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Where does this come from? I did the atkins diet back in like and it made me feel better too but only to some degree. I have seen non-diabetic people spike their BG from the 80s to the s just with exercise from the epinephrine. And my periods are very regular if I have sex or masturbate on a regular basis. I work out and was eating as close to WAPF as my budget would allow. Then I conceived our fourth.

So what foods contain phytoestrogens?

Phytoestrogens in the Body: How Soy Interferes with Natural Hormone Balance

I have also lost 14 pounds after becoming more active. The first two months I spent getting the diet down- experimenting with different food dishes and finding my happy medium the key- balance. I also had borderline hypothyroid- my thyroid tests now: I see the benefits in this diet and absolutely love it.

I do not think it is for everyone of course. How long did you sleep? My endo pain was incredibly decreased for the first 6 months I was ketogenic. I went back on the normal american diet in december-january and my first period after the diet change was horrible and has been bad ever since I researched this a year ago.

I do not remember if the insulin acted estrogenically and thus caused worse endo Or if it was the inflammatory effects of insulin that can make endo symptoms worse. But there are theories along these lines. I searched pubmed yesterday and it seems high Omega 6s is shown to increase endo and calorie restriction seems to decrease it. Oddly enough, dairy was shown to decrease it in one study. I think it is still anyone's guess at this point. I imagine research on the topic is difficult because so few people ever get diagnosed properly.

I had it for 15 years and went to countless specialists. I wasn't diagnosed until finally someone said i had to have laproscopy to definitively be diagnosed. Why didnt my American doctors ever mention that?! In 2 years I get to choose a research topic in medical school, and I think this would be fascinating I was never diagnosed with endometriosis but a few years ago I was diagnosed and treated for PID pelvic inflammatory disease. There was no clear cause such as an STD and though the swelling and pain went away with antibiotics, I still had a high white blood cell count two weeks after treatment.

I was concerned it could be sign of another infection but the docs said I was clean and that some women just create a lot of white blood cells like that should make me feel better! Since being low-carb then paleo, my menstrual cycle arrives almost on-the-dot with almost no PMS symptoms. Going paleo didn't really help me. I was never diagnosed with endo but eventually the pelvic pain got really bad and I could feel a lump on the lower right side.

Initially the doctor said it was appendicitis then an ultrasound scan said it was an ovarian cyst. Doctor decided that a complete hysterectomy was the answer and when the surgeon opened me she found horrendous endo - basically all my insides were covered in it and everything was stuck to everything else.

I'd been paleo about 9 months by then and I think the fact that I still felt lousy was one of the reasons for going to the doctors. Hysterectomy sorted things for a bit then the pain started up again. Turned out because it was such a mess in there and my surgeon had had to peel one of my ovaries off my bowel a small piece had got stuck.

This remnant decided to kick in oestrogen production and flared the bits of endo that were left up again. My surgeon was understandably reluctant to go back in as she felt she 'had got away' without damaging my bowel the first time so I had a series of injections which turned off the oestrogen production. This worked but the menopause symptoms kicked in with a vengeance - I thought I'd avoided this and put that down to paleo but obviously not!

I'm now on Livial which apparently makes just enough oestrogen, progesterone and testosterone to fool the ovary remnant into thinking it doesn't have to do anything, keeps the hot flushes at bay and helps prevent osteoporosis.

Oh and don't think pregnancy is a cure either - maybe for a short while but my youngest was 13 when I had my hysterectomy. Sorry this is a long post and not very positive but I thought I'd give you my experiences. I have never been diagnosed with endometriosis but it wouldn't surprise me.

I had wicked heavy periods for about three years after my cycle returned following the birth of my daughter. They were so bad I had to stay home the first day, most months out of the year. This lasted three years because I had no health insurance and was terrified of what Planned Parenthood might find.

One of the symptoms was this weird twingy cramping on my left side that would occur a day or two before the festivities began. I've had lower GI complaints on that same side from time to time so that's what makes me think "endo"--maybe there's some rogue lining there causing problems.

I'm not infertile from it, I've had two children, but the symptoms aren't fun. But here's the thing? Vitamin A really helped. I have a normal life again no matter what time of the month it is. I'm still not at a 28 day cycle, but 35 days is better than what it was. And I can tell when I haven't had enough A because the twingy cramping comes back. I get mine from CLO or in a "natural" form derived from fish liver oil. Haven't convinced my palate to try liver again yet, though I'd like to get to that point.

I suspect I have some autoimmune stuff going on, but it's intermittent and seems to respond to carb intake, especially gluten. It's tough to get this stuff diagnosed even by a good doctor, and mine seems kind of absent-minded and I'm not addicted enough to going to the doctor to want to do a lot of hopping around. Still, even if endo isn't an autoimmune thing, I bet it happens more often in women with autoimmune issues since that all ties in to poor health in general.

