The main criticisms include fears about fat intake and the process of ketosis.The argument over whether saturated fats are unhealthy has been settled in the research literature (they are not). If you need more info, there are several good books to read on this subject.  For more information about the type of fats to eat, see the saturated vs unsaturated fats page.  The right side column on that page has books which provide more information.


Note: Are you a vegetarian or vegan and want to go on a ketogenic diet? It’s still possible! Just keep in mind that the dietary restrictions can sometimes be a little bit intense. Make sure to plan ahead and prepare to aid your success. To help out, we’ve published articles (with 7 day meal plans included) for both the vegetarian ketogenic diet and the vegan ketogenic diet.
The ketogenic diet is calculated by a dietitian for each child. Age, weight, activity levels, culture and food preferences all affect the meal plan. First, the energy requirements are set at 80–90% of the recommended daily amounts (RDA) for the child's age (the high-fat diet requires less energy to process than a typical high-carbohydrate diet). Highly active children or those with muscle spasticity require more calories than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein. This is typically 4:1, but children who are younger than 18 months, older than 12 years, or who are obese may be started on a 3:1 ratio. Fat is energy-rich, with 9 kcal/g (38 kJ/g) compared to 4 kcal/g (17 kJ/g) for carbohydrate or protein, so portions on the ketogenic diet are smaller than normal. The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Next, the protein levels are set to allow for growth and body maintenance, and are around 1 g protein for each kg of body weight. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio. Any carbohydrate in medications or supplements must be subtracted from this allowance. The total daily amount of fat, protein and carbohydrate is then evenly divided across the meals.[36]

You will need to cut out ALL sugar. Sugar substitutes are also a no-no. It will be a few tough days to adjust from all the sugar you have been consuming, you will not feel good at all! Look up keto flu, you will most likely suffer from this about a week into the diet. As for snacks, I have stuck to a few almonds, pepperoni sticks, cheese sticks ( cheese can kick you out of ketosis so be careful) pickles, and broth, cucumber slices. If you are in ketosis your appetite will diminish and your need for snacking will lessen. I also do intermittent fasting, no food after 8PM or before 12:00PM the next day, 16 hours without food, I will have bulletproof coffee in the morning, tea with milk and broth between these hours.
Another common mistake that she sees is that people focus too much on macronutrients: "Micronutrients are really important too as ketosis is metabolically demanding and the diet is not nutritionally adequate most of the time." She says that most of her clients take multivitamins, carnitine supplements, calcium supplements and sometimes selenium or zinc.
Coconut MCT oil, cacao butter, grass-fed whey protein, organic almond butter, and other keto-approved ingredients combine for this protein bomb of an energy bar, designed specifically to support ketone production and keep you fit and focused for hours. It’s basically like jumper cables for your metabolism… if jumper cables tasted like smooth chocolate and almonds.
How often you eat is also up to your personal preference. "For most people, I recommend three to four meals per day with a few healthy keto snacks in between," says Dr. Axe. "This ensures that you're getting a good mix of protein and fat all day long to keep you feeling energized and satisfied." That being said, he encourages people to listen to their bodies and tune in to when they're truly hungry. "If you find that you feel better eating five to six smaller meals spread throughout the day, do what works best for you."
A computer program such as KetoCalculator may be used to help generate recipes.[46] The meals often have four components: heavy whipping cream, a protein-rich food (typically meat), a fruit or vegetable and a fat such as butter, vegetable oil or mayonnaise. Only low-carbohydrate fruits and vegetables are allowed, which excludes bananas, potatoes, peas and corn. Suitable fruits are divided into two groups based on the amount of carbohydrate they contain, and vegetables are similarly divided into two groups. Foods within each of these four groups may be freely substituted to allow for variation without needing to recalculate portion sizes. For example, cooked broccoli, Brussels sprouts, cauliflower and green beans are all equivalent. Fresh, canned or frozen foods are equivalent, but raw and cooked vegetables differ, and processed foods are an additional complication. Parents are required to be precise when measuring food quantities on an electronic scale accurate to 1 g. The child must eat the whole meal and cannot have extra portions; any snacks must be incorporated into the meal plan. A small amount of MCT oil may be used to help with constipation or to increase ketosis.[36]
A question we frequently get asked is whether you have to defrost boneless, skinless chicken breasts before making this recipe, or if you can just use them frozen. If you forgot to pull the chicken out of the freezer in the morning, we have good news for you! Crack Chicken can easily be made with frozen chicken. If using an Instant Pot, just add 5 minutes on to the cooking time (for a total of 20 minutes on Manual High Pressure).
Some ingredients you will already have in your cupboards like seasonings and condiments.  We list these out at the beginning of the meal plan.  We assume that you'll have them in stock.  If you're worried you won't have them all, you can check the meal plan for the daily ingredients as well!  There are also some rare ingredients that we suggest you purchase at the beginning of you ketogenic diet journey.  You'll begin to use these low carb ingredients in more and more of your keto diet recipes.  You can get bargains on items such as almond flour if you purchase ahead online instead of waiting to purchase at the grocery store.  In addition, you won't have to wander the health stores for hours in search of these items to find out they don't stock them, or that they are ridiculously over-priced.
Lemon juice contains citrates (the substance that gives citrus fruits their sour taste). When you’re low on citrates, you’re at risk for kidney stones. Add the lemon juice to your kale shake or drink it in water. Try to consume at least one lemon per day (lemon juice or the fruit of the lemon).34 I also recommend taking my electrolyte mix because it contains minerals in their citric form, as in potassium citrate, helping to bind oxalate stones and neutralize uric-acid stones.35,36
A survey in 2005 of 88 paediatric neurologists in the US found that 36% regularly prescribed the diet after three or more drugs had failed; 24% occasionally prescribed the diet as a last resort; 24% had only prescribed the diet in a few rare cases; and 16% had never prescribed the diet. There are several possible explanations for this gap between evidence and clinical practice.[33] One major factor may be the lack of adequately trained dietitians, who are needed to administer a ketogenic diet programme.[30]
Hi Barb, That can definitely be it. Losing when you are close to goal can be more difficult. It could also be that your body’s healthy weight is a little higher than what you’d like – which doesn’t mean you can’t lose, but makes it more difficult. If just eating Keto foods isn’t working, double check the macros for your weight and see if the amount you’re eating needs to be adjusted. You’ll find more help and support in our support group here.
For instance, since the privately owned Academy of Nutrition and Dietetics (formerly the American Dietetics Association) receives great sums of money from processed food manufacturers, they can't just suddenly start saying that a high fat, low grain diet is healthiest - they would lose all their funding from companies like Kraft Foods, Hershey's and Coca-Cola. I know that sounds harsh, but I will add that now in 2016, they seem to be coming around to the low carb idea. I've seen evidence that they are changing their message on the evils of saturated fat and cholesterol and that's a start, at least.
Anticonvulsants suppress epileptic seizures, but they neither cure nor prevent the development of seizure susceptibility. The development of epilepsy (epileptogenesis) is a process that is poorly understood. A few anticonvulsants (valproate, levetiracetam and benzodiazepines) have shown antiepileptogenic properties in animal models of epileptogenesis. However, no anticonvulsant has ever achieved this in a clinical trial in humans. The ketogenic diet has been found to have antiepileptogenic properties in rats.[55]

