the same time, I don’t want to do the typical DASH diet because , frankly, it has too many grains & carbs in it. The Keto diet has too much fat. & I got tired of the South Beach Diet (which did help me lose 20 pounds a few years ago, I have to admit).
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. 

What about your lean body mass that is mentioned several times above – how do you figure out what that is? This is the weight of everything in your body that isn’t fat. The calculator will automatically figure this out based on the body fat % that you enter, which you can estimate using the chart below. You could also manually calculate it if you’re curious:

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.
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.
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.
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.

While little research has been done specifically around the diet's long-term effects, some studies suggest there are health benefits in following such a strict low-carbohydrate diet, such as its ability to improve type 2 diabetes and shrink some forms of brain cancer. However, more research on humans is needed and, as Professor Collins warns, this diet is used in medical nutrition therapy as a short-term test diet for specific medical conditions such as epilepsy and should only be used medically under the supervision of experts.


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.
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?
Jan – It takes a while for your body to become “fat adapted”. Every person is different, but my guess is that your body is probably still adjusting. I’m not a medical professional so please don’t take this as medical advice in any way. But I also had this issue and it turned out that I was going a little heavy on the coconut fat, which can be a stomach irritant in large doses. It’s okay to back off a bit to give your body that adjustment time. Increasing fats slowly over time can make things a lot easier. I know it’s tempting to dive in head first, but your body is telling you something, so you should definitely pay attention. Google “Fat adapted” for more info. I don’t know a lot about this. All I can share is my personal experience. For me, it was too much fat too quick as well as the type of fat I was using. It may be something totally different for you, so you’ll need to experiment to see what’s causing it. Keep in mind that a Keto eating plan is a tremendous change to the body from a mainstream eating plan. 6 weeks is not a lot of time. But if it persists, it’s probably best to keep in contact with your doctor on a regular basis. Kudos to your doctor for being open to this way of eating!
After imagining I'd have a Biggest Loser-type reveal, after two weeks on the diet, I was disappointed to find I'd only lost 1.5kg. But I was pleasantly surprised by the lack of hunger I experienced. For example, if I started the day with bacon and eggs, I wouldn't get hungry again till the afternoon, whereas my typical instant oats breakfast leaves me ravenous by 11am.
Low carb eating is a broad term that can be applied to many different approaches and eating plans. It can be based on just about any number of carbs that are less than what you would typically eat. Every low carb diet out there from South Beach to Atkins will give you a different number of carbs to shoot for. So if you want to eat low carb, but are not interested in a Keto diet, you will need to do your research on the many, many low carb diets available on the market today.

The keto diet has a pretty strict structure, where the person is to consume 70 percent of their daily calories from fat, 20 percent from protein, and 10 percent from carbohydrates. Ten percent of anything, especially carbs, is really not a lot. And some people even take it further, to a 70-percent fat, 25-percent protein, 5-percent carbs breakdown.
“The fact that I may recommend a Paleo or an Atkins type diet for some people, does not mean that I am against whole grain or potatoes. Although I recommend everybody to avoid simple refined sugars and junk food, I think complex carbohydrates, starches and not least fibre can be a part of a healthy diet for most people.” I admit I don’t understand the notion that “refined” carbs are bad but something like whole wheat isn’t lumped in with the refined carbs group. There isn’t much difference between white flour and whole grain flour – both elevate your blood… Read more »
Ketogenic diets were originally developed to treat epilepsy in children as it appears to reduce the frequency of seizures. It should be noted that using the diet in this context should not be attempted without the supervision of a specialised doctor. From these medical origins, the diet was picked up by the mainstream media and marketed as a weight loss regime – it is in this context that we will be discussing the diet for the purpose of this article.
Last month, I was diagnosed pre-diabetic. I was only .3 from being classified as diabetic. My doctor told me to eat low carb and low sugar. Hopefully by losing 20 – 30 lbs, I won’t have to take medication. I have been researching the internet for information on a Low Carb diet and your website has been the most helpful to me. I have been doing the best I can with the low carb diet with what little I know. I haven’t lost much weight (6 lbs), but I do feel much better. I am proud that I have not had a Dr Pepper in 4 1/2 weeks! I have an appointment to see a nutritionist on Wednesday so I am hoping to get more info. Thank you for sharing your knowledge!

The most common side effect of the diet is constipation as a result of cutting out vital sources of fibre in the diet – fruits, vegetables, beans and grains. Lack of fibre can also increase the risk of bowel cancer and heart disease in the long term. I negated this by drinking lots of water, eating plenty of the high-fibre 'allowed' vegetables and taking a fibre supplement.


