Weight loss

Keto Chow in Women’s World Magazine

Women’s World was doing a story about using Keto Smoothies – they contacted us here at Keto Chow to see if we knew people that had experienced success using Keto Chow. They also wanted to get some information from me regarding the efficacy of shakes/smoothies and a ketogenic diet. There’s a bit of a disconnect between my original responses and what was published =) Don’t get me wrong: I think that if 1 woman reads the article, starts doing Keto, and changes her life then the article and interview were a resounding success.

If you want to read the whole article, it should be available on newsstands right now.

Anyway, I thought my original responses to their questions were pretty good so I’m going to publish them here:

First, I need to know a little more about you. I read that you lost weight yourself (and your wife as well!) Can you tell me a little more about that including how much?

As of right now, I’m maintaining a 40lb weight loss over 4 years. Outside of ketogenic diets, that’s so infrequent that I’m considered a “unicorn” =) I started keto back on Oct 21, 2014. My wife was doing Whole30 (which is a lot like Paleo) and decided to join in on the fun when she saw my success (and her best friend went Keto, so they could meal-prep together). She’s down 30lbs.

Our story is about women who used keto smoothies to lose weight. They turned to keto smoothies because they’re easy to prepare, kept them feeling full and they could take them on the go. Jumping right in: Are smoothies/shakes a great option for busy people who are following keto? Why or why not?

One of the biggest problems with doing keto can be learning what you can and what you cannot eat. You’re turning the dietary recommendations on their head: you need to eat healthy fats, especially quality saturated fats. You need to get more salt. Whole grains are off the menu. It goes on! For people new to doing keto it can be daunting and potentially dangerous if they aren’t getting the right amount of electrolytes. This causes the so-called “keto flu” that’s one of the chief reasons people try keto and stop within a few days. It’s entirely avoidable by simply adding more salt to your diet but people may not know that. I see using a well-formulated smoothie or shake that is specifically designed for a ketogenic diet as an extremely useful tool, both for people new to a ketogenic way of eating, as well as experienced users that need something to get them through the “boring” meals and on to cooking a fantastic meal with family or friends. Having something you can turn to that you KNOW will be getting you the right nutrients is very nice!

Studies have shown that using smoothies/shakes as meal replacements can help dieters lose weight faster and without hunger. Do keto smoothies/shakes as meal replacements have the same effect? Why or why not?

I think they can, and in my experience (and the experience of thousands of people I’ve interacted with) it holds true. I think one of the main reasons it can help accelerate weight loss is that you have your nutrition tightly controlled for the meals you’re using a well-formulated keto shake. It should have ⅓ of your daily nutrition and the correct amount of protein and fat for what you need. Getting the right micronutrients (vitamins, trace minerals) lets your body have what it needs to heal; and when your body is healthy, weight loss comes along! Now I want to be clear on this: I’m talking about shakes that are designed for keto and have the right amount of nutrients in them, this isn’t just randomly throwing ingredients at a blender and drinking it. You’d need either a well-researched recipe or a product that’s been engineered and tested to be complete. A random shake/smoothie would only be suitable for occasional use (maybe 3 times a week and not more than once a day) whereas one that’s complete can be used as often as you feel like it. Personally, I’ve used the recipe I came up with for all 3 meals with absolutely no other food for up to 6 weeks and I know of others that have gone as long as 6 months for various reasons, but for most people: 1-2 times a day with some baked salmon or a steak with their family is more appealing!

Do you think keto smoothies/shakes might help a keto newbie do a better job of keeping carbs down and fat up?

Oh, absolutely! Both are particularly difficult as carbs tend to be in everything that’s convenient, and at the same time, they’re usually low fat! Having a shake that you can control the amount of carbs, and mix in some delicious heavy cream, avocado oil, or even straight-up avocados is phenomenal. Hit the right balance and you’ll be satiated and happy and look forward to the next one.

Can overeating keto-friendly foods slow results—especially in older, sedentary women?

Yes. Most “keto friendly” snack foods are low in carbohydrates and work great for occasional use, but you eat 4 or 5 and suddenly you’ve blown through half your carbs for the day. Also, many are high in protein and low in fat, not having the fat in there makes them less filling and too much of the protein can hamper your progress. This effect is especially amplified in older women who will often have to work especially hard to stay on track. They’re really facing an uphill battle. One thing that helps everyone is to eliminate snacking. Try to only eat at mealtimes and let your body enjoy having a rest from elevated glucose and elevated insulin. If you can, you might even try grouping your meals together: skip breakfast, eat a late lunch and an early dinner. That “intermittent fast” will get food out of the way and let your body heal!

