On June 4, 2020, I kicked off a new series of posts reviewing my
experiences during
My First Year on the Keto Diet
and sharing some of my insights and lessons learned over the course of my
successful journey so far. Since that post was published, I’ve lost another
pound, even though I’m no longer actively trying to lose weight, bringing my
total weight loss since May 25, 2019 to 57 pounds. I am healthier and feel
better than I have in decades. (Oh, and being able to wear shorts and
sleeveless tops this summer without feeling embarrassed feels pretty
amazing, too!)
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©2020 Margaret Schindel. All rights reserved.
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Last spring, after a serious medical scare when I learned that being obese and
post-menopausal had put me at significantly higher risk for endometrial cancer, among other
life-threatening diseases, my doctor stressed the importance of losing my
50+ pounds of excess weight. I had tried many times to strictly limit my
consumption of the foods I constantly craved—sugars, grains, and other foods
that are high in carbohydrates or highly processed—and failed just as many
time.
After reading a lot about what causes those types of food cravings and how
to lose weight without giving into them, I realized that I and many others
with an obesity problem had become psychologically, emotionally, and in some
ways, almost physically addicted to those foods, and in my case, it probably
dated back to my childhood. Note: If you're interested in learning more
about this phenomenon, the journal articles,
"Food Addiction: Implications for the Diagnosis and Treatment of
Overeating,"
Nutrients, September 2019, and
"Sugar Addiction: From Evolution to Revolution,"
Frontiers in Psychiatry, November 2018, discuss it in depth.
The good news: I finally understood why all my previous efforts to lose
weight and keep it off had failed. The bad news: Losing enough weight to
meaningfully lower my risk for developing cancer and other life-threatening
illnesses—and keeping it off—wouldn't be as simple as just cutting back on
calories, sugar, and flour, and getting more exercise. Achieving those goals
would require an all-in commitment to overcoming my roughly 60-year-long
carbohydrate, processed foods, and sugar addiction for good.
Preparing for Success on the Keto Diet
From personal experience, I knew that no matter how badly I wanted and
needed to succeed, or how hard I tried, desire and effort without the proper
preparation would not be enough to make that success a reality. To quote
legendary former college football coach Bobby Knight (who won 902 NCAA
Division I men's college basketball games and knows a thing or two about
critical success factors),
"The will to succeed is important, but what's more important is the
will to prepare."
Choosing to spend a few weeks preparing myself mentally, psychologically,
socially, and environmentally before giving up the foods I was addicted to
"cold turkey," whether temporarily or for good, was one of the best
decisions I made.
Following the most important things I focused on during those weeks of
preparation that helped me be successful on my keto weight loss journey.
Making a Serious Commitment to Losing Weight and Eating Better
I was overweight and, yes, clinically obese, for decades, and it made me
miserable. It badly eroded my self-esteem. And as a former clotheshorse who
worked in the fashion industry in New York City for many years, it was
painful to try on beautiful clothes and see how bad they looked on me (or
how bad I looked in them). In retrospect, even that constant pain and shame
must not have been enough motivation to make the dramatic, long-term changes
to my eating habits needed to lose the excess pounds, since my many attempts
at dieting over the years had all failed.
This time, my serious medical scare provided a powerful enough motivation to
make me commit 100% to fundamentally change my way of eating, and choosing
better quality, more nutritious, and less processed foods. Without that kick
in the butt, I doubt I would have succeeded this time, either. I encourage
you to think about what your motivation is to commit to this much more
restrictive way of eating.
Many people boast that they have lost a lot of weight following their own
version of a ketogenic diet that includes "cheating" on a regular basis, or
even a planned rotation schedule of being "on" and "off" keto. Others might
lose weight using a less restrictive variation of the classic keto diet
approach, such as so-called dirty or lazy keto. If that works for them,
great!
I can only share what has worked for me, an approach that I chose based on
my own situation, goals, and self-knowledge based on past experience.
Everyone is different. As always, your mileage (and your choices) may
vary.
Researching the Keto Diet and Understanding Its Basic Concepts
Keto is a low carb, high fat, moderate protein approach to eating, often
referred to as LCHF (low carb, high fat). Regardless of whether you follow
this dietary approach or what foods you eat, losing weight requires a
calorie deficit, i.e., you need to eat fewer calories than your body uses.
On a ketogenic diet, most of your calories should come from healthy fats, a
smaller percentage should come from from proteins, and very few calories
should come from carbohydrates (and, ideally, mostly from low-carb
vegetables and berries).
That's a very simplified overview, and I had to do weeks of extensive
research and reading before I had a good grasp on all the most important
aspects of this way of eating. Here are a few of the many resources that
helped me educate myself on this subject.
