Is Keto Worth It? Know The Health Benefits And Risks Before Going On A Keto DietThe ketogenic diet helps to bring your body into a metabolic state which is known as the ketosis. Ketosis occurs when the body has run out of its glycogen (which is basically sugar) stores so it needs to find another source of fuel.  By: DoctorNDTV  Updated: Dec 8, 2018 10:12 IST 4-Min Read 25 SHARES The primary goal of the ketogenic diet is weight loss.
From the whole wheat toast, you’ll get plenty of carbohydrates, fiber, iron, Vitamin B-6, magnesium and calcium. You’re probably familiar with most of these vitamins and minerals. Calcium of course is important for healthy bones and teeth. Magnesium is also found in the bones; but is needed too for creating protein. Iron plays an important role in blood, specifically, it carries oxygen in the body (2). That’s why iron deficiencies can cause you to feel tired, as oxygen may move more slowly throughout your body. The peanut butter will fill you up with 8 grams of protein and healthy fats. Finally, both coffee and tea are full of antioxidants and caffeine to give you a kick start in energy. As a result, you can confidently choose either coffee or tea. If you want to obtain additional health benefits, try drinking green tea.
Your favorite childhood snack is good for your grown-up self, too. Because peanut butter is a great source of protein and healthy fats, it can curb hunger and keep you feeling full long after you're finished eating. Having small snacks during the day that include a lean protein such as peanut butter with complex carbs (like an apple or banana) can also help keep your metabolism running smoothly.

Aside from just looking for a quick way to drop pounds without improving your health, you should also have very strong willpower. This diet may allow you to eat ice cream- but it doesn't allow you to stray from the laid out plans at all. It's also very likely that the diet will make you quite hungry; so you must be prepared to not give in to those hunger pangs.
Similar to the CICO diet, the Body Reset has gained popularity via social media, and there isn’t any definitive research that suggests the approach is safe and effective. Celebrity trainer Harley Pasternak created the plan, which is essentially a three-phase liquid diet comprised of smoothies and moderate exercise. While U.S. News notes you may lose weight on the diet, it may be tough to stick with, and isn’t safe for people with diabetes and heart disease. (38)

One of the central claims of the Military Diet is that your meals are arranged in “fat-burning” food combinations. However, “There’s no science behind it,” says Gomer. You may still lose weight if the calories you’re consuming are less than the calories you’re burning off throughout your day. But nothing about pairing grapefruit with peanut butter toast will necessarily help you slim your waistline more than another combination of similarly caloric foods, Gomer says.

The final possible culprit behind stubborn weight issues may be the stress hormone, cortisol. Too much cortisol will increase hunger levels, bringing along subsequent weight gain. The most common cause of elevated cortisol is chronic stress and lack of sleep (see tip #10), or cortisone medication (tip #9). It’s a good idea to try your best to do something about this.

Keep a calculator handy. To calculate your waist-to-hip ratio accurately, measure the narrowest point of your waist and the broadest part of your hip. Divide the values you obtained from the measurement and you have your ratio. The waist-to-hip ratio is a more accurate parameter to measure BMI. Those with a waist-to-hip ratio of 0.8 are susceptible to cardiovascular disease and stroke.

For coffee addicts: We really love (need) coffee too, so we understand why everyone has questions about coffee on the Military Diet! Caffeine withdrawal is no fun, especially when you’re already on a low calorie diet. So here’s some good news… Black coffee has less than 5 calories per cup, so if you need to sneak in a cup here and there, just cut out the equivalent calories elsewhere. Do not add cream and sugar. You can add Stevia if you like. You’re welcome…

"The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don't know if it works in the long term, nor whether it's safe," warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women's Hospital.
“This warming—or cooling—beverage serves a dual purpose. Not only is it full of antioxidants and other healthy phytochemicals, but it has the benefit of slightly increasing your metabolism,” says Harris-Pincus. Sipping tea in the evening instead of snacking, or trading in your PSL for a cup of green tea will lower your calorie intake and help you burn a few extra calories. Just be sure to keep it unsweetened.

