Ketogenic Eat-Along

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  • Milaandra
    Milaandra Member Posts: 271
    edited June 2016

    I'm having a mug of bulletproof coffee every day instead of breakfast. There would be too many calories to do both, so if we ever went out for breakfast, I'd have to skip it.

    I couldn't tell you if I'm losing any significant weight. I think I feel a difference in my clothing, but I'm also one of those people who lis metabolically resistant.

    I've had an interesting thought. We know that our bodies can sometimes tell us what we need. Once we get over its demands for Ben & Jerry's, of course! :-D Well, most of us have bone issues or potential bone issues. We're post-menopausal, or forced into a post-menopausal estrogen-deprived state by our medications, or some of us unlucky ones have bone mets. Well, since the doctors think I have developed BRONJ, I won't be getting Xgeva any longer. So, I started looking into how to support my bones with supplementation. I found out that it's a balance of calcium, D3, magnesium and vitamin K-2. While I was researching which form of K-2 to use (MK-4 or MK-7) I found the list of foods that contain significant levels of MK-4 (which seems to be the best for bone health).

    Grass-fed butter - Grass-fed hard cheeses, particularly Edam, Gouda and Brie - Grass-fed meat, particularly organ meats - Egg yolks - Fermented vegetables and dairy

    So, the fact that I'm feeling good on my bulletproof coffee and a full-fat bio-live organic yogurt for lunch just might be my body telling me it wants more K2.

    It's funny, too, that the Budwig Diet, touted to help so many, includes fermented dairy, hard cheeses and naturally fermented saurkraut juice (in addition to the flaxseed oil/sulfanated protein)

    One more odd bit of information...one source said that a craving for chocolate could be a craving for magnesium...another one of the essentials for bone health

  • inkster
    inkster Member Posts: 93
    edited June 2016

    Hurray for the dark chocolate news! I actually like the darkest chocolate I can find (well, not baker's chocolate) so it looks like I'll have options. Just gotta read those labels. Which I'm going to go read right now.

    And thanks for the tip on dietdoctor.com! I'll peruse that right after I check the chocolate. :)

  • inkster
    inkster Member Posts: 93
    edited June 2016

    So, this has been an impressive start. I'm already down 5 pounds. Some of that was water weight, but still. I thought this would be a lot harder, as a vegetarian, than it's been. The not being hungry part is killer as well as not counting calories. I found my desire to snack is gone during the day and much reduced at night (and then a handful of almonds does the trick). And while there are definitely things I miss, the fast weight loss coupled with the increased energy make the change very worth it. So glad I found this thread and thank you for the info and support!

  • ChiSandy
    ChiSandy Member Posts: 12,133
    edited June 2016

    Get an artisanal chocolate at least 72% cocoa solids--one square or rectangle will have fewer than 3 gm. carbs (nutrition labels are generally for 1/4 to 1/2 the bar, which contains several of those pieces. 85-90% (if you can stand it) is even better. Lindt’s 85% is high in flavonoids but their 90% is supposedly “Dutched,” which reduces the flavonoids. The best plain 85% I’ve tried is Green & Black Organic--tastes better than some other 74% (Endangered Species) and as good as Chocolove 77%. And I’ve found that the 85-88% with sea salt (a few from Italy) taste great--the salt mitigates the bitterness. Vosges makes some good >72% varieties with stuff like bacon, wasabi/sesame/ginger, and various chiles, but the price will break the bank.

    And savor each piece slowly. Rub it between your fingers to release the aroma. Take a tiny bite and smoosh it against the roof of your mouth to release the full flavor, and let it melt in your mouth. Lather, rinse, repeat. You will never scarf down 3 truffles again.

  • beth1965
    beth1965 Member Posts: 455
    edited June 2016

    Thank you ladies awesome menu and ideas its so helpful to hear other peoples ideas and food choices


  • BellaTassie15
    BellaTassie15 Member Posts: 106
    edited September 2016

    So glad I found this thread! I started low carb a month or so ago using Diet Doctor too. I lost 5kg quickly then had to start on high dose prednisolone for an auto- immune disease triggered by the immunotherapy drugs Herceptin/ Perjeta. I put weight back on, which was very disappointing. But starting to loose it again now, just slower.

