Why a ketogenic diet doesn't really seem like a good idea?
Feb 22, 2024 By Nancy Miller

It was not initially intended to promote weight loss. Particularly for children who had already attempted conventional medications, it was one of the few effective treatments for epileptic children. However, those who wish to lose a few pounds without substituting butter are probably the only ones you will hear discussing today: the modified keto diet.

As consumers refer, the ketogenic diet consists primarily of fat-derived calories, with protein providing a small amount and carbohydrates providing almost none. A modified keto diet is comparable to an Atkins-like diet on an extreme level, except it originated first. A weight-loss article that served as the impetus for a low-carb diet was not published until 1958, whereas it was utilized as a treatment for epilepsy in the 1920s.

Desirably alluring is the concept of consuming fat to lose weight. Dieters may perceive that they do not need to sacrifice as much due to the satiating and soothing properties of oils and lipids. Further, isn't it common knowledge that carbohydrates are evil? It must be healthful if it originated as a diet prescribed by a physician. But that isn't always the case.

Negative Impact On Muscle Mass

According to dietitian Edwina Clark and others, the ketogenic diet can cause muscle loss even with resistance training. Carbs and protein promote muscle growth better than protein alone, especially after exercise. This could be why. Three months of a ketogenic diet resulted in similar fat loss and muscle mass changes as non-ketogenic dieters. In March 2018, Sports published the findings.

On the ketogenic diet, leg muscle mass decreased more. Muscle atrophy can create serious health issues, especially in older people. Building muscle burns calories and prevents aging and weight gain. Per the Institute of Medicine's Division of Health Promotion and Disease Prevention, muscle loss reduces strength. It increases the risk of falls, two of the leading causes of injury-related deaths in the elderly.

Impacts on Kidney Health Adversely

Kidney Issues Kidney damage from gallstones may result from the ketogenic diet. Of 195 children on keto for epilepsy, 13 had fewer kidney stones after adding potassium citrate. According to nutritionists, processed meats increase the risk of gout and kidney stones. Animal protein can raise urine acidity, calcium, and uric acid levels, increasing the risk of kidney stones and gout.

Ketoacidosis patients may be adversely affected by the ketogenic diet. A modified keto diet may not be compatible with the low-protein diet that is frequently recommended for individuals with kidney disease, according to research. Consult a healthcare professional before beginning this diet, particularly regarding kidney stones and other potential complications.

Causes Low Blood Sugar

People with diabetes need carbohydrates to control their blood sugar. In May 2018, Diabetic Medicine reported that a ketogenic diet may lower HbA1C levels within two to three months. Treatment may cause dangerously low blood sugar and hypoglycemia. Sports dietitian Angie Nutritionists from Lincoln, Nebraska, worry about the risks of supporting the ketogenic diet for type 1 diabetes.

Diabetes type 2 patients should be warned. The ketogenic diet may help and protect type 2 diabetics, says preliminary research. Insulin users risk hypoglycemia. The diet excludes whole grains, other weight- and blood-sugar-controlling, and no carb foods. On keto, whole carbs are banned. If you have health issues or take medications, nutritionists advise consulting your doctor before starting a ketogenic diet.

Keto and the Hazard of Yo-Yo Dieting

Due to water loss from carb burning, ketogenic diets present in the keto food list for beginners often cause rapid weight loss. Obese men who ate low-carb, high-protein lost 14 pounds in one month, while the control group lost 10 pounds on a moderate-carb diet. This strict diet may be hard to maintain and cause weight gain if stopped—this "yo-yo dieting" may increase diabetes and belly fat.

Long-term weight management is said to be more about diet compliance than type. Social and carbohydrate eaters will struggle with the ketogenic diet's strictures. The Mediterranean diet—high in carbs, whole grains, vegetables, and fruits—has many health benefits. The Mayo Clinic reports reduced risk of Alzheimer's, Parkinson's, cardiovascular disease, and some cancers.

Risk of Nutrient Shortfalls

Due to carbohydrate scarcity, two issues arise when carbs are severely limited. The brain must adjust to using fat-derived ketones instead of glucose, odd and different from carbs, to gain and attain energy. As a result, when insulin levels drop, the kidneys release more electrolytes.

Carb cutting reduces water retention, known as the "ketogenic flu." Constipation, nausea, diarrhea, cramps, mood swings, and headaches may occur. These issues usually last days to weeks. Consuming excess water reduces these effects. Consult a doctor if your nausea persists.

Constipation and Digestive Issues

The ketogenic diet may cause obesity—fiber-deficient diets without beans, fruits, and whole grains cause this disorder. Fiber aids digestion and intestinal health—teens on ketogenic diets for epilepsy experienced constipation. Also possible in the first weeks of the ketogenic diet is diarrhea.

You may have loose stools as your body adjusts to digesting fat faster. The absence of fiber worsens stool volume. Processed no carb foods with low carbohydrates contain sugar and alcohol, which can worsen gastrointestinal issues. Consuming low-carb, fiber-rich foods like avocados, broccoli, cauliflower, chia seeds, almonds, and coconut can prevent these issues.

Adjusting to Ketosis

Various diet plans are included in the keto food list for beginners. A change in breath odor, which frequently takes on a citrus tone, may be among the first symptoms of following a ketogenic diet. An acetone body generated during ketosis and exhaled via the lungs is responsible for this unexpected side effect.

Fruity breath is an inherent physiological response resulting from the body's metabolic shift from carbohydrate to fat metabolism, despite being somewhat peculiar. This symptom may persist for several weeks while your body adjusts; however, its duration is variable.

Blood Sodium Levels

Decreased sodium and electrolyte levels are a major contributor to the phenomenon known as the "keto flu" and can result from beginning a modified keto diet. Hypoglycemia, characterized by increased urine output and sodium loss, is accountable for this decline in electrolyte levels.

Especially for physically active individuals or those residing in humid climates, it is critical to augment sodium consumption via dietary means to avert severe health complications. Illnesses such as confusion, lethargy, and, in extreme instances, convulsions or fatality may ensue in the absence of appropriate electrolyte management.

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