The keto diet is more beneficial to endurance athletes like marathon runners and cyclists and not the best option for athletes who need short bursts of energy. If you are doing high-intensity sports and need fast bursts of energy and want to follow the ketogenic diet then to maximize performance and results, you should consider a cyclical keto diet.
In this Military Diet vlog, learn in detail about the experience of Charmaine. Although she struggles with hunger throughout the diet, she’s happy with her results. Charmaine reports that she’s hoping to lose weight for an upcoming trip so that she can feel more confident in her vacation outfits. In addition to following the diet, Charmaine hits the gym and completes workouts even though she does feel tired. She feels that exercising has contributed to her success. Throughout the vlog footage, she shares images of her meals and talks about how she’s feeling. In the end, she lost 5 pounds! Charmaine reminds us all to continue to follow a healthy diet afterwards so that you don’t gain the weight back.
I am SO thankful that healthy lifestyle alternatives are adamantly mentioned in this article. I feel that the military diet is more of a tagline or “attention getter” and does not full give the the results that people are assuming they’ll receive. I feel that this method would get rid of bloat and excess water weight far before it would get rid of body fat, and the amount of fat lost will be gained back immediately upon return to a “normal diet”. While this may help a dieter become more familiar with portion control, I feel like the military diet grabs the attention of new/crash dieters more than experienced dieters that are looking for a healthy lifestyle.
When these things are lacking, it causes your metabolism to drop and leads to inflammation, sending signals to the brain that you need to stock up on white fat. And new research shows that when there's too much white fat, your body can't keep up and the cells stop turning into brown fat.  What's that mean for you? Your calorie burn slows down like woah. 
A survey in 2005 of 88 paediatric neurologists in the US found that 36% regularly prescribed the diet after three or more drugs had failed; 24% occasionally prescribed the diet as a last resort; 24% had only prescribed the diet in a few rare cases; and 16% had never prescribed the diet. There are several possible explanations for this gap between evidence and clinical practice.[33] One major factor may be the lack of adequately trained dietitians, who are needed to administer a ketogenic diet programme.[30]
If you want to lose weight you should start by avoiding sugar and starch (like bread, pasta and potatoes). This is an old idea: For 150 years or more there have been a huge number of weight-loss diets based on eating fewer carbs. What’s new is that dozens of modern scientific studies have proven that, yes, low carb is the most effective way to lose weight.
Keep stocked in your refrigerator or freezer a box of veggie burgers (look for low-sodium varieties). Veggie burgers are a much better choice for your waistline and heart than ground meat. Veggie patties have only about half the calories of regular red meat patties, and zero heart-hurting saturated fat. Plus, they’re so easy to cook – just one or two minutes in the microwave. While toasting your whole-wheat bun, take from your pantry a jar of roasted red bell peppers and top your veggie patty with a couple of luscious slices. Smear your bun with a little low-sodium Dijon mustard.
Perhaps the biggest benefit of this type of diet is the potential for weight loss, given that currently over 70 percent of the United States population is either overweight or obese, according to the NIDDK. The NIDDK reports that people who initially lost 15 to 25 percent of their body weight within six months might be able to maintain a 5 percent weight loss over a period of four years. (2) The catch here is that exercise and permanent lifestyle changes must be made for such effects to stick — and there’s no evidence the military diet leads to sustainable healthy habits that result in maintainable weight loss.
This could be because the body increases insulin secretion in anticipation that sugar will appear in the blood. When this doesn’t happen, blood sugar drops and hunger increases. Whether this chain of events regularly takes place is somewhat unclear. Something odd happened when I tested Pepsi Max though, and there are well-designed studies showing increased insulin when using artificial sweeteners.
Still can't button your jeans with ease, or don't want to admit that you're keeping those maternity tops around longer than you'd like? If you're still dealing with stubborn belly fat, there may be more to it than simply hitting a plateau in the gym or losing your mojo. It turns out that what goes on inside your body—mainly your gut—plays a much bigger role than we thought. In fact, it helps determine whether food gets burned off or if it, well, stays put. Time to figure out exactly what problems may be happening on the inside, so you can love how you look on the outside. 

Leanne Vogel is a nutrition educator and the creator of healthfulpursuit.com, the popular website for those searching to change their lives through a whole-foods–based keto program. Leanne has gained worldwide recognition for her unique “no-limits”, paleo-friendly approach to the keto lifestyle and is the go-to resource for those looking to achieve health, happiness, and body confidence through a high-fat, low-carb keto diet.