    Milaandra I also have mets including bone, which really worry me due to high dose prednisolone causing osteoporosis and fractures. I've started taking a calcium supplement with Magnesium and Vit D. But I have been reading that ketosis can cause calcium to leach from bones, so now I don't know what to do! And so far I have declined Xgeva due to my fear of getting osteonecrosis of the jaw. How long were you on it for? I may have to change my mind down the track but now that I no longer have severe muscle and joint pain and stiffness I am finally getting back into exercise. I'm betting on weight bearing/ muscle resistance exercise and yoga will maintain my bone density. I've started doing either or both every day and finally after 14 months of treatment I am starting to feel good

  • Milaandra
    Milaandra Member Posts: 271
    edited December 2016

    Sorry, I took a bit of a break from the boards.

    From what I'm reading, there is no evidence to support the idea that ketogenics negatively affects bone density.

    I was on Xgeva for about a year before I started having issues, but then I was misdiagnosed for over a year and had a couple more shots. I'm stage 3 MRONJ. It isn't fun. I know it's rare, and more rare in the maxillary, and more rare after less than 2 years of treatment...but dang! I beat all those odds, didn't I? Operation pending and I'm hoping, along with the very honest surgeon, that it doesn't make it worse...

  • zogo
    zogo Member Posts: 20,329
    edited December 2016

    Ketosis does not cause calcium to leach from the bones. If you are concerned about calcium in the bones, especially if supplementing with calcium, you should be supplementing with Vitamin K2. It will help the calcium deposit in the bones rather than the arteries. There is a great book called "Vitamin K2 and the Calcium Paradox"

    A ketogenic diet reduces risk of cancer, diabetes, heart disease and dementia. I ate off plan over Christmas, but am jumping right back in.

  • pepper43
    pepper43 Member Posts: 103
    edited February 2017

    I am just about to start radiation next week. Over the course of my chemo, mastectomy & kidney removal, I've gained 30 pounds. I just discovered the Fight Cancer with a Ketogenic Diet book and was planning on starting it...my RO's nurse told me I should not lose any weight over radiation. Grr. I know I'd lean out on keto (I've done atkins, carb nite, carb cycling before) - depressed I won't be able to start until after radiation is done. What would you do? follow RO's advice or give it a go with more caloric allowance in hopes of not losing weight?

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    I think that is ridiculous. A healthy diet can only help your body through treatment, and a desired side effect of a healthy diet is weight loss. What you don't want to do is deprive your body of energy or nutrients, and you get plenty of both on a properly planned ketogenic diet.

  • zogo
    zogo Member Posts: 20,329
    edited February 2017

    If you are trying to not lose weight, you would add more calories to the fat macro. I can't imagine that keto could be a bad thing at any time, let alone during treatment.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    Gained 18 lbs on letrozole in 18 months. Have been on keto diet since the end of August. Lost the weight and got my energy back. Went off it one week when we had a family funeral and felt like crud brain got foggy and was exhausted afterward. Took 2 days to get back on track. It's a way of life that's habit now. It cures digestive issues I had before BC too! (reflux ans IBS).

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    I finally got one of those fancy blood ketone meters and I'm doing really well staying in the target range for cancer recommended by Thomas Seyfried. I had been in ketosis so long that ketones were no longer registering on the urine dip sticks, so I wasn't really sure for a few months, although I was strictly following the diet. It was a relief to find out that I am still responding the way I am supposed to.

    Is anyone else testing blood ketones? What about ketosis cycling? My naturopath seems to think going in and out of ketosis is a good idea to prevent long term problems, but I have been doing this diet for 19 months straight and I don't seem to be having any difficulties with metabolism or losing weight.

  • zogo
    zogo Member Posts: 20,329
    edited February 2017

    I have a ketone meter, but the strips are kind of pricey, so I don't test often. I'm keto adapted as well, so the ketostix don't really work for me anymore either.

    I love the work by Dr Thomas Seyfried! I can't see any advantage cycling out of ketosis. There are no long term problems (only benefits) from everything I have read.

    There are advantages of fasting. "Fast well, feed well"

    Are you on Facebook? There is a great science-based group called Optimal Ketogenic Living.

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    Hi zogo - The reason I finally bought the meter was because after watching on Amazon for awhile I found 20 strips for around $3 each. Sometimes they are up to five bucks a piece! I won't be able to afford to use them very often either but I do need occasional checkups to make sure I'm still responding. I was so surprised to have levels over 3 even when my blood sugar temporarily rises.