Helpful Online Guides and Articles
-
"The Ketogenic Diet - A Keto Guide for Beginners"
on ruled.me is one of the best places to start familiarizing yourself with
the keto or low carb approach to eating. It contains lots of helpful,
actionable, easy-to-understand information and advice, including
explanations of macros and net carbs.
Recommended Books
Although I focused primarily on cookbooks, some also contained helpful
information, explanations, and inspiration for anyone interested in living a
low-carb lifestyle, like these:
I also own two wonderful cookbooks by well known, highly respected keto
diet author and expert Maria Emmerich and look forward to adding
this book, which she co-wrote with her husband, to my growing collection:
My Favorite Keto Related YouTube Channels
Strict vs. Lazy vs. Dirty Keto
As I explained in
my previous post, there is no such thing as "the" keto diet (or ketogenic diet) outside
the context of certain medical treatments. There is only "a"
keto/ketogenic diet, which is a low carbohydrate, moderate protein, high
fat approach to eating based on achieving a metabolic state called
ketosis the majority of the time, which enables the body to become
fat-adapted.
Despite this, there are countless self-proclaimed "keto experts" (aka
"keto police") who have lost weight using this approach and are on a
mission to "educate" (i.e., lecture) everyone else on the "rules" about
what they (or another keto "expert") are convinced is the right or wrong
to follow a ketogenic diet. They often will argue passionately with other
self-appointed "keto police" about whose rules are the "real" rules, which
is ridiculous and, more important, extremely confusing for newbies to this
way of eating who are trying to figure out whom to trust as a reliable
source of information and advice.
People often break out the high-level differences in ketogenic diet
strategies into three groups. (Again, what each approach is called and how
those labels are defined can vary, depending on who is doing the labeling
and defining.) Most commonly, these three approaches are:
"Clean Keto" aka Strict or Classic Keto
The "clean keto"
approach focuses on high quality foods and optimal nutrition to support a
healthy lifestyle.
"Lazy Keto"
Lazy keto" usually refers to tracking
carbohydrates and limiting them to 20-25 net carbs per day, without
calculating/tracking macros or calories or eating specific types of foods.
However, some people use this term to mean simply eating only
keto-friendly foods—no calculating or tracking macros or calories.
"Dirty Keto" aka IIFYM (If It Fits Your Macros)
"Dirty keto"
is basically eating anything you want, as long as it fits within your
daily carbs and calorie limits, protein target, and fat allowance. This
approach focuses exclusively on weight loss, simplicity, and freedom of
choice, without concern for nutrition or food quality.
Choosing and Personalizing an Optimal Ketogenic Diet Strategy
"Lazy keto" and "dirty keto" would have taken less work and were tempting
options. Ultimately, however, I decided that the best strategy to help me
kick my food addiction and lose the weight I needed to at a reasonable
pace would take a mostly "clean keto" approach, but slightly less strict.
I would focus primarily on cutting out all added sugars and refined
carbohydrates, eating more whole foods, choosing grass-fed, organic,
and/or non-GMO foods whenever possible, cutting way down on processed
foods, and increasing my daily consumption of fresh, low-carbohydrate
vegetables.
I also decided to track my dietary fiber intake and supplement what I was
able to get from food with a safe, gentle, osmotic laxative like
MiraLAX, which an endoscopy nurse I met during my most recent colonoscopy visit
told me she takes daily to stay "regular." Sometimes I buy an equivalent
product from a different brand, such as
Member's Mark ClearLAX
or
Amazon Basic Care ClearLax, that has the same active ingredient (polyethylene glycol 3350) but
costs less per dose.
With so much weight to lose, and a powerful and urgent motivation to do
lose it and also lower my health risks, I decided that I didn't want to
"cheat" when eating out, or for holidays or special occasions, or when I
was under a lot of stress. To support that goal over a long period of
time, I knew I would need to be proactive in preventing myself from
feeling deprived, and decided to plan homemade or purchased keto-friendly
treats, made with high-quality, nutritious, and some minimally and,
occasionally, moderately processed ingredients, into my daily menus.
When I chose to get started on keto, my short-term goal was to lose the
weight I needed to in a way that I could sustain as long as necessary. I
made a commitment to myself to do whatever it took, for as long as
necessary, to achieve that goal. The strategy I chose to follow turned out
to work extremely well for me, based on my individual needs, challenges,
and goals. Someone else might do better with a significantly different
approach.
I encourage anyone who is seriously considering a ketogenic approach to
losing weight to be brutally honest with themselves about how much, how,
and for how long they are willing to change their eating habits, and then
define their own personal guidelines/rules for their unique keto journey
and modify them over time, if needed, as they discover what is and isn't
working well for them.
