"I'll typically have two chocolate peanut butter fat bombs. They save me. Lately, there’s been a keto cheesecake in the fridge and I’ll sneak a bite, but won’t have a whole piece. I try not to go too hard on the snacks anymore. I’m noticing that laying off the almond flours, coconut flours, and baked sweets has helped me feel better overall. If I want a crunch I’m reaching for the pork cracklings."
Practically speaking, because it takes several days to raise blood ketone levels by following the ketogenic diet it has been virtually impossible to study the effects of ketosis on brain injury in humans. It is also complicated by the difficulty in quantifying the extent of the damage without repeated imaging and there is a lack of reliable biomarkers for concussion. Furthermore, concussions can’t be ‘administered’ to humans experimentally, making it impossible to study in a controlled setting. Therefore much of the proof of concept research looking a ketosis for concussion has been done in animals. Nevertheless, the results are promising: rats who were given a ketogenic diet or ketone precursors before67 and after68 a controlled concussive injury have were found to have improved brain energy metabolism, and improved cognitive and motor function post injury. Also, giving exogenous ketones as an injection post-injury protected the brain against glutamate induced excitotoxicity69 and alleviated the decrease in brain ATP that occurs due to the depression of glucose metabolism70. Therefore, as scientists’ ability to quantify concussion in humans improves, ketosis could be an interesting intervention to attempt to reduce the harmful after-effects.  
Urine test for diabetes: What you need to know Urine tests for diabetes check for protein, ketones, and glucose. They are frequently used for diagnosing and monitoring diabetes, and to assess people who are experiencing symptoms, such as fatigue or nausea. Depending on the results, recommendations may be given about medication or lifestyle changes that could help. Read now
Bulk buy and cook. If you’re someone who doesn’t like to spend a lot of time in the kitchen, this is the best of both worlds. Buying your food at bulk (specifically from wholesalers) can reduce the cost per pound tremendously. Plus, you can make ahead food (bulk cook chicken thighs for pre-made meat, or cook entire meals) that are used as leftovers, so you spend less time cooking.

I am not an athlete. I am a mid 30’s male with a sedentary lifestyle. I am 5’10” and 250lbs. I have mild hypertension, high triglycerides, and pre-diabetes. I have eaten whatever I want and as much as I want for years. I have recently started walking/jogging 3-4 times a week, taking fish oil, and eating significantly less carbs plus added fish and steak. Is this diet appropriate and safe for me?

Ketosis is an energy state that your body uses to provide an alternative fuel when glucose availability is low.  It happens to all humans when fasting or when carbohydrate intake is lowered.  The process of creating ketones is a normal metabolic alternative designed to keep us alive if we go without food for long periods of time. Eating a diet low in carb and higher in fat enhances this process without the gnawing hunger of fasting.


The diet gets billed as a miraculously enjoyable diet—eat all the fat you want, just cut out the carbs. But the ketogenic diet (also called keto) was never supposed to be fun. It was supposed to treat severe epilepsy. And as a medical treatment, it was only intended to be administered under the supervision of trained nutritionists and physicians. The professionals would be able to monitor patients for potential problems and ensure that their diet was actually keeping them in ketosis—a metabolic state where your body switches from using glucose as energy to using ketone bodies, which come from body fat. They needed those checkpoints because staying in true ketosis is exceptionally challenging for adults.
I don’t agree with this article completely. I’ve been Keto for a year and half and have kept off the 45 lbs I’ve lost. I’ve gained more muscle mass by lifting and take mineral supplements which I needed before as well. I’ve not purchased and if the Keto “stuff” everyone seems to be selling these days. I still love this way of eating since my intestinal issues after gone and I’m feeling great. It may seem like a fad and with that reach person needs to research very careful to what is healthy and what is not.
In 2007, a team of eight research scientists compared the impact of the Atkins diet on body mass and body fat with three other diets in a 12-month randomized controlled trial. The team recruited 311 overweight and obese, premenopausal women with no history of diabetes or cardiovascular diseases. The women had an average age of 41 years, BMI of 32, and body fat percentage of 40. After taking baseline measurements, researchers distributed the subjects to one of four different groups.
Then there’s medium chain triglycerides (MCT’s). Most dietary fat has to be converted into water soluble molecules that then need to enter the liver via your lymph system. Your liver then converts these molecules to fatty acids and ketone bodies. But unlike most other forms of dietary fats, MCT’s can enter your liver directly without having to go through your lymph system. This means that consuming MCT’s gives your body an opportunity to quickly produce ketone bodies.
I have been on this Keto diet 2weeks now,have lost almost 8lbs,am strictly following this diet,the food is great,I have the cookbook,I don’t feel starved,nor deprived,am hanging in there,because according to this cookbook,your body doesn’t start to be a fat burning machine until day 30,is this correct?however,my clothes are loose on me,so I feel I am in keytosis as we speak
Tallon, these suggestions are meant to be taken one at a time. If you’ve hit a plateau or are struggling with weight loss, you can try to cut back on your protein. If that doesn’t provide results than maybe that wasn’t the culprit..now try cutting back on dairy, see what happens with that. It’s all about finding what works for you. If you cut out everything at once, you’ll never know which one was causing the issue. Hope that makes sense.

