Ketogenic Diet: A Beginner’s Ultimate Guide to Keto

Analysis by Dr. Joseph Mercola  Fact Checked

STORY AT-A-GLANCE -
 A ketogenic diet is a dietary approach that focuses on minimal carbohydrates, moderate
amounts of protein and high healthy fat consumption — the three keys to achieving
nutritional ketosis

 The ketogenic eating plan is slowly gaining traction as an effective method of helping to
promote weight management, reduce inflammation and even lessen your risk of cancer

 This guide will tell you what you need to know about a ketogenic diet — how you can
apply it to your lifestyle and what positives you can reap from it

This article was previously published May 26, 2018, and has been updated with new
information.

Increasing numbers of people around the world are suffering from chronic diseases
such as diabetes and obesity, and the main culprit is usually the food they eat. The
standard American diet, for example, consists of excessive amounts of protein,
processed grains and carbohydrates — particularly in the form of refined, added sugars
— none of which is good for your health.

If you continue on a diet like this, eventually you will develop insulin and leptin
resistance and, as a result, you not only will gain excess weight, but will develop chronic
inflammation and will become prone to mitochondrial and cellular damage.
To get back on the road to health and stay there, significant changes in your diet are
necessary. These changes begin with first understanding what mitochondria are, and
then learning their importance to your overall health.

Next, you need to know how inducing your body into a state of nutritional ketosis, a
condition in which your body burns fat as its primary fuel, can regenerate your
mitochondria. But, in order to reach nutritional ketosis, you must follow a ketogenic diet.
So, what exactly is a ketogenic diet?

This guide will tell you everything you need to know about a ketogenic diet — how you
can apply it to your lifestyle and what positives you can reap from it.

Benefits of a Ketogenic Diet

A ketogenic diet is a dietary approach that focuses on minimal carbohydrates, moderate

amounts of protein and high healthy fat consumption — the three keys to achieving
nutritional ketosis. In fact, it's what I recommend for most people who would like to
optimize their health.

There are many reasons why you should try a ketogenic diet. It can be very beneficial for
people suffering from chronic conditions, or for those who would simply like to be
healthier. You'll be excited to know that a ketogenic diet can help with the following:

• Weight loss — If you're trying to lose weight, then a ketogenic diet is one of the best
ways to do it, because it helps access your body fat so that it can be shed. Obese
people in particular can benefit from this method.

In one study, obese test subjects were given a low-carb ketogenic diet and a low-fat
diet. After 24 weeks, researchers noted that the low-carb group lost more weight
(9.4 kilograms or 20.7 pounds) compared to the low-fat group (4.8 kilograms or
10.5 pounds).1

Even my own body was able to feel the benefits of following a ketogenic diet. I was
able to drop my weight from 180 to 164 pounds, despite eating 2,500 to 3,000
 calories per day. Since then, I have increased my consumption to 3,500 to 4,000
calories just to maintain my ideal weight.

• Fighting inflammation — The human body can use both sugar and fat as fuel
sources. However, fat is preferred because it is a cleaner, healthier fuel that
releases far fewer reactive oxygen species (ROS) and secondary free radicals. By
eliminating sugar from your daily food consumption, you're decreasing your risk of
developing chronic inflammation throughout your body.

• Increasing muscle mass — Jeff Volek, Ph.D., is a registered dietitian specializing in

how a high-fat, low-carb diet can affect health and athletic performance.

He's written many scientific articles on this topic, as well as two books, and he
explains that ketones have a similar structure to branched-chain amino acids that
can be useful for building muscle mass. Ketones spare these amino acids, leaving
higher levels of them around, which can help promote muscle mass.

• Reducing appetite — Constant hunger can cause you to consume more calories
than you can burn, which can eventually lead to weight gain. A ketogenic diet can
help you avoid this problem because reducing carbohydrate consumption can
reduce hunger symptoms. In one study, participants who were given a low-
carbohydrate diet had reduced appetites, helping them lose weight easier.2

• Lowering insulin levels — When you consume carbs, they are broken down into
sugars in your body. In turn, this causes your blood sugar levels to rise and leads to
a spike in your insulin. Over time, you may develop insulin resistance, which can
progress to Type 2 diabetes.

By altering your diet to a ketogenic approach, you can reduce your risk of
developing Type 2 diabetes. In a study published in Nutrition & Metabolism,
researchers noted that diabetics who ate low-carbohydrate ketogenic diets were
able to significantly reduce their dependency on diabetes medication, and may even
reverse it eventually.3
Keto May Help Lower Your Risk of Cancer

Cancer is a devastating disease and is one of the leading causes of death all over the
world. To make things worse, the medical profession has practically ignored evidence
that indicates cancer as a metabolic and mitochondrial problem, causing conventional
cancer treatment methods to fall short on their promises.

I believe (as well as the numerous experts I have interviewed) that over 90% of cancer
cases are either preventable or treatable. The key here is to view cancer as a metabolic
dysfunction, allowing you to gain control over this dreadful disease. Simply put, the right
foods and strategies may help suppress cancer growth while simultaneously pushing it
into remission.

What most people don't know is that cancer cells are mainly fueled by glucose. In this
regard, the ketogenic diet may be the best answer. By depriving them of their primary
source of fuel, as well as protein restriction, cancer cells will literally starve to death.

In addition, research regarding the ketogenic diet in relation to fighting cancer has
grown over the years, and the data indicate that aside from being a form of cancer
prevention, the ketogenic diet may help complement common cancer treatments, such
as radiation therapy and chemotherapy.4

Different Types of Ketogenic Diets You Can Try

There are several variations of the ketogenic diet based on specific needs:

• Standard Ketogenic Diet (SKD) — SKD is the type I typically recommend for most
people, because it is very effective.