That was my favorite outcome of going paleo! View 1 Comment Add Comment. View 4 Comments Add Comment. View 0 Comments Add Comment.

At forty, I became a paleo diet follower, and symptoms again worsened. The strange thing is, my period has always been regular, light and short. I guess I just have to wait for menopause now and it will all end.

Terms of Service Privacy Policy Affiliates. Inside this FREE report, you'll discover: Fruit is in no way toxic, unless you only eat fruit, and then kiss your pancreas good bye. It killed Steve Jobs. Seriously…are we still fear mongering about sugar?! Come on insert eye roll! Often times, the praises of keto wonders are hard to ignore while the adverse reactions are rarely mentioned. The terrible feeling you had, if you had done even minimal research on the diet, was because of the transitional period.

It can last weeks and there are plenty ways to minimize these adverse effects known as the keto flu, which include making SURE you drink plenty of water AND absolutely get enough electrolytes sodium, pottasium and magnesium being the most important Failure to do so is not good for you and will feel awful and is often the reason keto gets a bad rap in addition to people who attempt the diet who have health issues and take medications and do not consult a doctor prior to, which can be dangerous.

I think in addition to a temporary Keto flu, one can be depleted in electrolytes on this diet at other times as well. Maybe women a little more susceptible to this. I drink this about once per day, and if I forget, I can wind up not feeling very well. I love that you are acknowledging this.

Thank you for your courage in talking about things that some people are reacting to versus considering and seeking to understand. There is always a lot to learn. The nutritional industry can be so confusing, biased, and full of fear on both sides.

With any extreme change, precaution is wise and having a good practitioner guide you along the way. I am happy someone is talking about this topic.

Hopefully we can find the truth. There appears to be some misunderstanding in the origins of the ketogenic diet, modern medicine may claim its discovery in a therapeutic sense, however the diet was used as far as I can tell by explorers and natives for centuries for the sole objective of avoiding starvation! I got really sick after trying a keto diet. Lost hair, developed psoriasis which I never had before, became paranoid, anxiety attacks, lethargy, and other things. I developed racing heartbeat, in the ER twice, the docs think it is a tachycardia, but my heart rate went back down by the time I got to the ER.

I was so scared, even after adding carbs back for a couple of months, I unfortunately just had another episode, and my anxiety around it is so bad. Maybe your potassium was low. I read somewhere that because alot of water weight is flushed out on a keto diet that potassium gets flushed out in the crossfire and needs to be supplemented back in. Thank you Sarah, I appreciate the work you do. I was gaining weight alarmingly, fatigued, enormous pain in hips to knee area. This hugely restrictive diet, and hormone treatment is starvation though the fat levels eaten are very low.

During the 4 weeks I was on it, I guess I was in ketosis. I felt like I was taking a pause, a deep breath. I plateaued weight wise on the diet and investigated further and discovered I had Hashis.

I would never do that diet again, loosing another 6 kilos, and most of the pain on the AIP and medication for my thyroid, but I wonder if being ketogenic has to be an all or nothing affair.

Could some people cycle it, say 2 or 3 short periods a year to mitigate symptoms, but guard against adverse effects? Heather, I believe there are methods of cycling ketogenic diets. I have heard of body builders cycling ketogenic diets with carbs. That would be interesting to see. I believe the risks you enumerate are present with most diets and I think you article lacks of that specific balance and probably the studies that you refer too. Its like all these possible side effects are only associated with keto.

Eat crappy food keto or not and yes you can die sooner or later. I totally agree with Vivica comments and there is more to it than fat and low carbs for keto and same thing for Paleo and other diets. I eat a wide variety of food dense in nutrients Paleo style while avoiding carbs. My blood panel improved significantly within less than a year. Is this mean that everybody going keto will react the same? Im sure you can cook commercial bacon in hydrogenated fats and drink the juice and be in ketosis big time.

Would I ever do that? I think it is all about food quality and variety. The real question is: The answer is probably yes. And this the main reason I would not recommend keto to everyone and this is probably why it is even probably a risky business for some and in that sense I agree with the above risks. If you are like me… like testing, researching, trying new food, aim for quality over quantity, make adjustments based on evidence… keto might be for you.

Insulin resistance in keto as been shown to be temporary and when you think about it is kind of a normal mechanism to maintain a minimum blood glucose level.

At the end, we are all on the same side, aiming for healthy lifestyle and promote it. Hi Eric, i have been keto-ing for weeks now. I have been quite a health nut over these years.

I try and eat lots of veggies non starchy ones in my keto diet and my daily test strips say i am in ketosis, altho have started eating some meats again and also bone broths. I try and get organic and free range meat and bones whenever i can but for someone who has been veggie and recently pescaterian for many years, the reintroduction to meat is the hardest part to keto for me.