Cyclical ketogenic diet: The Bulletproof Diet falls into this category. You eat high fat, low carb (less than 50 grams of net carbs a day) five to six days of the week. On day seven, you up your carb intake to roughly 150 grams, during what’s called a carb refeed day. Carb cycling this way helps you avoid the negative effects some people experience when they restrict carbs long term, like thyroid issues, fatigue and dry eyes.[10] [11] Full ketosis isn’t for everyone, and adding carbs such as sweet potatoes, squash, and white rice one day a week keeps your body systems that need some amount of carbs functioning properly.
The ketogenic diet is calculated by a dietitian for each child. Age, weight, activity levels, culture and food preferences all affect the meal plan. First, the energy requirements are set at 80–90% of the recommended daily amounts (RDA) for the child's age (the high-fat diet requires less energy to process than a typical high-carbohydrate diet). Highly active children or those with muscle spasticity require more calories than this; immobile children require less. The ketogenic ratio of the diet compares the weight of fat to the combined weight of carbohydrate and protein. This is typically 4:1, but children who are younger than 18 months, older than 12 years, or who are obese may be started on a 3:1 ratio. Fat is energy-rich, with 9 kcal/g (38 kJ/g) compared to 4 kcal/g (17 kJ/g) for carbohydrate or protein, so portions on the ketogenic diet are smaller than normal. The quantity of fat in the diet can be calculated from the overall energy requirements and the chosen ketogenic ratio. Next, the protein levels are set to allow for growth and body maintenance, and are around 1 g protein for each kg of body weight. Lastly, the amount of carbohydrate is set according to what allowance is left while maintaining the chosen ratio. Any carbohydrate in medications or supplements must be subtracted from this allowance. The total daily amount of fat, protein and carbohydrate is then evenly divided across the meals.[36]
How It Works You’ll follow the keto diet as usual until 30 to 45 minutes before exercise — then it’s time to eat about 25 g of carbs, says Daniela Torchia, PhD, a registered dietitian based in Loma Linda, California. The idea is that you’ll have just enough carbs to fuel your workout and still be able to return to ketosis easily after you cool down. Choose carbs that are easy to digest (for instance, white bread or white rice) and be sure not to add calories to your daily total — simply redistribute them, Dr. Torchia says.
A high-fat diet also trains your body to burn even more fat during exercise, even at high intensities. Fat is released faster and in greater amounts from your storage adipose tissue and transported more quickly into your muscles and mitochondria. Your muscles also store more energy as fat and use this fat-based fuel more efficiently and quickly. Even more interestingly, a high-fat diet can cause a shift in the gene expression that codes for specific proteins that increase fat metabolism – and create very similar adaptations to exercise itself. So the mere act of shifting primary fuel intake from carbohydrates to fat begins to make you more “fit”, even if you’re not exercising.
Practically speaking, because it takes several days to raise blood ketone levels by following the ketogenic diet it has been virtually impossible to study the effects of ketosis on brain injury in humans. It is also complicated by the difficulty in quantifying the extent of the damage without repeated imaging and there is a lack of reliable biomarkers for concussion. Furthermore, concussions can’t be ‘administered’ to humans experimentally, making it impossible to study in a controlled setting. Therefore much of the proof of concept research looking a ketosis for concussion has been done in animals. Nevertheless, the results are promising: rats who were given a ketogenic diet or ketone precursors before67 and after68 a controlled concussive injury have were found to have improved brain energy metabolism, and improved cognitive and motor function post injury. Also, giving exogenous ketones as an injection post-injury protected the brain against glutamate induced excitotoxicity69 and alleviated the decrease in brain ATP that occurs due to the depression of glucose metabolism70. Therefore, as scientists’ ability to quantify concussion in humans improves, ketosis could be an interesting intervention to attempt to reduce the harmful after-effects.  
Brain glucose and KB uptake was investigated in rats subjected to mild experimental ketonemia induced by 2 weeks on the KD or by 48 h fasting. To test this, researchers developed a carbon-11 labeled AcAc (11)C-AcAc for PET use. They found in rats that after 10 days of KD (11)C-AcAc brain uptake increased up to 8-fold, an increase comparable to those measured after 48 h of fasting (Pifferi et al., 2008).

