On a ketogenic diet, you’re generally eating a diet that’s high in fat (roughly 70 percent of your total calories come from fat), moderate in protein (about 20 percent of your calories), and low in carbohydrate (about 5 percent of calories). By limiting carbohydrates (to usually less than 45 grams for the average person), your body lacks the glucose (from carbs) that it normally uses for energy, so it eventually switches over to burning fat as its primary fuel source instead; through a metabolic process called ketosis, the liver converts the fat into fragments of fatty acids called ketones, which power the brain and other organs and tissues.
The ketogenic diet for weight loss is based on the idea that driving the body into ketosis will maximize fat loss. Ketosis is a normal metabolic process that occurs when the body does not have enough glucose stores for energy. When these stores are depleted, the body resorts to burning stored fat for energy instead of carbs.  This process produces acids called ketones, which build up in the body and can be used for energy. (2)
Please help!!! Love your plan, it is a dream come true, I’m in ketosis and have lost 10 lbs the first week on the 3 day plan, I’m still in ketosis but have not lost 1 lb in the last 4 days??? Is this suppose to happen or am I doing something wrong…the only thing different from the beginning is that I am not hungry and have eaten alot less, does that matter? Am I suppose to eat high calories to lose? Do I need to move on to the 7 day plan now? And how long is,it safe to stay in ketosis? Do I want to,be there all of the time? Please help I have been so happy on this plan losing this way eating foods I love, I have tried every other diet out there with no success…thank you for all that you are doing to help so many people lose weigjt, eat healthier and feel better…you are my answered prayer
After initiation, the child regularly visits the hospital outpatient clinic where he or she is seen by the dietitian and neurologist, and various tests and examinations are performed. These are held every three months for the first year and then every six months thereafter. Infants under one year old are seen more frequently, with the initial visit held after just two to four weeks.[9] A period of minor adjustments is necessary to ensure consistent ketosis is maintained and to better adapt the meal plans to the patient. This fine-tuning is typically done over the telephone with the hospital dietitian[18] and includes changing the number of calories, altering the ketogenic ratio, or adding some MCT or coconut oils to a classic diet.[3] Urinary ketone levels are checked daily to detect whether ketosis has been achieved and to confirm that the patient is following the diet, though the level of ketones does not correlate with an anticonvulsant effect.[18] This is performed using ketone test strips containing nitroprusside, which change colour from buff-pink to maroon in the presence of acetoacetate (one of the three ketone bodies).[44]

Infants and patients fed via a gastrostomy tube can also be given a ketogenic diet. Parents make up a prescribed powdered formula, such as KetoCal, into a liquid feed.[18] Gastrostomy feeding avoids any issues with palatability, and bottle-fed infants readily accept the ketogenic formula.[30] Some studies have found this liquid feed to be more efficacious and associated with lower total cholesterol than a solid ketogenic diet.[3] KetoCal is a nutritionally complete food containing milk protein and is supplemented with amino acids, fat, carbohydrate, vitamins, minerals and trace elements. It is used to administer the 4:1 ratio classic ketogenic diet in children over one year. The formula is available in both 3:1 and 4:1 ratios, either unflavoured or in an artificially sweetened vanilla flavour and is suitable for tube or oral feeding.[50] Other formula products include KetoVolve[51] and Ketonia.[52] Alternatively, a liquid ketogenic diet may be produced by combining Ross Carbohydrate Free soy formula with Microlipid and Polycose.[52]
How often you eat is also up to your personal preference. "For most people, I recommend three to four meals per day with a few healthy keto snacks in between," says Dr. Axe. "This ensures that you're getting a good mix of protein and fat all day long to keep you feeling energized and satisfied." That being said, he encourages people to listen to their bodies and tune in to when they're truly hungry. "If you find that you feel better eating five to six smaller meals spread throughout the day, do what works best for you."