    I don't do FB but my husband does - maybe I'll peek into the group from his account. I don't meet very many people who have a clue about my diet. They love to criticize it though, even though most of them can't lose weight and I have dropped 150 lbs in the last year and a half. Less than 3 lbs from goal, from 288 to 135 hopefully in the next month. I have only had one stall of about a month, and that was resolved with an adjustment to my program. I always say just try it for a month, what have you got to lose besides the weight?

    I do intermittent fasting and always try to leave as many hours between dinner and breakfast as possible.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    i have tried to cycle and am so carb sensitive that i feel like crud whenever i go over about 30g. Can't seem to figure out what might be a trigger food, but havent followed a plan to introduce foods other than staying away from the worst like white bread.

    I lost the 18 lbs gained on letrozole and am keeping it off as long as i dont eat too many nuts

    Had tabouli with lunch so snuck the grains and tomato in with the parsley and oil and was OK. Any suggestions?

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    I haven't wanted to keto cycle so I'm not exactly sure why people do it. I know body builders and other athletes have specific reasons for cycling to get the high performance results they want, but for normal people if it makes you feel bad then maybe that is your clue that it's not good for you. If you don't mind me asking, what is your specific reason for wanting to cycle?

    If I wanted to raise my carbs it wouldn't be with grains, and especially not wheat. I would eat more veggies and add a little lower glycemic fruit. Grains are inflammatory and contain destructive and addictive proteins. Literally addictive, because they attach to the same receptors in the brain as opiates. That's why it's so hard to moderate yourself once you start eating even "healthy whole grain" bread again.


  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    Don't want to deliberately cycle for a purpose. The thing is we are invited out a lot and people try to serve me what they think is "healthy". Tonite a friend who knows I'm low carb made dinner. Carbs i stayed away from were bread and potatoes. I ate the sliced fruit, chicken, green veggies. Dessert was crustless cheesecake. The fruit and very small piece of cheesecake weren't keto But weren't over the top carb like the bread and potatoes woild have been This to me us cycling as part of trying to live and not be a recluse

    Still trying to figure this out

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    I'm 99% happy with my keto lifestyle, and I can figure out something to eat in most restaurants, but I do not like those dinners at the homes of friends. Mainly because I don't want to inconvenience them with "I can't eat this or that or the other thing." Who wants to be that annoying person? They want their guests to be happy and satisfied with the meal they prepare, and they will try so hard to accommodate, but they don't always know enough about our dietary restrictions to do it right.

    Sometimes I'll just turn down an invitation and honestly tell the person my diet is too weird and I would never want to do that to them. If it's something I can't or don't want to miss I can usually find something to eat, and I just won't call attention to the fact that I can't eat one or another food they serve. Take a little of everything but shift the carby stuff around on my plate a lot without actually putting it in my mouth. Eating a little something before you go can help just in case there's not much you can have. Or you can ask if you can bring something, and make it something you can survive on for the evening if there are no other choices.

    I think you did really good sticking with the fruit, chicken, green veggies. If there was sugar in the cheesecake that could mess you up if you ate a lot of it, but a sliver wouldn't do too much damage. Next time you could offer to bring dessert and make a keto cheesecake that you can have a nice size chunk of. You probably know there are some good recipes out there that most people wouldn't recognize as diet food. We love Maria Emmerich's pumpkin swirl cheesecake, with crust and all.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    Many thanks Solfeo! Friends keep us healthy so i don't want to pass up a time to connect. Got to try that cheesecake!

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    If you are going to eat something not so good for you, a few bites will always do less damage than a full serving. I do that sometimes when we go out to eat. I do pay for even small transgressions though. My fasting blood glucose will go up for several days, and I try to keep it very tightly controlled. That's why it's really not worth it to cheat, because there are consequences beyond the immediate. You also re-awaken your cravings for the forbidden foods.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    Kudos to you for getting so healthy!

    When ypu drop the last couple of lbs what are the plans for maintenance? Just bigger portions of the keto plan? The couple of books i read talk abput reintroducing more good carbs but i find that confusing. I have no desire to eat more protein ? Eg adding back carrots that can make you hungry

  • zogo
    zogo Member Posts: 20,329
    edited February 2017

    The Four Phases of a Well-Formulated Ketogenic Diet from Dr. Steven Phinney

    http://i.imgur.com/wC3TmI9.jpg

    You would keep protein optimal (but his level is higher than many to start out with), add a couple carbs and bump up fat.