At the same time, you need to remember to increase the amount of fat that you eat. Also, it doesn’t mean a complete ban on carbs. You just need to reduce the amount that you eat to 15g or less per day. On average, we tend to eat around a third to a half more than that on a daily basis. Reducing carbs won’t be easy for some, which is why having delicious recipes to try first is the way to go.


Eat the right amount of protein. Too much protein can increase insulin levels and decrease ketone levels, while not consuming enough protein can cause you to burn muscle rather than fat. If you exercise, protein levels should be hovering around 0.8g – 1.0g protein per lean pound of body mass a day. This helps with muscle mass retention and growth. However, if you are not exercising – your protein intake doesn’t need to be as high. A protein intake of 0.6g – 0.8g of protein per lean pound of body mass is going to be fine for sedentary individuals.
That’s why many health experts are concerned about people on the keto diet, especially those who try it without the guidance of a doctor or nutritionist. Doctors say that high-fat diets like this one may raise cholesterol levels, and some studies suggest that they increase the risk of diabetes. Some have even called it a “cardiologist’s nightmare.”

You likely heard that a high-fat, low-carb keto diet can melt fat. Because it contains virtually no carbs, a ketogenic diet forces your body to burn fat instead of glucose for fuel. Ketosis is the state your body enters when your liver effectively breaks down fats into ketones to use as energy. Without glucose, your body doesn’t have all the highs and lows that lead to hunger pangs, energy crashes, and cravings. Instead, your blood sugar levels stay stable. Your body also sheds excess weight — fast.
Thanks for your comment. I’ve listened to the same experts you have…but we can’t just listen to those experts, we have to look at the actual science as well and play devil’s advocate. The claims the so called keto “experts” make aren’t all supported by fact and science. They can easily site studies that support their claims, but there are also studies that don’t. It’s called cherry picking. So please don’t say I’m uneducated or I haven’t done my research, because I have. Keto does not affect everyone in the SAME way! Some people’s cholesterol may go down, but some people’s may go up. That’s a fact. We can’t paint everyone with the same brush and say that for everyone, Keto improves cholesterol.
It is possible to combine the results of several small studies to produce evidence that is stronger than that available from each study alone—a statistical method known as meta-analysis. One of four such analyses, conducted in 2006, looked at 19 studies on a total of 1,084 patients.[22] It concluded that a third achieved an excellent reduction in seizure frequency and half the patients achieved a good reduction.[3]
Thank you for this honest post on how Keto affected you. I did Keto for 6 weeks. I did lose 7 lbs but I struggled with depression and not using the bathroom regularly nice I started the diet. I searched and found carbs help with serotonin uptake which explained my depression. Everywhere I look people are pro Keto instead of discussing some the side effects. My gym friend told me she cried the last 4 days she did Keto before saying enough is enough. If it works for others, that’s great, but it’s refreshing to hear that I am not the only one who struggled and stopped Keto.
One more thing that I noticed is that my HR does not move Beyond a certain point. I can still perform quite at a high level and faster than most people at my box but weirdly enough it’s like there’s a block on my HR which doesn’t allow it to move beyond 160 bpm. I’m not sure if this is good or bad! Could I go even faster if my HR would pass this limit?? It is a physiological barrier created by the glycogen sparing mechanism that doesn’t allow my body to move after a certain point so it won’t have to tap into my glycogen stores or force my body to go into gluconeogenesis?? If I added some more carbs around my workouts would it be easier to get the glycolytic pathway to work more effectively since it’d be faster and easier fuel? I read about the downregulation of PDH enzymes after prolonged keto and I constantly worry that I dont use my glycolytic pathway as effective anymore. I LOVE this lifestyle but at the same time, as athletes; we’re always thinking on how to improve performance. What are your thoughts?! Thank you so much!!
Risks to Note Koche says to hold off until you’ve adapted to keto, which means your body is used to turning to fat for fuel, before adding these high-carb days, as it can slow down the possible benefits and results of being in ketosis. Kizer notes that keto cycling can cause fluctuations in body water, which can lead to dizziness. “It can also be hard on the heart for those with some cardiac conditions,” she adds.
Eat less often. It’s much easier to eat fewer calories and maintain higher levels of ketosis when you eat less meals. Instead of snacking throughout the day, try getting all of your calories from 2-3 meals every day. You can also try intermittent fasting by restricting all your meals to an 8-hour eating window. This will allow your blood sugar and insulin to drop down to baseline levels so that your body can go into its fasting state and burn body fat for fuel.
EDIT: For those who are interested, I just checked and Subway has a calorie/nutrient calculator for their salads and you can customize it based on your veggies, cheese, and what not to see the calories and carbs. For the one I got (cold cut combo w/ mayo, Monterrey cheddar, spinach, banana peppers, lettuce, red onions, green peppers, pickles, cucumber, and tomato) here are the nutrient facts:
When glucose levels are low, especially over time, most cells will switch to using ketone bodies for fuel. Ketones allow cells to be metabolically flexible, so to speak. Even the brain and nerve cells, which are heavily dependent on glucose can utilize ketone bodies for fuel. This ability of most normal cells to use ketones when glucose is unavailable indicates that their cellular mitochondria are healthy and functioning properly. 
But sadly, whether due to government subsidy of high carb foods like corn and grain, funding from big companies like Gatorade and Powerbar, our sugar-addicted Western palates, or the constant (unfounded) fear mongering about saturated fats and heart disease, the type of research that shows these fat-burning and performance benefits of carbohydrate restriction simply get shoved under the rug.
-Nervous System Damage: It’s been shown that patients with neuropathy whose after-meal glucose readings were above the diabetic threshold sustained damage to their large nerve fibers. Even neuropathy patients whose glucose readings remained well within the normal range showed damage to their small nerve fibers. Studies have shown that within any blood sugar range, the higher the glucose, the greater the damage to nerve fibers.
