New Keto Macros From Doctor
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Bellawow
Posts: 32 Member
OK, so, a year ago my cardiologist put me on a modified keto diet. I went from a diabetic diet to this new one. He said do not worry about calories, but increase good fats and lower net carbs to 50 a day. I did not worry about protein consumption either. BTW I am over 60 and very overweight. My blood tests became fantastic. My A1C dropped to 6 (not 6 point something but 6) and both cholesterol are excellent.
This month he was so excited I did what he asked me to do, and has now given me newer macros. Now
Net Carbs no more than 30, Protein as close to 70 as I can get them, no Cheese. I of course cut out milk a year ago. I can have the heavy cream in my coffee and lots and lots of butter. So, diet needs to be lower proteins, lower carbs. So, pardon my ignorance as I just found out that veggies have proteins too. I guess I just never looked. The carbs will be easy as I was almost there or under anyway. However, the lowering the proteins are really tough. There is too much protein in my urine and blood (BTW). Do any of you have to lower your proteins, or do you just not worry about them?
I did what a lot of people do when first starting out on lowering their carbs. Got rid of all the flours and starchy foods, and started baking with keto ingredients, till I finally came to terms with the loss of my sugars and now I do not snack for the most part. I gave up the baked good (again I am very overweight) I have an afternoon fiber drink that I make with almond milk and my 3 fibers. And I have my evening caffeine free bullet coffee. But this lowering of protein is really really tough. Because my carbs are very low and my blood sugars now stay in the 80-100 range all day (still on meds) proteins helped to fill me up. This is very difficult. I am starting to have hunger, he said it is ok to feel hunger, but I have a real fear of it. If you do not understand this, then I am very happy for you, if you do can you advise how to help this?
This month he was so excited I did what he asked me to do, and has now given me newer macros. Now
Net Carbs no more than 30, Protein as close to 70 as I can get them, no Cheese. I of course cut out milk a year ago. I can have the heavy cream in my coffee and lots and lots of butter. So, diet needs to be lower proteins, lower carbs. So, pardon my ignorance as I just found out that veggies have proteins too. I guess I just never looked. The carbs will be easy as I was almost there or under anyway. However, the lowering the proteins are really tough. There is too much protein in my urine and blood (BTW). Do any of you have to lower your proteins, or do you just not worry about them?
I did what a lot of people do when first starting out on lowering their carbs. Got rid of all the flours and starchy foods, and started baking with keto ingredients, till I finally came to terms with the loss of my sugars and now I do not snack for the most part. I gave up the baked good (again I am very overweight) I have an afternoon fiber drink that I make with almond milk and my 3 fibers. And I have my evening caffeine free bullet coffee. But this lowering of protein is really really tough. Because my carbs are very low and my blood sugars now stay in the 80-100 range all day (still on meds) proteins helped to fill me up. This is very difficult. I am starting to have hunger, he said it is ok to feel hunger, but I have a real fear of it. If you do not understand this, then I am very happy for you, if you do can you advise how to help this?
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I'm 64 and female. Gettin' old ain't for sissies as they say but we're fightin' it. Yes?
What's the purpose for lowering carbs and protein? I'll guess the protein is being lowered because you have protein in your urine and blood in your urine? Is the doc's concern kidney disease?
Why no cheese? Is it is because it is high in protein? It seems if you can eat HWC and butter then you may be allowed cream cheese or mascarpone cheese. Ask the doc. Both are very low in protein compared to other cheeses. With both you really want to read the labels because they vary. Or do you want to save every protein gram for meat? How many grams of protein were you eating per day before this change in directive? I'm just wondering how drastic the change will be.
I ate a self prescribed medically therapeutic ketogenic diet in 2016 that was low in both carbs and protein (as a trial for a neurological movement disorder). Protein was under 70 (lower) and carbs under 20. I practically lived on HWC, cream cheese, mascarpone cheese, coconut oil, nuts, seeds and avocados. Fortunately fat is what satiates me. For most people it is protein but not everyone. Are you eating lean meat of fatty meat? If fatty, maybe it is the fat that is keeping you full?
I'm one to follow a doc's advice, research and gather information (which you are doing) then ask lots of questions at my next appointment.
When is your next appointment? Are you doing well with weight loss? You mentioned a couple of times you're very overweight but you've not mentioned weight loss. Kudos on the A1C and blood sugar though!
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@Bellawow Hi, firstly amazing, a Dr who is not afraid of Keto and Low Carb, you struck lucky!
