These are some of the lesser common problems that I am e-mailed about on a semi-consistent basis. Many of these problems also relate to hydration and micronutrients, so make sure that you are drinking plenty of water and replenishing electrolytes.
Fauser BC, Tarlatzis BC, Rebar RW, Legro RS, Balen AH, Lobo R et al. Consensus on women’s health aspects of polycystic ovary syndrome (PCOS): the amsterdam ESHRE/ASRM-sponsored 3rd PCOS consensus workshop group. Fertil Steril 2012; 97: 28–38. . e25.
There are four main types of ketogenic diets. Each one takes a slightly different approach to fat vs. carb intake. When deciding which method works best for you, take into account your goals, fitness level and lifestyle.
There was another study done on eight professional gymnasts who had the same results. Both groups were fed a strict diet of green vegetables, proteins, and high-quality fats. So, even if you are doing long bouts of cardio – a keto diet has been proven time and time again.
Historically, ketogenic diets have consisted of limiting carbohydrate intake to just 20–30 net grams per day. “Net carbs” is the amount of carbs remaining once dietary fiber is taken into account. Because fiber is indigestible once eaten, most people don’t count grams of fiber toward their daily carb allotment. In other words, total carbs – grams of fiber = net carbs. That’s the carb counts that matter most.
In the process of learning how to make time for meal prep, I also discovered a handful of new favorite foods. Because let’s face it, I couldn’t live on eating whole avocados in one sitting and dousing everything in cheese and butter for 10 days. I had to get creative in the kitchen. To boost my daily fat intake, I experimented with foods I’ve never thought I’d love before going keto. Low-carb picks such as House Foods’ tofu noodles (pictured above) and Keto Carne (zero-sugar beef jerky), as well as high-fat snacks such as Cacao Vita’s single-origin cacao nibs, became my go-to kitchen staples. For breakfast, I found myself munching on two squares of 90-percent cacao with some almonds (see below) or two tablespoons of Kite Hill Chive Cream Cheese Style Spread (this stuff will make you forget about real cheese!).
Denley A, Carroll JM, Brierley GV, Cosgrove L, Wallace J, Forbes B et al. Differential activation of insulin receptor substrates 1 and 2 by insulin-like growth factor-activated insulin receptors. Mol Cell Biol 2007; 27: 3569–3577.
Veggies that are slightly higher in carbs (but still low all things considered) include asparagus, mushrooms, bamboo shoots, bean sprouts, bell pepper, sugar snap peas, water chestnuts, radishes, jicama, green beans, wax beans, tomatoes — 3–7 grams net carbs per 1 cup raw
If you’re accustomed to a protein intake well over your body weight—let alone lean body mass—you may be skeptical about a diet that demands you reduce protein intake by as much as half. Wittrock can relate.
You might be asking, “What’s a net carb?” It’s simple really! The net carbs are your total dietary carbohydrates, minus the total fiber. I recommend keeping total carbs below 35g and net carbs below 25g (ideally, below 20g).
Instead, research shows diets high in refined sugar and carbs are far more destructive to the heart and arteries than fat, and have a greater ability to raise blood pressure and promote inflammation (10).
To get the most benefit from the Keto diet, you should stay physically active. You might need to take it easier during the early ketosis period, especially if you feel fatigued or lightheaded. Walking, running, doing aerobics, weightlifting, training with kettlebells or whatever workout you prefer will boost your energy further. You can find books and online resources on how to adapt Keto meals or snacks for athletic training.
I started Keto 2 days ago. I have figured my Keto Macros to 1102 cal – 86g fat – cho 20 g net. and Prot 63 g ……….. My problem is “how do I count my keto good foods values? I ate a good bacon, 2egg to equal my Macro #s?
See cornucopia institute – even the best of eggs on their list the farmers feed their grass raised chickens with corn and soy feed. Why they don’t provide homegrown bugs and worms as a few farmers are doing, is beyond my patience.
A good quality meatloaf needs meat and a binder, and fortunately on keto, we’ve got great options for both. Using chopped mushrooms and onions as a binder instead of bread crumbs adds flavor and nutrients, and keeps carbs down. Add a veggie side and you’re all set! Get the recipe and instructions
In summary, individuals with metabolic syndrome, insulin resistance and T2D (all diseases of carbohydrate intolerance) are likely to see symptomatic as well as objective improvements in biomarkers of disease risk if they follow a well-formulated very-low-carbohydrate diet. Glucose control improves not only because there is less glucose coming in, but also because systemic insulin sensitivity improves as well.
^ a b c Huttenlocher PR, Wilbourn AJ, Signore JM. Medium-chain triglycerides as a therapy for intractable childhood epilepsy. Neurology. 1971 Nov;21(11):1097–103. doi:10.1212/wnl.21.11.1097. PMID 5166216
You get to start experimenting more with dessert and dinner. You get to snack as you please inside your window and best of all – you get to eat that protein laden chicken that you’ve been missing so much of!
Most condiments below range from 0.5–2 net grams per 1–2 tablespoon serving. Check ingredient labels to make sure added sugar is not included, which will increase net carbs. (Stevia and erythritol will become your go-to sweeteners because neither raise your blood sugar — combine for a more natural sweet taste and, remember, a little goes a long way!)
Increased Urination. Keto is a natural diuretic, so you have to go to the bathroom more. Acetoacetate, a ketone body, is also excreted in urination and can lead to increased bathroom visits for beginners.