I LOVE Urban Remedy, but as another review said, this plan is my least favorite and I will not order again. First of all, the stevia in the drinks makes me super bloated and they just taste sickly sweet and like stevia. I feel like a cleanse should train your palate away from sweetness. In addition, the meals are just too repetitive, and I found the salmon and chicken to be very bland and unappetizing. Could this not be more varied? Maybe some sardines, tuna? Finally, through NO fault of Urban Remedy, this plan made me realize I had an egg allergy.
"Plenty of people jump right in, thinking all they have to do is cut carbs and increase fat. All of a sudden, they hit a wall and get 'keto flu.' They feel tired, lethargic, and experience headaches," Wittrock says. "The primary reason they get these symptoms is lack of the three primary electrolytes: sodium, potassium, and magnesium. If you're deficient in any of these, you'll suffer mentally and physically. This is the single biggest reason people fail on the keto diet."
No matter what your diet has been before now, keto will be a big change. If you're coming from a standard American diet (SAD), your carbs will go way down, your protein may either go up or down, and your fat will go way up. If you're coming from a bodybuilding-style diet, your fat intake will jump to alarming levels, and your protein will likely drop significantly.
It usually takes three to four days for your body to go into ketosis because you have to use up your body's stores of glucose, i.e., sugar first, Keatley says. Any major diet change can give you some, uh, issues, and Keatley says he often sees patients who complain of IBS-like symptoms and feeling wiped out at the beginning of the diet. (The tiredness happens because you have less access to carbs, which give you quick energy, he explains.)

Many ketogenic dieters also swear by MCT oil. (MCT simply stands for medium chain triglycerides.) MCT's energy-sustaining powers can be explained as follows: When MCT oil is metabolized in the body, it behaves more like a carbohydrate than a fat. Unlike other fats, MCT oil does not go through the lymphatic system. Instead, it is transported directly to the liver where it is metabolized so it releases energy like a carbohydrate and creates lots of ketones (which can be used for fuel) in the process.
Lunch: pat dry chicken and cut into cubes. Lightly (!) salt and pepper. Heat a skillet over medium heat, once hot add coconut oil and fry chicken cubes until brown from all sides. Remove chicken, and add crushed garlic, curry paste and fish sauce to pan. Stir until fragrant and remaining oil in pan and curry paste are well combined. Then add coconut milk and whisk until well combined. Simmer and reduce sauce until desired consistency (1-3 minutes). Pour sauce over chicken and sprinkle with sesame seeds. Serve with baby spinach.

I don’t normally eat a ton of eggs or chicken and stay mostly pescatarian. But I was trying to make an effort to eat more protein. Unfortunately I broke out in hives a few hours after forcing myself to eat the 2 hardboiled eggs provided for breakfast. Went to derm, who had me do a skin prick allergy test and lo and behold, allergic to eggs. (After 35 years on this earth eating the occasional omelette, and certainly many other things with eggs in them, this is surprise- but apparently eating an allergen on an empty stomach first thing is a great way to get the full effect of that allergen. Needless to say, I sadly threw out the rest of the eggs and my dog got a really nice couple of chicken & salmon dinners since I just could not stomach either after the first awful day. I’ve actually just ordered meta morphosis to reset after this Keto thing threw me off so badly. I do want to stress that I don’t fault Urban Remedy for this, I know Keto is trendy and they are responding to a diet plan that I know many people follow. I will continue to order, just never again this plan!


Because people with type 2 diabetes are at an increased risk for cardiovascular disease, there’s a specific concern that the saturated fat in the diet may drive up LDL, or “bad,” cholesterol levels, and further increase the odds of heart problems. If you have type 2 diabetes, talk to your doctor before attempting a ketogenic diet. They may recommend a different weight-loss diet for you, like a reduced-calorie diet. Those with epilepsy should also consult their doctor before using this as part of their treatment plan.
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