Success on Keto. (Spoiler Alert: It's Not Just About the Food)

When the topic is diet, weight loss, improved health, decreased girth, it makes sense to start with food choices. Which foods and how much? And since there are so many different approaches, voices and vested interests besieging us with one sure-fire answer only to be countered by another voice or vested interest assuring us the solution is antithetical to the first, it’s understandable that some guidance may help.

We’ve been told: Shun fat. Move more, eat less. Eat only raw food. Meat is evil. Fat is good. Everything in moderation. Whole grains are essential. Vegetables are unlimited. Juice your vegetables! Juice your raw vegetables! Juice your raw vegetables and throw some grains in there! And, while you’re at it… move more!

Yikes.

Personally, I tried just about all of the above. I mostly grew more overweight and definitely became progressively more unhappy with myself.

This was me in a futile attempt to follow a low-fat diet, to move more and eat less. A triathlon, no less. Obviously not the right formula for me.

This was me in a futile attempt to follow a low-fat diet, to move more and eat less. A triathlon, no less. Obviously not the right formula for me.

Then, not wanting to take insulin for Type 2 Diabetes, which was imminent, I discovered the ketogenic diet. It wasn’t even called that in the mainstream in 2014 when I first learned of it. It was a very low carb diet, with which I was familiar and had been since 1977 when I was in college. But the time was ripe for me to revisit the simple approach of keeping my carbohydrate intake to 20g/day or fewer and enjoying the rest of the the food world had to offer. The protocol does, of course, start with the food. You can see the list I follow as well as the official list from Dr. Eric Westman here. And it is indeed important to learn what’s what when it comes to non-starchy vegetables, reassurance that eggs and their yokes are fine as is poultry with the skin, etc.,

But in truth, the food is the easy part. It really is. Again, it’s pretty much fatty sources of protein, some veggies, and a bit of full-fat dairy. It’s not a steep learning curve. (It’s the UN-learning of misinformation that’s the trick)

Where the challenge comes is in dealing with all the issues we have been avoiding for years. Some are bruises from our childhood, the careless or sometimes flat out mean comments of our family, friends, and strangers. Maybe ones greatest pain point is never feeling quite attractive, accepted, never good enough. And while we may have told ourselves that we used food to cope with a bad relationship, rotten job, too little money, ungrateful children, aloof spouse, deaths of loved ones or just because it’s Tuesday, the truth is, of course, that we used food to not cope with any of those things but rather to deflect coping. To kick the issue down the road. And once we implement the ketogenic diet as designed and start burning fat for fuel, our hunger diminishes, appetite is suppressed and thoughts of food stop filling every hour of every day. (My “Food is not the Boss of Me” is the best selling item of S.W.A.G. on this site).

So, now what? Does this mean we have to deal with all those multitudes of issues, challenges, demons, and ghosts and we have to do it food sober?

Yup. That’s what it means. Bad day? Food won’t fix it. Fight with your partner? Contrary to what Madison Avenue would have us believe, neither Ben nor Jerry can come to the rescue. And thinking we can eat our way out of grief simply leads to more grief.

The food is the easy part. When I speak with people one on one or during group sessions with my patrons, we almost never talk about food. Conversations about how we used to run away from the world as if we were disqualified from living our own lives because we were overweight or how, after years of trying to medicate away pain and illness, good health is returning and prescriptions are being left in the dust. Stories of victory and hope and returning vigor. And sometimes how to deal with an ornery boss or unsupportive partner.

But not about food.

Perhaps one reason so many people feel confounded by the ketogenic diet is not that it’s complicated, because it isn’t, but rather that it’s easier to believe it’s too difficult to implement than to face the reality of reality and to do so without a bag of chips behind which to hide.

But we all can do it. If I can, you can. Promise.


Disclaimer: I’m not a medical doctor, researcher or PhD but rather a I’ve been fortunate to have had the time and resources to research the ketogenic diet, also known as LCHF (low carb/high fat). The information I share is based solely on my understanding of that research. We are all responsible for our own choices, including what we put in our mouths and there’s no substitute for each of us checking things out ourselves. And I’m not a medical professional in any way. Go Keto With Casey is not a medical site. “Duh,” you might say. But best to make it clear to all.  I welcome questions, comments and even civil criticism. I’m still learning. So, if you have something to add, go for it. Links in this post and all others may direct you to affiliate links, where I will receive a small amount of the purchase price of any items you buy through those links. Thanks!












