How much weight you can loose on keto diet?



It’s possible to lose weight while following the keto diet. But the numbers may not be the same for everyone.

How much weight can you actually lose on the keto diet? The short and vague answer is: it depends. How long you remain on the diet, your end goals, and whether or not you experience side effects can make all the difference.

How long can you stay on the keto diet?

The keto diet has strictly medical origins, and it may be able to help patients improve their health in clinical settings. But outside the supervision of a health professional, it’s not always a sustainable or safe weight loss method — especially in the long-term.

Experts haven’t decided on a universal time frame that works best for weight loss on keto, mostly because every individual reacts differently to it. Some people do it for a month and then move on. Others claim to have kept up the diet for years.

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In reality, most people who try the diet to lose weight without a medical reason won’t keep up with it that long. Why? Because it’s not an easy diet to follow. You’re extremely limited in terms of what you can eat in a day, and if you aren’t willing to get creative with your food choices, you might get really bored, really fast.

Those who claim they lost massive amounts of weight quickly while on the keto diet probably weren’t exaggerating. But what they might have failed to mention was whether or not they were able to keep up that pace of weight loss — or maintain it after the fact.

As with any diet, you might appear to lose a lot of weight in the beginning. But it will most likely slow down. And that’s typically when dieters get frustrated and quit.

How much weight can you lose in 1 month?

Even one month is a long time to sustain a diet like this, so let’s stick with a 30-day average for the rest of the article. Medically, professionals usually recommend an average of one to two pounds of weight loss per week when losing weight the “traditional” way. Is the keto diet any different?

At first — within the first several weeks — you’ll lose mostly water weight due to a decrease in calories. This will come off quickly, allowing you to drop 10 pounds or more, in total, in 30 days or less.
But what happens after that depends on whether or not you stick to the low-carb, high-fat life. Will you exercise while you’re doing it, or do you subscribe to the belief that you don’t have to because keto will do all the work for you? Will you experience side effects that make the diet unsustainable for you?

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There’s no way to predict how much or how quickly you can shed pounds. But if keto ends up being a diet you can willingly and safely stick to, and it works for you, then it may be worth your time.
If you’re going to try keto to lose weight, know the facts before you come up with a plan. This isn’t a diet that’s magically going to make you 30 pounds lighter and keep you there. And just because it worked for one person doesn’t mean it will work for you.

There’s no harm in trying — usually. But be realistic about the possible results.

Originally developed to treat severe epilepsy in infants and children under medical supervision, today the ketogenic diet is moving to the mainstream as a low-carbohydrate tool for weight loss and as a means to reduce cardiometabolic risk factors—but not without controversy. Today's Dietitian looks at what the ketogenic diet is, what's known about its risks and benefits, and whether patients who say they're "doing keto" are actually following a ketogenic diet.

What the Ketogenic Diet Is ... and What It Isn't

The ketogenic diet isn't just any low-carbohydrate diet, and it's not necessarily similar to the Atkins or Paleo diets. The Atkins diet restricts carbohydrates while emphasizing protein and limiting fat, and while the Paleo diet restricts some carbohydrate-rich foods—primarily grains and pulses—it isn't necessarily low carb. The ketogenic diet is very low in carbohydrates and very high in fat, putting the body into ketosis—the burning of fat instead of glucose for fuel. Clinical ketogenic diets limit carbs to 20 to 50 g per day, primarily from nonstarchy vegetables, with very low-carb ketogenic diets restricting carbs to 30 g per day.1 Protein is kept high enough to maintain lean body mass, but low enough to preserve ketosis—the amino acids alanine and glutamine in protein can be converted to glucose through gluconeogenesis, nudging the body out of ketosis.

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Essentially, the ketogenic diet promotes a "pseudofasted" state.3 After three to four days of fasting or following a very low-carbohydrate diet, the body, deprived of dietary sugar and starch, reduces insulin secretion and switches to primarily burning fat for fuel. The resulting overproduction of acetyl-CoA leads to formation of ketones—beta-hydroxybutyric acid and acetone—in a process known as ketogenesis.2,4 Whereas the brain can't use fatty acids for fuel, ketones can cross the blood-brain barrier, providing fuel to the typically glucose-hungry brain as well as to other tissues. The transition to physiological, or nutritional, ketosis usually takes a week, and it doesn't raise blood levels of ketones as high as what occurs with diabetic ketoacidosis, a life-threatening complication of type 1 diabetes that lowers blood pH.4
"Essentially, you are pushing carbs low enough that your body has no choice but to burn fat for fuel," says Andres Ayesta, MS, RD, LD, CSCS, CSSD, owner of Vive Nutrition in Orlando, Florida, adding that the true ketogenic diet can have a ratio of 75% to 90% calories from fat, 10% from protein, and 5% from carbs. "Sometimes in a clinical setting, not even vegetables are allowed."