Keep eating low carb to continue losing weight, feeling good and becoming healthier!Try making any of our hundreds of recipes available on the site. We make sure each and every recipe is delicious, nutritious and will keep you under your daily carb limit, even if you go for seconds. In addition, we provide step-by-step instructions to make the process as easy as possible. If you ever run into any issues or have any questions, be sure to leave a comment or contact us directly! We’re always happy to help.
This was delicious! It will be my new go to easy dinner from now on. I did make a couple of changes though. I swapped the pickles out for jalapenos, doubled the bacon, and added a dollop of Primal Kitchens chipotle lime mayo on top of my serving along with some hot sauce and it was perfect! It reminded me a lot of In-n-Outs animal style cheeseburger.
Gary D. Foster, Ph.D., Holly R. Wyatt, M.D., James O. Hill, Ph.D., Brian G. McGuckin, Ed.M., Carrie Brill, B.S., B. Selma Mohammed, M.D., Ph.D., Philippe O. Szapary, M.D., Daniel J. Rader, M.D., Joel S. Edman, D.Sc., and Samuel Klein, M.D., “A Randomized Trial of a Low-Carbohydrate Diet for Obesity — NEJM,” N Engl J Med 2003; 348:2082- 2090. http://www.nejm.org/doi/full/10.1056/NEJMoa022207.

A keto diet has shown to improve triglyceride levels and cholesterol levels most associated with arterial buildup. More specifically low-carb, high-fat diets show a dramatic increase in HDL and decrease in LDL particle concentration compared to low-fat diets.3A study in the long-term effects of a ketogenic diet shows a significant reduction in cholesterol levels, body weight, and blood glucose. Read more on keto and cholesterol >
I have never dieted but as I have gotten older my body doesn’t shed weight as it used to. My coworker introduced me to the ketone diet . I lost 10lbs the first month and 2 inches off my waist line . However on the third month we went on vacation and I gave in. It’s been over a month now and I’m really wanting to get back . During the month I was off the diet I had the worse PMS I have ever had. I didn’t even like being around me. Did this have something to do with the diet? If so now that I’m fixing to go back on it , is it going to be harder for me to get back into it? And my 14 year old son whom is a good size boy for his age wants to lose weight and build muscle . Hey is 5’11 and weighs in at 230lbs . Is this safe for him? He is asking for supplements to help him build up . I have read a lot of things about most of those and do not fill comfortable with letting him try those .
To prevent side effects such as the keto flu, begin transitioning your meal plan gradually. Start by understanding how many carbohydrates you take in most days. Then begin slowly reducing your carbohydrate intake over a period of a few weeks while gradually increasing your intake of dietary fat to keep your calories the same. You should also make sure to seek guidance from a professional to make sure this plan works best for you and your health goals. “See a dietitian and adapt the diet to fit your long-term needs,” Spano recommends.
The researchers agree that the diet itself isn’t inherently dangerous. But, cautions Weiss, “If you have any medical condition, if you take any medicine at all – there are lots of things that change how medicines work in our bodies, and nutrition is definitely one of them. If you’re making a real change in your nutrition, you really should talk to your doctor.”

And good news for coffee addicts: you can still have your morning cup of joe. You’ll just need to adjust what you stir into it. Switch out flavored creamer for the real deal—full-fat heavy whipping cream, which has only 1 gram of carbs per tablespoon. If you want to give your java a jolt of sweet, stir in a low-carb sweetener that uses sugar alcohols. But if you can skip the sweet, even better. In time, you’ll retrain your palate to not crave a sugary start to the day.


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I am brand new to this Keto diet stuff! I have been searching for the best blog or site and this is just outstanding! I can’t wait till I can buy your books. This is the first time I saw food ideas I actually liked (piky eater alert). I am going to try the 3 day start plan right after I get back from camping. Thank you so much for putting this all together and I will be trying more than just the 3 day I am sure!
You should really ask your OB and/or a dietician. You have an increased calorie need while breastfeeding, and since your body will take what it needs from YOU to make quality milk for baby, you need to be sure your nutrition is sufficient. You could be way too tired to have a good postpartum experience if your baby is very young. If your baby is older and has started some type of solid, it would probably be less of an issue.
So you've decided you want to try out the high-fat, low-carb diet, better-known as the fat-burning ketogenic diet. Whether it's to lose weight, have more energy, or fuel workouts differently, going keto is a popular choice right now. But figuring out a keto meal plan on your own is no easy feat, especially since eating a diet super high in fats doesn't come naturally to many people who are accustomed to the traditionally carb-heavy American diet. (It's especially hard if you're vegan and want to try keto.) But this should help: Keto experts explain how to set yourself up for success, plus provide ideas for exactly what keto foods to eat when you're first getting started. (While you're at it, check out these Low-Carb Keto drinks That Will Keep You in Ketosis.)
Advocates for the diet recommend that it be seriously considered after two medications have failed, as the chance of other drugs succeeding is only 10%.[9][30][31] The diet can be considered earlier for some epilepsy and genetic syndromes where it has shown particular usefulness. These include Dravet syndrome, infantile spasms, myoclonic-astatic epilepsy and tuberous sclerosis complex.[9][32]

