Aside from the various keto-friendly foods mentioned in this article, you may be wondering if there are other options that may help support your ketogenic diet. If you find that the ketogenic diet is limiting when you start out, don't worry. There's actually a lot you can add to your diet that's "keto" as long as consumption is controlled. Here are some commonly asked questions:
Unfortunately, there's no long-term data on ketogenic diets versus other diets. In a 2015 Italian study, those on a ketosis diet lost 26 pounds in three months. About half of the participants stayed on the diet for a year but lost little additional weight in the next nine months. People in a 2014 Spanish study who followed a very-low-calorie ketogenic diet lost an average of 44 pounds in a year”but a third of them dropped out, possibly because it was too hard to maintain.
If you're new to the keto diet or just still learning the ropes, your biggest questions probably revolve around figuring out just what high-fat low-carb foods you can eat on such a low-carb, ketogenic diet. Overall, remember that the bulk of calories on the keto diet are from foods that are high in natural fats along with a moderate amount of foods with protein. Those that are severely restricted are all foods that provide lots of carbs, even kinds that are normally thought of as œhealthy, like whole grains, for example.
The ketogenic diet may seem like the Jekyll to the Hyde-like low-fat craze of the 1990s. The bulk of current research finds that the middle ground between the two extremes is more beneficial for overall health. Make it easy for yourself: Eat at least two servings a week of fatty fish (salmon, sardines, mackerel) and cook with a variety of quality fats (olive oil, canola oil, avocado oil) throughout the week.
For any individual with diabetes, discussing dietary changes ” especially those as dramatic as the ones the ketogenic diet requires ” with your healthcare team is essential. Because carbohydrates are broken down into glucose in the blood, cutting carbohydrates from your diet could cause levels to crash rapidly depending on your current medication regimen. Such a change may require significant adjustments to medication and insulin to prevent dangerous side effects such as low blood sugar, called hypoglycemia. (8)
On the other hand, the types of foods you'll avoid eating on the keto, low-carb diet are likely the same ones you are, or previously were, accustomed to getting lots of your daily calories from before starting this way of eating. This includes items like fruit, processed foods or drinks high in sugar, those made with any grains or white/wheat flour, conventional dairy products, desserts, and many other high-carb foods (especially those that are sources of œempty calories).

There are so many vegetables that you can use, and so many ways to prepare them, that an entire book could be written on the topic. Most vegetables that grow above the ground are high in fiber, vitamins, minerals, and antioxidants. They can be added to meat dishes, cooked on their own, or eaten as a salad. Vegetables are inexpensive, easy to prepare, and can be part of every meal. Most of them are quite low in carbohydrates, so it's hard to overindulge in this food group.
Before we discuss how to measure ketone levels, let's set some guidelines for optimal ketone levels. Nutritional ketosis is detected when levels begin to read at 0.5 mmol/L of ketones in the blood, but your optimal ketone level will depend on your personal goals. For instance, if your goal is to lose weight, your target ketone level will be lower than someone who wants to improve mental performance. The following table provides some general guidelines based on your goal.
That said, I think the biggest changes are the result of me dropping the sugars and breads. Tracking my eating and being more conscious about my foods has made a difference. I definitely plan to keep on this track for a while and slowly work towards a fuller keto-adapted diet/body. I'm not going with the œall-in that some recommend, cutting out all artificial sweeteners and such, though I have limited them. I'm not really tempted to indulge in the sweets that have been tempting in the past.
Something that makes the keto diet different from other low-carb diets is that it does not œprotein-load. Protein is not as big a part of the diet as fat is. Reason being: In small amounts, the body can change protein to glucose, which means if you eat too much of it, especially while in the beginning stages of the keto diet, it will slow down your body's transition into ketosis.
Ketosis is the result of following the standard ketogenic diet, which is why it's also sometimes called œthe ketosis diet. Ketosis takes place when glucose from carbohydrate foods (like grains, all sources of sugar or fruit, for example) is drastically reduced, which forces the body to find an alternative fuel source: fat. Ketosis can also be achieved by multiple days of total fasting, but that isn't sustainable beyond a few days. (It's why some keto diet plans combine intermittent fasting or IMF with the keto diet for greater weight loss effects.)
What is the keto diet? Rather than relying on counting calories, limiting portion sizes, resorting to extreme exercise or requiring lots of willpower (even in the face of drastically low energy levels), the ketogenic, low-carb diet takes an entirely different approach to weight loss and health improvements. It works because it changes the very œfuel source that the body uses to stay energized: namely, from burning glucose (or sugar) to dietary fat, courtesy of keto recipes and the ketogenic diet food list items, including high-fat, low-carb diet foods.

