Keto Diet

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What is your opiniin of the Keto Diet? My doctor wants me to follow it and she is actually doing the same diet. We discussed it extensively and came to the understanding that if I find issues with it, WE will work together to find whats good for me. I suffer from IBS and the "salad" core of Keto may not work well with my system. Just asking for pros and cons and possible tips! Thanks in advance!!
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Replies

  • lemurcat2
    lemurcat2 Posts: 7,885 Member
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    aishmartin wrote: »
    zeejane03 wrote: »
    I've never heard of salads being a focus of keto?

    Half your plate is supposed to be non-starchy veg if you're doing Keto

    Not really. Keto is just very low carb (some say 20 g net or less, some allow more). Some people focus on a healthy version of a keto diet and eat less sat fat and more non starchy veg, but many others eat very few veg. Both (and in-between) are keto diets.

    I love vegetables and was in the habit of eating more than 10 servings of veg a day pre keto and found that my non-starchy veg preferences were kicking me over my carb goal, even with no other sources of carbs but a serving of nuts or full fat dairy. I certainly could not meet my veg preferences and have any fruit (but for avocado), and of course had to cut out many other sources of whole food, nutrient-dense carbs.

    Sure you can have salads on keto, but many keto followers rarely eat them.
  • zeejane03
    zeejane03 Posts: 993 Member
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    mike_d_j wrote: »
    Aishmartin is absolutely correct. In order for your body to enter ketogenisis you should be eating below 35g carbs or 25g net carbs everyday. That 25g of carbs can come from a variety of sources. However, neither my physician who recommended it to me, nor any of the many videos/blogs I've read on the subject, suggest that those 25g of carbs should come from 1 bite of a chocolate bar. No, instead it should come from a variety of leafy/cruciferous green veggies that will supply you with a wide range of nutrients that you might otherwise be missing on this diet. The best tend to be spinach, asparagus, etc. You'd be surprised how many of those vegetables it takes to make up 25g (at least half a plateful at every meal).

    If you'd like a good source of information on veggies on keto I suggest these two links:

    https://www.dietdoctor.com/low-carb/vegetables

    https://www.ruled.me/best-low-carb-vegetables-ketogenic-diet/

    Thank you, I'll take a look at the links.
  • psuLemon
    psuLemon Posts: 38,393 MFP Moderator
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    Honestly, if you have a medical condition, restricting foods that are going to be beneficial to it, is probably going to make this more difficult. I find keto way to restrictive and it takes away a lot of very health foods. Plus, I wasn't satiated by fat. I am more satiated by carbs, especially potatoes. I lost all my weight doing a lower fat diet.

    But ultimately, it comes down to personal preference. You could try low carb or keto to see how it affects your IBS. If it helps it and you find it sustainable, great. If it doesn't, than change the foods you eat.

    What I generally suggest, why not start lowering carbs and increasing proteins/fats to see if that helps alleviate the symptoms.
  • lemurcat2
    lemurcat2 Posts: 7,885 Member
    edited March 2019
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    mike_d_j wrote: »
    Aishmartin is absolutely correct. In order for your body to enter ketogenisis you should be eating below 35g carbs or 25g net carbs everyday. That 25g of carbs can come from a variety of sources. However, neither my physician who recommended it to me, nor any of the many videos/blogs I've read on the subject, suggest that those 25g of carbs should come from 1 bite of a chocolate bar. No, instead it should come from a variety of leafy/cruciferous green veggies that will supply you with a wide range of nutrients that you might otherwise be missing on this diet. The best tend to be spinach, asparagus, etc. You'd be surprised how many of those vegetables it takes to make up 25g (at least half a plateful at every meal).

    As I said above, I did keto, was aiming for a HIGHER carb level (35 g net carbs, around 60 g total carbs), and I could not fit in my usual amount of non starchy veg, despite the fact that I ate no fruit but avocado and limited other carbs (other than minimal from an egg or what not) to a serving of nuts or dairy (greek yogurt or cottage cheese).

    Many others seemed to be able to fit in some raspberries or keto treats that contained carbs at the 20 g net level, so no way was the standard keto diet vegetable based, at least not based on my own understanding of what a lot of veg were. I'm not saying they were too few veg to be healthy in most cases, but from my diary peeking they were typically amounts that seemed pretty small to me. I think many people have quite different views than I do on what a large amount of veg is, however.

    I eat well over 20 net carbs from non starchy veg on a normal day (did so before I tried keto and now that I'm not doing it), and of course a greater variety than you can do on keto (and I don't have to worry about whether some veg I'm in the mood for, like brussels sprouts, happens to be a higher carb veg) -- that, and not having fruit or beans/legumes (which pushed me into a more meat-heavy diet than I like) are the things I found most unworkable for me on keto.
  • lorrainequiche59
    lorrainequiche59 Posts: 900 Member
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    zeejane03 wrote: »
    aishmartin wrote: »
    zeejane03 wrote: »
    I've never heard of salads being a focus of keto?