I like what you have written here and i wonder what your daily diet intake looks like? I have not had one migraine in the weeks of going keto which was my reason to try it as before this i was in an awful migraine pattern of 3 a week. I was desperate to change my health.

This has undoubtably worked for me although i have been feeling very low energy in the last week and also needing to drink a lot of water. I am currently in keytosis for the first time.

Call me shallow, but my buddie and i are simply doing it to try to get a six pac in 30 days. I am a hige believer in eating healthy grains, and am slowly adding them back into my diet while still staying in keytosis.

I can definitely see that staying in this diet for long periods of time could be detrimental. But to loose unwanted pounds and then add carbs in through veggies and ezekiel bread seems like a great method to me.

I am not an expert. But i have done a lot of research on the subject, and your artical is one of 2 articals that i have ever found that are against it. Most of the sites and articles are very for it. And the reviews i have read from people who have done it are all awesome. What do you think about using it for a short period of time? I am still getting spinach, leafy greens, and 1 slice of ezekiel bread every day and staying in ketosis. We are all going to die some time, Paleo diet, ketogenic diet, vegetarian diet……whatever diet.

Nutritional ketosis via carbohydrate restriction is a natural phenomena, and can accompany a therapeutic diet or a maintenance diet. There are a variety of ketogenic diets for epilepsy, cancer, diabetes, weight loss, dementia……. Among the pediatric population there are a variety of diseases, including congenital and inborn errors of metabolism, some of which are not compatible with normal survival. For some of them, the ketogenic diet is not the appropriate solution for their metabolic disease.

This is not the fault of the dietary regimen, rather the person prescribing it. And, extrapolations from rodents ……………. Sarah has produced brilliant and clear nutritional guidance for the Paleo autoimmune diet. It sounds like there will be more to come about the macronutrient composition of the ketogenic diet. Thank you for doing this research! It is way more in depth than I could have done. So many places only talk about the positives. Give us a paper to go to. Seems to be a lot of general criticism.

Everyone has to discover their own nutrition and their own way. But cutting carbs is proven to be effective to lower blood sugar. It seems that reading the actual studies, rather than the review, is necessary here. I started reading this article with great interest until I read through some of the peer reviewed articles referenced in the blog post.

The first question that comes to mind is for how long and when did subjects experience adverse effects e. What was the nutritional composition and macronutrient balance of the experimental diet?

The answers to these questions are not consistently detailed or clear in the study methodologies if addressed at all.

Another concern is whether this post and the literature review reflects an understanding of research design and statistical analysis. For example, the discussion of death being an adverse effect gave me pause. Which begs the question: I was hoping for an objective discussion of the pros and cons of a ketogenic diet and sincerely appreciate the amount of work that went into the post.

However, this ultimately felt quite biased towards a particular point of view based on a questionable review of the literature. This diet occurs in nature. How do bears survive when they enter hibernation? They are starving, but sustained on their own stored body fat and the nutrients within. This is very well documented. All mammals have this capability. The fact that you left out insulin resistence, leptin resistence, and metabolic disorders leaves quite the crater in your article.

You spouted much data on epilepsy which has far less impact than the obesity epidemics that follow the style of eating like the standard american diet. Epilepsy is a serious condition, but far less prevelent than obesity.

Is this article your answer to the recently popular documentary Fed Up? Which in and of itself did not specifically promote a ketogenic diet, but it did cite a WHO report about a carbohydrate limitation which is ketogenic? Being critical of your view I would be interested to see how a very low carbohydrate diet could cause nutrient deficiencies. I have the upmost respect for the Paleolithic viewpoint. Eating whole foods, real foods, no GMO, no toxins, no hormones, etc.

A ketogenic diet has a lot in common with Paleo, and both can be undertaken simultaneously. They are NOT the same of course. Maybe that is your angle, you want to keep Paleo distant and above this ketogenic trend. Do as you wish. But I guess you got website hits, that is what counts, right? I went keto in Feb I was Paleo for months before that so I was already quite fat-adapted and then I went the Paleo-ketogenic route so that includes bone broth, offal, the whole shebang.

Within 2 months, my thyroid started acting out, and my hair started falling out. I will never do keto again. And yes, when I was ketogenic, I felt like I was hibernating. My eyes were closing off in the middle of the day, and I was so cold, and I wanted to sleep. I was that bear you are speaking of. And you want to know the other thing too? I have ALL of my days in keto written down on Cronometer.

And it works for me best. Eugenia, do you mind sharing your records of eating keto. I personally am interested to see and I think it would help give others something to compare to. What do you mean your eyes were closing off? I am having eye issues, been in ketosis 9 weeks. I am not super strict with it and do not count every single thing so I am somewhere under 50 g carbs.