The Food List.... Again

The most visited page on this site is, hands down, that plain old PDF found under the 'Resources' tab labeled 'Casey's Keto Food List'. To be clear, it's not really my food list. It's the list I followed when I commenced on the ketogenic diet although at the time I didn't event know the word ketogenic. I just wanted to change my life so as to avoid having to take insulin - or any medication - to deal with Type 2 Diabetes. I hadn't yet been diagnosed with that insidious disease but I knew it really was just a matter of time. I come from a large family of people with metabolic challenges and I was on deck. I've written about the day it all hit home for me previously.

I was also really fat. I had given up on that ever changing. I had been overweight for about thirty years and was sadly resigned to the situation. I've written about this previously. Let me attest to the fact that loss of hope is demoralizing. But while I was pretty sure it was my role to the be the fat lady in the room, the prospect of losing my feet or eyesight or a kidney to diabetes was a bridge too far. I might have been demoralized, but I wasn’t dead.

Yet.

And so I did what we all do when we need information. I started typing and Ms. Google returned some results for my ‘how to not take insulin for diabetes’ query. I don’t know whether it was the first link I clicked on but I was taken to a video of Dr. Eric Westman of Duke University where he was talking to his clinic patients, as he continues to do every Monday to this day, about how his program addresses obesity and Type 2 Diabetes with food. Not with insulin. On this particular video, whoever had uploaded it had included a link to the food list to which Dr. Westman makes reference several times - "if its' not on page 4, don't eat it" ( 'page 4' because it was the fourth of a five or so page handout for the patients). That seemed simple enough. At the time I didn't understand the physiology of why keeping ones carbohydrate intake to 20 grams or fewer a day would have such a dramatic effect on my body, but the protocol was simple. Always a good thing for me. So I copied the list to my computer, perused it a few times and, the next time I ate something, I left off the carbs.

It was that simple. Really

And what’s really simple is the food list. The thing is, it’s not a magical list. Not a special combination of foods and condiments. It’s a list of various animal products and some non-starchy vegetables. It’s not comprehensive as far as all the fatty sources of protein is concerned. After all, it’s one page. There’s only so much space on a PDF document. For instance, I don’t think bison is listed. Like bison? Have at it. Ditto alligator. You get the idea.

Here’s the thing: while a list is a handy guide as you get started, it’s not a sacred scroll. Once you recognize which foods you like and are likely to go to, the list isn’t needed. In truth, I haven’t referenced it for myself since about the first week into following the diet. Again, it’s animal flesh and a few veggies. And let’s face it, no matter what food routines we have had over the years, have we ever needed 365 different dishes? Heck, have we often deviated from the same half dozen or so? But, the list is there. Use it for what it’s worth. But keep in mind that you can create your own list. Those foods that you like, that you can find in your local market. That suits your life. In our house? Mostly beef, sometimes nice, fatty pork, less frequently poultry and fish. Our veggies, when we eat them at all, rotate between broccoli, cauliflower, green beans, zucchini and sometimes Brussels sprouts. Romaine and cabbage for leafy greens. Maybe we’re unusually boring but I bet we’re actually unusually common, to use an oxymoron.

So, try to not fret over that danged list. Or over the protocol itself, which is: keeping carbohydrates to 20g or fewer a day, eat fatty sources of protein (meat with the fat, poultry with the skin, eggs with the yolks, fish), don’t eat if you’re not hungry and stop eating when satiated. Simple. That is not say easy.

That, though, is a topic for another day.  


Disclaimer: I’ve been fortunate to have had the time and resources to research the ketogenic diet, also known as LCHF (low carb/high fat). The information I share is based solely on my understanding of that research. We are all responsible for our own choices, including what we put in our mouths and there’s no substitute for each of us checking things out ourselves. And I’m not a medical professional in any way. Go Keto With Casey is not a medical site. “Duh,” you might say. But best to make it clear to all.  I welcome questions, comments and even civil criticism. I’m still learning. So, if you have something to add, go for it. Links in this post and all others may direct you to affiliate links, where I will receive a small amount of the purchase price of any items you buy through those links. Thanks!