Consulting With a Doctor
When the surgeon explained that my being both obese and postmenopausal
were the most likely factors in my developing cervical polyps, she also
told me that losing my excess body fat was one of the best ways to reduce
my risk for developing either additional polyps or uterine cancer. During
my pre-op follow-up visit, I told her that I had family members and
friends who had lost weight successfully on keto, and that I was
considering a "clean keto" diet, with a focus on making healthy,
nutritionally sound choices and losing pounds at a moderate rate. She said
it sounded like a reasonable approach and one worth trying, at least for a
period of time. So, I was fortunate to have her support. Clearly, the
risks of obesity appeared higher than any risks associated with such a
restricted diet.
Some medical or nutrition experts, however, are not in favor of a
ketogenic diet for weight loss. Some also have misconceptions about keto,
and many advise against it because it is so restrictive. But most support
adopting a low-carb diet as a permanent lifestyle change. In fact, I don't
know of any medical or nutrition professional who would not encourage
patients to either cut out or restrict sugar, refined carbs and processed
foods from their diet.
It's also important to understand that keto is not always the best option,
or even a good one, for every person. If you have a health condition,
eating a very low carb diet might help, but it also could make it worse.
So, it's best to have this conversation with your doctor, and to discuss
what things should be monitored, how often, and whether you can monitor
them yourself or will need a medical professional to run periodic
tests.
Note: If your doctor isn't aware of recent evidence-based studies and
their findings regarding the potential health and medical benefits of a
keto or LCHF approach to eating, you might consider sharing either of both
of the following articles published in professional journals:
Determining a Daily Calorie Target and Calculating Macros
Like many other people, I found the not only the concept of macros but
also how to calculate what mine should be extremely confusing.
In the context of keto, "macros" is short for macronutrients:
carbohydrates, protein, and fats. A person's macros refers to 1) the
relative percentages of their target daily calories allocated to each of
those macronutrients, and 2) the number of grams of net carbs, protein and
fat that person can/should eat daily.
One of the most common macronutrient ratios is 5/25/70, i.e., 5% of the
person's daily calories come from "net carbs," 25% come from protein, and
70% come from fat. To clarify a common misconception, this does NOT mean
that for someone who chooses a 5/25/70 macro ratio, 70% of the amount of
foods they eat on keto will consist of fats. Fats have 9 calories per
gram, while proteins and carbohydrates each have only 4 calories per gram.
So, allocating 70% of your daily calories to fat translates to a much
smaller percentage in terms of weight (in grams).
For daily tracking purposes, what matters is the daily number of grams
of carbohydrate, protein and fat consumed, as well as your total
calories.
Net Carbs vs. Total Carbohydrate Grams
Most people on keto base their macros calculations and tracking on net
carbs, rather than total carbs. The reason is that dietary fiber,
most sugar alcohols, as well as two of my favorite keto-friendly sweeteners, Allulose and
pentose (e.g., BochaSweet brand sugar replacement) are not digested, so
they aren't metabolized and used by the body for energy. This means they
don't affect achieving or sustaining a metabolic state of
ketosis (which is the core of a ketogenic diet
approach).
The most common way to calculate "net carbs" (and the formula I use)
is:
Total Carbohydrate - Fiber - (most) Sugar Alcohols - Allulose or
pentose (e.g., BochaSweet) sweetener = Net Carbs
Some people only subtract the dietary fiber. Others subtract only half
the sugar alcohols and/or allulose or pentose (e.g., BochaSweet). Still
others track total carbohydrate grams rather than calculating net carbs,
which is much more restrictive (or is based on a higher percentage of
carbohydrates).
Keto Calculators / Macro Calculators
When I was preparing to get started on keto, I had no idea how to choose
a ratio for my macros, how many calories my body burned, how to decide on
a calorie deficit percentage, or how to calculate how many grams of net
carbs, protein and fat to eat each day. Fortunately, there were lots of
articles and calculators to help.
Ruled.me's ketogenic macro calculator
is one of the most user-friendly of those I've tried. It's a good tool to
help you figure out your daily calories target for weight loss and your
starting macros, both the ratio (as a percent of calories) and, most
importantly, the number of fat, carbohydrate and protein grams and
calories you will consume daily on keto).
Downloading Carb Manager or Another Good App to Track Calories, Macros,
and Other Key Nutrients
The thing I resisted most when starting my keto diet journey, and also
the one I knew would be critical to my success, was committing to track
every bite of food and every sip of drink that went into my mouth
before I consumed it. Lots of people lose weight on keto without
doing this. I can only share what was important to my weight loss success
on this diet.
There are a number of good apps for tracking your macros and calories.
Some can also help you track other key nutrients. If you have high blood
pressure, for example, it might be important for you to track your sodium
intake. For me, tracking my fiber intake was a high priority, since many
foods that are high in fiber are also high in carbohydrates and/or
calories, which makes it hard to get enough dietary fiber daily for
gastrointestinal health (and to avoid constipation!).