It focuses on high consumption of healthy fats: As I explain in my book, "Fat for

Fuel," you should aim for having 70% to 85% of your total daily calories to come
from healthy fats. For your protein intake, the general rule of thumb is to follow the
formula of 1 gram of protein for every kilogram of your lean body mass. Your net
carbohydrates should be no more than 4% to 10% of your daily calories.
 Keep in mind that there's no set limit to the fat, because energy requirements vary
from person to person, depending on their daily physical activities. However, the
majority of your calories still need to come from fats, and you still need to limit your
consumption of carbohydrates and protein for it to become a standard ketogenic
diet.5

• Targeted Ketogenic Diet (TKD) — TKD is generally geared toward fitness

enthusiasts. In this approach, you eat the entirety of your allocated carbs for the
day before and after exercising. The idea here is to use the energy provided by the
carbs effectively before it disrupts ketosis.6

If you're following this approach, I recommend that you eat carbs that are easily
digestible with a high glycemic index to avoid upsetting your stomach. Then, when
you're done exercising, increase your intake of protein to help with muscle recovery,
then continue consuming your fats afterward.

• Cyclic Ketogenic Diet (CKD) — Whereas TKD is focused on fitness enthusiasts, CKD
is focused more on athletes and bodybuilders. In CKD, you cycle between a normal
ketogenic diet, and a short period of high carb consumption or "re-feeds."7 The idea
here is to take advantage of the carbohydrates to replenish the glycogen lost from
your muscles during athletic activity or working out.8

If you're a high-level athlete or bodybuilder, CKD may be a viable method for you. It
usually consists of five days of SKD, followed by two days of carb-loading. Again,
this method isn't recommended for most people who do not have a high rate of
physical activity.9

• High-protein Ketogenic Diet — This method is a variant of the SKD. In a high-protein

diet, you increase the ratio of protein consumption to 10% and reduce your healthy
fat consumption by 10%.

In a study involving obese men that tried this method, researchers noted that it
helped reduce their hunger and lowered their food intake significantly, resulting in
 weight loss.10 If you're overweight or obese, this may help you at first, then you can
transition to SKD after you normalize your weight.

• Restricted Ketogenic Diet — As mentioned earlier, a ketogenic diet can be an

effective weapon against cancer. To do this, you need to be on a restricted
ketogenic diet. By restricting your carbohydrate and calorie intake, your body loses
glycogen and starts producing ketones that your healthy cells can use as energy.
Because cancer cells cannot use these ketones, they starve to death.11

As of the moment, there is no industry standard as to how many calories should be

consumed in a restricted ketogenic diet, but there are published studies that
provide estimates.

In one example, a 65-year-old woman who was suffering from glioblastoma

multiforme (GBM), an aggressive type of brain cancer, was put into a restricted
ketogenic diet that started with water fasting and then proceeded to consuming
600 calories a day only.

After two months, her weight decreased and the ketones in her body elevated.
Furthermore, there was no discernable brain tumor tissue detected using magnetic
resonance (MRI) or fluorodeoxyglucose-positron emission tomography (FDG-PET)
imaging scans.12

In another study that involved mice with brain tumors, administration of 65% to 75%
of the recommended daily calories helped reduce tumor growth by 35% and 65%
among two different test groups. Total carb consumption was restricted to 30
grams only.13 A different mice study strictly limited carb consumption to 0.2% only,
which helped reduce the growth of glucose-fermenting tumors.14

In a pilot trial published in Nutrition & Metabolism, a 70-gram carbohydrate

restriction combined with a ketogenic diet may help improve quality of life among
patients affected with late-stage cancer. However, more trials will need to be
conducted regarding its effectiveness against cancer progression, according to the
researchers.15
 At any rate, if you wish to undergo a restricted ketogenic diet for specific health
reasons, consult with your doctor first. They may be able to help you figure out the
optimal number of calories to consume and carbohydrates to restrict for maximum
effectiveness.

Popular Low-Carb Diets Versus the Ketogenic Diet: How Do They

Compare?

Of course, the ketogenic diet is not the only low-carb diet out there, and you may have
heard of other popular eating strategies that may help improve your health. So how do
they stack up against the ketogenic diet?

• Atkins Diet Versus Ketogenic Diet — The Atkins diet is a low-carb eating program
promoted by Dr. Robert C. Atkins, who wrote about it back in 1972.16 In essence, the
diet is all about restricting carbohydrate consumption while emphasizing protein
and healthy fats as sources of fuel, as well as high-fiber vegetables to help promote
weight loss.17

Similar to the ketogenic diet, with Atkins you will have to avoid starchy and sugary
sources of carbohydrates like bread, pasta and potatoes, as well as processed
meats and junk foods. Instead, you will consume more grass fed meats, pasture-
raised eggs, cheese and fatty fish.18

One key difference that set the early Atkins diet apart from the present ketogenic
diet was that it allowed unlimited consumption of protein,19 which can cause a
significant drawback to your health.20 Research suggests that excessive protein
consumption can stimulate your mammalian target of rapamycin (mTOR) pathway,
accelerating aging and cancer growth.

Atkins has since revised its protein recommendations,21 however, and now instructs
followers to weigh their protein servings and avoid eating "too much" protein as it
not only can interfere with your weight loss, but may cause carb cravings.
 • Paleo Diet Versus Ketogenic Diet — The Paleo diet is another popular eating trend
based on the habits of our Paleolithic ancestors. Its foundation focuses on eating
lean meat, seafood, fresh fruits and nonstarchy vegetables. You must also remove
processed foods, drinks, grains and sugar from your eating habits for the Paleo diet
to have a positive effect on you.

While research suggests that the Paleo diet may benefit your health, one
foreseeable problem with this eating regimen is that it consumes too much protein,
which can negatively affect your health in the long run. Instead, I believe it is far
better to moderate your protein intake and increase consumption of healthy fats.

How Many Carbs a Day Should You Get on a Ketogenic Diet?