Rita, I’m SO relieved to know that I’m not the ONLY person having issues with the Keto diet.. I too just like you have been on low carb for years & still not skinny…. I research trying to find the right program for my body. I was SO excited when a friend told me how she had lost 25lbs in 2 months so I found out exactly whar she was doing & do the research on Keto preparing all that I needed to make sure I was doing it right!!! I’ve been on Keto now faithfully for 2 months & have only lost 2lbs); At first I wasn’t exercising & I thought well maybe I need to exercise some to see if I will start losing weight. I’ve been exercising now for a month & yes I feel better with exercise but still no weight loss. I start my day with coffee with SF creamer, Breakfast I usually have eggs, or a protein drink: which includes: 1 c. Of unsweetened almond milk, 1 scoop of collegen protein from the health food store, 1 tbsp of organic coconut oil. If I get hungry before lunch I will eat 3 tbsp of almonds.. Lunch: is 1/2c. Of raw cabbage, radishes,sunflower seeds, few grape tomatoes, 4 oz of some grilled meat, olive oil/apple cider vinegar for dressing or low carb ranch dressing. Dinner: 5 oz grilled meat, with 1 c. Of salad mixture the same as lunch. I drink 60 oz of water a day. Exercise 30 mins at least 4-5 days a week.. I don’t understand why I don’t lose weight ??? If I was small & just had a few lbs to loss I would understand.. but I have at least 50lbs that I need to lose. I want to continue to eat health for my health… but I pray that I can find an answer to lose this weight. At 58 & have been around this size all my life but if I ever eat anything different than this I can gain 5lbs over night); it’s crazy & I don’t understand ); I don’t like to eat anything different than low carb because I get SO gassy & feel So uncomfortably & feel yuk.. thank you for sharing your experience. Yes I’m sure your going to get a lot of criticism); but I appreciate you sharing this with us. God Bless. If you have any suggestions please don’t hesitate to share it with me.. thanks
There are theoretically no restrictions on where the ketogenic diet might be used, and it can cost less than modern anticonvulsants. However, fasting and dietary changes are affected by religious and cultural issues. A culture where food is often prepared by grandparents or hired help means more people must be educated about the diet. When families dine together, sharing the same meal, it can be difficult to separate the child's meal. In many countries, food labelling is not mandatory so calculating the proportions of fat, protein and carbohydrate is difficult. In some countries, it may be hard to find sugar-free forms of medicines and supplements, to purchase an accurate electronic scale, or to afford MCT oils.[53]
I have been in low carb for years ( due to being hypoglycemic )also, I had a stroke at 40 for reasons unknown and read about Keto for traumatic brain injuries. I decided as I’ve gotten older and the weight just seems to attach to me form merely walking into the kitchen that I would try Keto for a few reason, sounder sleep, more energy, less hunger and cravings and of course weight loss. Well I have expirenced most of theses effects . But weight loss hasn’t been one. Unless I go into the much talked about fasting( at least 16 hours a day I haven’t expirenced any weight loss , only weight gain) I was told I’m doing it wrong, my movies are off, I must be miscalculating my fats, carbs, etc.. no . I down loaded apps to track. Read everything I can find, take supplements only fasting has worked. It’s easier on Keto because I’m not really hungry as much, but now I’m counting the hours I fast and eat and tracking them to the minute to make sure I stay within range. It’s all like slavery to food no matter how you dice it up. I have to watch carbs because of hypoglycemia but even with that I was gaining weight. Sure I can eat carbs but the blood sugar highs and lows are dangerous and actually make me binge eat in order to get my sugar levels back up. So I’m kinda stuck with what do I do to maintain my sugar levels and weight and yet enjoy life. It’s seems to be a no win situation .
Next, you should know that supplementing with KETO//OS (or following a ketogenic diet) can cause a slightly diuretic, water-losing effect, and can deplete your natural magnesium, potassium and sodium stores. This can be rectified by supplementing with a good electrolyte or increasing the sodium in your diet. This is another reason KETO//OS adds additional sodium to the formulation to counteract this sodium depletion.
How It Works On cyclical keto, also called keto cycling, you’ll cycle in and out of keto — usually on the diet for five days, followed by one or two days with more carbs. “The point of keto cycling is to make it easier for someone to follow,” Kizer says. “Every five to six days they can have the carbohydrates they’ve been entirely restricting.” There’s no set protocol of what your carb days should look like, but Kizer warns not to go overboard because that will make it more difficult for the body to return to ketosis.
The notion that the Atkins Nutritional Approach - high in protein, which builds muscle, and fat, which is used for energy - will force your body to break down muscle is incorrect. Only individuals on very low-calorie diets can lose muscle mass, because they have an inadequate protein intake. Atkins, however, is not calorie restricted (this isn't an invitation for gorging, but a recommendation to eat until you are no longer hungry) and the high protein intake required offsets any possible loss of body mass.
Doctors at the Mayo Clinic created a formula that manipulated the ketogenic effect that came with complete fasting by instead limiting a patient’s intake of carbohydrates. This was the genesis of the ketogenic diet. To manage childhood epilepsy, the prescribed diet consisted of one gram of protein per kilogram of body mass — a max of 15 grams of carbs — and the rest of the calories from fat. Et voila: the ketogenic diet was born.
Diabetic ketoacidosis occurs when ketone levels become too high and poison the body. This condition is more common in people with type 1 diabetes because their bodies don’t make insulin. In the event that their ketone level rises, their bodies are unable to produce insulin to slow down this production. If left untreated, this condition can lead to a diabetic coma or death.
However, there is one caveat when it comes to weight loss. In response to a calorie deficit, the body will typically burn some of its muscle mass for fuel by using a process called gluconeogenesis. As a result, many people will lose muscle along with the fat when they diet. Luckily, there is a way to preserve muscle mass, even in the midst of extreme caloric deficits.
It has recently been proposed that the ARC is required for the coordination of homeostatic circadian systems including temperature and activity. Authors tested this hypothesis by injecting saporin toxin conjugated to leptin into the ARC of rats. Wiater et al. showed that the leptin-sensitive network is required for entrainment of activity by photic cues and entrainment of temperature by food but is not required for entrainment of activity by food or temperature by photic cues (Wiater et al., 2013).
Staying in Ketosis long-term: Chronic Ketosis can cause fatigue, muscle soreness, insomnia and nausea. "Unless you have a medical condition that requires you to stay in Ketosis for long-term, you shouldn't stay in that state for a prolonged period without any carb ups," Mavridis suggests. And if you're a beginner, "it’s recommended that you go through the fat-adaptation phase so that your body becomes accustomed to burning both glucose and fat for fuel," says the nutritionist.

