During the 1920s and 1930s, when the only anticonvulsant drugs were the sedative bromides (discovered 1857) and phenobarbital (1912), the ketogenic diet was widely used and studied. This changed in 1938 when H. Houston Merritt, Jr. and Tracy Putnam discovered phenytoin (Dilantin), and the focus of research shifted to discovering new drugs. With the introduction of sodium valproate in the 1970s, drugs were available to neurologists that were effective across a broad range of epileptic syndromes and seizure types. The use of the ketogenic diet, by this time restricted to difficult cases such as Lennox–Gastaut syndrome, declined further.
The best way to understand and implement Step 1 is to skip the boxed, pre-made foods, and shop the perimeter of the grocery store. By shopping just the perimeter of the grocery store you’ll pick up organic fruits and veggies, lean protein from the butcher and freshly baked bread from the store bakery. You’re only buying fresh food. Of course this is more metaphor than rule. Organic pasta, rice and beans are usually found in isles as well are organic whole wheat flour and spices. Be sure to choose these ingredients in the purest forms, pick up the organic brown rice, not the box of rice mixture with the spices. The only ingredient on the label should be “brown rice.”
Y. Wady Aude, MD; Arthur S. Agatston, MD; Francisco Lopez-Jimenez, MD, MSc; Eric H. Lieberman, MD; Marie Almon, MS, RD; Melinda Hansen, ARNP; Gerardo Rojas, MD; Gervasio A. Lamas, MD; Charles H. Hennekens, MD, DrPH, “The National Cholesterol Education Program Diet vs a Diet Lower in Carbohydrates and Higher in Protein and Monounsaturated Fat,” Arch Intern Med. 2004;164(19):2141-2146. http://archinte.jamanetwork.com/article.aspx?articleid=217514.
As a self-described “nutrition nerd,” I couldn’t help but analyze the first three days of menus provided using my nutrient analysis software. You’ll see the daily totals at the bottom of each day, and while I can’t describe the intake as “good”, “ideal” or “healthy,” the data was slightly better than I expected. (Or perhaps, I really wasn’t sure what to expect from this very odd combination of foods!)
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.
You'd think it makes sense: if you have too much belly fat, do a lot of core work to make it go away. But Sylwia Wiesenberg, founder of Tonique Fitness, says it's counterproductive. "If you have extra belly fat, you'll never see the muscles you're working underneath," she explains. "Instead, focus on building a strong lower body—the largest muscle group, and therefore most calorie burning—which will help keep your metabolism humming long after." Then, when you are ready for abs work, do it standing up. A review of core training by the American College of Sports Medicine found that it's a more effective way to tone than traditional exercises that have you on the floor.
I’ve never been one to focus too much on “mindful eating” because the idea of meditating on a grape is not my style. But I learned it does take more than that just focusing on what's on my plate. And yes, that means to eat more consciously. Here, I'm sharing the weight-loss tips and rules that work for me (and a glimpse at what you'd find on my 2B Mindset program).