The trick here is not only to avoid all obvious sources of carbohydrate (sweets, bread, spaghetti, rice, potatoes), but also to be careful with your protein intake. If you eat large amounts of meat, eggs and the like, the excess protein will be converted into glucose in your body. Large amounts of protein can also raise your insulin levels somewhat. This compromises optimal ketosis.
If you don’t like the taste of water try some of my metabolism boosting Fruit Infused Water Recipes. They are a great way to enjoy a sweet treat while doing something good for your body. Just be sure to stay away from the squirt bottles and flavor packets that many people add to their water – they are full of artificial sweeteners that can make you gain weight.

You can drink water and black coffee or tea, but no soda, milk, juice, or alcohol. Stick to the menu as much as you can. You’re allowed to switch out some foods if you have food allergies or other dietary needs. But only make swaps that the diet approves. For example, you can have sunflower seed butter instead of peanut butter or a tofu dog instead of a hot dog. But don’t switch the grapefruit to an orange or the vanilla ice cream to a scoop of mint chip or cookie dough.


It usually takes three to four days for your body to go into ketosis because you have to use up your body's stores of glucose, i.e., sugar first, Keatley says. Any major diet change can give you some, uh, issues, and Keatley says he often sees patients who complain of IBS-like symptoms and feeling wiped out at the beginning of the diet. (The tiredness happens because you have less access to carbs, which give you quick energy, he explains.)
Pinners, bloggers and YouTube vlogs are driving this trend forward with viral before-and-after pictures showcasing impressive (and often hard to believe) changes. Devotees of the diet consume 1,100 to 1,400 calories a day in the form of so-called “fat-burning” food combinations like hot dogs and bananas, and tuna and toast. (Yes, we said hot dogs.) It’s a one-size-fits-all plan, so athletic men and women are going to dine on the same grub as their more sedentary peers. But is this really a healthy way to lose weight? We got to the bottom of this much-talked-about plan.
Still, the Military Diet isn’t associated with the military at all. It also doesn’t follow the principles used in the actual military. In fact, as one review published in the journal Philosophical Transactions of the Royal Society B: Biological Sciences that examined of nutrition in the military stated, “Nutrition and the military are fundamentally entwined.” (1) Historically, a lack of a balanced diet has led to poor military performance.
A 2009 review found that existing limited evidence suggested that encouraging water consumption and substituting energy-free beverages for energy-containing beverages (i.e., reducing caloric intake) may facilitate weight management. A 2009 article found that drinking 500 ml of water prior to meals for a 12-week period resulted in increased long-term weight reduction. (References given in main article.)

Scroll through the #militarydietresults hashtag on Instagram and you can see plenty of people trying the meal plan out. Most report being down at least a couple of pounds and reducing their body fat percentage as well. And checking out their pictures, it's pretty crazy the progess they can make with just a few meals and a few days. Want to see what we mean? We asked Instagram users @healthyhappydays_ and @sweatherly816 to share their results with us. Check out their military diet results in the video below.
While many people turn to artificial sweeteners in a misguided attempt to whittle their waistlines, those fake sugars are likely to have the opposite effect. According to researchers at Yale, artificial sweeteners are actually linked with an increased risk of abdominal obesity and weight gain, possibly because they can trigger cravings for the real stuff and spike insulin levels in a similar fashion to real sugar.
Total calories are low on all three days of the plan, but extremely low and not capable of meeting energy needs for an adult on at least two of these days. In addition, numerous other nutrients were below the USDA’s recommendations. When you look at daily average intake provided, these include getting only 10g fiber, 10% DV for Vitamin D, 37% DV for calcium, 42% DV for iron, and 40% DV for potassium.
During our research for this post, we noticed that on any military diet website—and there are a bunch of them—it’s virtually impossible to figure out who is behind the website and who the “experts” being cited truly are. Furthermore, the phrase “military diet” is actually a misnomer, according to a military nutritionist quoted in a CNN report. The military diet has absolutely nothing to do with our military, he said.
“For weight loss, it’s important to eat foods with plenty of protein and fiber to keep you full throughout the day and prevent you from overeating. I like to recommend opting for plant-based proteins, since they tend to have fewer calories than their meat counterparts,” says Rizzo. A 1/2 cup of cooked lentils has 12 grams of protein for just 140 calories. It's super versatile and can be added to grain bowls, salads, soups, and more.
After about two to seven days of following this eating routine, you go into something called ketosis, or the state your body enters when it doesn't have enough carbs for your cells to use for energy. Then it starts making ketones, or organic compounds that your bod then uses in place of those missing carbs—and oh, it also burns fat for more energy, says Beth Warren, R.D., founder of Beth Warren Nutrition and author of Living A Real Life With Real Food.
There’s some debate on this. For example, can coffee help you lose weight by raising your metabolism? I’ll go with: unlikely. Any effect of caffeine to your metabolic rate isn’t enough to make a substantial impact[6]. If anything, it might act as an appetite suppressor[7]. Which isn’t nothing. But don’t count on it to raise your resting caloric expenditure like magic.
The military diet is a restrictive three-day plan—a concept that’s nothing new in the health industry. That may explain why the originator of the military diet is unknown—it’s not a unique diet. The three-day diet concept “has been dressed up differently and brought out to dance before,” writes Kimberly Gomer, RD, director of nutrition at Pritikin Longevity Center, at the DailyBurn.com.