When determining the ideal max carbs on keto, I believe that the following amounts can
be effective for most people:

• 70% healthy fats

• 25% high-quality protein

• 5% carbohydrates

Ideally, your keto carb limit should be kept to under 50 grams a day, or 4% to 10% of your
daily calories. This will help you transition to burning fat for fuel. However, this number
may change depending on various factors. For example, if you have Type 2 diabetes, you
will have to restrict your carb intake to as little as 20 grams per day. All in all, you will
have to rely on your body's feedback to help you identify the ceiling amount for your carb
intake.

How to Get Started on the Ketogenic Diet

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."

Furthermore, avoid drinking milk because it contains the carbohydrate galactose —

drinking just one glass can basically eat up your entire carb allotment for the day. In
addition, avoiding milk helps lactose-intolerant people to implement the ketogenic diet.
The table below provides a good overview of many other foods that are surprising
sources of sugar. If you have any of the following in stock, I encourage you to take them
out immediately:

Condiments Beverages Snacks Meals

Salsa Lattes Fresh or dried Frozen dinners

fruits

Ketchup Flavored kefir Flavored yogurt Many Thai and

Vietnamese
dishes, such as
Pad Thai

Packaged salad Commercially Peanut butter Premade soups

dressings prepared
smoothies

Hydrogenated fats, such as canola and sunflower oil, must also be avoided, as they're
typically high in omega-6 fats, which can easily throw off your omega-6 to omega-3
ratio.

Another thing that you should work on improving is your skill in reading product labels,
particularly total carbohydrates. This will be your most important indicator to help you
compute your overall carbohydrate consumption, allowing you to create your ketogenic
diet.

The Best Keto Diet Foods to Eat

When it comes to the core of an actual ketogenic diet, remember that you need to
consume only moderate amounts of protein, or about one-half gram per pound (1 gram
per kilogram) of lean body mass, each day. In addition, carbohydrates must be
minimized and high-quality fats increased to serve as your new fuel source.

To ease yourself into a ketogenic diet meal plan, I recommend adding C8 medium-chain
triglyceride (MCT) oil into your food. It's typically more expensive than other types of
MCT oil, but I prefer it because it converts into ketones more effectively.

You can start with 1 teaspoon per day, then gradually increase your consumption to 2 to
3 tablespoons. If your stomach does not agree with MCT oil, you can try MCT powder,
which is easier on your stomach. From there, you can start adding more healthy fats to
your diet using the keto food list below:

• Fats — As mentioned earlier, the bulk of your daily calorie consumption (around
70%) should come from healthy fats. This will help your body switch from burning
sugar to fat for energy in the long run because you're removing the majority of
carbohydrates from your system. To get you started on the right path, you can refer
to the table below:

Coconut oil Raw, grass fed butter Grass fed meats

Raw cacao butter Lard and/or tallow Avocados

Ghee (clarified butter) Organic pastured eggs Olives and olive oil
(make sure they are
third-party certified
because most olive oils
 are diluted with
vegetable oils)

Raw nuts, such as Animal-based omega-3 Various seeds such as

macadamia, almonds fats from healthy pumpkin, sesame, cumin
and pecans sources such as wild- and hemp
caught Alaskan salmon,
sardines, anchovies and
krill

For dairy-based healthy fats, make sure that they are made from raw, grass fed
milk. This ensures that you're getting the best nutrition possible because grain-fed
sources may potentially harm your health due to pesticide exposure.

To help compute your daily fat calorie requirements, you can use an app like my
completely free Cronometer or MyFitnessPal, which has a large database of foods.
Make sure to enter the correct food and track your servings properly.

• Protein — The ideal protein intake should be one-half gram per pound (or 1 gram
per kilogram) of lean body mass per day. This will help you maintain enough muscle
mass without triggering your mTOR. Excess protein can stimulate this pathway,
which may increase your risk of cancer. Common sources of protein include red
meat (beef and pork) and poultry (chicken). To find out how much protein you're
consuming, follow this handy guide:

• Red meat, pork and poultry contain 6 to 9 grams of protein per ounce

• One egg contains 6 to 8 grams of protein

• Seeds and nuts average 4 to 8 grams of protein per quarter cup

• Cooked beans have 7 to 8 grams of protein per cup

Whatever the source of protein you consume, make sure they are organic grass fed
and antibiotic-free, as they are generally healthier and safer for your body. In one
 study, researchers indicated that grass fed beef (regardless of cuts) contains more
omega-3 acid and conjugated linoleic acid compared to grain-fed beef.22 As for non-
meat sources of protein, try to look for organic and pesticide-free varieties.

• Vegetables — Veggies play an important part in the ketogenic diet because they are
low in carbohydrates and high in dietary fiber, a nutritional component that can help
promote better digestion and overall gut health. Research indicates that fiber can
offer various health benefits, depending on what type you consume:

◦ Soluble fiber — This type of fiber helps you feel full longer, which can prevent
you from overeating. It also hinders the breakdown and digestion of dietary
cholesterol, which may help normalize your cholesterol levels. Additionally, it
helps slow the rate of carb digestion, which may control blood sugar spikes.

◦ Insoluble fiber — Commonly found in vegetables, this type of fiber adds bulk to
your stool, which can help facilitate regular waste elimination. In addition, it
may reduce the risk of bloating, pain and constipation.

◦ Digestive-resistant starch — This type of fiber ferments in your large

intestines, nourishing your gut bacteria to support optimal health.

Leafy vegetables are great sources of fiber (as well as various nutrients and
antioxidants), such as:

Broccoli Parsley Arugula

Spinach Swiss chard Beet greens

Kale Collard greens Brussels sprouts

You may also consider adding these other low-net carb vegetables to your regular
meals:

Asparagus Tomatoes White mushrooms

 Cauliflower Cucumber Eggplant

It's important that you strictly consume the vegetables recommended above, as
they are low in carbohydrates. Starchy vegetables such as potatoes,23 sweet
potatoes,24 corn,25 white beans26 and green peas are high in carbohydrates, making
them unfit for the ketogenic diet.

