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Ketogenic Diets and Chronic Disease: Benefits vs. Risks

frontiersin.org

11–20 of 74 posts

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#11
Having tried all these diets, a low protein and low fat vegan diet had the most dramatic weight loss without crazy cravings. Keto was good but the huge amount of protein meant I built/kept a bunch of muscle and muscle tissue taxes your system. In retrospect a high protein low fat/cal diet is a recipe for intense cravings and extremely difficult weight loss.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#12
The problem I have with these papers is that the standard to prove that something works is high and rigorous, while the alternatives are presented with much more flimsy evidentiary standards.

For example, the papers on cancer are dismissed, because the studies are inconclusive because they are not large enough or randomized, while the linkage with cancer creation is on the basis of "linked to" cancer.

Without that, this is just a opinion piece.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#13

I can confirm that the bits of the paper about Seizure Disorders are accurate - my daughter has Dravet Syndrome and has been on the Ketogenic diet for 5 years. Its well established that Keto works well for some seizure disorders (inc Dravet) - see https://pubmed.ncbi.nlm.nih.gov/25524846/ https://pubmed.ncbi.nlm.nih.gov/16146451/ - it works about as well as the best AEDs (anti eplileptic drugs) but with fewer side ef…

> There's also 'popular keto' which is what you'll get if you google 'keto cookie recipe'

This saddens me a lot. I'm a low carb proponent and I remember when keto was relatively new and based around real food. Meat, fat, dairy, nuts, vegetables. Then when people started losing weight the housewives got into it, and have turned keto into how to turn replace grains and sugar with fat. So no more real food, but keto pizza and muffins packed full of artificial sweeteners. /r/keto used to be cool, now it's just cheesecakes and adding butter to your coffee. I'd be surprised if people lost weight on that abomination.

Thankfully there's some more strict fringes that haven't been contaminated yet by the greater masses, and research into its benefits can continue until the soccer moms and big snack get into those as well.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#15

Having tried all these diets, a low protein and low fat vegan diet had the most dramatic weight loss without crazy cravings. Keto was good but the huge amount of protein meant I built/kept a bunch of muscle and muscle tissue taxes your system. In retrospect a high protein low fat/cal diet is a recipe for intense cravings and extremely difficult weight loss.

> In retrospect a high protein low fat/cal diet is a recipe for intense cravings and extremely difficult weight loss.

Keto is supposed to be high fat, very low carb, reasonable protein. As another poster named it, medical keto, is hard to follow because of the high fat. Popular keto is still challenging.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#16
As I've known it it's not really a ketogenic diet if your taking in >20g carbs per day.

> Ketogenic diets can induce weight loss (20–23). In a 2020 meta-analysis of 38 studies lasting 6–12 months and including 6,499 participants, low-carbohydrate diets, defined here as Even `classic keto` as defined in their table allows for 10% of your calories from carbohydrates. If eating 2kcals/day, that's 50g of carbs.

In no way do the studies referred match what I've known as keto. The goal to me is accidental carbohydrates only.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#17
post #9

Something about this article is just fishy to me. "Very-low-carbohydrate diets may lack vitamins, minerals, fiber, and phytochemicals found in fruits, vegetables, and whole grains (6–8). " How many vitamins are in non-fortified grains? "However, findings from a recent trial by Hall et al. suggest that a low-fat vegan diet (10% energy from fat) may be more effective than a ketogenic diet in suppressing appetite (27).…

> Very-low-carbohydrate diets may lack vitamins, minerals, fiber, and phytochemicals found in fruits, vegetables, and whole grains

What a load of bollocks. What vitamins and minerals are lacking in meat? Only one, vitamin C, and there is evidence the RDA for it is much lower if you don't ingest many carbs. The Inuit didn't get scurvy. And in any case vit C heavy plants and fruit are definitely OK on a low carb diet.

And no fibre and phytochemicals (literally "plant chemicals")? It's by design. None of these things are essential, and some find improvement in their autoimmune diseases and digestion when these are reduced or removed altogether. My digestion gets better and better as I approach literally 0g of fibre, provided my carb consumption is low of course. High carb low fibre isn't fun.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#18

Having tried all these diets, a low protein and low fat vegan diet had the most dramatic weight loss without crazy cravings. Keto was good but the huge amount of protein meant I built/kept a bunch of muscle and muscle tissue taxes your system. In retrospect a high protein low fat/cal diet is a recipe for intense cravings and extremely difficult weight loss.

> I built/kept a bunch of muscle and muscle tissue taxes your system

What!? In what world is muscle not a good thing. Muscle mass is even a measure of health in aging that fairly well predicts longevity.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#19

The big problem I have with the Keto diet is twofold: 1. People rarely compare it directly to something like a "Real Food" diet - they go from a lot of processed crap to mostly non processed stuff on the outside of the grocery store and then see huge benefits. But I suspect if they just switched to a Real Food diet in the first place they would see most of the same benefits. 2. It completely leaves out almost all leg…

And then the whole claim that keto was a diet of ancient people before the agricalture looked more like a fantasy. Modern hunter-gatherets in Africa get at least 50% percent of their calories from starchy vegetables and honey with latter supplying at least 10% of calories. This became apparent after scientists measured it rather than guessing based on earlier observations.

Re: Ketogenic Diets and Chronic Disease: Benefits vs. Risks

#20

As I've known it it's not really a ketogenic diet if your taking in >20g carbs per day. > Ketogenic diets can induce weight loss (20–23). In a 2020 meta-analysis of 38 studies lasting 6–12 months and including 6,499 participants, low-carbohydrate diets, defined here as Even `classic keto` as defined in their table allows for 10% of your calories from carbohydrates. If eating 2kcals/day, that's 50g of carbs. In no way…

Plenty of studies on ketogenic diets on rats are based on adding an incredible amount of fat on top of carbohydrate heavy and call it ketogenic. /r/ketoscience has these crappy studies posted and debunked daily. Serious research on low carb is sorely lacking and plenty of interested parties really do not want for good science to be done around high fat/meat: the money's on plant based these days. I am still salty about that sorry excuse for a study the Lancet posted a few years ago and is still making headlines.
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