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The ketogenic diet: is it a dangerous fad or the key to weight loss?

Netdoctor (UK) logo Netdoctor (UK) 31/10/2018 Naomi Mead
a meal of meat and vegetables: A dietician explains just what happens when you eat a low carb - high fat diet and whether it's good for weight loss © Claudia Totir - Getty Images A dietician explains just what happens when you eat a low carb - high fat diet and whether it's good for weight loss

The ketogenic diet is a major trend if you're looking for quick, dramatic weight loss. But is it effective, and more importantly is it safe?

Dr Alan Barclay, Accredited Practising Dietitian and Research Associate at The University of Sydney examines the dietary fad:

What is the ketogenic diet?

The ketogenic diet (or 'keto' as it is sometimes called) is a very low-carbohydrate, high-fat diet, similar in nature to the Atkins Diet.

'The aim of this diet is to significantly decrease the amount of carbohydrate in your diet, so that the body switches from primarily burning carbohydrates, to burning fat, for energy,' says Dr Barclay.

Thanks to the absence of sufficient carbohydrates and an excess of dietary fat, your liver generates greater quantities of what is known as 'ketone bodies', and this effectively puts your body into a metabolic state known as 'ketosis'.

In ketosis, your body becomes incredibly efficient at using ketone bodies, generated from the breakdown of fat, as fuel. In other words, your body will burn more body fat. 

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What foods are excluded in the keto diet?

Generally, the ketogenic diet reduces or excludes carbohydrate-containing foods, including breads, breakfast cereals, pasta, rice, quinoa, couscous, starchy vegetables (potato, sweet potato, corn), fruit, and legumes. Instead you are encouraged to consume more high fat foods, such as fatty meats, full-cream dairy, butter, nuts, avocado, olive oil and coconut oil.

A standard ketogenic diet consists of a split of around 30 per cent protein, 60 per cent fats and 10 per cent carbohydrates. Experts advise that you should eat no more than 50g of net carbs a day for the body to stay in a ketogenic state. 50g of carbs is equivalent to one cup of oats, one medium sweet potato, one cup cooked brown rice or one slice rye bread - in other words, not much.

Gallery: Yes, You Can Eat Fruit on Keto, and These 8 Are the Best Types {POPSUGAR]

Is the ketogenic diet safe?

Following the ketogenic diet can be safe in the short term but it does come with health concerns. 'It's not something that I recommend for the general population for the long-term,' says Dr Barclay. 'By drastically cutting out carbohydrate-containing foods, you'll miss out on the nutritional benefits of healthy choices like whole grains, fruit, starchy vegetables, and legumes such as beans, chickpeas and lentils.'

Carbohydrates are essential for energy. In fact, carbs are our brain, nervous system, kidney and red blood cells preferred source of energy. These foods also contain essential vitamins and minerals like iron, calcium, vitamin C, folate, potassium and magnesium, as well as dietary fibre.

'Cutting out carbs without advice can be dangerous, and can put you at risk of deficiencies in the long-term,' warns Dr Barclay. 'If you're looking to lose weight, burning fat may sound like the key to success, but in actual fact it comes with some risks, and may not be effective in the long term. The ketogenic diet is a short-term solution to a long-term health problem.'

a close up of a plate of food: BBQ teriyaki salmon © Nigel O'Neil - Getty Images BBQ teriyaki salmon

Side effects of the ketogenic diet

The transition to a ketogenic diet can also sometimes cause side effects, that are often referred to as 'keto flu'. These side effects can include:

  • Low energy levels
  • Brain fog
  • Increased hunger
  • Sleep problems
  • Nausea
  • Digestive discomfort
  • Poor exercise performance
  • Bad breath is also a common symptom, due to the production of excess ketones which are acetone-smelling (often described as the smell of rotten fruit).

Gallery: Here Are All the Nuts You Can Eat on the Keto Diet [POPSUGAR]

The ketogenic diet for weight loss

Fans of the keto diet say it can produce quick weight loss, while providing individuals with more energy, but the evidence for this is mixed.

'Studies have shown that compared to energy-restricted diets (ie cutting down on overall calories in a day), low-carb diets may be more effective for weight loss in the short term,' says Dr Barclay. 'This is partly due to decreases in body glycogen stores (in the liver and muscles), and the associated water loss that occurs (which collectively weighs about 2kg in a typical adult).'

But when you look at long-term results, there is very little difference between the two. 'Part of this is because adherence is very poor for low-carb diets in the long term – that is, people find it difficult to maintain a very low-carb diet, which suggests it's probably not sustainable to continue eating this way in the long-term,' says Dr Barclay.

⚠️ Because we do not know the long-term health effects of very low-carb diets, due to the potentially very low-fibre and high-fat content it could increase the risk of bowel cancer.

The keyto diet verdict

Evidence indicates that low-carb, high-fat diets can be effective for short-term weight loss, but little is known about their long-term safety and efficacy. For this reason, the ketogenic diet should only be followed under clinical supervision, advises Dr Barclay.

Despite the hype that tends to surround these diets, the belief that everyone will benefit from one dietary approach ignores the important differences between each of us as individuals. When it comes to diet, there is no one-size-fits-all approach!

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