Josh Axe, a doctor of natural medicine and clinical nutritionist, estimates that about 25% of people who try a ketogenic diet experience these symptoms, with fatigue being the most common. “That happens because your body runs out of sugar to burn for energy, and it has to start using fat,” he says. “That transition alone is enough to make your body feel tired for a few days.”
Because the Military Diet discourages substitutions, some may be led to believe that specific food choices have a “magical” effect to enhance weight loss. The truth is, there’s nothing special or unique about the combination of these foods over the three-day period. In fact, choosing different foods with similar macronutrient profiles would provide the exact results.
Some antidepressant medications can cause weight gain, especially the older tricyclic antidepressants (TCAs) such as Tryptizol, Saroten, and Clomipramine; as well as newer drugs such as Remeron (Mirtazapine). Lithium (for manic-depressive disorder) often causes weight gain. The most common antidepressants known as SSRI’s (for example Citalopram and Sertraline) usually don’t impact weight significantly. More on depression
While some report that they look forward to doing the diet again — "I wasn't hungry... just lacking energy," one user wrote — others preferred to find a diet that kept them feeling more full. Mom of three @sweatherly816 also gave it a shot. "I wanted to see how much I could lose, and I wanted to get a jump start on a healthier me," she said. "I lost 7lbs 3oz in the three days, which I was pretty proud of." She found it difficult — "It is a hard challenge, you have to drink plenty of water to stay full" — but ultimately was pleased with her results.
The ketogenic diet is not a benign, holistic or natural treatment for epilepsy; as with any serious medical therapy, there may be complications. These are generally less severe and less frequent than with anticonvulsant medication or surgery. Common but easily treatable short-term side effects include constipation, low-grade acidosis and hypoglycaemia if there is an initial fast. Raised levels of lipids in the blood affect up to 60% of children and cholesterol levels may increase by around 30%. This can be treated by changes to the fat content of the diet, such as from saturated fats towards polyunsaturated fats, and, if persistent, by lowering the ketogenic ratio. Supplements are necessary to counter the dietary deficiency of many micronutrients.
"When going out for fast food, I used to get the large-size value meal. Now, I satisfy a craving by ordering just one item: a small order of fries or a six-piece box of chicken nuggets. So far, I've shaved off 16 pounds in seven weeks, and I'm on track to being thinner than my high school self for my 10-year reunion later this year." —Miranda Jarrell, Birmingham, AL