The ketogenic diet reduces seizure frequency by more than 50% in half of the patients who try it and by more than 90% in a third of patients.[3] Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective.[9] Children with refractory epilepsy are more likely to benefit from the ketogenic diet than from trying another anticonvulsant drug.[1] There is some evidence that adolescents and adults may also benefit from the diet.[9]

I want to be able to switch something out for an atkins shake which I love and have gotten used to as my breakfast and I need to know the total net carb count for each food item listed so if I add the atkins shake, I know if I need to nix something else in the plan for that day or nix something and add something else with a low carb count in addition to my shake.


Hi, I’m still a bit skeptical, I have seen some of my friends do the keto diet, and have had good results. Though I am still not sure about the idea of the fats being eaten. They say they eat meat with the fat and must do so, is this correct? Also isn’t this not good for the body especially for the kidneys? Second, can a diabetic do this diet? There are many questions running through my head.
OMG! This was so good, and so easy! My husband raved about it, and my 13 and 15 year old son and daughter loved it too! I’ll definitely make it again! I had no clue what I was going to make for dinner–but it had to be fast as I was heading out with a friend to see some live music in the city… so I just googled “Keto ground beef” and found your recipe. Instead of pickles, I put pickled jalapeños on top (my son had once again eaten all of our pickles). I didn’t find that it needed any condiments – we have reduced sugar ketchup on hand, but hubby didn’t feel it was needed. I cut the casserole into 6 servings, and it’s a good thing there are only 4 of us eating as my son and husband had seconds. I found my single portion very filling. The recipe far exceeded my expectations! Will definitely make this again!
Potatoes and gravy are total comfort food — and luckily, there’s a keto version. These are made with cauliflower, which is quite low-carb, particularly when compared to potatoes. Made with cream, butter, rosemary and parmesan, this mash is creamy, full of flavor and smooth. You’ll finish it all off with a stock-based gravy, that would be perfect on a roast, too.
Looking for a bit of guidance / inspiration here!! I have been eating in a low carb manner for many years and due to increased blood sugar decided to try a Keto diet. I’ve been living on meat, eggs & cheese for the past 6 weeks or so & have never gotten into ketosis. I check the ketones with a blood monitor and never get higher than 0.3, not a high enough level to be in ketosis. All fruit and most veggies raise my BG so they have been eliminated from my diet. To complicate things I have had many surgeries & injuries that don’t allow me to get any exercise. Any suggestions?
There are many cheese free options Pam, you’ll have to search out recipes without cheese and put a weekly plan together for yourself. Going off plan a few times a week will keep you from losing weight for sure so you’ll need to find a way that works for you to stick to it long enough to reach your goals. A search on Pinterest for dairy free low carb recipes should net a large list of possibilities for you.
Those issues can be part of what's known as the “keto flu,” Warren says. Other side effects of the keto diet, all of which are tied to carb withdrawal, can include lightheadedness, nausea, mental fog, cramps, and headaches, in addition to tiredness. Luckily, the keto flu doesn't usually last more than a week—which is coincidentally about when people start to see the number on the scale go down, says Warren.
Thanks so much Kelly! Not sure what the Atkins intro is, but I’m sure they have their reasons! Maybe if it’s slower it’s to ease the detox symptoms that cause some people to quit and then figure it’s better to ease into it. Personally I’m about ripping off the bandaid and getting it over with, ya know? So glad you and your husband are on board – keep us posted on your progress!!!
