By far and away the most common questions I’ve fielded this past summer and early fall have been related to folks wanting to jump on the keto bandwagon, most often in fact some version(s) of how do I get started, what’s the easiest way to get into keto, and do I really have to give up carbs?
My response typically focuses on review of several key points…
First Things First: Why Nutritional Ketosis?
First, I typically query why someone wants to give nutritional ketosis a spin. There are a host of great reasons to give NK a try – pursuit of greater metabolic flexibility, increased cognitive and/or physical performance, particularly in endurance-focused activities, or just overall improving your daily function (and quality of life).
Breaking through a weight loss stall is another worthy, and common, reason, as is dealing with a challenging health or metabolic issue (classically you might think of a seizure disorder here, though keto is commonly brought into the discussion for example when talking about T2DM, pre-dementia states, and even adjunctive treatment for some malignancies).
On the other hand, pursuit of “ketosis” to simply jump on the latest dietary fad bandwagon doesn’t seem to play well over the long haul, at least in my experience.
Pregame for Nutritional Ketosis: Take an Honest Snapshot of Where You Stand Metabolically
Honest self-appraisal, for most of us at least, isn’t the easiest task to accomplish, though this point is pretty straightforward. At the extremes, contrast the 40-year old, overweight, sedentary, desk-bound, over-stressed office worker, languishing on the standard American diet (SAD), crashing and burning multiple times a day, stumbling from one carbohydrate bomb to the next with the 40-year old who’s been eating primally or following a Paleo-ish eating plan, consuming moderate amounts of protein and less than 100 grams of carbs per day, walking 40 minutes 5 days a week, and getting enough sleep to truly rest and repair every day.
While anything is possible, I’d argue simply that the SAD guy above isn’t ready to launch a genuine nutritional ketosis run no matter how strongly he might want to; he could grind it out, but would likely suffer from the ‘keto flu’ (not a big fan of that term by the way) and would be at high risk to fail within the first three weeks. His road would be a danged bumpy one, and could be smoothed significantly with a pre-keto adjustment period (more below).
On the other hand, our guy eating Primally will likely make the transition into NK with relative ease…
Pregame for Nutritional Ketosis: Do a Bit of Housecleaning First
From a post on a similar topic I shared back in June –
Stepping into nutritional ketosis is a relative piece of cake if you’ve done some preliminary diet “housekeeping” to begin with. The most important dietary housekeeping is sorta’ve along the lines of cleaning the most obnoxious things out of your house – one, getting rid of grains and heavily processed carbs, including sugar in all its forms is one, and the second essential dumping the toxic, industrial-processed seed oils that are commonly stocked in pantry and restaurant around the world.
The other bit of housekeeping that I often recommend is to take a thoughtful, honest look at the amount and quality of protein one is eating prior to starting a nutritional ketosis run. Many of us are simply eating too much protein, and too much protein from less-desirable sources (i.e. CAFO beef, pork, and chicken).
Pregame for Nutritional Ketosis: Put on Your Thinking – and Listening – Cap
Two points here. One, be prepared to learn some new concepts. Nutritional ketosis is a fascinating tool (among many) to optimize your health and function, though as with all concepts that are swept to fad stardom, there is a tremendous amount of noise and misinformation in the keto arena these days.
Looking for a great read to kick off the learning process? Consider The Keto Reset Diet by Sisson and Kearns, or Primal Fat Burner by Nora Gedgaugdas to mention a couple. Find a mentor or trusted coach (and yes, we can help you with a customized coaching program here…).
Second, your physiology and metabolism are unique to you alone; your optimal path to and in nutritional ketosis will likely be different than any one you know or read, and will require some thoughtful attention to what your body is telling you. Listen well, and don’t hesitate to make rational, thoughtful adjustments along the way.
Pregame for Nutritional Ketosis: Commit to Give Nutritional Ketosis a Fair Trial
I’ve shared this before –
No matter how you’ve been eating before, truly starting nutritional ketosis will cause your body to make some adjustments as you preprogram your metabolic machinery. I agree wholeheartedly with those who suggest you make at minimum a 6 week commitment to the process, promising yourself you’ll wade through whatever adjustments come your way. And as your body adapts to fat-burning, there are several breakthrough windows that are exciting to watch and feel – though for most that’s territory that occurs in week three and beyond.
Frankly, I’m typically encouraging most of my clients to make a 12 week or more commitment to their NK trial, particularly if they’re over 40 and have been or are ‘metabolically challenged’. And, to be fair, NK doesn’t work for everybody.
There are several other minor points to consider when thinking about an NK run, we’ll come back and revisit on another day.
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