I feel good otherwise, lost weight and no cravings for foods like before. This reads very biased toward no keto. It seems pretty balanced to me. She mentions both the pros and cons and that we rightly need more research. No one has any real-life help to offer. Look up Stephanie Person on youtube. I love when 20 something guys try and preach to 45 year old woman what works for them. When estrogen is too high and progesterone already too low. Wenchypoo, Trina, Brenda — we need to form a club or new forum.

You have to step out of the Paleo arena to find more mature men and women like us addressing our issues. I appreciate so many of the brilliant Paleo minds and all they have to offer, but it does get tiresome sometimes hearing the 20 and 30 something perspective on life and health most of the time. IMO not enough real life mileage to fully appreciate the intricacies and complexities of aging. That said, I feel that Dr Sarah is very balanced in her approach and in this article. IMO the big point is that there is a LOT of ketogenic emphasis right now in the Paleo community and so young people are perhaps at greatest risk as a group of thinking that they should be following this type of diet.

It is important for us to understand the difference between short term therapeutic protocols and sustainable lifestyles including diet. I say Kudos to Dr. Sarah for standing up to the movement and presenting a more complete picture of the pros and cons. I do not consider this article to be a slam against ketogenic diets at all.

She is arguing that they are not a panacea, not that they are evil. Yes, that would be great. You can find her on youtube. She talks a lot about metabolic derangement and how it causes massive troubles in preventing you from adapting to keto. This is what happened to me when I went keto which made me ill. I have metabolic syndrome. Which means no keto for me. This is so scary, did any of you speak with your doctors or a doctor before eating this way?

Do you really want a stranger to tell you how to eat? I went into menopause early, lived with so much illness my entire life, now I am a healthy, happy vegan. I was a Keto missionary a few years ago. I was convinced that it was the right diet for everyone. I lost a lot of weight, but I have now gained it all back again mostly because I have been eating crap. Two years ago, whilde still on a ketogenic diet, I started fainting, and get severe shivers and it was really hot. I bought a blood sugar mesuring device.

But my blood sugar acted strange. I remember checking my blood sugar, and it was at 3,5. So I would eat a banana. When I checked after half an hour it was 1,9. I would then eat some meat and veggies, and it would stabilize around ,5 which is still low.

But still I think fainting of low blood sugar levels is serious. I still do sometimes get low levels. Especially if I eat to much fruit og sugar. My blood sugar never seems to go above 6 or maybe 7 if I had a lot of sugar. But my doctor said that it is not high enough to be diabetes. Anyways my blood sugar regulation seem to be very bad, and I have suspected that I actually do have diabetes. I have two questions. The first is; how do eating a fruit result in low blood sugar in only half an hour?

The second questopn is; what can I do to better regulate blood sugars? Is there any nutriens I should focus on, or fibers, type of carbs or any other foods that might help? Thank you for talking about this. A lot of my experiences makes more sence I listen to you and Stacy, and already knew a bit of her struggles.

Nobody here can diagnose you, but your symptoms are consistent with reactive hypoglycemia. Your blood sugar spikes because you are most likely insulin resistant already. It takes a lot of insulin to finally get the cells to respond to glucose levels in your blood, and when they do, all that insulin drops your blood sugar low—it can make you feel awful.

The best way to avoid these symptoms is to reduce carbohydrates so that less insulin has to be secreted. Eating protein and fat and restricting carbohydrates to non-starchy vegetables will keep your blood sugar on an even keel and get rid of the hypoglycemia symptoms. Fruit is clearly causing you issues. Reactive hypoglycemia is definitely an early symptom of insulin resistance—and unchecked it is very likely progress to Type II diabetes, although it may take decades to get there.

Thank you for taking the time to respond to my post. Just to clearify, I was on a keto diet when this started hapening. I just tried bananas to get my blood sugar back to a normal level, I would never eat a banana back then, as I was on a less than 20g carbs a day diet. When I was in ketosis my blood sugar was constantly low for the last few months, and I felt bad all the time the first two years I felt good. My blood sugar levels have become a bit better after I started to eat more carbs, but sometimes I still have these symptoms.

I can now eat bananas without my blood sugar going crazy and sweet potatoes and other starchy vegs. My question was on what micronutrions could help, rather than a macronutrient question. One Of Sarahs points in the Paleo approach is that micronutrients are much more important than the macros, and that is what I find interesting. I think my macros are under control. But if I eat high glycemic foods I have problems, but medium GI is perfectly fine now.

And when it comes to diabetes, I am just wondering, if I had gotten tested before I did my diet change, maybe I would have been diagnosed with diabetes. I am now pretty well checked by a doctor. And they are not concerned about low blood sugars. The first study she linked to is a case study of a single child. The child died of acute pancreatitis, and the paper simply assumes the ketogenic diet was to blame.

