Morning Rounds: The Keto Diet

Morning Rounds: The Keto Diet

July 20, 2019 2 By William Morgan


I’m joined by dr. Blair Davison of st. Pat’s for another edition of morning rounds thanks for waking up with us well thanks for having me here of course today we’re talking about the keto diet so first just tell me a bit about there’s so many diets out there we read all the time tell me about the Keo diet what this involves what it is sure so this is the time of year for diets and the keto diet has been very popular and so what the keto diet is is a diet that is to promote ketogenesis which is a different pathway of metabolism that utilizes fats so the keto diet is very high in fat it is moderate in protein and it’s super low in carbohydrates so for instance the keto diet that is a very structured keto diet recommends 20 grams of carbohydrate for a whole day now let me give you an idea about what that means that’s not even one Apple so this is super low carbohydrate a general diet to reduce weight would let you have about a hundred and fifty grams of carbohydrates in a day so very low carbohydrate and very high fat and this is to promote ketogenesis which I said is a different pathway of metabolism and our bodies naturally use ketogenesis in certain times like if we’re fasting will go to ketogenesis and it’s a way to mobilize energy from fat that the body can use so if you are engaged in vigorous exercise your body goes to ketogenesis and then also if you’ve got a high fat diet so what’s the rationale at this time so the rationale is obviously burn the fat right and it also has an interesting history in that it can be useful when I was training as a pediatrician we would have children with intractable epilepsy try the ketogenic diet and I have lots of memories of trying to get little toddlers to eat iceberg lettuce with mayonnaise on it as their lunch so that gives you an idea of of just how much fat you’re trying to get into your diet okay so what’s the history of this diet so so that’s where it comes from is this idea that if you can go to that mobilisation of fat stores and have a severely restricted carbohydrate you’re gonna lose weight and and you do lose weight but there are also some other adverse effects when you’re starting it you go through a period of time they call it the keto flu where it’s not a flu but you feel pretty miserable like cranky and just some maybe some muscle aches and and so it’s it’s a very challenging place to get to that point where you are in ketogenesis ok or any other adverse effects well as you might imagine you’re really changing your metabolism a lot so sometimes there’s something called keto breath which is very specific to ketogenesis and it’s sometimes the best description of it is sort of a smell of like nail polish and then the other problems can be either constipation or diarrhea and this isn’t just subtle this is pretty can send people to the emergency room sometimes and then being very thirsty because of what’s required to metabolize these fats ok so what are the foods then involved in the keto diet yeah so this is a I mean it sounds in some ways like paradise right like eating mayonnaise on lettuce that could be delicious but so the big foods are eggs poultry fatty fish so things like salmon meats but you know you’re balancing that low protein or moderate protein and full fat diary dairy so if you like brie brie cheese you’re in luck because you eat a wheel of Brie cheese and then also avocados which is you know we’ve seen avocados yeah surge in popularity right the trade-off is that carbohydrates you know if you can’t even have a full Apple you are cutting out Fred products so pastas sweets potatoes corn fruit and then alcohol okay so all right well thank you for some of that information on the keto diet for us this morning if you have any questions you’d like us to answer you can email them right to us morning rounds at k-pax calm