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  7. Health-Conscious Public Increasingly Embraces Ketogenic Diet

Health-Conscious Public Increasingly Embraces Ketogenic Diet

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By Dr. Mercola

Your body is designed to have the metabolic flexibility to use both fat and glucose for fuel — not just one or the other. The reason conventional dietary advice has failed so miserably is because eating a high-carb diet for a long period of time results in the loss of this metabolic flexibility, making you unable to effectively burn fat for fuel.

Last year, the British National Obesity Forum and the Public Health Collaboration issued a joint report based on the analysis of 43 obesity studies, warning the policy to promote a low-fat, high-carb diet is having a “disastrous impact on health.”1,2,3 In conclusion, the report issued a strong recommendation to overhaul dietary guidelines to recommend a low-carb, high-fat diet instead, along with intermittent fasting or skipping meals, as chronic grazing or snacking between meals is a significant contributor to obesity.

In short, most people not only eat the wrong foods and too much of them, they also eat too frequently. Lately, the ketogenic diet has become increasingly popular, and its popularity is largely driven by the sheer number of success stories. A recent article4 by CNBC, for example, notes how Silicon Valley has embraced the ketogenic diet in hopes of reversing type 2 diabetes and living longer.

Efficient Fat-Burning Is Crucial for Optimal Health and Longevity

When your body is able to burn fat for fuel, your liver creates water-soluble fats called ketones that:

  1. Burn far more efficiently than carbs, thereby creating fewer reactive oxygen species (ROS) and secondary free radicals that can damage your cellular and mitochondrial cell membranes, proteins and DNA
  2. Decrease inflammation, as they are histone deacetylase (HDAC) inhibitors
  3. Mimic the life span-extending properties of calorie restriction, which includes improved glucose metabolism and reduced inflammation5
  4. Have a similar structure to branched-chain amino acids, thereby aiding the building of muscle mass and promoting longevity6

Healthy dietary fats also play an important role in maintaining your body’s electrical system — an area I’ve recently started delving deeper into. All cellular membranes are made of fats, which act as insulators and are connected through a conductor. This arrangement sets up a biological capacitor to store electrons — but only if the fats are healthy.

If you consume damaged fats, or worse, heated and hydrogenated oils, the fatty acids in your cell membranes become functionally impaired and have limited capacity to store body voltage, thus increasing the risk for disease. This is yet another reason why it is so vital to eat healthy fats.

Conventional advice suggests attaining an ideal weight is a matter of balancing the calories you eat with your exercise, i.e., the flawed calories in/calories out hypothesis. Tens of millions have failed to achieve long-term results following this advice.

The real key to both weight management and optimal health is to properly feed your microbiome and mitochondria, and that requires eating fewer net carbs and more healthy fats and fiber. This can be relatively easily achieved by following the principles outlined in my new book, “Fat for Fuel.”

It’s by far the most important book I’ve ever written, as it addresses what appears to be at the very heart of virtually all chronic disease, namely mitochondrial dysfunction. If your mitochondria are not functioning properly, your entire metabolism will be seriously impaired. I provide important details you need to understand to improve your mitochondrial health in the book.

It is my sincere belief that this book has the potential to save many lives. More than half of all Americans struggle with chronic illness and 1 in 5 deaths in the U.S. are obesity-related. It doesn’t have to be this way, and my book details the way forward, out of chronic disease into optimal health.

Three Keys to Nutritional Ketosis

A cyclical ketogenic diet focuses on the three keys to achieving nutritional ketosis:

  1. Minimal net carbohydrates, to prevent inflammation and facilitate the burning of fat as your primary fuel
  2. Adequate amounts of high-quality protein, to give your body just enough building blocks to maintain tissue health and muscle without overactivating the mTOR pathway, which plays a crucial role in the aging process and cancer formation
  3. High amounts of healthy dietary fats, to prevent inflammation, nourish healthy cells and optimize mitochondrial health and function

As a general guideline, a dietary intake of 20 to 50 grams (or less) per day of net carbs (total carbohydrates minus fiber) while also keeping protein low-to-moderate is usually low enough to allow you to make the shift to nutritional ketosis. Nutritional ketosis is the metabolic state associated with an increased production of ketones in your liver; i.e., the biological reflection of being able to burn fat, and is defined as having blood ketones in the range of 0.5 to 3.0 millimoles per liter (mmol/L).

Remember that once your body starts to burn fat for fuel you need to switch to a cyclical ketogenic diet, as long-term continuous ketosis is unhealthy. This is why we call the program a cyclical ketogenic diet.

