^ McMillan-Price, J.; Petocz, P.; Atkinson, F.; O'neill, K.; Samman, S.; Steinbeck, K.; Caterson, I.; Brand-Miller, Janette Cecile (2006). Written at Human Nutrition Unit, University of Sydney, Sydney, Australia. "Comparison of 4 Diets of Varying Glycemic Load on Weight Loss and Cardiovascular Risk Reduction in Overweight and Obese Young Adults: A Randomized Controlled Trial" (PDF). Archives of Internal Medicine. USA (published 24 July 2006). 166 (14): 1466–75. doi:10.1001/archinte.166.14.1466. PMID 16864756.
Just this week, a 25,000-person study presented at the European Society of Cardiology Congress in Munich suggested that people on the lowest-carb diets had the highest risk of dying from cancer, cardiovascular conditions, and all other causes. Another study, published this month in the Lancet, also found that people who followed diets that were low in carbs and high in animal proteins had a higher risk of early death compared to those who consumed carbs in moderation. (The opposite was true, however, for low-carb dieters who opted for plant-based proteins over meat and dairy.)
If you’ve decided to move forward in trying the keto diet, you will want to stick to the parameters of the eating plan. Roughly 60 to 80 percent of your calories will come from fats. That means you’ll eat meats, fats, and oils, and a very limited amount of nonstarchy vegetables, she says. (This is different from a traditional low-carb diet, as even fewer carbs are allowed on the keto diet.)
You can use zero calorie seasonings to make your Military Diet meals a bit more appealing. Here are some suggestions: salt, pepper, lemon juice, garlic, ginger, cilantro, dill, hot pepper flakes, cumin, curry powder, turmeric, rosemary, sage, etc. Beware if you use items like mustard, soy sauce and garlic sauce, as they do contain a few calories, so you’ll have to be sure to compensate. Avoid using high calorie seasonings such as ketchup, mayonnaise, oils, etc.
^ Freeman JM, Vining EP, Pillas DJ, Pyzik PL, Casey JC, Kelly LM. The efficacy of the ketogenic diet—1998: a prospective evaluation of intervention in 150 children. Pediatrics. 1998 Dec;102(6):1358–63. doi:10.1542/peds.102.6.1358. PMID 9832569. https://web.archive.org/web/20040629224858/http://www.hopkinsmedicine.org/press/1998/DECEMBER/981207.HTM Lay summary]—JHMI Office of Communications and Public Affairs. Updated 7 December 1998. Cited 6 March 2008.
An increase in fiber intake is also recommended for regulating bowel movements. Other methods of weight loss include use of drugs and supplements that decrease appetite, block fat absorption, or reduce stomach volume. Bariatric surgery may be indicated in cases of severe obesity. Two common bariatric surgical procedures are gastric bypass and gastric banding. Both can be effective at limiting the intake of food energy by reducing the size of the stomach, but as with any surgical procedure both come with their own risks that should be considered in consultation with a physician. Dietary supplements, though widely used, are not considered a healthy option for weight loss. Many are available, but very few are effective in the long term.
Normal dietary fat contains mostly long-chain triglycerides (LCT). Medium-chain triglycerides are more ketogenic than LCTs because they generate more ketones per unit of energy when metabolised. Their use allows for a diet with a lower proportion of fat and a greater proportion of protein and carbohydrate, leading to more food choices and larger portion sizes. The original MCT diet developed by Peter Huttenlocher in the 1970s derived 60% of its calories from MCT oil. Consuming that quantity of MCT oil caused abdominal cramps, diarrhoea and vomiting in some children. A figure of 45% is regarded as a balance between achieving good ketosis and minimising gastrointestinal complaints. The classical and modified MCT ketogenic diets are equally effective and differences in tolerability are not statistically significant. The MCT diet is less popular in the United States; MCT oil is more expensive than other dietary fats and is not covered by insurance companies.
According to registered dietitian Libby Parker, MS, RD, the foods in the military diet plan are not the most healthy or nutrient-dense, as processed foods like hot dogs and ice cream are definitely encouraged for consumption on this crash diet plan. Parker explained to INSIDER that other items like canned tuna, eggs, cottage cheese, and saltine crackers can also be eaten on the diet.