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.
“Typically, a low-carb diet focuses on protein and non-starchy vegetables, and limits grains, fruits, breads, sweets, and starchy veggies like legumes, potatoes and peas,” Zeitlin explains. Protein and veggies are extremely helpful in aiding—and maintaining weight loss—she continues. Plus, a general low-carb diet can be more sustainable in the long run, since it requires way less macro counting (read: obsessing over hitting that 70/20/10 ratio).
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.
Hi, I need some help. I am in my 60’s, about 230 lbs, diabetic with too high A1C, high blood pressure. I have been on Keto for almost 3 months. I lost 15 lbs right away but then none and this week, gained back 3 lbs. I don’t think I have been in Ketosis at all, at least not when I checked my urine. I have only cheated 3 times with some extra carbs but no sugar at all. What I’m really worried about is the fats I’m consuming. Whenever I dieted before, it’s always been low fat and now I am eating a lot full fat butter, heavy cream, full fat cheese, fattier cuts of meat etc. My question is since I’m not in Ketosis, but am on low carb should I also do low fat? I am really worried about the saturated fats. Thanks for any help you can give me
As there aren’t yet any studies on stricter low-carb or keto diets for acne at this time, it’s difficult to determine the degree of carb restriction needed to achieve the best results. Similar to losing weight or reducing blood sugar, the necessary carb reduction for potential acne control likely varies from person to person. It’s possible that stricter low-carb diets are more effective.

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.


Hi Megan, Sorry about that – there was an issue with that section and you should now see it in the FAQ above, explaining how it’s determined. The weight loss per week will depend on how much weight you have to lose, as weight loss happens more rapidly the more overweight you are. But in general, between 0.5 and 2 pounds loss per week is reasonable.
Last month, I was diagnosed pre-diabetic. I was only .3 from being classified as diabetic. My doctor told me to eat low carb and low sugar. Hopefully by losing 20 – 30 lbs, I won’t have to take medication. I have been researching the internet for information on a Low Carb diet and your website has been the most helpful to me. I have been doing the best I can with the low carb diet with what little I know. I haven’t lost much weight (6 lbs), but I do feel much better. I am proud that I have not had a Dr Pepper in 4 1/2 weeks! I have an appointment to see a nutritionist on Wednesday so I am hoping to get more info. Thank you for sharing your knowledge!
Hello I need some advice I have researched so much about the Keto diet before I started but was not aware of the Keto rash until I am not suffering from it for over a month now and I have tried all kind of herbs and been to the dr twice so I am spending way too much money so this morning I found your article and I am thinking about doing low carb because this Keto rash is consuming me. I do take a probiotic now, liver herbs with enzymes, omega 3s, and tuneric because all these things were suggested to help with the Keto rash. So I currently intake 20 net carbs now since February 4 and no cheats days at all I have lost a ton of inches. A lot of NSV but my question is if I decide to move to low carb versus Keto if I up my grams to 50 net carbs versus 20 net carbs would that still be considered Keto diet? I do enjoy the Keto diet I just hate suffering from this Keto rash.
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.

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?
Long-term effects can include constipation, diarrhea, lack of energy, iron deficiency, vomiting, and kidney stones. Not to mention, eating such a high-fat diet like keto can also contribute to high triglyceride levels, which increase your risk of heart disease and stroke, as well as high cholesterol. Lastly, going keto can also contribute to a weakened immune system (since carbs help boost immunity) and chronic inflammation, says Zeitlin.
Angel – Our bodies get used to doing the same thing all the time. Sometimes you have to keep it guessing. There are a lot of approaches to this. Some people to “carb up” days (where they eat a specific amount more in carbs), some people throw in a different exercise, some people do an egg fast or even do a zero carb day or two. Depends on what you feel is right for you. Keto stalls are tough. But don’t give up.
I’ll treat my self to a cheese cake occasionally too. It works for me so far. My brother got me on this diet, the first week I told him I don’t know if I can do this and he basically said carry on as you were then and nothing will change and there really is no other way, either you want to lose weight or you don’t and it’s not like you’re suffering or anything so don’t give up. Find a replacement for everything that you miss one by one and soon you will get used to it and you won’t even think about eating any of that junk anymore and if you really do then treat yourself occasionally but just don’t give up.

Its definitely helpful for our body in terms of loosing weight. People who consume a diet less in carbohydrates can lose weight. This is because the Low carb diet helps in getting rid of excess water from the body. Low-carb diets lower the sodium levels in the body, the kidneys start shedding the sodium which promotes weight loss. Chek this out https://www.evaidya.com/Health-Articles/7-benefits-of-a-low-carb-diet/

I’ll treat my self to a cheese cake occasionally too. It works for me so far. My brother got me on this diet, the first week I told him I don’t know if I can do this and he basically said carry on as you were then and nothing will change and there really is no other way, either you want to lose weight or you don’t and it’s not like you’re suffering or anything so don’t give up. Find a replacement for everything that you miss one by one and soon you will get used to it and you won’t even think about eating any of that junk anymore and if you really do then treat yourself occasionally but just don’t give up.

  A week and more into the low carb diet, I bumped into the term called ‘Macros’ and everyone over the internet was talking about macros this and macros that. After a bunch of google search I finally found out that macro was a short form of ‘Macronutrients’ and keeping count of such nutrients is really essential as you tend to indulge in a weight loss plan.
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