The original therapeutic diet for paediatric epilepsy provides just enough protein for body growth and repair, and sufficient calories[Note 1] to maintain the correct weight for age and height. The classic therapeutic ketogenic diet was developed for treatment of paediatric epilepsy in the 1920s and was widely used into the next decade, but its popularity waned with the introduction of effective anticonvulsant medications. This classic ketogenic diet contains a 4:1 ratio by weight of fat to combined protein and carbohydrate. This is achieved by excluding high-carbohydrate foods such as starchy fruits and vegetables, bread, pasta, grains and sugar, while increasing the consumption of foods high in fat such as nuts, cream, and butter. Most dietary fat is made of molecules called long-chain triglycerides (LCTs). However, medium-chain triglycerides (MCTs)—made from fatty acids with shorter carbon chains than LCTs—are more ketogenic. A variant of the classic diet known as the MCT ketogenic diet uses a form of coconut oil, which is rich in MCTs, to provide around half the calories. As less overall fat is needed in this variant of the diet, a greater proportion of carbohydrate and protein can be consumed, allowing a greater variety of food choices.
Good news for java lovers: The caffeine in coffee could speed up your metabolism and help your body burn slightly more calories (about 26 per cup). A study in Physiology & Behavior found that the average metabolic rate of people who drank caffeinated coffee was 16% higher than those who drank only decaf. Just be mindful of how much cream and sugar you add to your cup, which could offset any health benefits the beverage provides.
Keto breath, on the other hand, is less of a side-effect and more of a major (not harmful) inconvenience (your breath literally smells like nail polish remover). Basically, when your body breaks down all that extra fat on the keto diet, it produces ketones—one of which is the chemical acetone (yes, the same stuff that's in nail polish remover), Keatley previously told WomensHealthMag.com.
And, of course, the low-cal nature of the military diet can dangerous, says Amidor. This is especially true if you plan to exercise: Attempting to do high-intensity workouts on such a low-calorie diet could potentially cause you to become weak, light-headed, and fatigued—so low-intensity cardio or walking is your safest option during this diet, says Allen.
Go back to basics. Go through your meal planners and food logs to see what does not match up. Look for possible processed foods or artificial sweeteners in new foods you’ve added to your diet recently. If you’ve stopped logging or planning your meals, take this opportunity to start again. Most often just that one step will pull you out of a plateau.
With intermittent fasting, you narrow the size of your eating window, or you occasionally do fasts of 24 hours. For instance, you can start eating at noon and finish up by 8pm, essentially skipping breakfast. I wrote all about it in our “Beginner’s Guide to Intermittent Fasting,” where I outlined the benefits of teaching your body to consume food more efficiently, and also reduces the total number of calories you are probably eating.
The remaining calories in the keto diet come from protein — about 1 gram (g) per kilogram of body weight, so a 140-pound woman would need about 64 g of protein total. As for carbs: “Every body is different, but most people maintain ketosis with between 20 and 50 g of net carbs per day,” says Mattinson. Total carbohydrates minus fiber equals net carbs, she explains.
While it’s often assumed that bread is off-limits when you’re trying to lose belly fat, the right bread may actually expedite the process. Switching to sprouted bread can help out carb-lovers eager to get their fix without going up a belt size, thanks to the inulin content of sprouted grains. The results of a study published in Nutrition & Metabolism reveal that found that pre-diabetic study subjects whose diets were supplemented with inulin shaved off more belly fat and total weight than those whose meal plans didn’t pack this healthy prebiotic fiber.
Boredom is dangerous and so easily leads to weight gain. While free time gets perceived as relaxing, it actually makes me feel anxious, which can lead to bad eating habits. My busiest days are the ones when I tend to focus less on my food and more on what I need to get done. That's why I always try to fill my schedule with things that make me feel productive—so I don’t find myself rummaging through the pantry for a lack of something to do.