Articles

Keto Diet

The Ketogenic Diet (Keto Diet)

The ketogenic diet is a combination of the Atkins diet and a low-carb diet, as it consists of very low carbohydrate and high-fat foods. Some studies have shown that this diet may be beneficial in certain cases. The principle behind this diet is that when a person consumes less than 50 grams of carbohydrates per day, the body enters a state called ketosis.


What is Ketosis?

Ketosis is a metabolic state in which the body produces ketone bodies from fat and uses them as a source of energy instead of carbohydrates due to the lack of sufficient glucose.
A small amount of ketones may appear in the urine, which indicates that the body is using fat for energy. However, if ketone levels rise significantly, this may indicate ketoacidosis — a dangerous increase in blood acidity that requires medical attention.


Types of Ketogenic Diets

  1. Standard Ketogenic Diet (SKD):


  • Very low in carbs, moderate in protein.
  • Typically: 75% fat, 20% protein, 5% carbs.
  • Most commonly used type.


Cyclical Ketogenic Diet (CKD):

  • Involves alternating between keto days and high-carb days.
  • Example: 5 days of keto, 2 days of high-carb eating.


  1. Targeted Ketogenic Diet (TKD):

    • Allows adding carbs around workout times.

  2. High-Protein Ketogenic Diet:

    • Similar to the standard keto but with more protein.

    • Typically: 60% fat, 35% protein, 5% carbs.


Who Should Avoid the Keto Diet

  • Individuals with gallbladder issues or those who had it removed

  • People who are underweight

  • Pregnant or breastfeeding women

  • Children under 18

  • Individuals who underwent bariatric surgery

  • People with pancreatic enzyme deficiencies

  • Individuals aiming to gain muscle mass


Potential Uses of the Keto Diet

  • Epilepsy:
    Some studies suggest that replacing glucose with ketone bodies may reduce seizure frequency. Ketosis may enhance the production of GABA (an inhibitory neurotransmitter).

  • Weight Loss:

    • Increases fat burning

    • Eliminating certain foods reduces calorie intake

    • Helps suppress appetite

    • Maintains muscle mass due to moderate/high protein intake

  • Diabetes:
    May improve insulin sensitivity due to the loss of excess fat in cells

  • May Help with Other Conditions (More Research Needed):

    • Alzheimer’s disease

    • Acne

    • Polycystic Ovary Syndrome (PCOS)

    • High blood pressure


Common Side Effects

In the first few days of starting the diet, the body may need to adjust, leading to temporary side effects such as:

  • Fatigue

  • Hunger

  • Poor concentration

  • Sleep disturbances

  • Nausea

  • Digestive discomfort

  • Decreased exercise performance

The diet may also affect levels of certain vitamins and minerals:

  • B Vitamins

  • Sodium

  • Potassium

  • Magnesium


Foods to Avoid on Keto

  • Sugary foods (soda, ice cream, juices)

  • Legumes (beans, lentils, chickpeas)

  • Most fruits

  • Sugar-free/diet foods with sugar alcohols

  • Starches (rice, pasta, wheat-based products)

  • Root vegetables and tubers (potatoes, carrots, beets)

  • Low-fat foods

  • Unhealthy fats and hydrogenated oils (processed vegetable oils, mayonnaise)


Recommended Foods on Keto

  • Eggs

  • Cheese

  • Meat and poultry

  • Fish

  • Healthy oils (olive oil, coconut oil, avocado oil)

  • Unsalted nuts

  • Avocado

  • Butter and cream

  • Low-carb vegetables (tomato, onion, bell pepper)


Tips and Additions to Support the Diet

  • Drink plenty of water

  • Add MCT oil (Medium Chain Triglycerides) to increase fat intake

  • Consider taking supplements to prevent deficiencies in vitamins and minerals

  • Caffeine may help reduce fatigue


References:


Kalra, Sanjay & Singla, Rajiv & Rosha, Rahul & Dhawan, Munish & Khandelwal, Deepak & Kalra, Bharti. (2018). The Ketogenic Diet. US Endocrinology. 14. 62. 10.17925/USE.2018.14.2.62.