The Many Benefits of a Ketogenic Diet

The health benefits of this type of diet — which basically involves turning the conventional food pyramid upside-down, although there are several different variations on the ketogenic diet to choose from — include:

Weight loss

Switching from a high-net-carb diet to a fat and adequate protein diet will help rebalance your body’s chemistry, and a natural side effect of this is weight loss and/or improved weight management once you’re at an ideal weight.

In one study, obese subjects were given either a low-carb ketogenic diet or a low-fat diet. After 24 weeks, the low-carb group lost nearly double the amount of weight than the low-fat group (20.7 pounds compared to 10.6 pounds).7 Low-carb, high-fat diets also reduce hunger and carb cravings, thereby reducing your risk of overeating and weight gain.

Less inflammation

When burned for fuel, dietary fat releases far fewer ROS and secondary free radicals than sugar.

Reduced cancer risk

While all cells (including cancer cells) can use glucose for fuel, cancer cells lack the metabolic flexibility to use ketones for its energy needs, which your regular cells can. Once your body enters a state of nutritional ketosis, cancer cells are more susceptible to be removed by your body.

Increased muscle mass

Ketones share a close structural similarity to branched-chain amino acids and seem to be preferentially metabolized. In other words, ketones spare those branched-chain amino acids, leaving higher levels of them around, which promotes muscle mass.8 However, it is important to use a cyclical approach, otherwise your muscle mass will decrease.

Lowered insulin levels

Keeping your insulin level low helps prevent insulin resistance, type 2 diabetes and related diseases. Research has demonstrated that diabetics who eat a low-carb ketogenic diet are able to significantly reduce their dependency on diabetes medication and may even reverse the condition.9

Lowering insulin resistance will also reduce your risk of Alzheimer’s. Recent research strengthens the link between insulin resistance and dementia even further, particularly among those with existing heart disease.10,11,12

Increased longevity

As noted by Jeff Volek, Ph.D., a registered dietitian and professor in the Human Science Department at Ohio State University, one of the reasons you can survive a long time without food is due to the process of ketosis, which spares protein breakdown.

A fairly consistent effect seen in people on a ketogenic diet is that blood levels of leucine and other important structural proteins go up, allowing these proteins to perform a number of important signaling functions.

As mentioned, ketones also mimic the life span-extending properties of calorie restriction13(fasting), which includes improved glucose metabolism, reduced inflammation, clearing out malfunctioning immune cells14 and reduced IGF-1.

This is one of the factors that regulate growth pathways and growth genes and is a major player in accelerated aging and cellular/intracellular regeneration and rejuvenation (autophagy and mitophagy). As noted in a recent study on this topic:15

[E]xtension of life span results from decreased signaling through the insulin/insulin-like growth factor receptor signaling (IIS) pathway … An effective method for combating free radical damage occurs through the metabolism of ketone bodies …

A dietary ketone ester also decreases circulating glucose and insulin leading to decreased IIS … [K]etosis results in transcription of the enzymes of the antioxidant pathways. In addition, the metabolism of ketone bodies results in a more negative redox potential of the NADP antioxidant system, which is a terminal destructor of oxygen free radicals.”

Feast and Famine Cycling Is an Important Component of Nutritional Ketosis

In my book I also explain why cycling through stages of feast and famine, as opposed to continuously remaining in nutritional ketosis, is so important. Once you are able to burn fat as fuel, having a day or two each week where you eat more net carbs and protein is important, especially when you’re doing strength training, to prevent sarcopenia.

After a day or two of “feasting,” you then cycle back into nutritional ketosis (the “fasting” stage) for the remainder of the week. By periodically pulsing higher carb intakes, consuming, say, 100 or 150 grams of carbs opposed to 20 to 50 grams per day, your ketone levels will dramatically increase and your blood sugar will drop.

Paradoxically, long-term uninterrupted use of a ketogenic diet can trigger a rise in blood sugar by driving your insulin level too low. The reason this situation can occur is because the primary function of insulin is not to drive sugar into the cell but to suppress the production of glucose by your liver (hepatic gluconeogenesis). Cycling in and out of nutritional ketosis will prevent this situation from occurring.

Refeeding Phase Is Where the ‘Magic’ Takes Place

Additionally, from a metabolic perspective, clearance of damaged cell and cell content occurs during the fasting phase (much in the same way exercise produces damage to your muscles) while the “metabolic magic” of rejuvenation occurs during the refeeding phase. This is when cells and tissues are rebuilt.