Would keto smoothies be a good way to help prevent overconsumption of keto foods?

If you’re not experiencing the results you want with a keto diet, using a well-formulated shake or smoothie will indeed help keep you from having too many “keto friendly” foods. Especially if you’re adding the right amount of fat for your needs to the shake, you may even have a hard time finishing it all because you’ve gotten your fill.

Do you think keto smoothies have the potential to help some women lose weight more quickly? If so, what type of women might benefit most?

I think that women who have a busy schedule, don’t know how or what to cook, or that simply need a convenient go-to meal would benefit the most from using smoothies as part of their keto diet. Having the nutrition, calories, carbs, and more so tightly controlled gives women the opportunity to meet or exceed their goals or better health and weight loss.

What are some guidelines for making a keto smoothie? (ie: ? amount fat, protein, veggies to use or not use, fruit to use or no use, etc)

The key to making a good keto smoothe right is going to be to get the right amount of quality fats, adequate protein, keeping the carbs as low as possible, and getting the right micronutrients. There are a bunch of online “keto calculators” that can help you establish how much fat, protein, and carbs you need in a day and you’ll want to plan accordingly. You’ll need to limit the amount of fruit, remember: it’s nature’s candy and your liver doesn’t care if the sugar is “natural” or “organic” – it just sees sugar. Adding a few berries for a touch of flavor usually works well and doesn’t add too many carbs. Mind you: we’re talking about 3-4 blueberries or a pair of strawberries, not a full container! Avocados are excellent and full of potassium (way more than a starchy banana!). If you can tolerate dairy, look for heavy cream or unflavored and unsweetened full-fat yogurt. Milk, especially skim milk, is loaded with sugar and should be avoided. Unsweetened almond milk is OK to replace water but it’s low in fat so plan accordingly. Green leafy vegetables are a good addition but you need to avoid tubers and other vegetables that grow in the ground like CARROTS – the plants store sugar and starch in the roots and you don’t want that! Don’t be afraid to add salt to your smoothie too. That salt is vital to keeping the “keto flu” from ruining your day. Avoid seed/vegetable oils, they aren’t what you want – olive, coconut, and avocado oils are actually fruit oils and work great!

Any particular ingredient or ingredients that you feel would make a keto smoothie particularly powerful?

  • Avocados are absolutely amazing and work great if you’re mixing up your smoothie in a blender. They have high-quality fats, lots of potassium, are very low in carbohydrates and taste pretty good (to me!)
  • MCT Oil is a fantastic source of great fats made from refined coconut or palm oil. Your liver turns it right into ketones which can help get you into a deeper state of burning ketones (or “ketosis”). Be aware that most people can only tolerate 1 tablespoon at a time of MCT oil, trust me: you don’t want to overdo it!
  • Almond or other nut butters are also a great addition in limited quantities. They give a great taste and add some quality fat and protein. Make sure you don’t go overboard, they have a fair amount of carbs.
  • Erythritol is probably the best thing to use to add some sweetness to your own smoothie recipe. It doesn’t hurt dogs like xylitol, doesn’t raise blood sugar, and pretty much counts as 0 carbs for most people. The powdered version dissolves more easily.
  • Heavy cream is fantastic (and what I use for most of my own shakes!) It adds an amazing taste, great creamy mouthfeel, is low in carbs (0.4g per tablespoon), and the fat profile is exactly what you want. People with lactose intolerance can often handle as much as a half cup per meal without problems.

What are the best fats to add to a keto smoothie and why?

The best fats for your body are going to be the ones that don’t oxidize and that means saturated or mono-unsaturated fats. Poly-unsaturated “vegetable” (seed) oils react easily and cause all kinds of stress on your body and damage to your cells. It’s a bit much to go into here, but there’s never been a link between saturated fat and heart disease (though they’ve spent 50 years trying to prove, unsuccessfully, that there is one!). To the contrary, studies show that eating more saturated fat is associated with lower MORTALITY or lower risk of dying from everything (which is really the goal, right?). That means dairy, avocados, coconut oil, butter, and olive oil are what you want and the processed seed oils are what you do not want. It’s pretty much the opposite of what the dietary guidelines USED to say back in the 80s, they’ve been slowly changing those guidelines over the last few years without calling attention to the changes.