If you want to sip your way to a faster metabolism, pour yourself a cup of green tea. The beverage is filled with powerful antioxidants that can help fight inflammation, burn fat, and increase energy. According to one study, drinking five cups a day could help you lose twice as much weight, mainly in your midsection. And drinking green tea could also reduce risk of Parkinson's disease, as well as ovarian, colorectal, skin, and prostate cancers.
In terms of weight loss, you may be interested in trying the ketogenic diet because you’ve heard that it can make a big impact right away. And that’s true. “Ketogenic diets will cause you to lose weight within the first week,” says Mattinson. She explains that your body will first use up all of its glycogen stores (the storage form of carbohydrate). With depleted glycogen, you’ll drop water weight. While it can be motivating to see the number on the scale go down (often dramatically), do keep in mind that most of this is water loss initially.
Infants and patients fed via a gastrostomy tube can also be given a ketogenic diet. Parents make up a prescribed powdered formula, such as KetoCal, into a liquid feed.[18] Gastrostomy feeding avoids any issues with palatability, and bottle-fed infants readily accept the ketogenic formula.[30] Some studies have found this liquid feed to be more efficacious and associated with lower total cholesterol than a solid ketogenic diet.[3] KetoCal is a nutritionally complete food containing milk protein and is supplemented with amino acids, fat, carbohydrate, vitamins, minerals and trace elements. It is used to administer the 4:1 ratio classic ketogenic diet in children over one year. The formula is available in both 3:1 and 4:1 ratios, either unflavoured or in an artificially sweetened vanilla flavour and is suitable for tube or oral feeding.[50] Other formula products include KetoVolve[51] and Ketonia.[52] Alternatively, a liquid ketogenic diet may be produced by combining Ross Carbohydrate Free soy formula with Microlipid and Polycose.[52]
There's not a lot of reliable information available about how the military diet plan was started — or, for that matter, who started it. MilitaryDiet.co and TheMilitaryDiet.com, the two main resource sites for the diet regimen, are both run by fans and proponents of the diet without any cited health professional credentials. According to them, though, the military diet plan is an intermittent fasting diet that combines three days of a strict, low-calorie meal plan with four days of eating whatever you want (as long as it still falls below the calorie intake).
Lots of apps and website offer keto diet challenges—basically, a blueprint for the keto diet with a fixed starting and ending point (they typically last for a week to a month, though some may be longer). Speaking of apps, plenty of keto-centric ones are right at your fingertips (a.k.a., your smartphone), like the KetoDiet app, which can help you calculate your macros and track your keto diet effectively.
Wondering what fits into a keto diet — and what doesn’t? “It’s so important to know what foods you’ll be eating before you start, and how to incorporate more fats into your diet,” says Kristen Mancinelli, RD, author of The Ketogenic Diet: A Scientifically Proven Approach to Fast, Healthy Weight Loss, who is based in New York City. We asked her for some guidelines.