• Nuts — Real nuts, which come from trees, are great for helping you meet your fat
requirements. They also make for great keto-friendly snacks if you suddenly feel
the need for a quick bite. There are several healthy options to choose, such as:

◦ Macadamia — Out of all nuts, macadamia nuts have the highest fat, with low
protein and carb content. They're also rich in other nutrients such as
manganese, thiamin and magnesium.

◦ Pecan — This type of nut comes close to macadamia's fat content, and has
high magnesium and manganese content, too.

◦ Walnut — Consuming this nut can help boost your omega-3 intake, as well as
your copper, biotin and manganese levels.

◦ Brazil nuts — These nuts are known for their selenium content, which
possesses effective antioxidant capabilities. They also have a good
combination of healthy fats, vitamins, minerals and fiber.

• Fruits — While fruits are generally healthy for you, the majority of them should be
avoided in a ketogenic diet because of their high amounts of sugar. This includes
healthy (but sweet) ones such as bananas, apples, mangoes and grapes.

However, certain citrus fruits and berries are safe to eat in moderate quantities,
because they are rich in antioxidants that support your health.

Limes and lemons (You can add a few slices to your drinking water)

Grapefruit (eat a few sections in lieu of vegetables)

 Blackberry

Blueberry

Cranberry

• Beverages — As for beverages, there are several you can choose from. The most
important is high-quality filtered water, but you may also drink organic black coffee
(without any sweeteners or milk), which is rich in antioxidants. Coconut milk can be
consumed, as well as herbal teas because they are rich in various antioxidants and
nutrients.

Make sure to stay away from sweetened drinks and carbonated sodas, as their
sugar content can throw you off ketosis. Not to mention, they are simply unhealthy
for your body in general. Avoid alcohol consumption as well.

• Spices — Spices are an easy way of adding more flavor, vitamins and antioxidants
into your food. Furthermore, they are low in carbohydrates. Make sure that you're
using fresh, organic spices for maximum flavor and nutrients.

Some spices sold in packets found at the local grocery should not be used, as they
often contain fillers that can increase your carbohydrate consumption, thus putting
you out of ketosis.27 For a list of keto-friendly spices you can use in moderation, you
may refer to the table below:28

Sage Black pepper Basil

Cayenne pepper Chili powder Cilantro

Cinnamon Cumin Oregano

Parsley Rosemary Mustard seed

Thyme Turmeric Garlic powder

Ginger Ginseng Paprika

 Dill Coriander Dried parsley

Peppermint Spearmint Cloves

Beware of Lectins When Eating Vegetables

Lectins are sugar-binding plant proteins that can attach to your cell membranes, which
can cause weight gain and ill health even if you eat a nutritious diet. They're found in
plenty of plant foods, including eggplants, tomatoes and squash.

However, complete avoidance of lectins is neither possible nor ideal because you would
be missing out on other nutrients in vegetables. Instead, here are some effective ways
you can reduce lectins from your diet:

• Peeling and deseeding your fruits and vegetables — The skin, hull and seeds tend
to contain the highest amounts of lectins.

• Sprouting — Seeds, grains and beans will deactivate lectins when sprouted.
However, there are exceptions such as alfalfa, where the inverse actually happens.

• Fermenting — Fermented vegetables not only have reduced lectin content, but also
an improved nutritional profile.

• Using a pressure cooker — Lectins are effectively neutralized when using this
household appliance. Avoid using slow cookers because they can actually raise the
lectin content due to the low cooking temperature.

As you can see, the list of foods you can eat is quite extensive. But what does an actual
day of following a ketogenic diet look like? To help you ease into it, here's a sample one-
day eating plan that can guide you.

Sample One-Day Ketogenic Meal Plan

1. As You Start Your Day — Measure your glucose level when you wake up. You can
have a cup of coffee or tea with 2 tablespoons of grass fed butter, coconut oil or
MCT oil melted into it.

2. Breakfast — As hunger begins to set in, start consuming mostly protein and fats
together, such as two pasture-raised eggs cooked in 1 tablespoon of ghee and 1
tablespoon of coconut oil. Alternatively, you may cook one egg with two strips of
organic bacon. Time-pressed individuals can make a smoothie using the following
ingredients:

Organic cream Stevia to taste Unsweetened almond

milk

Unsweetened protein 1 tablespoon of coconut Two strawberries or a

powder milk or a teaspoon of small handful of
MCT oil blueberries

3. Lunch — Lunch is best taken when your glucose reading is 80 or lower, or a few
hours after your first meal.

Start with 2 to 3 cups of salad greens along with half an avocado. An ideal amount
of protein should also be consumed (chicken, fish or lamb), plus 2 tablespoons of
extra virgin olive oil, a splash of white wine vinegar and 2 tablespoons of a hard
cheese grated over the top.

4. Dinner — Ideally, dinner should be eaten three hours before bedtime. If you eat at
night when your energy levels are low, you risk flooding your mitochondria with
reactive oxygen species (ROS).

This last meal for the day should have a smaller portion of protein cooked in high-
quality fat. A serving of vegetables drizzled with olive oil or coconut oil must also
be added. Keep in mind that your overall serving should be lighter than your
breakfast or lunch.
 5. Snacks — Fat-rich foods light on your stomach such as macadamia nuts and
pecans are keto-friendly snacks. Celery, avocado and my Fat Bomb recipe below are
great choices as well.

Ketogenic Recipes You Can Try

If you don't know any ketogenic meals, I encourage you to try these recipes below, which
I use in my daily routine. They serve as a good introduction to the benefits and the
wonderful flavors of the ketogenic diet. Aside from being delicious, they're also simple
to prepare. The easiness will give you the confidence to try more complex ketogenic
recipes.

Dr. Mercola's Chocolate Fat Bomb Recipe

Ingredients

• 1 tablespoon black sesame seeds

• 1 tablespoon flax seeds

• 1 tablespoon black cumin seeds

• 1 tablespoon pumpkin seeds

• 1 tablespoon organic psyllium

• 1 tablespoon chia seeds

• 1 scoop Dr. Mercola's Organic Greens

• 1 teaspoon calcium from ground-pastured eggshells

• 1/2 ounce cocoa butter

• 1 whole avocado
• 1 to 2 tablespoons medium-chain triglyceride (MCT) oil

• 1 drop Stevia

• Filtered water

Procedure

1. Let the black sesame, flax, pumpkin and black cumin seeds soak overnight
(roughly 14 hours) in a mixing bowl.

2. Mix the remaining ingredients.

3. Pour water to desired consistency — it can range from a liquid to pudding

texture.

