What recommendations should be considered when following a ketogenic diet?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 27-year-old male. What is the ketogenic diet, and how does it work in terms of macronutrient composition and its impact on the body's metabolism? What are the potential health benefits associated with the ketogenic diet, and for whom might it be recommended, such as individuals with specific medical conditions? Are there any potential risks or side effects of following a ketogenic diet, and how can I mitigate these risks if I choose to pursue this dietary approach? Can you provide guidance on the ideal macronutrient ratios for a ketogenic diet and how to determine an appropriate daily caloric intake? What are the recommended sources of fat, protein, and carbohydrates for someone following a ketogenic diet, and how can I ensure that I am meeting my nutritional needs?

Answered by Bhanushali Sonali Suresh Tara

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern.

Before starting keto, you need to understand how it works. First, the body starts using fat as a source of energy rather than glucose. This switch may take 2 to 3 days and can cause symptoms like a heavy head or nausea. Your keto diet may be disrupted if you consume more carbohydrates than recommended, which is ideally less than 0.881 ounces (25 grams) a day. The ketogenic diet has shown many benefits for epilepsy patients and children with special conditions, but many people attempt it for weight loss without expert guidance, which is not recommended at all. Guidelines for the ketogenic diet:

  1. Do not consume any grains - wheat, rice, breads, or oats.
  2. Avoid free sugars like sugar, fruits, colas, candies, dates, or figs.
  3. Do not consume starchy vegetables such as potatoes, beetroot, carrots, radish, and peas.
  4. All green leafy vegetables are permitted.
  5. Instead of dal or pulses, you can consume 3.53 ounces of sprouted moong daily.
  6. Include good fats in your diet, such as olive oil, virgin coconut oil, and ghee (one teaspoon per day). Avoid butter. 2 to 3 times a week, a cheese cube can be preferred.
  7. Nuts, black olives, and cheese can be consumed as mid-meals or snacks.
  8. For protein sources: paneer, egg whites, chicken, and fish can be included.
  9. On a ketogenic diet, it is not advisable to have cheats, as the body will no longer be in ketosis.
  10. Take a multivitamin supplement, such as Supradyn (multivitamins, minerals, and trace elements), every day after breakfast to avoid low energy levels.
  11. It is essential to hydrate yourself well on a ketogenic diet; therefore, consume about 101.44 ounces to 135.55 ounces of fluids daily.
  12. Clear liquids such as green tea, black coffee, bulletproof coffee, and lemon water can be consumed.
  13. Instead of regular milk, use fat cream, and instead of regular curd, use hung curd made from high-fat milk or Greek yogurt.

I suggest getting a detailed fat calculation done by an expert.

Hope I have solved your query. I will be happy to help you further.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 24, 2024
Reviewed At February 24, 2024

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Diploma in Dieticians and Applied Sciences

Professional Bio:

Miss Bhanushali Sonali Suresh Tara is an experienced Dietitian and Fitness Specialist with eleven years of clinical experience. She holds a Diplomate in Dietetics and Applied Sciences from The University of Mumbai. Currently, she practices at Bhanushali Clinic, a well-known healthcare facility located in Pune, Maharashtra. Miss Bhanushali specializes in providing personalized diet plans tailored to meet the unique nutritional needs and medical conditions of her patients. With her expertise in dietetics and applied sciences, she offers valuable guidance and support to individuals seeking to improve their overall health and well-being through proper nutrition and fitness. Her diet charts are designed to ensure that patients receive the necessary nutrients while taking into account their specific dietary requirements and health goals. Miss Bhanushali is dedicated to helping her patients achieve optimal health through balanced nutrition and a healthy lifestyle.

This doctor is not available for online consultations on the platform anymore.

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