Around this time, Bernarr Macfadden, an American exponent of physical culture, popularised the use of fasting to restore health. His disciple, the osteopathic physician Hugh Conklin, of Battle Creek, Michigan, began to treat his epilepsy patients by recommending fasting. Conklin conjectured that epileptic seizures were caused when a toxin, secreted from the Peyer’s patches in the intestines, was discharged into the bloodstream. He recommended a fast lasting 18 to 25 days to allow this toxin to dissipate. Conklin probably treated hundreds of epilepsy patients with his “water diet” and boasted of a 90% cure rate in children, falling to 50% in adults. Later analysis of Conklin’s case records showed 20% of his patients achieved freedom from seizures and 50% had some improvement.[10]
You want to keep your cheats to none. Be prepared, make sure you’re eating what you need to be satiated (“full”), and make sure you’re satisfied with what you’re eating. If you have to force yourself to eat something, it will never work out in the end. This is just a guideline on how you can eat on a ketogenic diet, so you’re very welcome to change up what kind of foods you eat!
In gluconeogenesis, your blood sugar and insulin levels rise. This halts the production of ketones, which could then be used for energy. On keto, the goal is to simply eat enough protein to maintain muscle mass.
Yams and potatoes (white, red, sweet, etc.) — sweet potatoes have the least carbs, about 10 net grams per 1/2 potato; Yams and white potatoes can have much more, about 13–25 net grams per 1/2 potato/yam cooked
Pork on it’s own would never be fatty enough to be near ideal Keto macros, it’s also very clearly not a vegetable, something most of us don’t eat enough of. So to make vegetables less boring and boost the fat quota of the meal I’ve made up a sensational cheese sauce. If you’re just getting started on Keto, this is a great one to kick it off with.
^ a b Kossoff EH, Laux LC, Blackford R, Morrison PF, Pyzik PL, Hamdy RM, et al. When do seizures usually improve with the ketogenic diet? (PDF). Epilepsia. 2008 Feb;49(2):329–33. doi:10.1111/j.1528-1167.2007.01417.x. PMID 18028405
Implementing the diet can present difficulties for caregivers and the patient due to the time commitment involved in measuring and planning meals. Since any unplanned eating can potentially break the nutritional balance required, some people find the discipline needed to maintain the diet challenging and unpleasant. Some people terminate the diet or switch to a less demanding diet, like the modified Atkins diet (MAD) or the low-glycaemic index treatment (LGIT) diet, because they find the difficulties too great.[41]
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in females, with a high prevalence (6–10%);72 symptoms include hyperandrogenism, ovulatory dysfunction, obesity, insulin resistance and subfertility. Insulin resistance and related hyperinsulinaemia is actually a very common feature affecting about 65–70% of women with PCOS;73 it is seen most frequently in obese patients, affecting 70–80%, compared with only 20–25% of lean PCOS sufferers.72 Despite this observation, insulin resistance and hyperinsulinaemia appear to be linked to PCOS independently of obesity, and modifications in the normal cellular mechanisms of insulin signalling have been demonstrated in both lean and obese patients. Furthermore, high blood levels of insulin can act by increasing androgenous hormonal stimulation of the ovarian theca cells as well as potentiating gonadotropin-stimulated ovarian androgen steroidogenesis—although recent data has suggested that the insulin-induced increase in ovarian hormone secretion is not accompanied by increased steroid metabolism.74 Hyperinsulinaemia may also affect the central actions of androgen by impairing progesterone inhibition of the gonadotropin-releasing hormone pulse generator.75 Insulin has also been shown to increase expression of adrenal steroidogenic enzyme mRNA47 as well as adrenal responsiveness to adrenocorticotropic hormone.76
The only real time where ketosis can give performance loss is in exercises that need an explosive action. If you need a little boost in your performance during these, you can “carb-up” by eating 25-50g of carbs about 30 minutes before you train.
Fats! Do I even need to explain this one? Eating fat has been shown to lead to greater amounts of energy, more efficient energy usage, and more effective weight loss. Not to mention, it’s the main component of this diet.
In fact, saturated fat intake had an inverse association with the risk for suffering from a stroke, meaning the more saturated fat included in someone’s diet, the more protection against having a stroke they seemed to have. (12)

The Only Keto Pancake/Waffle Recipe I Need

Most people end up driving themselves crazy measuring and testing. It’s much better to focus on the nutritional aspect, making sure that you’re in taking proper foods and staying within your macro ranges (read below).
If you’re still confused about what a net carb is, don’t worry – I’ll explain further. Let’s say for example you want to eat some broccoli (1 cup) – seriously my favorite and most delicious vegetable out there.
As far as macros go, I believe the general rule of thumb is roughly 75% of calories from fat, 20% from protein, and no more than 5% from carbs. Personally, my macros are at 65/30/5 and I am still able to achieve ketosis, so it may be worth tweaking some until you find a balance that works for you.
But for every lifter who ends up loving this approach, you’ll find another who had a miserable experience and bailed after just a few days. This is a shame, because they probably could have felt great if they had simply had a better plan—or a plan at all.
We’ve discussed why the keto diet is beneficial for fat loss, but another way it can contribute to weight loss is by balancing your blood sugar levels, which reduces cravings for carbs (24). Since high fat foods are also richer and more satiating than carbs, they also fill you up in smaller portions, further leading to weight loss.
What if we told you that indulging in all the butter, cheese, and steak you want can help your energy levels soar, crush cravings, and melt inches off your frame? Well, those are the lofty results the ketogenic (or keto, for short) diet promises—and the actual outcomes aren’t that far off.
Your keto meals should contain high amounts of healthy fats (up to 80 percent of your total calories!), such as olive oil, coconut oil, grass-fed butter, palm oil, and some nuts and seeds. Fats are a critical part of every ketogenic recipe because fat is what provides energy and prevents hunger, weakness and fatigue.