4. Using an immersion blender, blend for two to five minutes for desired
consistency.

Dr. Mercola's Keto Salad Recipe

Ingredients

• 2 ounces ground organic lamb

• 1/3 red onion

• 1 whole avocado

• 2 to 4 ounces sunflower seed sprouts

• 1 to 2 tablespoons Dr. Mercola's coconut oil

• 6 pieces anchovies (packed in salt, not oil)

• A handful of oregano to your desired flavor (cut finely)

• 2 to 4 ounces fennel bulb and/or leaves

• 2 sprigs rosemary (chopped finely)

• 100 grams red pepper

• A handful Malabar spinach

• 1 habanero pepper (chopped)

• 1 tablespoon salmon fish roe

• 2 to 3 ounces grass fed pastured butter

• 3 ounces fermented vegetables

• 4 to 7 shakes Dr. Mercola's Himalayan salt

• 10 to 20 shakes ground pepper (depending on your preference)

Procedure

1. Gently heat the coconut oil in a frying pan.

2. Add onions and ground organic lamb at very low heat for 20 to 25 minutes.

3. In a separate bowl, cut and mix the remaining ingredients.

4. After 25 minutes, add the onions to the salad and then mix it well.

5. Rinse salt off the anchovies and soak them for five minutes.

6. Split each anchovy into three pieces and add to the salad.

7. Add the organic lamb to the salad.

Dr. Mercola's Macadamia Nut Fudge Recipe

 Ingredients

• 300 grams cocoa butter

• 200 grams Dr. Mercola's coconut oil

• 200 grams raw, organic-pastured butter

• 300 grams macadamia nuts

• 8 full droppers stevia (you can use Luo Han as a substitute)

• 1 teaspoon Dr. Mercola's organic vanilla extract

Procedure

1. Mix the butters and oils under low heat for three to five minutes.

2. Once the mixture cools, add the Stevia and the vanilla extract.

3. Pour the fudge into 8-ounce wide ball jars.

4. Spread the nuts evenly across all jars.

5. Refrigerate until the fudge reaches the desired consistency

This recipe makes eight servings.

Are These Other Foods Ketogenic?

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:
Is Hummus Ketogenic? — Hummus is a spread or dip made by grinding chickpeas,
tahini, garlic, lemon juice, salt and olive oil together. Other spices like red pepper may
be added to alter the flavor.29

Chickpeas are naturally high in carbs — a single cup contains 45 grams of

carbohydrates.30 However, you can modify the recipe to make it more nutritious, such
as substituting the chickpeas with beetroot. Beware, though, that beets have the
highest sugar content of all vegetables, so consume them in very controlled
amounts.

Is Popcorn Ketogenic? — If you're just starting out with the ketogenic diet, you may
be wondering if this popular snack can fit into your new eating plan. The answer: It
depends on your carbohydrate consumption.31

According to Self Nutrition Data, 1 cup of oil-cooked popcorn contains 6.3 grams of
carbohydrates.32 Since I recommend that people usually limit their net carb
consumption to under 50 grams per day, a single serving of popcorn may throw you
off ketosis.

If you choose to add popcorn into your ketogenic diet, I recommend making your
own at home to minimize carb intake by using organic corn kernels. Using healthy
fats to cook the kernels will also increase the ketogenic profile of the meal.

Is Spaghetti Squash Ketogenic? — Spaghetti squash (Cucurbita pepo) is a long,

oblong-shaped yellow vegetable. When cooked, its flesh separates into thin noodles
that resemble the beloved Italian dish. In this regard, the vegetable is sometimes
called "squaghetti." If you want to try it, here's a recipe that you can follow.

But is this food keto-friendly? Similar to popcorn, the answer depends on your needs.
A single cup of spaghetti winter squash contains 10 grams of carbohydrates, which
is well within the limit of your ideal daily net carb intake — but it could still throw off
your entire daily carb count if you aren't careful.33
Is Peanut Butter Ketogenic? — Peanuts (and peanut butter) are high in omega-6 fatty
acids, so consuming too much of this food can throw off your omega-6 to omega-3
ratio.34 Peanuts also contain lectins, which may exacerbate symptoms in people who
have autoimmune diseases.35

Despite conflicting information, it is still possible to add peanut butter to your

ketogenic diet, but I don't generally recommend it, even when used sparingly. If you
still want to push through with eating peanut butter, make sure that it is homemade
by soaking the nuts overnight before production to reduce the lectin content.

Also, calculate your servings accordingly to prevent going over your daily net carb
intake to prevent throwing you off ketosis.36 Lastly, avoid commercial peanut butter,
because the peanuts used are heavily sprayed with pesticides.

Is Cheese Ketogenic? — Certain types of dairy are recommended as part of the

ketogenic diet, and cheese is one of them. That's because it's rich in healthy fat that
may help augment your health, similar to other fat-rich foods.

When choosing cheeses, make sure they're made using raw grass fed milk to get all
the healthy fats. Remember, the longer a cheese has been aged, the lower the carb
content.37

Is Honey Ketogenic? — Raw honey is a natural sweetener with various potential

health benefits, such as fighting microbes and boosting immune system function.
However, it is filled with fructose that can throw you off ketosis, even when taken in
small amounts. It is recommended that you avoid honey if you want the ketogenic
diet to truly benefit your health.38

Is Almond Milk Ketogenic? — Almond milk is a viable alternative to dairy milk for the
ketogenic diet, and it's also ideal for lactose-intolerant individuals. In addition,
research suggests that the fatty acids found in almond milk may help reduce the risk
of heart disease.39
 If you want to add almond milk to your diet, do not purchase the ones made with
pasteurized nuts, as they may harm your health. Instead, make your own using raw,
unpasteurized almonds.