Ketone salts did not improve performance 35 ,36. There are two recent published studies of ketone salts on athletes.. Performance was compared between ketone salts vs. carbohydrate in a 4 minute cycling time trial and a 150 kJ ( ~10 mins) cycling time trial. In the 4 minute trial there was no change in performance, and in the 150 kJ test, performance was decreased by 7%. Reasons for the difference in findings could be: Lower levels of blood BHB levels (which peaked at 0.6 mM and 0.8 mM in these studies) meaning far less BHB was present than in the ketone ester study. The ketone salt was given without carbohydrate and so there was no additive effect of ketones + carbohydrate as seen in the ketone ester study. The tests used were short and highly reliant on anaerobic (glycolytic) metabolism, therefore ketones did not offer an advantage. 
Taking omega-3 fatty acid supplements can benefit your health in many ways, particularly when following a high-fat keto diet. This can help ensure a healthy omega-3s to omega-6s ratio, reducing the risk of heart disease and inflammation. Most Western diets tend to be high in omega-6 fatty acids and an imbalance of omega-3s to omega-6s can cause inflammation in the body. Eating more fatty fish like salmon, sardines can help increase your omega-3s intake.
Ketosis is a metabolic state where most of the body's energy supply comes from ketone bodies in the blood, in contrast to a state of glycolysis where blood glucose provides most of the energy. Ketosis is characterized by serum blood concentrations of ketone bodies over 0.5 millimolar with low and stable levels of insulin and blood glucose. However, with ketone supplementation (as you’ll learn about later in this article) ketosis can actually be induced even when there are high levels of blood glucose.