Early studies reported high success rates: in one study in 1925, 60% of patients became seizure-free, and another 35% of patients had a 50% reduction in seizure frequency. These studies generally examined a cohort of patients recently treated by the physician (what is known as a retrospective study) and selected patients who had successfully maintained the dietary restrictions. However, these studies are difficult to compare to modern trials. One reason is that these older trials suffered from selection bias, as they excluded patients who were unable to start or maintain the diet and thereby selected from patients who would generate better results. In an attempt to control for this bias, modern study design prefers a prospective cohort (the patients in the study are chosen before therapy begins) in which the results are presented for all patients regardless of whether they started or completed the treatment (known as intent-to-treat analysis).[18]
The diet doesn't offer balanced nutrition: some of the recommended foods are high in sodium, the reduced calorie intake is below the recommended allotment for both men and women, and you may not receive sufficient fiber, vitamins, and minerals during this three-day period. Prolonged application of the diet may weaken your organs and immunity as well as increase your risk of heart damage.
Generally speaking, it also depends on your size. If you are overly obese, by simply cutting down on junk food and moving your body a bit, you may drop 10 pounds in less than a week easily without causing a health problem. However, for someone who is only slightly overweight or within the normal range wanting to slim down a bit, this is not healthy or sustainable. You may lose weight; but the pounds will creep up again when you stop the diet.
Stop treating your kitchen like an all-night diner and you’ll stop seeing those unwanted pounds piling onto your frame, too. The results of a study published in Cell Metabolism found that mice who only had access to food during an eight-hour period stayed slim over the course of the study, while those who ate the same number of calories over a 16-hour period gained significantly more weight, particularly around their middle. When you’re finished with dinner at night, shut the fridge and don’t look back until morning — your belly will thank you. When you do head back to the kitchen in the A.M., make sure the 40 Things Healthy Cooks Always Have in Their Kitchen are there waiting for you.
Because people with type 2 diabetes are at an increased risk for cardiovascular disease, there’s a specific concern that the saturated fat in the diet may drive up LDL, or “bad,” cholesterol levels, and further increase the odds of heart problems. If you have type 2 diabetes, talk to your doctor before attempting a ketogenic diet. They may recommend a different weight-loss diet for you, like a reduced-calorie diet. Those with epilepsy should also consult their doctor before using this as part of their treatment plan.
Açai berry powder is high in anthrocyanin- a natural pigment providing powerful antioxidants. Açai provides an array of minerals that help to keep your body healthy and gives you high levels of sustainable energy. This extra energy will enable you to get out and exercise more, therefore extra calories will be burned and eventually the fat will come off your tummy!
Military diet-approved foods aren't what you'd typically think of as "diet" fare, including hot dogs, toast, ice cream, and canned tuna, says registered dietitian Brooke Alpert. See the full breakdown of the diet meals below. These same meals are prescribed for everyone observing the diet and are carefully planned out so you don't overindulge or stray off the diet (since you can only eat the foods recommended below), says Alpert.
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Probably, and there are a few reasons why, Keatley says. For starters, people usually reduce their daily caloric intake to about 1,500 calories a day because healthy fats and lean proteins make you feel fuller sooner—and for a longer period of time. And then there’s the fact that it takes more energy to process and burn fat and protein than carbs, so you're burning slightly more calories than you did before. Over time, this can lead to weight loss.