Is Butternut Squash Keto? — Butternut squash is a type of winter squash with more
carbohydrates than summer squash. In light of this, adding it to your ketogenic diet
isn't recommended. However, you may still consume this vegetable, but in very small,
controlled amounts. Make sure you closely monitor your carb consumption to
prevent going off ketosis.40

Are Tomatoes Ketogenic? — According to the USDA, a 100-gram serving of red

tomatoes has 3.9 grams of carbohydrates.41 You may add this fruit to your ketogenic
diet safely and gain its beneficial nutrients, particularly lycopene. Researchers from
Ohio State University suggest that this antioxidant may help protect your skin from
sun damage, which may result in a lowered risk of skin cancer tumors.42

Remember to always cook tomatoes to improve their nutritional value. Research

shows that cooked tomatoes have increased lycopene content, as well as total
antioxidant activity. In one study that heated tomatoes to just over 190 degrees
Fahrenheit for two, 15 and 30 minutes, results indicated that:43

• Beneficial trans-lycopene content increased by 54%, 171% and 164%,

respectively

• Levels of cis-lycopene (which is a form easily absorbed by your body) rose by

6%, 17% and 35%, respectively

• Overall antioxidant levels increased by 28%, 34% and 62%, respectively

Who Should Not Be on a Ketogenic Diet?

Based on published studies, a ketogenic diet can be beneficial for optimizing your
health. However, not everyone should follow this eating plan due to certain factors. If
you fall within any of the following categories, I recommend that you do not push
through with a ketogenic diet for safety reasons:44,45

You are pregnant — During pregnancy, your body undergoes many changes that
require nutrients from various sources. Therefore, severely restricting yourself from
healthy carb sources may negatively impact your baby's health.46

You are breastfeeding — Breastfeeding women should avoid a ketogenic diet

throughout the child's breastfeeding phase. That's because women need
oxaloacetate, a compound essential for creating lactose for breastmilk, which is
essential for their baby's growth.

You are an athlete who's about to start a new season — Athletes can greatly benefit
from the energy produced by ketones, but it takes around four to six weeks for your
body to achieve ketosis. During this time, your body has not yet adapted to using fat
as an energy source, which may impede your performance in upcoming athletic
events.

If you wish to take advantage of the ketogenic diet, give your body time to adapt by
planning ahead during the offseason.

You've had your gallbladder removed — If you had your gallbladder removed due to
previous health issues, your body will have problems metabolizing dietary fat when
implementing the ketogenic diet. Fortunately, taking digestive enzymes, particularly
lipase, while eating fat-rich meals can help you mitigate this obstacle.

You have a history of kidney stones — If you have developed kidney stones before, a
ketogenic diet may increase your chances of getting them again. That's because
ketones are naturally acidic, which increases the production of uric acid and the
formation of stones.

On the other hand, kidney stones may be prevented while on a ketogenic diet if you
increase your consumption of potassium from leafy greens and other high-fat foods
such as avocado. Staying hydrated throughout the day also helps lower your risk of
developing stones.

Your body is still growing — In one study, epileptic children experienced a reduction
in symptoms and improved cognitive performance when a ketogenic diet was
introduced.47 However, this may have a negative effect on the growth of their bodies
in the long run, according to a study published in the journal Developmental
Medicine & Child Neurology.48

Researchers believe that a ketogenic diet reduces the production of insulin-like

growth factor 1 (IGFT-1), a hormone essential in the development of the bones and
the muscles of kids and teenagers. If your child absolutely needs to be on a
ketogenic diet, consult with a doctor first to discuss any potential growth issues.

You're naturally thin — Naturally thin people with a body mass index (BMI) of 20 or
less should avoid a ketogenic diet because it may induce further weight loss, which
can be detrimental to your overall health.

You have rare metabolic disorders — Disorders such as Gaucher disease, Tay-Sachs,
Niemann-Pick and Fabry disease can interfere with fat metabolism, thus affecting
energy production.49 If you have any of the aforementioned disorders, a ketogenic
diet is not recommended as it relies largely on fat for energy production.

You're struggling with anorexia — Anorexics may suffer from rapid starvation if they
follow a ketogenic diet, because they already limit their calorie consumption and
have an extreme fear of eating fat, which a ketogenic diet has lots of.

If they embark on a ketogenic eating plan, they may also suffer from low energy,
because a ketogenic diet relies on dietary fat as the main source of fuel. However,
their overall well-being may benefit from ketones through careful medical and
psychiatric supervision.

You have pancreatic insufficiency — Pancreatic insufficiency is a condition where

 your pancreas does not produce enough enzymes to help break down and absorb
nutrients in your digestive tract. If you have an enzyme deficiency, I suggest having it
treated first before embarking on a ketogenic diet, because your digestive system
will have a hard time absorbing dietary fats.

The Side Effects of a Ketogenic Diet

Starting a ketogenic diet can help optimize your health tremendously in many ways. But
like any major dietary changes, it can have several undesirable (but not alarming) side
effects, such as:

Bad breath — Once you start on a ketogenic diet, you may notice that your breath will
have an undesirable odor due to the increased acetone levels in your body. Acetone
is a ketone produced during ketosis, which is expelled in your urine and partly your
breath.

On a positive note, detecting acetone in your breath is a good indicator that your
ketogenic diet is working.50 You can brush your teeth and/or rinse your mouth with
coconut oil to help remove the bad breath.