How do we know that? It appears as just guesswork. The studies which show deaths with the ketogenic diet were done specifically on epileptic children and not healthy children or adults. They studies have no control, and do not take into consideration existing health complications. One of the papers actually states: So those studies show nothing. Long term research on the ketogenic diet is non-existent.

More research would be nice for sure. Why not post studies of deaths of sick people who are NOT an a ketogenic diet? Not being in ketosis must have killed them, right? I started adding back in carbs in the form of fruits, sweet potatoes, occassional rice, ditched the low carb sweeteners for maple syrup and honey and the weight started falling off and now I feel like I could sprint three miles!

I think from my research that some people,like myself, need the carbs for their thyroid or liver to turn T4 into T3? My conclusion as well, from experience. Keto is important for either specific problems e.

Two-three months later, regular low carb for life is healthier e. Ketogenic sure made me lose weight… far TOO much. I also developed a slew of neurological problems orthostatic hypotension, near syncope, vagus nerve activation, tachycardia.

I was trying to starve gut fungus while on antifungals. I think it was far too much stress on my adrenals. I felt like my digestion came to a halt, as did my blood. I have gained 12 pounds still lean and have much more energy bringing back starchy tubers, rice, and some fruit, and cutting back on protein and fat. I have fat malabsorption even with less daily intake. Ashley this is very interesting. I too was on the ketogenic diet for a month or so and was just diagnosed with gastritis.

I was wondering if the ketogenic diet was a precursor to this. So how have you been feeling? Are you back to normal? I have been suffering with stomach pain and slow digestion for a couple months now.

Just FYI — there is one more side effect missing from your list: In my case this was so severe I ended up at the opthamologist half thinking I was going blind. Eye drops helped but when I upped my carbs, it went back to normal. I had a number of the other adverse reactions including such severe disruption of my menstrual cycle I was worried I had triggered pre-mature menopause.

That took months to return to normal after resuming a higher carb intake. The ketogenic diet has the potential though to have positive effects on digestive symptoms, for example it has been shown to be beneficial for treating reflux symptoms in obese individuals as well as being helpful in treating IBS symptoms with diarrhea-predominant IBS. These are the people we also need to be consulting with on how to properly design this type of protocol.

I read your article and started doubting my diet. I started 1 year ago — because I am over 40 and what ever I ate — I gained weight. I read many many articles about ketogenic diet, about the metabolism boost and I do agree with you as for the hair loss.

But it took just about 1 month and then the hair loss stopped. And now my hair is longer, shinier and went from thin to thicker. My face is glowing, many people told me that I look much better than 10 years ago in may ties.

And I am happy. I am full of energy, though I live in a warm and humid place, and eating gluten and processed foods made me feel always tired and then hungry again. But you know what? I have never felt better, I eat eggs, proteins, soups, whipping cream, sour cream, bacon, sweet potato which I hated before , green salads, tomatoes, broccoli, cauliflower, … butter and coconut oil. Newer studies predominantly on athletes which have been long enough to either allow the sample set to become fat adapted or which compared already fat adapted vs.

Non fat adapted subjects do not find these cons to have merit. As with any science we are limited by the methodology. The methodological flaws of most studies are in duration. It is now relatively common knowledge that the interim conversion of a glucose burning to an efficient ketone burning metabolism not only takes time, but is also no fun. The cons are temporary the benefits are not.

I chose it because I had an advanced case of papillary thyroid cancer. I am doing well. I can see where any diet would not be a panacea for everyone, absolutely not. I eat mostly an organic diet, tons of greens, grass fed or organic meats, and very little fruit.

I do love bacon which I special order from Whole Foods because it is specially prepared without any sugar. Years ago, I heard and followed to live on a very low fat diet because fat would give you a heart attack or something else.

I only eat fats such as organic coconut oil, oil, butter, but it has to be a good, high grade, not any junk. I enjoyed each and every post above, even though I agreed with some more than others, but on a personal level. I enjoyed, as well, that these posting are so current. My very best to each person who contributed so much to these postings.

I tried the keto diet for a long period last year. There were benefits but also costs. I feel like it burnt me out, stress wise, and since eating a lot more carbs recently I feel they have allowed me to recover somewhat from all that stress.

One thing that did improve on keto were my vitamin d levels…without supplements! My doctor was amazed. I do wonder if that was down to having a fat based metabolism since vit d is a fat soluble vitamin. I would always recommend it to anyone suffering from migraines. I really enjoy your posts and agree that most people need to carefully consider the type of diet they try due to individual biology. I do agree with Vivica, Sara Keough and Jana though.

I did the Atkins diet for 1 year back in the mid 90s and had wonderful results. The main thing I noticed though was how many people doing the diet did not make wise food choices and would think they had a license to consume bacon all day everyday or some other issue where they were not varying their diet to get enough of all the nutrients they needed.

