Is a keto diet the best way to lose weight?

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What do you eat on a keto diet?

Your body uses whichever energy source is most readily available. This is normally glucose (sugar) converted from carbohydrates. If you drastically limit your carbohydrate consumption and replace it with fat, your body is eventually forced to use fat from food or your stores as energy instead. This process is called ‘ketosis’. “It is essentially the Atkins diet repackaged and renamed”, says Medlin.

“Most people calling their diet ‘keto’ are simply following a low or very low-carbohydrate diet”, she continues. The degree to which you need to restrict carbohydrates to be in ketosis “varies from person to person”, she adds. In a clinical or therapeutic setting, such as for children with epilepsy, the diet is designed specifically for the individual and support and monitoring are provided.

Low-carb, high-fat ingredients include avocados, meat, fish, eggs, cheese, cream, oil, butter, nuts and seeds. But not all ingredients need to be high in fat – leafy greens and berries are often included, for example. You avoid, or at least heavily restrict, wheat and other grains, potatoes, corn, pulses, beans, milk, most fruit and sugar.

To induce ketosis, a maximum of 20–50g carbohydrates can be consumed daily for someone eating 2,000 calories a day, according to a 2019 paper on the ketogenic diet. To put this into perspective, a banana contains about 20g and a plain bagel 44g. Protein is also usually kept to a moderate amount, as it can encourage the production of glucose and interrupt ketosis.

The keto diet has few rules on which high-fat foods to eat, and ‘dirty keto’ can consist of bacon and sausages fried in butter, as this technically meets the criteria. Medlin says the healthy eating guidelines should always roughly apply, even if you limit carbohydrates and regardless of what diet you’re following.

Will a keto diet help you lose weight?

The keto diet might not be for everyone

If you take any medication or have any medical issues, consult a doctor or dietitian before starting a keto diet. For some people, a keto diet may cause harm, even with careful monitoring.

Alternatives ways to lose weight

“I recommend checking your portions sizes are sensible, with potentially a small decrease in these and an increase in your vegetable intake”, says Priya Tew. She does not recommend reducing your carbohydrate intake to less than a quarter of your diet.

“Small steps make a big difference”, says Emma Thornton. She suggests cooking from scratch at home and expanding your knowledge of fresh ingredients is a good starting point. She also says other higher-fat and lower-carb diets, such as the popular Mediterranean-style diet, can be healthy as long as plenty of fish, nuts, seeds, other foods rich in healthy fats and vegetables are on the menu.

A key way to address weight-loss is to look at “why you eat rather than what you eat”, according to Medlin. Stress, poor sleep and choosing unrealistic diets have been identified as some of the main reasons people discontinue their weight-loss diet. An indepth review suggests the most effective strategy for long-term weight-loss and heart health is a healthy diet pattern that’s compatible with your food preferences and lifestyle. “It’s really important not to beat yourself up over having some birthday cake or foods you love once in a while”, concludes Medlin.

Dietitian Sophie Medlin recommends you look at why you eat before looking at what you eat

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