But Paleo isn’t even really about imitating hunter-gatherers, ancient or modern; it’s about how humans can eat to be healthy and strong. And the research here also backs up the “different strokes for different folks” theory of macros. Different people have hugely varying “optimal” macro ratios, and some lucky people who are relatively healthy can adjust to a huge range of equally acceptable options.

Hi. When using the calculator the choices for activity only consider what type of “job” or lifestyle you have. I am back in school, so mostly sedentary but I work out at least 5 days a week eithere circuit training cardio/weights, body pump class, or stairmaster for 45 min to an hour. Does that not count toward anything? Is that still considered sedentary? Thanks!
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.
Just remember, before you do it, consult your doctor and ask for his advice because there might be individual issues that have to be addressed. Have baseline tests performed, let him or her check your blood pressure, blood sugar and blood lipids (total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides). In three to six months you can check these markers again for comparison.
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 »
Also note that most doctors do not study nutrition, much less nutrition that is viewed as “fringe” in any way. So if you need to work with a medical professional, just know that you may have to search for somebody who knows about this sort of eating plan. These folks are not always easy to find, and there are new studies coming out all the time on this type of eating plan. So look for somebody who keeps up with the latest.
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!
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.
It’s also worth remembering a typical mistake many people make when they ditch the carbs. By this, I’m referring to the error of not replacing the reduced carbs with enough healthy sources of fat. As a result, people quite understandably feel terrible and struggle through the day with a lack of energy combined with food cravings. The result is getting stressed and ultimately giving up on their new diet before giving it a chance.
The low carbohydrate diet increases the metabolic rate of the body or the ability of the body to breakdown its storage and food. The high metabolism turns the carbohydrate calories into energy. A diet that is high in carbs does not allow the body to use up its accumulated fat reserves which could possibly lead to obesity and other weight related complications.

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.
There is much evidence suggesting that people with the metabolic syndrome suffer from carbohydrate intolerance, a phenomenon that is associated with high levels of insulin and insulin resistance. This implies an exaggerated glucose and insulin response to a given amount of carbohydrate ingested. Glucose uptake by muscles may be impaired which may help divert ingested carbohydrate to the liver where it is converted to fat. This may lead to elevated triglycerides and other lipid problems.
First off, thank you for clarifying on keto/LC dieting differences which, I find very factual. My family’s (mother-side) diabetics history have plagued most of my siblings up tho this day. As discipline as I am (20-year Air Force retiree), I’ve fought a broader-line high A1C for years. My primary physician always stress to eat more fruits and vegs, less fried protein to maintain a respectable weight for my age. I believe most fruits are over-rated because of their high glycemic index for a person watching carbs/sugar intake. So, I did my ketogenic home-work and decided to participate, what would or could I lose? In my next 6-month blood test, BAM!!!…my A1C drop to normal 5.7. Not only has my 5-day/week workouts been more productive, I’ve gain more strength and cardio capacity. Now, I totally believe that anyone who exercise regularly, burning fat as energy (last longer) has far more benefits than burning the “short-fueled” sugar as energy during a workout routine/session. In closing, the two keto-nutrition benefits I have witness is lowering A1C and more sustain energy during exercise. One issue I need work on is; it’s hard to be diet sociable when family comes to town or when I’m on non-workout days, I have a tendency to crash/re-feed the low carb levels………advice?
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.
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….
I agree Lisa. I have seen countless times where people say you don’t have to be in ketosis to he onnthe keto diet. Well that is true, but if your not in ketosis and you are doing the keto way….you can’t be tracking macros or doing it correctly or you will be in ketosis. May will be a year that I started keto, however I stopped tracking on my 4th month and got out of ketosis. I didn’t feel near as good as I did while in ketosis and I do have autoimmune issues which did come back with a vengeance. I only did one thing differently. I started drinking my drug of choice again. Hi sugar Mountain Dew. It brought me out of ketosis and brought back inflammation. Now I’m back strict keto and enjoying my skin again.
I tend to follow a Keto eating plan and I have seen many benefits from doing so. Often people ask me how I can possibly be healthy eating that much fat. But when fat becomes your main fuel source, your whole body functions differently. Traditional nutrition “rules” no longer apply in that respect. I have seen all my lab work come back into normal ranges within a matter of months. So if you feel you may benefit from a Keto plan, it could definitely be worth, at the very least, a try.
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 »
I fire up UberEATS more than my stovetop, so this diet was a drastic change for me. Keto requires a lot of planning and preparation, which may be a deterrent for some. On day one I did a massive food shop, drawing inspiration from low carb recipes I found online. My trolley was filled with meat (so much meat), cheese, butter and high-fat dairy – basically a lot of foods I don't normally allow myself. I also bought loads of the 'allowed' vegetables and fruits as nutrient deficiencies can occur on diets that are too restrictive. I also picked up a multivitamin supplement.
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?

b-oxydation of fatty acids doesnt mean ketosis. Ketosis is state where your liver is producing ketone bodies not ketones. Ketones are not ketone bodies as fructose is ketone. There is a lot of misunderstanding along low carb and ketogenic state. On low carb most of the time you are not in state of ketosis but jus in state of increased b-oxydation of fatty acids. Kind Regards.

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!
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.
For instance, a 2007 controlled study in 43 young acne-prone men by Smith, et al, found that a low-glycemic-load diet led to a greater reduction in acne lesions than a higher-glycemic-load diet. What’s more, the low-glycemic-load group experienced a decrease in androgen and insulin levels, improvement in insulin sensitivity, and weight loss. By contrast, the other group had increases in weight, insulin levels, and insulin resistance.
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 »
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.

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!


Blood sugars are often high in the morning (dawn phenomena). If you are only on 15-22 carbs per day I would check every label of everything you are eating to ensure carbs are not sneaking in somehow to still give you a reading of 200, or is your protein too high? Do you have insulin resistance? These are all factors which may be at play here. Healthy fats won’t raise BS at all.
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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.
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.
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.
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