Some people do not produce enough ketones to show up in their urine. If you are experiencing a reduction in your appetite and an improvement in well-being and are losing weight or your clothes are feeling looser, there is no need to do anything differently. Remember, the lipolysis testing strips (LTS) are tools; making them change color is not the sole object of the game. If you are not losing weight, you either have a strong metabolic resistance to weight loss or you are consuming "hidden" carbohydrates in the form of sweetened salad dressing, breading, etc. Then follow Induction strictly for five days. If the LTS still haven�t changed even slightly, make sure you are not consuming excess protein and measure your salads to make sure you are not eating too many veggies. Still no change? Try cutting out tomatoes and onions, which are relatively high on the glycemic index. You may also benefit from nutritional supplements such as L-carnitine, hydroxycitric acid (HCA), and chromium - all of which aid in hunger reduction or weight loss. You may also need to step up the frequency and intensity of your exercise program.
This is in part because patients need to be in deep ketosis to see an impact on epilepsy, likely deeper than the average dieter, but without a nutritionist guiding you it’s still hard to get down into ketosis. It’s not exactly clear why ketosis seems to improve epilepsy, but it seems to have something to do with the brain’s use of ketone bodies in place of glucose, which only happens when you’re nearly in starvation mode. (It's important to note here that "starvation mode" is not in reference to how hungry you feel.)

So I have tried many things to loose weight and nothing worked, including this. This was a while ago. Then I decided I was not going to eat breakfast anymore, because in order to loose weight, you need to be a little bit hungry. So anyways, I have been doing intermittent fasting (eating at noon and dinner 6-8) and the first day was hard for me but I stuck to it with the help of some lemon water. The next 3 days became easier and easier. Today, I realized I was not at all hungry for dinner and was a little scared, because I didn’t want my metabolism to slow down (I’ve had problems in the past) so I googled up what this means. I saw that it was ketosis and was so excited. When I went to check the ketosis strips, it was actually working and I was so so happy. The fact that I was trying so hard with all of these fancy recipes and eating 3 meals a day frustrated me. I do not count my calories or anything else. I do some excercise for about 30 minutes everyday. For those who are struggling, please please please! Try intermittent fasting if the ketogenic diet isn’t working for you.

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