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Sounds like you studied very hard, worked very hard, learned something very valuable and verified that it works at least for you. What you've learned could help a lot of people (like me :). I hope that you find a way to share it with the world.

(wouldn't mind a brief summary here...)



Look at my response to beaumartinez nearby. For a deeper dive, I wrote up more in the 6th reference I link to there. If you have more questions, please feel free to email me; my email is in my profile.

For a lighter-weight dive, you can also take a look at https://www.dropbox.com/s/n4attj5gmxe9cou/InANutshell.md (hopefully that link works :).


Wow! I totally did not know this. Just went through a few Wikipedia articles too.

A question I have is what would happen if I cut down carbohydrates, but not increase fat either! I discovered through accidental self-experimentation that cutting down on sugar is helping me, while my diet barely included rice, potatoes, etc. anyways. I used to consume some pasta, but will reduce that too now.

What is the purpose behind increasing fat in diet when doing this? Is it to just compensate for calorie loss? Is it to control cravings? One one hand, it is saying that ketogenic diet will help burn body fat, and on the second it says go increase fat consumption!

I'll need to do some research to understand how to get carbohydrates to just 20-25 grams per day like you have mentioned. A "Pure Protein" bar I just consumed by itself had 17g! Would it work out if I can get to within 50g of carbs (which is still much lower than 300g you mention for an average American), together with cut down fat too? Or that defeats the whole purpose?!

Since I started cutting down on sugar drastically, I have noticed though my craving for sugar has increased (though I am still able to control). Diet soda seems to be helping with these cravings significantly though I am not sure what are the side effects. (I have come across many conflicting studies against soda, so have never been sure!)

I am moderately exercising too, gradually increasing.

Eggs seem to be recommended in these diets. As someone with borderline cholesterol, would eggs still be recommended?

Thanks!


There is pretty much zero evidence that ingested cholesterol is in any way linked to cardio-vascular problems: http://www.sciencebasedmedicine.org/eggs-and-atherosclerosis...

So feel free to eat as many eggs as you wish (but as with all things diet, moderation is generally a good idea, 2 dozen eggs a day is probably not going to do great things for your health).


On the total carbs thing - American wrappers tend to include fibre in the total carbs- European ones don't, and you should read up on 'net carb' - but basically, take the fibre value off the total value. If it's ok to do that, it'll look something like: Total carbs: 15g -- fibre 9g -- that sugars 3G

Etc. :-) enjoy!


What is the purpose behind increasing fat in diet when doing this? Is it to just compensate for calorie loss? Is it to control cravings?

It is both. Firstly, for an average person, carbs are a significant part of calorie intake. If you just drop them, and drop fat at the same time, where will you get your calorie intake from? You'll only be left with protein, and it's not so easy to get all your calories from protein. Besides, there is no benefit in reducing fat further than required to achieve some caloric deficit. And also, many people find the combination of fat+protein in meals satiating.

One one hand, it is saying that ketogenic diet will help burn body fat, and on the second it says go increase fat consumption!

You don't get fat from eating fat. You also don't get fat from eating carbs. You get fat from eating too much calories. The goal is to reduce the amount of calories in a sustainable way. Some do it by eating many small meals, some by 1-2 large meals. Some do it by reducing carbs, and some by reducing fat. Try and see what is the easiest for you.

A "Pure Protein" bar I just consumed by itself had 17g!

Try to stick to fresh, unprocessed foods, if you can - it's healthier, but also easier to avoid "carb creep" by added sugar and other sources of carb. Fresh vegetables, meats, fish, poultry, eggs, nuts, cheese, cream are very compatible with keto.

Eggs seem to be recommended in these diets. As someone with borderline cholesterol, would eggs still be recommended?

This is a very controversial subject, and there are multiple books written, and they contradict each other. Ask me for a book recommendation if you wish. :) In short, there are two separate issues: 1. Does dietary cholesterol raise blood cholesterol, and 2. Does blood cholesterol cause heart disease? Overall, it appears that there is still no proof that cholesterol causes heart diseas - most, almost all evidence is just correlation. Eggs appear to be safe regardless of some studies that demonize them. And, just for fun, the following link (it's not a proof of anything as it is n=1 anecdote)

Normal Plasma Cholesterol in an 88-Year-Old Man Who Eats 25 Eggs a Day — Mechanisms of Adaptation

http://www.nejm.org/doi/full/10.1056/NEJM199103283241306

Feel free to ask me for more references on specific subjects ...