However, in research and in real life, diets labeled as "ketogenic" vary widely. "What most people are doing is a modified ketogenic diet or modified Atkins," Ayesta says. "It doesn't mean it's not effective, but it's not the same thing. Your ketone production may not be the same depending on how you're following the diet."

The Modified Atkins Diet replicates the induction phase of the original Atkins diet, with approximately 10% carbohydrates, 30% protein, and 60% fat.5 For this reason, the Modified Atkins Diet isn't a true ketogenic diet, nor are the very low-carbohydrate diets—some of which are low in fat and higher in protein—used in some studies.6-8
"The thing that's really 'off' for me in terms of the mainstream discussion of this diet is that most people aren't really on a strict ketogenic diet, and there's no real definition or set levels outlined," says Diana Reid, MPH, RD, Luxembourg-based owner of The Global Dietitian. "Maybe someone is eating 10 g of carbs daily, maybe 25, 50, 80—it's all very inconsistent. And most people, while they're eating much fewer carbs and lots of fat, they're also eating a lot of protein, which can be converted to glucose. That sort of defeats the purpose of the diet."

Purported Weight Loss Benefits

Why do ketogenic diets appear to have an advantage for weight loss—at least in the short term, since there are no long-term studies? There are several potential factors at play—including the fact that with any diet that restricts entire food groups, it's possible that reduced dietary variety leads to reduced calorie intake.

"Ketogenic diets dramatically elevate fat burning, which results in a much more stable flow of energy to all organs and tissues, especially the brain," says Jeff Volek, PhD, RD, a professor in the department of human sciences at Ohio State University. "Cravings and hunger are dramatically reduced and people don't need to eat frequent meals every few hours, which is the case for many on low-fat diets. Calorie restriction is therefore easier and weight loss happens with much less effort." He also points out that some research studies have found that a ketogenic diet has benefits for individuals with type 2 diabetes and prediabetes.

Reduction in appetite is a frequently noted effect of the ketogenic diet. This could be because of the satiating effect of protein, despite its restriction to low-to-moderate levels. Or, something about the diet—possibly the ketones themselves—may increase levels of appetite control hormones.4,9 In one small 2013 study of adults without diabetes with BMIs in the overweight or obese range, levels of ghrelin (the hunger hormone) and subjective appetite were lower when the subjects were in ketosis, even on a very low-energy diet (VLED) of 500 to 550 kcal per day. However, after eight weeks on the VLED, subjects began refeeding, and, at week 10, ratings of hunger and the urge and desire to eat were significantly higher than before their weight loss.10
According to a review published in 2015 in Obesity Reviews, studies have found that individuals adhering to a ketogenic low-carb diet report significantly less hunger and desire to eat compared with baseline, despite moderate calorie restriction and significant weight loss.

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 According to the authors, this may be dependent on circulating ketone levels, but a threshold level had yet to be determined. They also concluded that the data suggest that reducing carbohydrates to less than 50 g per day is unnecessary.

Research also shows benefits for improving insulin sensitivity and glycemic control, although the mechanisms aren't clear.1 A 12-month study that randomized 34 adults with HbA1c levels above 6% and BMIs above 25 to a very low-carb ketogenic diet or a moderate-carb, calorie-restricted, low-fat diet found that the low-carb group had greater weight loss and reduction of HbA1c. The low-carb subjects also were more likely to be able to reduce use of diabetes medications, with three discontinuing metformin. There was no significant difference in LDL cholesterol between the groups at 12 months.

Studies—most of which compare ketogenic diets with low-fat diets—also have found that while LDL cholesterol tends to increase for some people following a ketogenic diet, small, dense LDLs tend to decrease.1,13,14 Triglyceride and HDL cholesterol levels also tend to improve. Some researchers feel that in patients with type 2 diabetes, the benefits of improved glycemic control outweigh potential risks of elevated LDL.

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