I’m in my 4th week (25 days) of keto and have had little luck with wt loss. I am 39y/o and after the birth of my daughter two years ago gained about 15 lb going from 127 to 142 lb (bmi 124.5). I started out with Atkins “induction phase” which was pretty difficult as I’m not particularly fund of meat. I’m good with seafood but not a fan of land meat. I lost about 3.5 lb the first week and my wt loss has haulted since then. I had been doing an IVF cycle in between and attributed the lack of wt loss to the meds. However, I’ve now been off meds for 5 days and the problem has persisted.
In a typical day, I eat two.eggs for breakfast, one avacado, a large salad with tuna, salmon or beef for dinner. I snack on hard cheese throughout the day and put lots of heavy cream in my coffee (maybe a little too much). My other guilty pleasure has been eating one whole pomegranate per day since they r currently in season.
I have tried fasting twice but were unsuccessful as I became very hungry and had to break my fast and now wonder if I attempted too early in the game. Previously I had had very good success with the 5:2 fast and might give that a try again (I think by drinking broth throughout the day). Any tips or insights on what I might be doing wrong will be appreciated!
Can't lose weight
The other thing might be ‘snacking throughout the day on hard cheese.’
It’s not the cheese that’s the problem – it’s the ‘snacking all day.’ I get it. It’s a huge change in your diet and having cheese or nuts to nibble during the day is comforting during this big change. But, if you continually snack, you will keep your insulin up and it never gets a chance to go down so you can access your fat stores.
How about you have a great LC lunch with enough fat in it to hold you until dinner?
Or, how about ONE snack of cheese between lunch and dinner? Then, work your way to no snacks?
Hope these suggestions help. So glad you are trying the Keto life! 
Thanks for the responses.im going to cut out snacking and high sugar fruits and will report back my progress next week 
@Gypsy57 I’ll be here to cheer you on. Sounds cliché, but we’re in this together.
Weight-wise, I have not been losing either, but inches-wise, there is progress for me. Is it the same with you?
To be honest, I have not measured my waist. It’s difficult bc not sure how much Im allowed to pull in my belly.
Today, I had an avocado with coconut flakes for BF
Salad with salmon for lunch
Sunflower butter + coconut flakes + hemp seeds for dinner
Two expressos with heavy cream
Does that sound a lot? I’m a physician and work long hours, so I do get hungry during my clinical shifts!
I suggest putting your meals into a tracking app like MyFitnessPal. Apple and Fitbit also have decent apps if you’re a user of their devices.
Regardless of what you use, they will calculate your macros and calories. From what you’ve described, it seems a bit high on carbs and low in calories, especially when you skip lunch.
Hi,
If you are not losing weight the key is to focus on your macro’s.
1 - Carbs is a limit - 20g max per day. The closer to zero the better. No fruit or refined carbs (bread, pasta etc) and no starchy veg (anything grown under the ground).
2 - Protein is a goal - Use an online calculator to ensure you are eating the correct amount of protein. https://www.ruled.me/keto-calculator/
3 - Fat is a guide - You do not have to eat all the fat, just until you are full.
4 - Use another online tool like https://www.fatsecret.com to track exactly what you eat. It will give you a nice chart like this:
5 - Never snack. Ever. Only eat 2 or 3 main meals a day. Start with 3 within a 12 hr period then reduce this to 2 within a 6 hr window. This will help move the weight and is called intermittent fasting.
6 - Cut back on the added fat like MCT / coconut / heavy cream and focus on getting your fat naturally from fatty protein foods.
7 - Try cutting back on sweeteners, whilst zero calorie they can trick the brain into thinking its had sugar and it will increase your insulin production.
All of the above really helped me move my weight.
Good luck,
Allan
Hi Gypsy57,
You are a physician so this should be very easy. Just do exactly the opposite of everything you where trained to tell your patients about how to eat a “healthy” diet in medical school.
Eat lots of fat, saturated fat, and very limited carbohydrates, fruits, and even vegetables. If you are in ketosis, and your experience is similar to the vast majority other people eating keto, you should never feel like you are starving and it is not only easy to eliminate snacks, it is easy to not eat anything at all. You can eat remarkable few kcal/day and still have lots of energy as you will be utilizing the energy stored in your fat deposits to provision the metabolic demands of your body.
A good resources is The Art and Science of Low Carbohydrate Living: An Expert Guide to Making the Life-Saving Benefits of Carbohydrate Restriction Sustainable and Enjoyable by Drs. Volek and Phinny. You will have no problem understanding the science and all the references are documented so you will be able to easily review the underlying clinical and epidemiological studies. This will be a good place to start, just a good start.
Personally, I think all physicians have a moral duty to educate themselves, not just for their own personal benefit, but also for the benefits of their patients. Primum non nocere.
I would never discourage anyone from asking question, but consider this … as a physician, why are you asking questions instead of providing answers?
Most Respectfully,
Richard
Because of what you said: “Just do exactly the opposite of everything you where trained to tell your patients about how to eat a “healthy” diet in medical school.”
Physicians are not exempt from popular thinking.
Those who already know everything can learn nothing.
The Oracle of Delphi told Chaerephon that Socrates was the wisest of all Greeks. Upon hearing this, and not believing this to be true, Socrates set out to question those most famous for their wisdom. In the end Socrates understood the Oracle’s statement to be true, not because he was wise, but because he was aware of his own ignorance making him wiser than all those who lacked even this knowledge.
I strive continualy to remember that I am a profoundly ignorant man.
I went to med school 15 years ago and believed everything I learned. meanwhile, I have been watching everyone around me including myself become more and more unhealthy even though we try to do everything right! Just doesn’t add up!
Once I have the evidence to prove it (wt loss for myself) I will start going around and educating those around me.
This is exactly the type of behavior we should expect from all medical professionals.
There has been a massive uncontrolled dietary experiment performed on a significant portion of the worlds population, primarily in industrialized first world countries, and the results are rather obvious to even the most obtuse.
Thank you Gypsy57!
Warmest Regards,
Richard