HomeAnswersVascular Surgeryketogenic dietI want to know about the principles of a ketogenic diet. Please help.

Is ketogenic diet healthy?

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Published At January 25, 2024
Reviewed AtJanuary 25, 2024

Patient's Query

Hello doctor,

I am a 32 year old female. I am writing to you with a strong interest in learning more about the ketogenic diet and its potential effects on health and well-being. Could you provide insights into the principles of this diet, its macronutrient composition, and how it differs from other diets? I am particularly interested in understanding the mechanism behind ketosis and how the body shifts from using carbohydrates for energy to utilizing ketones. I am keen to learn about the potential benefits and risks associated with the ketogenic diet. What are the reported advantages, such as weight loss and improved blood sugar control? On the other hand, are there any potential drawbacks or health concerns, including nutrient deficiencies, gastrointestinal issues, or impacts on cholesterol levels?

Please help.

Hello,

Welcome to icliniq.com.

I went through your query.

The ketogenic diet is a low-carbohydrate, high-fat diet that has gained popularity for its potential benefits for weight loss, blood sugar control, and overall health.

The primary principle of the ketogenic diet is to induce a state of ketosis in the body. Ketosis is a metabolic state in which the body shifts from using glucose (from carbohydrates) as its primary fuel source to using ketones (from fats). By significantly reducing carbohydrate intake and increasing fat intake, the body is forced to break down stored fat into fatty acids and ketones for energy production.

In terms of macronutrient composition, the ketogenic diet typically consists of:

1. High Fat: Typically, 70-75 % of calorie intake comes from healthy fats such as avocados, nuts, seeds, olive oil, coconut oil, and fatty fish.

2. Moderate Protein: Around 20-25 % of calorie intake comes from protein sources like meat, poultry, fish, eggs, and dairy products.

3. Low Carbohydrates: Carbohydrates are limited to approximately 5-10 % of calorie intake, mainly from non-starchy vegetables and small amounts of berries.

Compared to other diets, such as low-fat or moderate-carbohydrate diets, the ketogenic diet differs in its macronutrient distribution. It emphasizes high fat intake, very low carbohydrate intake, and a moderate amount of protein.

Advantages of the ketogenic diet may include:

1. Weight Loss: The ketogenic diet may aid in weight loss due to reduced appetite, increased fat oxidation, and improved insulin sensitivity.

2. Blood Sugar Control: By minimizing carbohydrate intake, the ketogenic diet can help regulate blood sugar levels, potentially beneficial for individuals with diabetes or insulin resistance.

3. Increased Fullness: The high-fat and adequate protein content of the diet can promote satiety and reduce hunger cravings.

However, it is important to consider the potential risks and drawbacks of the ketogenic diet:

1. Nutrient Deficiencies: Restricting certain food groups, such as fruits, whole grains, and legumes, might lead to inadequate intake of vitamins, minerals, and fiber. It is essential to focus on nutrient-dense sources within the allowed foods.

2. Gastrointestinal Issues: Some individuals may experience digestive discomfort, constipation, or changes in bowel movements when transitioning to a high-fat diet. Adequate hydration and including sources of dietary fiber can help alleviate these issues.

3. Impact on Cholesterol Levels: While some people experience improvements in cholesterol profiles on a ketogenic diet, others may see a rise in LDL (low-density lipoprotein) cholesterol, known as "bad" cholesterol. Regular monitoring and consultation with a healthcare professional is recommended.

It is important to note that while the ketogenic diet may have potential benefits, it may not be suitable for everyone.

So, I always advise a basic blood workup before starting the diet.

I hope I have answered your query.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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