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    I practiced maintaining over the holidays and did really good. How to maintain depends on your purpose for doing the diet.

    If you are doing keto only for the weight loss, and don't care if you stay in ketosis, then you don't need to think about much except raising your carbs until your weight stabilizes. Mostly with vegetables, but a little fruit is OK, maybe a small amount of beans. Grains were at the root of my weight problem so I will never eat them again, and I don't think anyone should. I never had a big problem with sugar, but even skinny people shouldn't eat too much sugar.

    If you are doing keto primarily for the cancer then there are other considerations. Too much protein raises insulin and IGF-1, and also activates mTOR, none of which are good for cancer. We shouldn't be eating more protein than our bodies need for tissue repair and regeneration, and that is often quite a bit less than is recommended on some keto programs and websites. Needs vary by individual, but some experts recommend as low as .8 grams of protein per kilogram of lean body mass for cancer, which in my case is less than 40 grams per day. Dr. Rosedale (look him up) says you can eat 5-10 more if you exercise, and since I feel best and lose weight most efficiently at between 50-60 grams of protein per day, that is all I eat. More plant protein and less animal protein is also good, and I usually don't eat more than around 4 oz of animal protein per day.

    I have never been sure that a high fat diet couldn't backfire on someone with my type of cancer, because high fat diets can possibly raise estrogen in some women. For that reason I do limit the amount of animal fat I eat as part of my modifications to the diet for ER+ cancer. I get my fat from avocados, nuts, extra virgin olive oil, coconut oil and the like, and I try to eat as little animal fat as possible. I do this because fat is where the hormones live, and even if animals are not raised on hormones, there will be some naturally occurring in their fat. Even organic grass fed dairy often comes from pregnant cows, which can mean higher estrogen levels. As a rule I don't eat dairy except for special occasions. The research is far from definitive, but my approach to just about everything is better safe than sorry.

    I raised my healthy fat over the holidays to maintain weight, but kept protein and carbs the same to maintain ketosis over the target level for cancer, and to avoid raising blood sugar, insulin, IGF-1 and mTOR activation.

    There is so much more I could say but this is already getting too long.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    That isthe best explaination i could have wished for! Thank you so much!

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    60 grams is close to 2oz. I know i am reading this wrong as you said you eat 4 oz animal protein and the rest plant based

    How many total oz of protein do you eat a day? I'm the same size so trying to calculate as haven't measured. Thanks again

  • zogo
    zogo Member Posts: 20,329
    edited February 2017

    Grams of protein is not the actual weight of the item.

    4 ounces of chicken breast has about 24 grams of protein.

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited February 2017

    thanks. I have been reading upon this and now understand. Silly me!

    Looks like i have had dumb luck and bedn doing it right all along! 3-4 oz meat , an avacado, nuts and occasional slice of cheese.

  • solfeo
    solfeo Member Posts: 838
    edited February 2017

    Yes, that's what I meant - I eat up to 4 oz of meat, poultry or fish, which I collectively referred to as animal protein. It's surprisingly easy to get the rest from plant food without really trying. If I don't watch it I can easily go over my protein allowance, and I don't worry if I do sometimes. It's an average I try to maintain over time.

    I track my macros (and micros) with Cron-O-Meter, which has presets for different levels of keto strictness, or you can set custom levels. Carbs are a fixed number (whatever you choose), and it will automatically calculate your protein based on estimated lean body mass times the multiplier you choose. Whatever is left, up to your calorie allowance for the day, is fat. As you eat and log exercise throughout the day, your goals are updated. It also syncs automatically with my FitBit so I only have to enter my other exercise.

    This is where I'm at right now this evening. I am in an earlier time zone than most of you and I have slacked on exercise, so I'm about to go for a walk to catch up to my weight loss goal for the day. I usually eat between 1200 and 1400 calories per day. I don't consciously limit calories but that's how it works out. I burn anywhere from 1600 to 2000 calories depending on how much exercise I get, including my basal metabolic rate.I have my protein set at 49 so I will try to keep it closer to the low end of my range, but I will eat up to 60 especially on heavy exercise days.

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