If someone wants to purchase a pre-made keto shake, what should they look for and what should they avoid?

Look for something that’s not just a protein “snack” – too often you’ll find a shake that’s been rebranded as “keto” just because they added a little MCT oil, or they’re adding lab-created ketones. For a smoothie to be something you can use consistently, and not have it leave you hungry and with a vitamin deficiency, it needs to be designed for complete ketogenic nutrition. The label will have a bunch of vitamins and minerals that may be hard to pronounce but don’t let that deter you, all vitamins are “chemicals”. I’d recommend staying away from shakes that have “BHB” or ketones added to them, those are great for performance athletes or seizure patients; but if your goal is to lose weight, you want your own body to be making ketones for you (for free!). Look for “nutritionally complete” and I wouldn’t be worried if it’s not “organic” or “all natural” – with a keto diet you’re eliminating the stuff that should concern you simply by getting rid of processed carbohydrates.

If someone is replacing two meals a day with a keto smoothie/shake, how much would you say they could lose in 48 hours?

For optimal success, keto needs to be an all-in thing. You can’t have two keto meals, then eat french fries and donuts and expect it to work. Doing 2 meals using a quality keto shake and then having a good keto dinner is a great way to go. When you first start doing keto, there’s often a “whoosh” of water weight loss that can happen in 48-72 hours. It’s your body using up sugar bound to water in your muscles and liver – yes it’s water weight, but it will stay off so long as you stick to keto. Now: not everyone experiences the “whoosh,” so don’t get discouraged. I’ve seen people healthily lose 8lbs right off the bat and continue losing 10-15lbs a month, but your results may vary and it’s much harder for women than for men. Men tend to lose pounds and women tend to lose inches, especially at first. Your body is doing a remodel and that may not show on the scale at first. The key is to Keep Calm and Keto On (or “KCKO” as we say)!

And why would you say this would be a great jumpstart for someone who is just trying out keto for the first time?

Using smoothies is a really great way to control your food and give you something actionable you can work on. Especially at the beginning when you’re new to everything and unsure what you can or can’t eat, it can lead you through the rough patches to success.

If women start this before an event do go to during the holiday season will they be able to drop weight in a short time? Why or why not?

Many women will be able to use keto to quickly drop weight before an important event, it’s the release of the water weight that goes along with starting keto. Usually even more important than the initial weight loss will be a reduction in water retention, inflammation, puffiness, and looser clothing. If you’re planning on starting a keto diet, take some measurements and some “before” photos so you can track your progress. The scale isn’t the only measure of success, so don’t get discouraged if your husband loses 10lbs after a week of keto and you don’t. And be aware that for greatest success, keto is a way of life – not just a quick diet. You can’t expect to keep off the weight if you go back to eating what made you heavy to begin with!

What’s the most you’ve seen someone lose in 24 hours on keto?

I know a lady that lost 5lbs in 24 hours (and kept that off).

In 48 hours?

8lbs

What’s the most you’ve seen someone lose in total on keto?

I know several people that have lost over 100lbs (and kept it off for years!), I think the most weight loss I’ve seen is 250lbs.

What words of advice do you have to readers who are interested in adding a smoothie/shake as a meal replacement to their keto diet?

  • If you’re making your own recipe, I’d recommend adding the ingredients as well as your other food into a good tracking app like “cron-o-meter” so you can make sure you’re getting the right nutrition, keeping your carbs down, and getting enough electrolytes.
  • If you’re using a recipe you found, pay attention to the nutritional information provided, and you might want to do the same “track it in an app”!
  • If you’re thinking about buying a pre-made shake mix, make sure it has the nutrients you need and that it’s not just a protein snack. Look for shakes that allow you to customize the amount of fat in each meal so you’re not getting too little or too much.