My favorite tracking app, which I use every day, several times a day and
recommend highly, is
Carb Manager.
The free version of this app has everything you need to track your macros,
other nutrients of your choice, and calories. (I subsequently upgraded to
the paid, premium version because it offers additional features I find
helpful, but it's absolutely not necessary for keto.)
Carb Manager has a huge library of foods (many of which were entered by
other users, so I always check user-entered nutrition data against the
manufacturer's nutrition data from the package label). You can make a
custom entry for any food, either by manually entering the nutrition data
from the package label or manufacturer's website, or by pointing your
camera at the barcode on the packaging, if available, to see whether the
data for that product can be imported into the app automatically (or has
been entered already by someone else).
Note: Carb Manager automatically calculates net carbs by subtracting fiber
and sugar alcohol grams and allulose grams from the total carbohydrate grams.
One of the things I love about Carb Manager is that it has a macro
calculator with adjustment sliders that can help you see in advance how
changing your macro percentages would affect your daily fat, protein and
carbohydrate grams, or how increasing or decreasing your desired calorie
deficit percentage would affect the number of calories and net carb,
protein and fat grams you can eat and the estimated length of time to
reach your weight loss goal.
Another great aspect of the Carb Manager app is its "Smart Macros" feature
option that, if you turn it on, will automatically adjust your daily
macros and calories over time, as your weight changes. The app also allows
you to enter and track your body measurements, BMI, and other types of
metrics to gauge your progress, a feature that I use and find extremely
helpful, since the numbers on the scale can (and usually do) fluctuate
regularly, often for no apparent reason, but a tape measure doesn't lie.
This terrific app has many more features and capabilities than I can go
into in this post, but the website has a very robust database of articles
that explains each feature and how to use it. You can also take a brief
tour of the Carb Manager app
to get a sense of how it works and what the user experience is like before
you download it.
We're only halfway through the list of things I did to prepare myself for
success before starting my keto diet journey. I'll cover the rest in my
next post,
Preparing to Succeed on the Keto Diet, Part Two.
"The best way to predict your future is to create it." 〜 Abraham
Lincoln
Preparing to Succeed on the Keto Diet, Part One by Margaret Schindel
Posts About My Keto Diet Journey
My First Year on The Keto Diet
Preparing to Succeed on the Keto Diet, Part One
Preparing to Succeed on the Keto Diet, Part Two
Low Carb Muffins & Cupcakes: Treats to Enjoy on a Keto Diet
Low Carb Keto Chocolate Yogurt Granola Chip Pudding Recipe
Good Dee’s Keto Cookie Low Carb Baking Mix Review
Hamama Microgreens Growing Kit Review & Success Tips
My Favorite Hamama Microgreens Seed Quilt Accessories
Keto Cheddar Cheese Biscuits With Chives Recipe
The Ultimate Keto Hot Chocolate Recipe
The Best Low Carb Keto Gift Ideas: Keto Gift Guide
The Best Low Carb Keto Cinnamon Muffins
Wholesome Yum Keto Bread Mix and Yeast Bread Recipe
The Good Chocolate 100% Organic No Sugar Dark Chocolate Review
The Best Advice to Maintain Your Keto Diet Weight Loss
My New Irresistibly Delicious Keto Cheese Crackers Recipe
Luscious Low Carb Keto Triple Peppermint Cheesecake Brownies Recipe
Quick & Easy Livlo Blueberry Scones Keto Baking Mix Review
Snack Better With The Best Healthy Keto Cookie Dough Bites
The Best Quick and Easy Low Carb Keto Pizza Recipe
The Best Quick and Easy Low Carb Keto Shortcake Cupcakes Recipe
Comparing the Best Keto-Friendly Chocolate Hazelnut Spreads - No Added
Sugars
The Best Low Carb Keto Sandwich and Burger Buns Mix
Blueberry Biscuit Scones — New, Easy, Low Carb Keto Recipe
The Best Keto Pizza Crust Mix With 0 Net Carbs
An Unusual, Delicious Strawberry Chocolate Tea With 0 Calories
Delicious Sugar-Free Keto Cookies That OREO Fans Will Love
Healthy Pistachio Cherry Chocolate Chip Marshmallow Cereal Treats
Recipe
Easy, Decadent, High Protein, Sugar-Free Rocky Road Cottage Cheese Ice
Cream
The Best Quick & Easy Low Carb Sausage and Ricotta Calzones
How to Make Refreshing Vanilla Italian Soda (With or Without Cream)
Reviews of the Keto Diet by Barbara C. (aka Brite-Ideas)
My Personal Keto Testimonial
How I Stayed Committed to the Ketogenic Way of Eating
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