As just one example, recent research shows fasting actually triggers the regeneration of the pancreas in both type 1 and type 2 diabetics.16,17 But again, these regenerative effects are largely triggered during the refeeding phase. If you don’t pulse in and out of ketosis, you end up missing out on many of the benefits that occur during this rebuilding and rejuvenation phase.

The rejuvenation that occurs during refeeding is also one of the reasons intermittent fasting is so beneficial. Put another way, the fasting phase helps your body clean out toxic debris, while the refeeding phase builds your body back up. The cycling can also make this type of diet easier to maintain.

Yet another important factor is avoiding late-night eating. Feeding your body at a time when it needs the least amount of energy encourages cellular damage due to excess production of free radicals. For this reason, I suggest limiting your eating to breakfast and lunch — a “Peak Fasting” strategy that allows you to fast for 16 or more hours each day.

How to Implement a Ketogenic Diet

To implement a ketogenic diet:

1. Eliminate packaged, processed foods. The emphasis is on real whole foods, plenty of healthy fats and as few net carbs (total carbs minus fiber) as possible. This typically involves dramatically reducing or temporarily eliminating all grains and any food high in sugar, particularly fructose, but also galactose (found in milk) and other sugars — both added and naturally-occurring

2. Monitor your nutrient ratios. As a general rule, you’ll need to reduce your net carbs to 20 to 50 grams a day or less; restrict protein to 1 gram per kilogram of lean body mass; and get anywhere from 50 to 85 percent of your daily calories from healthy fats.

To make sure you’re meeting your nutritional requirements and maintaining the ideal nutrient ratios, use a nutrient tracker such as, which is already set up for nutritional ketosis. Based on the personal parameters you enter, such as height, weight, body fat percentage and waist circumference, it will automatically calculate the ideal ratios of net carbs, protein and fats to put you into nutritional ketosis.

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Say Yes to More of These Fatty Foods

Selecting the right fats is crucial to your success on a cyclical ketogenic diet. One of the reasons many ended up experiencing health problems on the Atkins Diet was because no distinction was made between healthy and harmful fats. As a general rule, any fat found naturally in animal foods and plants is good for you.

It’s really the processed fats and vegetable oils used in processed foods and fried restaurant meals that wreak havoc and should, ideally, be eliminated altogether. That said, examples of high-quality healthy fats include:

Examples of High Quality Fats
Olives and olive oil (make sure it's third party certified, as 80 percent of olive oils are adulterated with vegetable oils. Also avoid cooking with olive oil. Use it cold) Coconuts and coconut oil (excellent for cooking as it can withstand higher temperatures without oxidizing) Animal-based omega-3 fat from fatty fish low in mercury like wild-caught Alaskan salmon, sardines, anchovies and/or krill oil
Butter made from raw grass fed organic milk Raw nuts, such as macadamia and pecans Seeds like black sesame, cumin, pumpkin and hemp seeds
Avocados Grass-fed meats MCT oil
Ghee (clarified butter); lard and tallow (excellent for cooking) Raw cacao butter Organic, pastured egg yolks

Cyclical Ketosis Is the Answer for Most Ailments

To improve your mitochondrial function through diet, the key is to eat in such a way that your body is able to burn fat as its primary fuel rather than sugars. Ketogenic diets are very effective for this, as is intermittent fasting and longer water fasts for those who are overweight.

Switching from a high-carb diet to one high in healthy fat with adequate protein and low in net carbs helps rebalance your body’s chemistry. A natural side effect of this is weight loss, and improved weight management once you’re at an ideal weight.

It’s really important to understand that you will not get fat from eating healthy fat. Nor will you lose weight simply by eating fewer calories and exercising more. Obesity stems from eating a high-carb diet, which over time leads to an inability to burn fat for fuel — and exercise alone cannot correct this metabolic dysfunction.

To correct it, you need to alter your nutrient ratios, making healthy fats the largest source of calories, not net carbs. Add just the amount of protein your body needs and no more, cut way back on net carbs and chances are you’ll be amazed at the health improvements you will gain.

Dr. MercolaAbout The Author:

Dr. Joseph Mercola is a physician and New York Times best-selling author.

He was voted the 2009 Ultimate Wellness Game Changer by the Huffington Post and has been featured in several national media outlets including Time magazine, LA Times, CNN, Fox News, ABC News, the Today Show and The Dr. Oz Show.

His mission is to transform the traditional medical paradigm in the United States into one in which the root cause of disease is treated, rather than the symptoms.

In addition, he aims to expose corporate and government fraud and mass media hype that often sends people down an unhealthy path.

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