The food quality choices were questionable that I saw some others make and goes to previous posters comments about the need for some to consult with a nutritionist. I fell off the wagon after a year and made bad food choices incorporating grains, legumes and sugar and the weight came back.

Years after that I did the Rosedale diet with its more moderate protein carbohydrate ratio and also did really well with that. I had my doctor review the diet before I started it and he thought it was really well balanced.

I am now a middle aged woman and the drop in progesterone has revealed numerous food allergies that the progesterone had shielded me from. I think it takes careful consideration of the stage you are in and the diet requirements you personally need.

There is a vast difference between the research done with epileptic children and the LCHF diet followed by people today that can increase ketone levels. Even if the author repeatedly tries to deny it. While the medical literature typically defines starvation as the lack of glucose or carbohydrates, this article tries to create the impression of a continues lack of food. You are doing a wonderful and meaningful work.

I feel overwhelmingly grateful that I started researching Paleo and incorporating AI just as you began sharing the results of your personal research and journey.

Just keep acting with integrity and courage, head held high. I hope Paleo keeps moving more towards open frank discussions with all points of view being offered, discussed and aired opening with excitement. With our enthusiasm to improve health we often forget about any caution and keto diet is a good example. We just want to believe in some cure. And there are almost no doctors willing to help us with dieting approach at least outside of USA.

So we are just all alone with our different health conditions which are not well understood and not cured with medicines. In our lonelyness all we have are blogs and sites. But people tend to speak louder about their success, not about their fail. So actually we have not well balanced picture.

The articles like yours are like a cold water: Thank you for your great job! Looks like it is not so about them. Sarah, Thank you for this balanced article. When it comes to fasting and keto, I always wondered… How are gender differences relevant? This does not seem to be really addressed or considered in the research, but you are one of the few Paleo experts that have addressed the issue of gender and nutrition.

When one thinks about fasting, I find very remarkable that in traditional cultures practicing fasting of which there is great evidence it is usually men, and not women, who do fasting. Or women do it in a lighter form. Also, traditional cultures typically had special diets and no fasting for fertile women who may potentially concieve, pregnant women or breastfeeding women which women being practically always in one of the three categories. Wait till you watch your child sit and drool having seizures a hour and not even swallOw her own salvia.

You would try the diet in a heart beat! Read the side effects of the drugs they put your 3 year old on then get back to me. This diet saves lives. You do what it takes to save them today! Sarah never said that a ketogenic diet was not appropriate for medical issues, such as seizures.

I would think he probably has metabolic damage that would cause such weight gain. Going off keto never caused me to gain tons of weight. I see that there is more to come and maybe my two cents here will be addressed. First I do not think there is any one diet suitable for everyone. We all know there are vegans living long, healthy, vibrant lives. And there are stories of people eating only meat living healthy lives. I think it creates more divisiveness.

On to my main point: Not only do I have metabolic and neurological issues but I have a very difficult to beat sugar addiction. Paleo for two years left me heavier than I have ever been because I could not get rid of the cravings and even though I was very active, and so thought I could handle the sweet potatoes and honey sweetened treats, they were horrible for me. At one point I got so frustrated that I decided to attempt the Wahls protocol.

Oh my gosh it was a disaster. I stuck with it for about two weeks thinking at some point all of these fruits and veggies will kick in and heal me!

Nope…I could barely leave the house bathroom and I felt awful! Just about as bad as I was as a vegan. Now, I have been doing keto and the cravings are gone.

This is huge for me. I feel better than I have in a very long time. Complete calm in there! I will be carefully watching for any symptoms of something going wrong but for now I actually feel like I am healing. I feel Paleo is a godsend for many people but I think that everyone needs to assess their own body and figure out what is going on for themselves.

I still believe in Paleo but also see the benefits of a ketogenic approach so am sad to see this divisiveness when there is a lot of crossover in the recommendations and benefits of each. Perhaps the controversy lies within the context of when and how someone is in a ketogenic or nonketogenic state. Is it possible we are having mixed results as not only an effect from our current biochemistry which may be imbalanced but because we are trying a keto diet in the wrong season?

Most sources of carbohydrates do not grow year round in most places. So, maybe the answer is that we are to eat seasonally, how nature would intend for us too: Has worked for me. This week I had my one year anniversary of when I began the ketogenic diet for health reasons….

In that time, the ketogenic diet has stabilized my reactive hypoglycemia and resolved my insomnia caused by blood sugar dysregulation , giving my adrenals a much needed break.

Nutritonal therapy and keto have also helped to heal my gut and liver, regenerate my pancreas and gallbladder, regulate my endocrine system and hormones, and replenish my neurotransmitters. I am determined to be well. My naturopath just asked me to begin a ketogenic diet for the next two months due some really out of whack blood work results. Is there any way that the AIP diet would be superior for autoimmune and thyroid issues?