And finally, here is what was condensed out of my responses:

By |2019-02-08T01:40:45-07:00December 14th, 2018|Categories: Future Foods, Keto Chow|Tags: , , , , , , , |0 Comments

Clinging with all their might

This entry is part 110 of 131 in the series Ketogenic Diet

OK, so I recently did an experiment where I consumed the same 2000 kCal a day for 6 weeks. I was messing around with the source of the bulk of those calories, mostly using different fats but the final week I substituted out all of the saturated fat I ate the week prior, and instead ate candy. Remember – still the same 2000 calories. I had been losing weight pretty consistently the 5 weeks I was living on fat. I gained weight the week I was eating the same 2000 calories from carbohydrates. It’s all documented ad nauseum on the experiment page, with data, graphs, DEXA scans, and more. I posted about it on reddit and have gotten some rather interesting comments from people who insist that the type of calorie is irrelevant and the only cause for weight gain is eating too many calories and not exercising enough. I’m rather forthcoming with my views on the subject (I think sugar is fattening and fat is not).

Today I got the best one yet. I said:

It’s like saying “Bill Gates is rich because he saves more money than he spends” or “The room is crowded because more people entered than left”. Sounds rather silly right? That’s because it’s the EFFECT and not the CAUSE.

To which they replied:

Bill gates isn’t rich because he saves more money than he spends. He’s rich because he takes in more money than he spends… which sounds an awful lot like calories in calories out.

Wait…. what? I’ve never had anybody actually think that “he makes money” is the CAUSE and REASON Bill is rich (as opposed to his ruthless business acumen and the lucky break he got with licensing QDOS, among other things) but if that’s what someone wants to believe, that’s what they want to believe.

By |2018-02-26T15:37:14-07:00February 26th, 2018|Categories: Keto Chow|Tags: , , , , , |0 Comments

Results and conclusions from 6 week fat experiment (42 days of Keto Chow)

This entry is part 44 of 44 in the series 42 days of Keto Chow Experiment

I have my analysis done on the data from my 6-week experiment doing Keto Chow for all my meals and swapping out different types of fats to see how they impact my lipid panels. It’s all chronicled over on the page about the experiment, along with an extensive array of graphs and other fun stuff.

I also proved that at least in me: eating 2000 calories a day of mostly fat with some protein I’ll lose weight. Switch that to 2000 calories of mostly carbohydrates with a little fat and the same amount of protein (and again, the same 2000 calories), I will gain weight.

Fun stuff!

42 Days of Keto Chow – Day 37 – full day on carbs done

This entry is part 37 of 44 in the series 42 days of Keto Chow Experiment

I’m nearly done with my experiment – too bad the worst part has just begun =( You know that feeling you would get on Halloween when you would eat all your candy and you were all “sugared out”? That’s what I feel like right now. I had 3 cans of Sprite, 3 bags of Skittles and a bag of M&Ms yesterday during my meals of Keto Chow laced with Dextrose. For comparison, here’s what my Cron-O-Meter looked like Thursday compared to Yesterday:

I’m at 1707% of my net carbs, fantastic! =) It’ll be interesting to see what happens with my weight this week on carbs. The whole reason I’m doing this week of carbs is to put another nail in the coffin of CICO (the theory that all that matters for weight loss is the number of calories) since I’m getting 2000 calories a day (+/- 10) every day of the 6-week experiment. As of yesterday morning, I was officially down 20.7lbs over the course of the 5 week experiment. My guess is that I’m going to gain a significant amount of that 20lbs back over the next few days. I also got a chance to work on the presentation about the experiment:

By |2018-02-10T10:11:16-07:00February 10th, 2018|Categories: 42 days of Keto Chow Experiment|Tags: , , , |5 Comments

42 Days of Keto Chow – Day 27, bunch of blood tests back

This entry is part 27 of 44 in the series 42 days of Keto Chow Experiment

I’m on my second-to-last day of macadamia nut oil. I need to mix up 3 meals worth for tomorrow and then it’s time for coconut oil! woohoo! The experiment is still going well, haven’t had any problems at all in the last while. My tooth still hurts from getting a crown, though not as bad – so it’s still a good thing that I’m doing a liquid diet. My wife finished up the 4 week Keto Chow only experiment she was doing last Friday so she’s been making meals from Maria Emmerich’s 30 Day Ketogenic Cleanse – yesterday it was pork chops, they did indeed smell good but I soldiered on and drank my macadamia nut oil… I mean Keto Chow (that tastes like macadamia nut oil).