This drug is an injected variant of a satiety hormone called GLP-1. It slows down how quickly the stomach empties and tells the brain that you don’t need to eat yet – a great idea for losing weight. As a bonus this drug works fine while one is on the keto diet and it works even better with intermittent fasting – for a rapid weight loss with no hunger.


The Military Diet works by practically guaranteeing you will burn more calories than you consume. If an overweight person who usually eats 2,500-3,000+ calories in a day, suddenly switches to ONLY eat 1,000 calories for multiple days in a row, their body will operate at a caloric deficit while it seeks the energy required for drills, push-ups, and cleaning the mess hall.

There are no days off. The plan actually requires you to restrict your food intake all the time. The site says that you have three days "on" and 4 days "off", but on your off days you are limited to 1,500 calories. Healthy food recommendations are provided for your off days. But anyone who can eat healthy portion-controlled meals doesn't need a special hot dog and ice cream program for weight loss. They should just stick to the nutritious diet they're already on.
The scale is not necessarily your friend. You may want to lose fat – but the scale measures muscles, bone and internal organs as well. Gaining muscle is a good thing. Thus weight or BMI are imperfect ways to measure your progress. This is especially true if you’re just coming off a long period of semi-starvation (calorie counting), as your body may want to restore lost muscles etc. Starting weight training and gaining muscle can also hide your fat loss.
The 3 Day Military Diet will deliver some impressive weight loss results if you stick with it as outlined during the 3 days on. Many users report military diet results between 3 and 10 pounds lost per cycle. For the best results, you will also need to make sure you don't go over the 1500 calorie limit during the other 4 days off. During those off-days, keep away from alcohol, sugary drinks, and other foods that would otherwise limit weight loss.

If you need to eat more or fewer calories per day, you can adjust accordingly by simply taking out or adding a bit more of the ingredients already included in a recipe. For example, adding/removing a tablespoon of olive oil or butter will add/remove about 100 calories. If you like or dislike certain recipes, feel free to shift things around. Make sure to keep an eye on the calories so you’re still falling within an acceptable range of your daily goal.
Make sure that the diet has been studied extensively for safety — and discuss any changes with your physician or registered dietitian before beginning a new diet. (If you don’t have a dietitian, find one in your area at the Academy of Nutrition and Dietetics website.) And do a self-check to ensure the diet fits with your own values and preferences.

If you don’t like the taste of water try some of my metabolism boosting Fruit Infused Water Recipes. They are a great way to enjoy a sweet treat while doing something good for your body. Just be sure to stay away from the squirt bottles and flavor packets that many people add to their water – they are full of artificial sweeteners that can make you gain weight.
And like all crash-diets known to man, Alpert says the military diet is meant to make only a short-term impact instead of teaching positive eating habits that can be sustained for a long, healthy life. As a result, she says it's very likely participants will gain back any weight lost shortly after concluding the diet. (Really. You should stop restrictive dieting.)

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


Don’t let extra hours lounging in bed stand between you and a flatter belly. While getting enough sleep can help boost your metabolic rate, sleeping in may undo any benefit you’d enjoy from catching a few extra winks. One study reveals that late sleepers who snoozed past 10:45 in the morning ate nearly 250 more calories over the course of the day, despite eating half as many fruits and vegetables as their early bird counterparts. Even worse, they chowed down on more salty, sugary, and trans fat-laden fast food than those who woke up earlier. If you happen to head out of the house early, you’re in for an additional metabolic boost; researchers at Northwestern University have found that people exposed to just a short period of early morning sunlight had lower BMIs than their late-waking counterparts.
While the Duke study found no added benefit to resistance training (aka weight or strength training) when it comes to belly fat, a 2014 study from a Harvard University team found otherwise. Twenty minutes of weights a day was linked to less of an increase in belly fat (particularly for older men). “Engaging in resistance training or, ideally, combining it with aerobic exercise could help older adults lessen abdominal fat while increasing or preserving muscle mass," said the paper’s lead author Rania Mekary.

Being seriously committed to this type of eating, I've found it helpful to have a ketone blood tester to check on where I'm at, at different points. The breath and urine testers are a waste of money if you want accurate testing. The tester I found, and believe is the most accurate and least expensive is called Keto Mojo. It tests both ketones and glucose and if you purchase it from them, you're guaranteed to be able to purchase ketone test strips for only .99 cents, instead of the $2.00 to $7.00 each, as I've seen them listed for on the internet.


Some popular beliefs attached to weight loss have been shown to either have less effect on weight loss as commonly believed or are actively unhealthy. According to Harvard Health, the idea of metabolism being the "key to weight" is "part truth and part myth" as while metabolism does affect weight loss, external forces such as diet and exercise have an equal effect.[44] They also commented that the idea of changing one's rate of metabolism is under debate.[44] Diet plans in fitness magazines are also often believed to be effective, but may actually be harmful by limiting the daily intake of important calories and nutrients which can be detrimental depending on the person and are even capable of driving individuals away from weight loss.[45]
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