Hunger? What Do You Mean, "What Does It Mean?"

Okay. I've got to admit that I think I have this who ketogenic diet thing pretty dialed in. I've lost 95.4 pounds since I started the program whose tenets are pretty basic and straight forward: keep carbohydrate intake below 20g a day, eat only from the allowed food list and eat only when hungry. The point is that, when carb intake is low enough, the liver stops pushing glucose into the blood. Without the glucose for fuel, the body switches to burning ketones (fat). And as long as one doesn't overeat dietary fat (more on that in another post), our body's on board fat is mobilized and all is right with the world.

Yes, yes. I'm the queen of ketosis. I'm a happy fat burner. Let's go down that simple check list:

  • Carbs low? Check
  • Keeping to the allowed food list? Indeed
  • In ketosis? Always
  • Eating only when hungry? You bettcha....uh... well... Let me think.

This What is hunger on keto? What is it when NOT on keto? That is the question. For more information on the ketogenic diet and links to items mentioned in this video, see below.

Here's the thing. Figuring out what hunger actually is has been a true challenge. Several months into eating this way I was tripping along, loving life and this diet. I had lost about 45 pounds but things had really slowed up. I had an opportunity to ask a world expert on the ketogenic diet, Dr. Eric Westman, why I had seemingly stopped losing weight when I was in ketosis. He asked several qualifying questions and then got to that last one, "Are you eating only when hungry?" I replied pretty much as I wrote it above. I stammered out something and then realized that, no, I couldn't say I did. I ate when it was mealtime. Only low carb and proper 'keto' foods, but the meals were mandated more by the clock than my body needing to be fed.

This led to a practice of asking myself whether I was eating out of hunger or habit. The next trick was to figure out what hunger actually felt like. It doesn't seem like we should have to really over think something so basic as whether we're hungry or not. We don't spend a lot of time pondering whether we're tired, chilly, hot or if we have to poo. We just know.

But our bodies have been jacked up on glucose for decades now. And since glucose can't be stored in the blood (we only have about 5g of the stuff in our bloodstream) our brain keeps calling for more every couple of hours. That's when you feel the need to mid morning after having downed a gracious large breakfast of a slice of whole grain toast with a slather of fat free strawberry preserves, a glass of orange juice - which is really a slice of sugar with a slather of sugar and a glass of sugar. Ten thirty rolls around and you need a muffin (sugar). So goes for lunch, then mid-afternoon slump, then dinner. All you can do all day is think about food because your brain is hankering for glucose.

Ah, but when fat-adapted, your brain doesn't have to yell at you to eat. The steady flow of ketones (our brains do beautifully using ketones for fuel) which come from our body's fat stores, quiets all that noise. No more 'feed me, feed me, feed me now or pay the consequences!'

The thing is we can still be in the habit of eating, even long after the roller coaster of glucose induced hanger is gone. And more than that, we an be so worried that we'll get hungry, we fret about being more than 45 minutes away from our next feed.

So I've been working on being truly mindful of eating. What is hunger? Am I hungry? How much is enough? And I find the more I practice this, the less space food takes up in my mind. As I've said and written before, food is no longer the boss of me. 

While humanity has spent millennia trying to be free from hunger, we're in a position to be free from food. Maybe we can spend the extra time and brain power or solving other problems. 


Disclaimer: I’ve been fortunate to have had the time and resources to research the ketogenic diet, also known as LCHF (low carb/high fat). The information I share is based solely on my understanding of that research. We are all responsible for our own choices, including what we put in our mouths and there’s no substitute for each of us checking things out ourselves. And I’m not a medical professional in any way. Go Keto With Casey is not a medical site. “Duh,” you might say. But best to make it clear to all.  I welcome questions, comments and even civil criticism. I’m still learning. So, if you have something to add, go for it. Links in this post and all others may direct you to amazon.com, where I will receive a small amount of the purchase price of any items you buy through my affiliate links. Thanks!