Two Questions from an almost Newbie


(Karen) #1

So I’ve been full keto for three weeks; mostly low carb/paleo for years prior…Here’s my questions:
I naturally eat on an IF schedule meaning dinner is usually by 6 pm and lunch is at noon the following day except for bulletproof coffee in the AM. I’ve read that IF may not be good for women with Hashimoto’s thyroid issues and that you shouldn’t do any fasting until you are fully fat adapted. Thoughts on this?
Also I’m reading conflicting views on using stevia. I use a pure liquid stevia with no additives (20 drops a day between lemon water and coffee). Thoughts on this affecting negatively? My urine results say that I’m staying in moderate to large ketosis.
Apologies if this has already been addressed here and I didn’t find it. Thanks!


(VLC.MD) #2

what are your keto goals ?


(Karen) #3

Weight loss of about 15-20 pounds–currently 53 yo female, 5’4" and 155 lbs currently. I’m eating 70-75%% fat, 10% carb and 15-20% protein. I have both gluten/grain and dairy issues so those are out of my diet. I’m somewhere in the menopause zone with a history of PCOS. I’m active to the tune of walking 3-5 miles daily with a little yoga here and there. Of course, excellent health and aging well is always a goal.


(VLC.MD) #4

Never heard of that. No mention of that in Dr. Fung’s excellent fasting book.
Do you have any source ?

A majorly important part of Eating to Live or Keto is … only eat when you are hungry. As you lose your appetite … IF and fasting come natural / easier.

Fasting must be easier if you are fat adapted. But it isn’t a requirement.

Sweeteners are better than carbs.
People say it can cause weight to stall. (it didnt for me).

10% carbs is moderate low carb diet. Not really Keto. Strict low carb is 4% or less. Keto is 4% or less and below 25% protein. These are the definitions I use, there must be others.

Regardless you are in ketosis.

If you want improved weight loss results, I’d lower my carb intake.

You dont have much to lose, so you can probably lose all the weight you want with just keto. I think of Keto as logical step to get ready for the best weight loss. IF and F.

Moderate low carb -> LCHF -> Keto -> IF -> Fasting.


(VLC.MD) #5

How many grams of carbs ? From what sources ?


(You've tried everything else; why not try bacon?) #6

Dr. Phinney’s definition of LCHF is under 100 g of carbohydrate daily, and fat to satiety. This forum’s definition of keto is under 20 g of carbohydrate, ditto. The definition of being in nutritional ketosis is a serum ß-hydroxybutyrate level from 0.5 to 5.0 mmol/dL.


(VLC.MD) #7

I use dietdoctor.com definitions.

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Here’s the way we define different levels of low carb at Diet Doctor:

Ketogenic low carb <20 gram carbs per day. This is a ketogenic diet (if protein intake is moderate). This level is defined as below 4 energy percent carbs in our recipes, where we also keep the protein level low or moderate (excess protein is converted to carbohydrates in the body).1

Previously we often called this “strict low carb”, but as the word “keto” or “ketogenic” became commonly used we switched to only use this term, for simplicity.

Moderate low carb 20-50 grams per day. This level is defined as between 4-10 E% carbs in our recipes

Liberal low carb 50-100 grams per day. This means 10-20 E% carbs in our recipes
For comparison, a regular Western diet can easily contain 250 grams of carbs or more in a day, most of them bad refined carbs, including sugar.

I might be using the LCHF loosely. I should try to be more precise. Hmmm.
I guess LCHF has 3 levels (liberal, moderate, strict, and ketogenic). (strict is now gone !)


(Karen) #8

Carb sources are spinach, kale, broccoli, cole slaw with primal mayo or vinegar, green beans, onion, tomato, mixed greens, almond milk, coconut manna in coffee…that’s about it. Nothing from anything starchy like potatoes. My daily carb intake is usually around 15 grams.


(VLC.MD) #9

Looks great !

Your carbs must be lower than 10% then.


(Karen) #10

I guess my personal evaluation should include the fact that I feel great. I’m not having any low thyroid symptoms (on 45 mg Armour daily). I’m not hungry. Great energy. Sleep well. The scale is just so slow to move. I’ve just started measurements so maybe some non-scale victories will show up there. Thanks so much for offering your insights. I’ll look at reducing carbs a bit more. And actually, many times when I eat mid-day, I’m not all that hungry. I could probably go until 2 pm before true hunger cues set in.


(VLC.MD) #11

Try Fasting to break the stall.


(You've tried everything else; why not try bacon?) #12

Any chance you’re putting on lean tissue while losing fat? That could cause your scale to appear to be standing still. How is your dress size doing?


(Karen) #13

I’m ready for that and will try it. Thanks.


(Karen) #14

I suppose that’s possible. Clothes feel comfy and a bit more loose.