Hello wanting to start this Keto diet asap. I have a quick question. I’m addicted to pop. Yes I’ve tried switching to tea and coffee. When I go one day without any pop I take a bad migraine. Its crippling I am in bed throwing up and movement sound lights everything makes it worse. The only way to get over them is by consuming a soda. I have talked to my Doctor she is no help at all. I don’t believe she has ever suffered from a migraine. I know my body will detox and I will get over it. Problem is I am a single mom of 3 young kids. Whom cant take care of them selves. I’m not sure how to kick the soda habit without leaving me begging for death for the next week. Any ideas how I can get threw this. Ive tried most otc meds.
About 20% of children on the ketogenic diet achieve freedom from seizures, and many are able to reduce the use of anticonvulsant drugs or eliminate them altogether.[3] Commonly, at around two years on the diet, or after six months of being seizure-free, the diet may be gradually discontinued over two or three months. This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions.[45] This timing and method of discontinuation mimics that of anticonvulsant drug therapy in children, where the child has become seizure free. When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial.[9]
I’ve never heard of this program, but am definitely willing to try it. I do have a question, however; in my faith, we do not eat pig meat in any way, shape or form, so can I eat turkey bacon or sausage instead (for breakfast meats)? I’m not a day person, having worked the midnight shift for almost 20 years, so the meat/breakfast just isn’t relevant–I’d prefer to eat dinner-type foods instead–but if it has to be done in order to lose (a huge amount of) weight, I’ll adjust.
Let’s talk menu. I get a lot of messages asking me what I eat in a day to stay in ketosis. Well, it’s underwhelming. I am one of those odd people that doesn’t need variety. Every morning I eat the exact same thing. 3 eggs with cheese and an avocado. Lunch is my biggest meal, I always eat arugula salad, grilled asparagus or zucchini with some kind of meat (usually a hamburger patty or grilled chicken) I then snack when ever I feel hungry (usually on almonds or macadamia nuts... sometime cottage cheese) that’s it! Then I begin my fast at 6 pm. I drink lots of water until I go to sleep at around 10 pm. I drink coffee at 8 am and I end my fast at 11 am. That’s it! No magic, no fancy diet... just clean whole organic foods. I waved bye bye to anything processed or packaged a long time ago. This is 60 lbs gone my friend. It can be done! I’m always asked how I have the will power... well when you see results like this in 4 months, it powers you!!!! Let me know your results and questions! #keto #weightlossjourney #weightlosstransformation #weightloss #fitmom #beforeandafter #ketodiet #transformation *i wasn’t pregnant in the before pic😖
Carolyn over at All Day I Dream About Food is a diabetic who eats low carb and blogs low carb recipes. She would know a lot more about that then I would since I don’t have personal experience with it! She may even have some articles on her site – you should check it out! If you are monitoring your own blood sugar you could try this and see how you feel – just be super careful! Also, on the r/keto site there are some threads about diabetics who have gotten off their meds by going keto – which would indicate that it’s possible. If you head over just search diabetics and you should be able to get more information. Hope that helps!!!

Re-starting keto today after the holidays! My previous stint I was counting carbs until I got used to what foods had (though I may not have been 100% honest with myself) and pick/chose recipes from the internet. It seemed like so much work. I did use a few recipes from IBIH but never realized you had compiled meal plans and shopping lists till my friend mentioned it yesterday! I’m excited to rely on your menu plans for the new year – thanks! (only catch is my husband refuses to eat chili so I may have to substitute for that meal…)
0.2 loss today and I was not hungry yesterday. So I think this is better to eat a bit more for my satiety , slower loss but more sustainable. I was able to talk my husband into eating bacon and egg this morning! Slowly easing him into converting. I want to be able to make a meal that whole family can enjoy instead of making many separate meals for each individual( way too much work!).