Steve, thank you for the amazing article! Your style of writing was so funny and easy to follow, and had me actually laughing out loud so many times! Low carb is the only diet that has ever worked for me. I freaking love it. I got away from it, though, and started eating too much sugar again. My daughter is getting married next year, and I have to squeeze this badonkadonk into a cute dress next year, hopefully without looking like a mama hippo, so low carb it is. I see the basic program is the same, but there have been some advancements with the science of the diet which is great. I'm excited to get at it! Today is day 1 for me. Wish me luck; I'm going in¦..
Some people like to start a ketogenic diet, or restart one, with a more restrictive plan. These aren't for everyone, since most people adjust better to slow, gradual changes. If you're the kind of person who likes to change everything all at once, you can try one of these short term hacks to get you kick-started in keto, and maybe even help you lose those first couple of pounds, or the last couple that just won't seem to budge.
Totally agree that it's not something for everyone, though. Even one of the authors I read said he sometimes sneaks a french fry or a bite of cheesecake/ice cream, though he's able to stop after just a little bit and it doesn't throw him off horribly. Of course, that's not license to eat junk all the time, but it does mean that once you're well-adapted, you can sometimes indulge.
Taking your first step into the ketogenic diet is an exciting phase for your health. But before coming up with an actual ketogenic diet food list, it's important to first take a look at what you're eating now and take out anything that's unhealthy. This means that you have to remove sugars, grains, starches and packaged and processed foods from your diet. Basically, anything that won't add to your new eating regimen has to go. This is what I call a "pantry sweep."
If you do try the diet outside of medical supervision, Kizer says it's important to test your urine with urinalysis ketone test strips to ensure your ketone levels don't become dangerously high. Ketone urine test strips are also used by people with diabetes to determine if they're at risk for ketoacidosis (DKA), a life-threatening complication that occurs when an individual doesn't have enough insulin in their body. (Healthy ketosis is considered 0.5 to 3.0 mM blood ketones.)
Those issues can be part of what's known as the œketo flu, Warren says. Other side effects of the keto diet, all of which are tied to carb withdrawal, can include lightheadedness, nausea, mental fog, cramps, and headaches, in addition to tiredness. Luckily, the keto flu doesn't usually last more than a week”which is coincidentally about when people start to see the number on the scale go down, says Warren.
The biggest challenge with vegan and vegetarian diets is getting enough protein. These diets are traditionally lower in protein anyway, since they exclude the concentrated proteins in animal flesh. These individuals may want to include plant-based protein powders and shakes. Be wary of the ingredients, since these powders may contain various sugars that aren't compatible with a ketogenic diet.
[iv] Hussein M Dashti, MD PhD FICS FACS, Thazhumpal C Mathew, MSc PhD FRCPath, Talib Hussein, MB ChB, Sami K Asfar, MB ChB MD FRCSEd FACS, Abdulla Behbahani, MB ChB FRCS FACSI PhD FICS FACS, Mousa A Khoursheed, MB ChB FRCS FICS, Hilal M Al-Sayer, MD PhD FICS FACS, Yousef Y Bo-Abbas, MD FRCPC, and Naji S Al-Zaid, BSc PhD. "Long-term effects of a ketogenic diet in obese patients"
But all those studies were very small, and not all research on the keto diet is as promising. One American Society for Clinical Nutrition study of 20 participants found that those on the diet didn't lose more weight than those on a non-keto diet. But they did have fouler moods and higher levels of inflammation, which has been linked to a variety of conditions, including heart disease and cancer.
The biggest draw for me is how many of those who've tried it say they don't get hungry. The possibility of that blows my mind, as someone who's used to any sort of calorie restriction meaning hours of feeling hungry every day. It's tantalizing enough that I at least want to try. And what have I got to lose, right? I'm already morbidly obese; it's hard to imagine screwing this up so bad it makes that worse.

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