    Half your plate is supposed to be non-starchy veg if you're doing Keto

    Where are you getting this from? There's a million keto posts on the forums and this is the first time I've seen someone say this (along with the salad comment above). From everything I've read about keto there's no vegetable requirement-it's a way of eating that focuses on being at a very low carb intake, which then by default eliminates most vegetables and fruit. Once in a while someone will mention leafy greens but then if they go into more detail it's a pretty minimal amount.

    eta: I'm genuinely curious to know where you've seen veggies being emphasized on a keto diet (half a plate). One of my biggest hang-ups about keto is that it cuts back/eliminates vegetables and fruit, so if there's a keto plan out there that somehow incorporates them in bigger amounts, I'd be very interested in reading more about it :)

    Tried Keto for 4 whole days & decided it's too labor intensive to try to balance 20g% carb with the allowance of fat/protein/calorie intake so I decided to do a low carb version which is more doable for me personally .

    If you go on the CarbManager (CM) site you can educate yourself...aside from a million other Keto sites. Not sure what you mean by "there's NO vegetable requirement" but there is a common-sense requirement if you want to maintain health which includes vegetables that are lower carb, leafy greens, broccoli, cauliflower & the like..there is a clean version of KETO (which includes healthy carbs and fats) or the dirty version (which is higher saturated fats eg bacon & carbs from processed foods rather than fruit & veg)

    I didn't like the severe restrictions re: most fruits, aside from berries and because MOST foods have some amount of carbs, I found it very difficult to have some type of balance nutritionally while staying within such a restricted carb allowance..

    Anyway, I picked a low carb, moderate protein, high fat ratio (12% ~ 48g carbs/25% ~ 101 g protein/63% ~113g fat) on CM and track all my food on there. The levels are calculated for you based on your preferences. More effective than using MFP because you can track net carbs & on CM and it calculates your ratio of macro nutrients on a pie chart so at a glance you can see your levels.

    Anyway, hope this helps...I am NO expert, but found that site to be very helpful...hope you check it out.

    The thing is, you're going to get a million & one opinions from those who know & those who don't...even those in the know have varying opinions, so like anything else, you need to adapt to what is doable for you...there's no magic bullet! There's no "one size fits all".

    I'd be interested to see what you think of Carb Manager. Take Care. :)
  • zeejane03
    zeejane03 Posts: 993 Member
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    zeejane03 wrote: »
    aishmartin wrote: »
    zeejane03 wrote: »
    I've never heard of salads being a focus of keto?

    Half your plate is supposed to be non-starchy veg if you're doing Keto

    Where are you getting this from? There's a million keto posts on the forums and this is the first time I've seen someone say this (along with the salad comment above). From everything I've read about keto there's no vegetable requirement-it's a way of eating that focuses on being at a very low carb intake, which then by default eliminates most vegetables and fruit. Once in a while someone will mention leafy greens but then if they go into more detail it's a pretty minimal amount.

    eta: I'm genuinely curious to know where you've seen veggies being emphasized on a keto diet (half a plate). One of my biggest hang-ups about keto is that it cuts back/eliminates vegetables and fruit, so if there's a keto plan out there that somehow incorporates them in bigger amounts, I'd be very interested in reading more about it :)

    Tried Keto for 4 whole days & decided it's too labor intensive to try to balance 20g% carb with the allowance of fat/protein/calorie intake so I decided to do a low carb version which is more doable for me personally .

    If you go on the CarbManager (CM) site you can educate yourself...aside from a million other Keto sites. Not sure what you mean by "there's NO vegetable requirement" but there is a common-sense requirement if you want to maintain health which includes vegetables that are lower carb, leafy greens, broccoli, cauliflower & the like..there is a clean version of KETO (which includes healthy carbs and fats) or the dirty version (which is higher saturated fats eg bacon & carbs from processed foods rather than fruit & veg)

    I didn't like the severe restrictions re: most fruits, aside from berries and because MOST foods have some amount of carbs, I found it very difficult to have some type of balance nutritionally while staying within such a restricted carb allowance..

    Anyway, I picked a low carb, moderate protein, high fat ratio (12% ~ 48g carbs/25% ~ 101 g protein/63% ~113g fat) on CM and track all my food on there. The levels are calculated for you based on your preferences. More effective than using MFP because you can track net carbs & on CM and it calculates your ratio of macro nutrients on a pie chart so at a glance you can see your levels.

    Anyway, hope this helps...I am NO expert, but found that site to be very helpful...hope you check it out.

    The thing is, you're going to get a million & one opinions from those who know & those who don't...even those in the know have varying opinions, so like anything else, you need to adapt to what is doable for you...there's no magic bullet! There's no "one size fits all".