My husband is trying to eat more Keto meals and this recipe is made up of his FAVORITE things! I sent him the link to it and he was inspired! Last night, he made himself a big hearty batch of this recipe and thoroughly loved it. He even shared photos of his meal on Facebook and our friends were in awe of his creation and the recipe you provided. I don’t enjoy mushrooms, so I’m reviewing this on my husband’s behalf. It was EXCELLENT!
When it comes to starting the keto diet (or any diet for that matter), there's one thing all experts agree on. You *must* have a plan. "Never try to wing a keto diet," says Julie Stefanski, R.D.N., C.S.S.D., L.D.N., a dietitian based in York, PA, who specializes in the ketogenic diet. "Set a start date and get prepared by reorganizing your pantry, planning out meal and snack options, and purchasing appropriate foods and dietary supplements," she says. "The biggest reason people have a hard time sticking with keto is that people don't have enough interesting foods to turn to, and high-carb favorites win out over good intention. If you didn't buy foods at the grocery store that fit the guidelines, there won't be an easy option in the fridge when you really need it." (A great place to start is this List of High-Fat Keto Foods Anyone Can Add to Their Diet.)
Variations on the Johns Hopkins protocol are common. The initiation can be performed using outpatient clinics rather than requiring a stay in hospital. Often there is no initial fast (fasting increases the risk of acidosis and hypoglycaemia and weight loss). Rather than increasing meal sizes over the three-day initiation, some institutions maintain meal size but alter the ketogenic ratio from 2:1 to 4:1.[9]
Help me please! Ketosis is the only thing that has ever helped to alleviate my chronic migraines but it is so hard for me to stick to because all of the plans I can find ( like this 3 day one ) use dairy products to fill most of the fat content. I am deathly allergic to dairy and soy products. How do I stay keto without all of the cheese and cream?!?!
Many ketogenic dieters also swear by MCT oil. (MCT simply stands for medium chain triglycerides.) MCT's energy-sustaining powers can be explained as follows: When MCT oil is metabolized in the body, it behaves more like a carbohydrate than a fat. Unlike other fats, MCT oil does not go through the lymphatic system. Instead, it is transported directly to the liver where it is metabolized so it releases energy like a carbohydrate and creates lots of ketones (which can be used for fuel) in the process.
A systematic review in 2018 looked at sixteen studies on the ketogenic diet in adults. It concluded that the treatment was becoming more popular for that group of patients, that the efficacy in adults was similar to children, the side effects relatively mild. However, many patients gave up with the diet, for various reasons, and the quality of evidence inferior to studies on children. Health issues include high levels of low-density lipoprotein (LDL), high total cholesterol, and weight loss.[23]
And good news for coffee addicts: you can still have your morning cup of joe. You’ll just need to adjust what you stir into it. Switch out flavored creamer for the real deal—full-fat heavy whipping cream, which has only 1 gram of carbs per tablespoon. If you want to give your java a jolt of sweet, stir in a low-carb sweetener that uses sugar alcohols. But if you can skip the sweet, even better. In time, you’ll retrain your palate to not crave a sugary start to the day.
I’ve only one question. I work in shifts and at 4.30 in the morning I can not eat my breakfast (lazy – I manage to get out of bed and into my car in 30 minutes ;-). Not even if I make it the day before…I just can’t swallow the stuff. But I have to eat something because I’m in my car for more than a hour. Can I have a liquid breakfast at those times?
Natural fat, high-fat sauces – Most of the calories on a keto diet should come from fat. You’ll likely get much of it from natural sources like meat, fish, eggs etc. But also use fat in cooking, like butter or coconut fat, and add plenty of olive oil to salads etc. You can also eat delicious high-fat sauces including Bearnaise sauce etc., or garlic butter (recipes).
Just a followup to my earlier post with some quick numbers – I have been keeping carbs under 15 per day and the fat around 75-85%, with protein about 25% or less. I have not lost one pound while on the Keto diet, but I do feel that it is a much more natural way to eat. I don’t snack, I only eat 3 meals daily, I just cannot get into the habit of snacking and I’m not hungry enough to be bothered with additional food.
One downside to a ketogenic diet for weight loss is the difficulty maintaining it. “Studies show that weight loss results from being on a low-carb diet for more than 12 months tend to be the same as being on a normal, healthy diet,” says Mattinson. While you may be eating more satiating fats (like peanut butter, regular butter, or avocado), you’re also way more limited in what’s allowed on the diet, which can make everyday situations, like eating dinner with family or going out with friends, far more difficult. Because people often find it tough to sustain, it’s easy to rely on it as a short-term diet rather than a long-term lifestyle.
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