Some do it by eating many small meals

I, personally, would recommend against doing this, especially if those meals contain carbohydrate or protein. The problem (and I realize Evgeny probably knows this) is that eating many small meals keeps insulin levels consistently high (both carbs and protein cause insulin to be secreted). While we don't have the direct evidence of it yet, most biological system, when exposed to a cellular input constantly, down-regulate the receptors for that input. Down-regulating insulin receptors is the definition of insulin resistance and insulin resistance is the first step towards diabetes.


> Try to stick to fresh, unprocessed foods, if you can - it's healthier

This is a sweeping generalisation that I'd like to see evidence for.


Well, I have to admit - there is no proper scientific proof beyond any doubt. Obviously, to prove the statement, one would have to keep two groups of people locked in the lab for years, feed one group with fresh food, and the other group with processed food, and compare the health of both groups at the end. Then there would be endless arguments: which particular types of food are harmful, and maybe they can be eaten in moderation without any harm at all, and so on, just like the battles that are currently going on around sugar ...

However, there are multiple cases where the introduction of "Western foods" to people who were eating traditional diets caused significant increase in "diseases of civilisation". I personally started from reading "Nutrition and Physical Degeneration" by Weston A. Price - it is available for free online.

http://gutenberg.net.au/ebooks02/0200251h.html


To generalise more, unprocessed foods have more fibre. Increased fibre is proven to reduce cancer incidence; eg[1].

(Of course, one can eat processed food and add fibre from another source. Nevertheless, the advice to eat unprocessed food is reasonable as a generalisation).

[1] http://preventcancer.aicr.org/site/News2?id=20709


As you hang around the keto worlds, you will hear a lot about the "evils" of Ancel Keys, the founder of the "saturated fat causes heart disease" movement. Even he didn't believe dietary cholesterol had an impact on heart health. A few things to know:

* The original panic about dietary cholesterol came from feeding rabbits high cholesterol diets. It turns out that herbivorous rabbits are particularly poorly suited for a diet high in animal fat. Go figure.

* Your body has a cholesterol "set point": an amount of cholesterol it wants for daily activities like building cell walls, repairing tissue, making hormones, etc. If you do not eat it, your body will make it. If you eat it, your body won't make it. Regardless of your diet, the end result is the same.

* There has never been a causal relationship shown between cholesterol in the blood (much less diet) and coronary disease. Since cholesterol is part of the immune response, it is, quite literally, like saying we need to remove fire fighters because wherever we find them, we find fires.

Don't be afraid of the cholesterol. Now, there are some numbers that have some correlation with heart disease, but every single one of those numbers are improved by a low carb, high fat diet. See several of this points in this[1].

On getting carbs down, there are a few things to recognize:

* There are gradual improvements. For people who are "carb intolerant", every carb removed from the diet comes with an improvement in general health. If you can't get to 25g to start, try 75g (note: I had serious issues with carb cravings, so I could not do this; it had to be all or nothing).

* There is a step, going from "sugar burning" to nutritional ketosis (generally defined as >=0.5mmol blood ketones), that, for most people, causes a significant increase in energy, clarity of thought, etc. Some people don't experience that and may do better with slightly higher carbs. Experimenting is good.

* It takes a few weeks to get the body fully converted to burning fat (keto adapted). During that period, it is not uncommon to feel sluggish, have headaches, have strong sugar cravings, etc. This can and does pass (many of the older papers showing how "bad" keto diets are ended after 2-4 weeks, right in the middle of keto-adaptation).

There is a strong reddit community[2] that is worth checking out, with a lot of good "how-tos".

On calories, my advice is to always start eating to satiety. During the first few weeks, as craving hit, feed them with fat (bacon is particularly good). Don't worry about calories at all for the first two months as you become keto adapted.

After 6-8 weeks, start really paying attention to your body. Eat when hungry, stop eating when you get full. Your body's satiety signals will usually start working correctly again when the insulin levels are lowered.

Most people will find that their appetite self-regulates into a pattern that causes fairly consistent loss (there may be some plateaus, but that is normal). If you are in this category, just keep going. Worry about your carbs and nothing else.

If you find that you aren't losing "automatically", don't automatically assume you need to force reduce what you eat. Look for other things like too much stress, too little sleep, food intolerances (wheat and dairy impact a lot of people), etc. before trying to will-power your way to loss. Your body wants to be healthy, so find what is keeping it from being there (some people have a really unhealthy relationship with food, so fix the relationship rather than just axing the food).

You are welcome to email me any questions as well. My email is in my profile.

1. http://www.nutritionjrnl.com/article/S0899-9007(14)00332-3/f...

2. http://reddit.com/r/keto




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