Anyhow I may be wrong but is your actual worry that you need to count the protein in vegetables? If so, stop worrying and don't count it. All you need to watch are the net carbs in vegetables. Keep your proteins to what he has suggested and keep your fats up as well. It's the fats in particular that keep you from feeling hungry but you need protein as well. I'm not sure why he has stopped the cheese as long as you weren't eating a lot of it, but make sure most of your protein is from unprocessed meats, poultry, fish and some eggs.
Do NOT allow yourself to get hungry, that way failure lies! One of the advantages to this way of eating is that it stops you feeling hungry and so you tend to eat less and want to eat less, that's why lots of people end up doing intermittent fasting as well, it just happens naturally for some people as they wake in the morning and just don't feel hungry so they stretch out their first meal of the day to later.
Check out some more information on this group in the stickies which will give you more knowledge about this way of eating and who knows, you may end up advising your doctor, who is certainly wrong about it being acceptable to feel hungry. Well, he is correct if he means, don't eat until you feel hungry but that is a very different thing to saying it's ok to continue feeling hungry as that won't work and is why so many many diets fail.
The other thing you may want to check soon is your diabetic meds. as the diet you are now following is one that many diabetics follow to reverse Type2 so you many end up taking too much. The risk with doctors is that they check their own specialism and forget the rest! I know both my sons who were very overweight went from Type 2 to off meds to no longer Diabetic following this diet and loosing weight. Well done on the weight loss and health results thus far!0 -
When did you make this shift? It took me a full 16 days before I started feeling good on keto this time. My macros are fairly close to your goal. How about adding some non dairy fat bombs?0
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I've made these before and they taste great.
https://www.tasteaholics.com/recipes/quick-bites/pumpkin-pie-bites-fat-bomb-recipe/1 -
37lbs_to_go wrote: »I've made these before and they taste great.
https://www.tasteaholics.com/recipes/quick-bites/pumpkin-pie-bites-fat-bomb-recipe/
Fat bombs are not a common part of my WOE but WOW those look delicious!
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37lbs_to_go wrote: »I've made these before and they taste great.
https://www.tasteaholics.com/recipes/quick-bites/pumpkin-pie-bites-fat-bomb-recipe/
Fat bombs are not a common part of my WOE but WOW those look delicious!
They are! I tend to opt for less processed oil but in the case of fat bombs I used refined coconut oil (LouAna brand with the blue label). Otherwise they are too coconutty. And I like coconut. I keep them in the freezer and pull them out about 5-10 minutes before eating. So they'll start to softennd easier to eat. Perfect for aiding appetite suppression or dessert.1 -
Congratulations on your excellent progress and for choosing an enlightened cardiologist! I may be wrong but I suspect that some of your 'hunger' may be more mental than physical. Veggies and protein have a lot more bulk to them but fat is quite satiating. Give yourself some time to get used to seeing less on your plate and consume enough fat to keep hunger and cravings at bay1
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37lbs_to_go wrote: »37lbs_to_go wrote: »I've made these before and they taste great.
https://www.tasteaholics.com/recipes/quick-bites/pumpkin-pie-bites-fat-bomb-recipe/
Fat bombs are not a common part of my WOE but WOW those look delicious!
They are! I tend to opt for less processed oil but in the case of fat bombs I used refined coconut oil (LouAna brand with the blue label). Otherwise they are too coconutty. And I like coconut. I keep them in the freezer and pull them out about 5-10 minutes before eating. So they'll start to softennd easier to eat. Perfect for aiding appetite suppression or dessert.
I’m toddling off to make these now2 -
37lbs_to_go wrote: »37lbs_to_go wrote: »I've made these before and they taste great.
https://www.tasteaholics.com/recipes/quick-bites/pumpkin-pie-bites-fat-bomb-recipe/
Fat bombs are not a common part of my WOE but WOW those look delicious!
They are! I tend to opt for less processed oil but in the case of fat bombs I used refined coconut oil (LouAna brand with the blue label). Otherwise they are too coconutty. And I like coconut. I keep them in the freezer and pull them out about 5-10 minutes before eating. So they'll start to softennd easier to eat. Perfect for aiding appetite suppression or dessert.
I’m toddling off to make these now
Awesome! Let us know how they go. Don't be afraid to taste and tweak them as you go. Adding more pumpkin or spice depending on your preference
I think you'll really like them. 0