    I'd be interested to see what you think of Carb Manager. Take Care. :)

    I just bookmarked the site and will look into it more this afternoon (heading out the door right now). Thanks!
  • Shadioutwo
    Shadioutwo Posts: 36 Member
    edited March 2019
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    Well, I'm a vegetarian lowcarber (maybe keto-er, I aim for 30-40g net carbs per day) who eats lots of vegetables and has IBS.

    It's taken me a bit of trial and error to figure out what works for me. I've given an example below.

    I find the biggest trigger for my IBS in this diet are not the healthy veggies but sugar substitutes. Malitol is an enormous no-no. I can tolerate some levels of erythritol, xylitol and stevia but only a limited amount.

    Today I had:

    Breakfast: Home made seeded crackers (pumpkin seeds, chia seeds and psylium husk) and coffee

    Lunch: Capsicum and carrot crudites, almond hummous, olives and cheese.

    Afternoon tea: Coffee and a homemade protein bar

    Dinner: Large spinach salad with capsicum, zucchini, olives, pumpkin seeds and walnut oil. Beyond meat (faux) chicken strips. Half a piece of low carb, high protein toast.

    After dinner snack/dessert: small portion of strawberries and raspberries with low sugar yoghurt. Small piece of Lily's low sugar chocolate.

    Apart from the 2 coffees, I drank about 2L of water.
  • Shadioutwo
    Shadioutwo Posts: 36 Member
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    Shadioutwo wrote: »
    Well, I'm a vegetarian lowcarber (maybe keto-er, I aim for 30-40g net carbs per day) who eats lots of vegetables and has IBS.

    It's taken me a bit of trial and error to figure out what works for me. I've given an example below.

    I find the biggest trigger for my IBS in this diet are not the healthy veggies but sugar substitutes. Malitol is an enormous no-no. I can tolerate some levels of erythritol, xylitol and stevia but only a limited amount.

    Today I had:

    Breakfast: Home made seeded crackers (pumpkin seeds, chia seeds and psylium husk) and coffee

    Lunch: Capsicum and carrot crudites, almond hummous, olives and cheese.

    Afternoon tea: Coffee and a homemade protein bar

    Dinner: Large spinach salad with capsicum, zucchini, olives, pumpkin seeds and walnut oil. Beyond meat (faux) chicken strips. Half a piece of low carb, high protein toast.

    After dinner snack/dessert: small portion of strawberries and raspberries with low sugar yoghurt. Small piece of Lily's low sugar chocolate.

    Apart from the 2 coffees, I drank about 2L of water.

    I'm a vegetarian who tried a trial of low carb for six weeks to see if it helped migraines. It didn't, and it made my arthritis symptoms worse too. I also have IBS and nuts and seeds are a trigger, so they were off the table.

    I also, since I value muscle mass, ate a higher amount of protein than I think you do (I aimed for about 100 grams a day while I was doing keto), and that ate into some of my carb allowance.

    Where I really struggled on keto, besides the pain I was in, was having to cut back on my normal veggie intake.

    It really was not possible to have what I personally consider to be a massive amount of vegetables and come in around 35 net grams of carbs per day.

    The problem in discussions like these is that massive is a subjective term.

    I'm glad keto works for you though!

    Yes, it's absolutely a case of finding out what works for you, which was what my rambling point to the OP was lol. I couldn't cope if I wasn't able to eat nuts and seeds, they form so much of my diet!
    I aim for 80g of protein per day or 25% of my daily allowance and usually manage to hit it, but I do have to eat specific protein foods like the Beyond Meat fake chicken, protein bars etc.

    I'm sorry it didn't work for your migraines - I originally started Keto/LCHF to help with fertility issues and found it a lucky side effect that my migraines have all but disappeared. There is definitely a link between IBS and migraines and it sucks!

  • lorrainequiche59
    lorrainequiche59 Posts: 900 Member
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    @janejellyroll Where in my comment did I state that carbohydrates are what's making people fat and they need to be strictly limited for weight loss? Nor did I say carbs are dangerous. If you are making a general statement based on opinion developed from what you've "read somewhere" then please do not quote me and mix in your opinion with what I wrote.

    I think you need to re-read my post. I`m not an expert nor am I promoting Keto. I`m speaking from my personal perspective regarding my limited experience trying Keto for 4 entire days. The restrictive vegetable allowance is why I opted out of following it and chose a low carb eating plan as opposed to restrictive one. To ME it IS "common sense" to include a variety of vegetables to maintain a healthy eating plan. I did not say those strictly adhering to the Keto plan would agree with me. I am not speaking for the Keto community nor advocating for them.

    The Ketogenic diet was developed to help children with seizures so it has medical evidence that it has other health benefits besides weight loss. Some are reduced blood pressure, cholesterol and food cravings among other things. The OP stated that her doctor recommended Keto to her because she herself is following it. So there`s some food for thought, hmmmm?

    Anyway, "to each his own". I know why I came on this thread, but am curious why you did if you are so against Keto.

    PS ~ Zero Carbohydrate diet??? Really???