I have read many PaleoMom articles over the years, but after reading this I now will treat everything she writes with more skepticism. This is not a PhD science article but one with cherry picked research to make her point — i. I bet it served the purpose of driving more readers to her site. Very Very disappointing Sarah! I would expect better. I appreciate your article on pros and cons, but also want to say that no 2 Ketogenic diets are alike. I am a member of a Ketogenic group on FB, and within that group, we all work hard and make sure we are eating healthy.

I eat lots of fiber more than most, at least 25 grams a day. Yes I eat them. Many people eating keto will eat bacon cheese burgers, ham sausage, brie, lots of bacon, etc. Ensure a healthy immune system, use something like probiotics, etc. We are out there though. I know many with sterling bloodwork, people running marathons on keto. I appreciate that you note that more research is needed. But in terms of deaths: Why would people put kids on this type of diet? And if they did, who was there to monitor the diet to make sure they got adquate nutrition?

Were vegetables and supplements included? It is sad to hear anyone dying, but there is no direct proof that it was the keto diet and not the effects of medications or combinatin of both. If we are to be scientists, we would have to look at keto diets without the additional factor of medications. And how many people have died due to being obese? I think for those who have more than pounds of weight to lose: No point in a ketogenic diet if you are well.

But ive been suffering greatly for 20 years with kimuras disease which has no know cause or cure. The disease kills kidneys, the immune suppressors used to slow it down kill your kidneys… They say the ketogenic diet isnt good for the kidneys.. Well three weeks ago i had no options left and started the diet. Currently my tumour and symptoms of the disease are gone. In 80 years no one every managed that before. Why it worked have no idea but this diet is faaaaaaaar more potent than any drug ive been on.

I have no plans to eat carbs anytime soon. It worked because a diet in refined carbs and hydrogenated oils instead of saturated fats is junk food and drug insustry propaganda.

Sadly, ignorance, such as this article abounds everywhere. Fat phobia and government subsidized grains including the ones fed to factory animals are slowly killing us all. Not to mention hack articles pretending to be scientific…. Very disappointed in the article. It is more of the same garbage pretending to be unbiased etc etc etc. People will go to great lengths to protect the profitable status quo and find all kinds of excuses to dismiss.

It is fear ok getting not and unbiased look. I am so tired of two presumptions: As your are in a plummet of stupidity all conclusions are suspect. Ketosis us not like starvation, which is not eating. Stop being automatically stupid by calling it starvation. It is a different dynamic. As for glucose, try for once to think if ketosis as the prime and preferred metabolic state and burning glucose the minor, secondary metabolic state.

You star with wrong limiting definitions that lead you to inescapable but wrong conclusions. Look at ketosis as the superior metabolic state, the evolutionarily preferred one. The judge it by those merits. You are right, I think that this is an anti-communism, pro-capitalism article. Capitalist doctors will do any thing to defend the capitalist medical system, and the capitalist philosophy of dieting.

Capitalist doctors believe in high carbohydrate way of eating. Because they benefit from high-carbohydrate diets, capitalists ruling classes want people to get sick, to get diabetes.

As opposed to communist medical systems that are totally in favor of people, not in favor of profits. I think that this article is a little bit biased, I have about 3 years following the ketogenic diet without 1 single day of high-carbohydrates cheat meals, without 1 single day of a high-carb day. I have about 3 years doing the keto diet non-stop, and I am not dead. Both of them have been on a ketogenic diet for a decade and have studied the performance of marathon runners and others while on the diet.

I have been on the diet for three years. It has reversed all issues that I previously had including diabetes and arthritis. My last lipid test was better than it ever had been in the past decade. Most studies done on the ketogenic diet are too short to be reliable studies. A three week study is about the norm. This is not long enough to actually convert from glucose burning to fat burning. Please see this recent study on a longer term ketogenic diet 24 weeks that is used in Dr. Weight loss for me has been acceptable but not extraordinary, but overall mood, energy level, cognitive functions including memory, bio-markers, etc.

I would be disappointed if people read this article and decided on that basis to not try a ketogenic diet. I will likely remain on it for life and I agree with the prior comments that note that there are very many formulations of ketogenic diets.

That, however, is not evidence that there is something wrong with the ketogenic diet. I dont want to be rude. But many people eat terrible food. Full of refined carbs and other rubbish.

Then they cut out carbs eat real meat and get results lol. Keto def seems to be good for some and for treating ailments. I think there is enuff evidence. But does it really beat my gameplan? Well balanced diet with super veg, strength training and some cardio?