Short-term fatigue — You may begin to feel fatigue at the start of a ketogenic diet.
It's actually one of the main reasons why many people choose not to continue with
this approach long before they can enjoy the benefits.51

The reason why you get tired at the start is your body is adapting from using
carbohydrates for energy to healthy fats. The transition doesn't happen overnight,
and it may take you anywhere from a several days to a few weeks before your body
achieves full ketosis.52

Frequent urination — During the first few days of implementing a ketogenic diet, you
may notice that you're using the bathroom more often. That's because your body is
dumping the glycogen in your liver and muscles as urine. Furthermore, as the insulin
 level in your blood begins to drop, excess sodium is expelled in the form of urine as
well.53

Digestive problems — A huge shift into any dieting method can increase your risk of
digestive problems, and the ketogenic diet is no exception. Constipation is
commonly reported among those who are starting out on a ketogenic diet, but it may
disappear in a few weeks once your body gets used to the healthier food you're
eating.54

Sugar cravings — You may develop intense sugar cravings as your body switches
from sugar to fat for fuel. However, I encourage you not to give in to temptation. You
can practice various relaxation method such as the Emotional Freedom Techniques
or yoga to take your mind away from sugary foods.55

Hair loss — You may notice more strands of hair getting stuck on your brush during
the first few days of your ketogenic diet. Don't worry because this is not a big cause
of concern, since hair loss can result from any major dietary changes in general. It
will stop once your body achieves ketosis.56

Is the Ketogenic Diet Safe?

Based on published research, the benefits of the ketogenic diet are clear and defined.
Weight loss, lowered insulin levels and reduced appetite are health improvements that
most people will enjoy in the long run. That being said, there are some side effects that
you may experience when you first start out, such as those mentioned above.

In addition, you may experience "carb flu," a condition that mimics flu-like symptoms,
such as fatigue and headaches. This generally occurs during the onset of the ketogenic
diet because your body will have to adjust after relying on carbohydrates for fuel for so
long.57 The symptoms typically last less than a week (or two) only. If carb flu does
happen to you, here are some things you can do to feel better while you're transitioning
into ketosis:58
 • Increase water intake

• Slightly increase your consumption of healthy fats and proteins

• Avoid sugar-free foods

Once you feel better, you can regulate your intake of water, fats and proteins into a full-
fledged ketogenic diet.

Aside from carb flu, be warned that staying in long-term, continuous ketosis may have
drawbacks that may actually undermine your health and longevity. To stay on the safe
side, I recommend undergoing a cyclic ketogenic diet. The "metabolic magic" that
ketosis brings to the mitochondria actually occurs during the refeeding phase, not
during the starvation phase.

What Are Keto Sticks and Strips?

Keto strips and sticks are useful tools in helping you figure out whether you're in ketosis
or not. There are three common ways to achieve this objective:59

• Blood ketone meter — This is the most accurate tool, but is generally expensive

• Urine stick — It will provide a Yes/No answer to whether you're in ketosis or not, but
it will not provide a measurement of your current ketones

• Breath ketone meter — This is more accurate than a urine stick, but the accuracy of
results can vary60

Blood ketone strips are considered the best testing tool, but they can be financially
exhausting in the long run. To help minimize costs, you can check for ketones every few
days instead of daily.

The Ketogenic Diet Can Become Even Better Through Fasting

Going into nutritional ketosis by following a ketogenic diet is one of the most radical but
highly beneficial lifestyle changes you can make to improve your health. As with most
dietary changes, always remember to listen to your body. If you feel any side effects
other than the ones listed above, then necessary adjustments to your food intake may
be needed.

In achieving optimal health, the ketogenic diet is just one piece of the puzzle. Another
aspect you should incorporate is intermittent fasting. If you want to elevate your health
to an even higher level, I encourage you to restrict your eating window. Combining these
two techniques can help you achieve higher levels of health that you've never reached
before. I call this strategy "KetoFast."

KetoFast Combines Keto and Intermittent Fasting

KetoFast is a radical approach to releasing fat-soluble toxins from your body, as well as
triggering lipolysis. If you've had doubts about fasting, now is the time to throw them all
away. Fasting, when done properly, can amplify the benefits of the ketogenic diet.
Through KetoFasting, not only will you be able to use fat for energy, you'll also eliminate
toxins, resulting in a cleaner, healthier you.

If you're determined to make a radical change in your health, I encourage you to get my
latest book "KetoFast," which offers a step-by-step guide on how to do KetoFasting. This
powerful tool is actually the final step of my comprehensive approach to reducing your
toxic exposure and regaining your ability to burn fat for fuel.

To give you a brief on how to implement KetoFasting into your lifestyle, here's an
overview of this strategy:

Step 1: Don't Eat Three Hours Before Bedtime — Don't eat or drink anything (except
water) three hours before sleeping. This will give your body enough time to digest
your last meal for the day, lowering the chances of mitochondrial damage. Sleep
should be devoted to resting and repairing your body, not breaking down food
you've just eaten.
Step 2: Compress Your Eating Window — Restrict your eating window to six to eight
hours each day. This will give you a total fasting period of 16 to 18 hours per day. To
give you an idea on how your day should look like, eat your meals from 11 A.M. to 7
P.M. only.

Give yourself time to adjust, as this represents a drastic change in your eating
habits. It may take up to a month, but all the hard work and effort you will put in will
be worth it. Even if you haven't switched to a ketogenic diet yet during this time,
compressing your eating window will already help you reap some of the benefits of
fasting, such as being metabolically flexible.

Step 3: Switch to the Ketogenic Diet — Once your body has adapted to fasting, you
should be on the ketogenic diet four times a week. I've already outlined the best
foods rich in healthy fat, so it's time for you to stock up on those. Even more
important is to monitor your ketones, so you actually know if you're burning fat for
energy. Here are three ways to test for ketones:

• Blood test

• Breathalyzer

• Urine test

Step 4: Feast After Every Two Ketogenic Days — Feasting is a crucial part of
KetoFasting, because during your ketogenic days, your body is in "famine" mode.
During the feasting portion, you will increase your carbohydrate intake between 100
to 150 grams. Protein is increased as well, while total fat will be reduced
consequently. However, calorie consumption will stay relatively the same, as
consuming too much can throw you off ketosis.

Healthy carbohydrates are your best choices for feasting. Foods such as fruits,
sweet potatoes, purple potatoes and quinoa are all great during these days.

