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Healthy Living Weight Loss

The Keto Diet: Eat fat. Burn fat. Lose weight?

Fad diets come and go, but is Keto here to stay? Ask someone who’s tried it, or is on it, and they’ll probably tell you— “it’s a lifestyle, not a diet.”

“The only medical purpose of the ketogenic diet is the last line of treatment for children suffering chronic seizures,” says Andy Yurechko, clinical dietitian at the Augusta University Digestive Health Center. This is because ketones and decanoic acid, produced when following the diet, help to decrease seizures.

In its current mainstream form today, many dietitians might agree that the Keto diet is the definition of a “fad diet.” But the results are hard to argue with, especially when celebrities have flaunted their results across social media.

What is the Keto diet really?

An easy way to describe the diet is simply low carb, high fat intake. When a person eats carbohydrates, the body keeps fluids in order to store the carbs for energy. Once carbs are not being consumed and cannot be used for energy, the body enters a state of ketosis. In the ketosis state, the body makes ketones or organic compounds that it uses in place of carbs as energy. The body starts burning fat for energy and because fat takes more energy to burn, even more weight is being lost. The diet sounds freeing, but as with all diets there are rules.

Before you start loading your grocery cart with butter, bacon, whole milk, and all the cheeses of your dreams, there are some common pitfalls and rules to be aware of in order for this diet to be successful.

  • Fats: Not all fats are created equal. Most people might assume a sense of freedom at being able to eat bacon again, but instead dietitians and nutritionists recommend a majority consumption of healthy fats. This includes the kind found in avocados, nuts, seeds, eggs, plant-based oils, and fatty fish.
  • The Keto flu: In the beginning, people usually complain of IBS (irritable bowel syndrome), lightheadedness, nausea, mental fog, cramps, headaches, and diarrhea. This group of symptoms is often called the Keto flu. The Keto flu should not last more than a week. If it does, make an appointment with your primary care provider to discuss it.
  • Calorie intake: People also tend to lose a lot of weight in the beginning but then start to feel as though the weight loss becomes stagnant. Be mindful that even though you are mostly consuming fats, calories should be reduced to 1,500. Fats are filling, so that should make up for the reduction in calories.
  • Portion sizes: It is important to know that the diet is all about high fat and moderate protein, so portion sizes are important. As with any other diet, if too much fat is eaten the scale will not move in the desired direction. Estimating proper portion sizes can be difficult, so be sure to measure out your portions when making meals. Make sure that your diet also includes a lot of fluids and non-starchy vegetables, like broccoli, asparagus, and peppers.
  • Cheat days: They don’t exist when you’re doing Keto. The idea of cheat days is not a good way to be consistent with this diet. Having a cheat day means disrupting the ketosis state, which can prevent the body from burning fats like it’s supposed to.

It really is a lifestyle, not a diet.

Yurechko warns that a “cheat day” on the Keto diet is the equivalent of having an entire banana, which can contain a whopping 30 grams of carbohydrates. If you’re going Keto, you should be averaging anywhere from 20 to 30 net grams a day to sustain your body’s ketosis.

“There is no way to sustain ketosis for the rest of your life,” he says. “Registered dietitians like myself advocate healthy lifestyles changes. Making small, sustainable lifestyle changes is more effective for weight reduction than strict diets.”

If you decide to join the Keto lifestyle, be aware that the results are sometimes short lived because of the dedication it takes. Once a body comes out of ketosis, the weight tends to come back too. If you can stick to it, Yurechko advices to pay attention to your fiber intake. Incorporate low-carb sources of fiber into your daily diet, such as spinach, broccoli, chia seeds, and asparagus.

“It will take quite a bit of spinach to get the daily recommended 21 grams of fiber for women or 35 grams for men,” he says. “Prepare for some costly grocery store trips.”

Diets, especially fad diets, usually come and go in our lives. While there might be an opportunity to lose 20+ pounds on the Keto diet, it remains that someone can easily gain a few pounds by eating that “dreaded banana.”

Looking for some help managing your weight?
To learn about our weight-loss services, including nutritionists and specialists, call us at 706-446-4887, or visit augustahealth.org/weightloss.

About the author

Augusta University Health

Augusta University Health

Based in Augusta, Georgia, Augusta University Health is a world-class health care network, offering the most comprehensive primary, specialty and subspecialty care in the region. Augusta University Health provides skilled, compassionate care to its patients, conducts leading-edge clinical research and fosters the medical education and training of tomorrow’s health care practitioners. Augusta University Health is a not-for-profit corporation that manages the clinical operations associated with Augusta University.

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