I feel great i have cheat meals I enjoy my food. Why wud I give that up? I love my metabolic rate…I love my body saying foooooood mmmm. I love eating 5 to 6 times a day. Why wud I remove an entire food group? I use carb cycling between. It just seems that keto is an excuse for many who try to sit on thr bums but they still wana lose weight. Then they claim to be full of energy? What does that mean?

Energy to get thru the day? Thats not energy hehe. Running a new pb over m or crushing ur next game. You have a serious misconception here. I hike uphill several miles on the weekend, lift heavy weights during the week, and do cardio. I do everything anyone else does to lose weight, but I eat ketogenic. I have been keeping track of what I would not be able to eat or drink that is proven by science to be beneficial for ones health.

I have decided not to try a keto for my next lean out phase. I just dnt see the merit right now and its just too restricted. The premise of cutting out things just because they will keep u out of keto just doesnt seem sensible at this point. Also taken daily i notice increased strength and a viagra effect. I would suggest you do a bit more research and look at some of the more recent studies in this area.

My bloodsugars are better than most non-diabetics, my A1c is 4. Jimmy Moore and Adam S. It was excellent and reassured me of the sustainability of a ketogenic diet. The cult like attitude of keto dieters is all I need to see how bullshit it is. Anything that attracts such snowflakes is suspect. Did it occur to you that we are listening to a qualified dietician?

I work with my doctor, and my dietician who showed me what to eat, and educated me on the ketogenic diet. I know folks who have eaten this way for many years and who are extremely healthy and fit. No worries about long term effects here other than excellent health! Just because she is a Dr. Listen to me, some random guy on the internet instead! Please listen to episode 23 of Keto Talk. I was afraid of ketogenic dieting after hearing Sarah, also. All of the concerns you mention are addressed in the latest research coming out of Yale and Boston college.

Most of the adverse side effects mentioned are due to improperly transitioning from one diet to the other. Hear is the latest info on the subject its mind blowing, truly earth shattering. There are risks for any life style or diet and yes there are reasons to consider temporary cycles of mild ketosis and non ketotic states.

For major diseas known to society today. I agree am argument can be made for cycling one metabolic states.. And perhaps following a seasonal approach.. Whole foods well formulated KDiet. Ive been on keto for 7months now and the only issues I had were from the addaptation to it. From the reading of the studies above it seems to me that diets were only based on macro nutrients rather than focusing on the micro ones.

I have been in ketosis for 30 years due to pre-diabetes. I am 56, I am at my perfect weight pounds and I have NO medical problems. My cholesterol is low and my doctor says I have the blood pressure of a 16 year old. All those things on your list, I know people who have been cured by them eating a ketogenic diet. I cried when I was told by my doctor that I could not have any more carbs. I said I would rather be blind and deaf.

It changed my life so much that I could kiss his feet. Ketosis is the Fountain of Youth. You need to try it for a month before you put it down. And your health problems evaporate. It will work for you too. The cause is believed to be a combination of intrinsic eg. Nutritional ketosis has changed my life.

For me there is no comparison. I was very disappointed reading this article. Ketones actually reduce inflammation — they do NOT cause inflammation. I have been using a Ketogenic diet for 7 years.

And I do not feel deprived eating delicious food full of fat and butter. Occasionally I miss fruit during apple picking season but being able to walk and run again far outweighs a piece a of fruit. Case studies, in particular, are prone to sampling error.

People in those cohorts are always going to have adverse effect reports, and correlation does not imply causation particularly on a backdrop surrounded by many uncontrollable confounds such as is present in these disease states. Thanks for sharing this. No medication seems to help me. The Paleo diet has minimally helped but it seems the next step is to try ketogenic diet. Sounds to me like the Paleo Mom is seeing a drop in revenues so she has to knock a superior Way of Eating.

It is hard to remain critical after finding a diet plan that seems to work. For Sarah this is the autoimmune Paleo diet, and for Denise it may be an embrace of the role of animal foods in her diet. However, both Sarah and Denise should consider challenging the beliefs that they hold most dear.

Sarah and Denise have given the health community many insightful articles and reviews. It is possible that this topic, the sustainability of a ketogenic diet, has not been as rigorously examined as other topics that Sarah and Denise have covered.

The negative results the sick children in these studies experienced were likely due to factors other than the ketogenic diet. Okay quick scan of the list says keto causes Pneumonia? A germ causes it. Now, if you can not even get THAT bit correct.. I am completely not accepting the rest of your statement as factual. Seriously the difference is astounding. I never thought that I would go through life without the crippling symptoms that I had experienced for so long.

Off all meds and A1C dropped from a My physician practically does cartwheels in excitement over my results. Think for a moment, about the sheer impact, of the idea getting out, that fasting -or even eating less all-around, would have on the food industry..

This is a huge detriment to the food industry and and even bigger problem for Big Pharma..

Why the kind of body fat you carry matters