Step 5: Add a KetoFast Day Once a Week — The end of the week will be devoted to
one KetoFast day. You will only consume a single, low-calorie meal comprised of
 65% to 85% fat, typically around 300 to 600 calories (depending on your body size).
The reason for this is to help remove fat-soluble toxins from your body.

Do not eat for 24 hours after consuming your KetoFast meal. This will give you
almost 48 hours of fasting to help your body facilitate detoxification without
problems. I recommend consuming your meal late in the morning.

Binders and Supplements Can Help Facilitate KetoFasting

The eventual release of toxins into your system may cause damage. In order to mitigate
this problem, here are some supplements I recommend you take:

Ubiquinol (100 to 150 Organic psyllium (one to High-quality probiotics

milligrams twice a day) two tablespoons)

Phosphatidylcholine Bitters Gentian

Dandelion Solidago (goldenrod) Myrrh

It's also important to take binders during KetoFasting days. They can help improve your
detox efforts by grabbing contaminants and expelling them through your feces. Only
take binders on an empty stomach because they will steal the nutrients from your food
instead. Here are four binders I recommend:

• Activated charcoal — 5 to 6 grams

• Chitosan — 2 to 3 grams

• Modified citrus pectin — 5 grams, once to thrice a day

• Chlorella — 5 to 15 grams

KetoFast Your Way to Better Health With the Right Recipes

KetoFasting requires careful planning of your diet, because consuming excess
carbohydrates or protein will not give you the detoxifying results you're looking for. In my
book "KetoFast," I explain in great detail HOW and WHY you should adopt this radical
health strategy. However, you still need to know WHAT foods to eat to set yourself up for
detoxification.

In this regard, I've created the "KetoFast Cookbook," which I co-wrote with Australian
chef Pete Evans. Together, we've compiled more than 40 delicious, nourishing recipes
that will help support optimal detoxification and minimize the side effects of fasting.

Frequently Asked Questions About the Ketogenic Diet

Q: Is the ketogenic diet healthy?

A: As numerous studies have indicated, the ketogenic diet may potentially benefit
your health in numerous ways. However, long-term ketosis may have unwarranted
negative effects on your health, so it's better to cycle out of ketosis once in a while
for safety reasons.

Q: How do I go into nutritional ketosis?

A: To enter into a state of nutritional ketosis, take a look at what you're currently
eating and remove any unhealthy items such as sugary drinks and processed foods.
The next step is to consume whole, organic foods that are high in healthy fats, have
moderate protein and only minimal carbohydrates.

Q: How long does it take to get into ketosis?

A: Each person reacts differently to a ketogenic diet. You may experience a few side
effects in the first seven to 30 days, such as constipation, fatigue and urination. But
once your body normalizes, you will start feeling the benefits.

Q: How many carbs can I consume to be in a state of ketosis?

A: It's generally recommended that only 5% of your daily diet is allocated to

carbohydrates because if you consume more than that, your body gets thrown off
ketosis. However, this is only for SKD, or the standard ketogenic diet. If you're an
athlete or a bodybuilder, you can consume more carbs without affecting ketosis by
following a targeted ketogenic diet (TKD) or a cyclic ketogenic diet (CKD).

Q: How long does it take before ketosis shows results?

A: The results of ketosis can be felt as early as the first week when your body begins
to dump water and carbohydrates, but the weight loss will only be minor.61 As time
goes on, your body will begin to consistently shed excess fat, provided you stick to
your ketogenic program.62

Q: What is the keto flu?

A: Keto flu, or carb flu, is a possible reaction your body may experience as a result
from switching to fat for fuel from carbs. Issues like muscle soreness, fatigue,
headaches and general fogginess may occur.63

Q: Why am I not losing weight on keto?

A: There are a few possible reasons why you're not undergoing ketosis, such as:64

• Eating too much fruit — Fruits contain fructose that can throw you off ketosis
when consumed too much.
 • You're consuming hidden carbohydrates — Certain vegetables, dairy and nuts
have high carb content, so make sure that you review the carb content of the
food you're eating.

• You're eating too much — Consuming too much healthy fat can drastically
increase your daily caloric intake, preventing you from losing weight.

• You're eating too little — Consuming too few calories can slow down your
metabolism, making your body conserve itself in response to inadequate energy
levels.

Q: What is keto coffee?

A: Keto coffee is simply coffee with MCT oil and raw, grass fed butter, which gives
the drink not only energy-boosting, but also fat-burning properties.

Q: Is the ketogenic diet safe long-term?

A: Long-term ketosis may be unhealthy, so you should switch to a cyclical ketogenic

diet to introduce appropriate amounts of carbohydrates into your body once in a
while.

Q: How many carbs a day should you consume on a ketogenic diet?

A: Limiting your net carb intake to under 50 grams per day can help transition your
body into burning fat for fuel.

Q: How much weight can you lose on a ketogenic diet?

 A: There's no specific answer for this question, as it is dependent on many factors.
However, you may be able to spot improvements right away. In a study that tested
the ketogenic diet on obese people, researchers noted that after 24 weeks, the test
subjects lost around 14 kilograms (30.8 pounds) of excess weight, going from an
average 101.03 kilograms to 86.67 kilograms (222.7 pounds to 191 pounds).65

Q: Can you eat beans on keto?

A: It's possible to eat beans, but only during the initial stage of the ketogenic diet.
That's because they're high in net carbs, making them ideal only when you begin
cycling in and out of ketosis. Beans should be consumed during your carb "feasting"
days.

Q: Do calories matter on keto?

A: Counting your calories on a ketogenic diet is important as it will dictate your

weight goals. In my case, I had to increase my caloric consumption in order to
maintain my ideal weight. If you're trying to lose weight, cutting back on your
calories may work to your benefit.

Q: Can you drink alcohol on a ketogenic diet?

A: In general, I don't recommend that you drink any form of alcohol, especially when
you're trying to lead a healthy lifestyle.

Last update: April 29, 2019

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