Today we got a bunch of blood test results back. You can see my results for this current experiment by visiting the results spreadsheet on the “Chris” tab in columns N-S. It’s interesting to compare Heavy Cream to Grape Seed Oil to Heavy Cream. My LDL came back up and so did my fasting insulin.

I put together the packaging we’ll be using for the “Sample The NEW Things!” bundle, check it out:

42 Days of Keto Chow – Day 18

This entry is part 18 of 44 in the series 42 days of Keto Chow Experiment

Looks like I have a mustache =)

Day 18 of my experiment. Hey, let’s talk about weight loss! I started this experiment on January 5th and I’m currently (as of this morning) down 14.7 lbs. Some of that is due to me eating a bit more than normal right before the experiment to fit in a few more yummy foods before I stopped eating, and some is from Christmas/New Years; but I currently weigh less than I did when I finished my December experiment. I’ll call that definitive progress =). My ketones are most definitely lower doing heavy cream compared to just oil: around 1.3-1.5 compared to up in the 3’s. That’s not a problem but it is interesting.

I noticed something yesterday when I was getting out of the shower: My back wasn’t sore and neither were my arms. That’s odd because the day before (Saturday) I spent around 3 hours shoveling over a foot of snow and typically I’d expect to be exceptionally sore. Kinda weird.

This week I’m gearing up to go to San Francisco for an event we’re sponsoring on Wednesday. It’ll be rather interesting: I’ll fly there, set up a table and hand out samples, and then head back to the airport. I’ll have maybe 5 hours before my flight so I don’t want to go through the hassle of getting a room so I’ll just camp out in the airport and try to get some sleep on the chairs, maybe watch some “Flash”.

 

N=me experiment: 4 weeks of *ONLY* Keto Chow – 3rd week tests back

This entry is part 108 of 131 in the series Ketogenic Diet

I have the second-to-last test results from my experiment back. To quickly recap: I’m doing a test where I’m only eating Keto Chow and only drinking water. Nothing else. No snacks, no diet soda, no gum, no nothing. I am taking the Keto Chow fish oil pills as they are required to get the right EPA and DHA Ω3 fatty acids, and I was taking a magnesium malate supplement (I need more than normal) but I recently stopped that because the version of Keto Chow that I’m testing (v2.1rc2) has additional magnesium malate in it and the supplement I was taking had a gram of dextrose (which sucks). Here’s my complete food log and information from Cron-o-meter for the experiment so far, and here are my blood tests, updated with the results of my latest blood test.

The week proceeding this test was interesting. The short version is: I was at a tech conference with no refrigeration so I was using avocado oil instead of heavy cream. Because of this, I was getting around 2g of net carbs (or lower) A DAY. On the test, my insulin was low, my glucose showed in the red because it’s so low, my LDL-P is below 1000 and my triglycerides are higher. It’s almost like my body is using lipoproteins to transport energy (adding another data point to Dave Feldman’s hypothesis).

The last 5 days since this blood draw, my ketones have come down from the 4.5-5.5 range to the 3.0-3.5 range and my weight loss has slowed a bit too. I’m guessing this is due to using heavy cream as the fat source. Starting today through the end of the experiment, I’m switching from all heavy cream to half heavy cream, half avocado oil. Avocado oil is OK but not nearly as yummy as heavy cream, so I’m hoping that by splitting it I can get the good taste plus lower net carbs. Even with 100% heavy cream, I was still under 10g net carbs though. Protip: heavy cream has half the calories as oil for the same volume. If you’re replacing heavy cream for oil you use 1/2 as much (roughly).

A few days ago a post showed up on the Keto Chow Subreddit: Full month on KetoChow – 13 lbs lost and loving it and this showed up last night: Week 1 with Keto Chow and not much else . . .– looks like I’m not the only one doing this, N=3 then =)

 

On a final note, I’d like to illustrate one of the interesting challenges with this experiment. The evening after I got this blood draw, I was in charge of preparing the food for a neighborhood game night (I was also in charge of bringing the Raspberry Pi with the 4 player arcade version of Teenage Mutant Ninja Turtles). I had previously prepared a brisket with my sous-vide (recipe and more coming =) so I just needed to smoke it, along with the chicken legs and the bratwurst. I also made pulled pork using the InstantPot. It was a truly glorious sight to behold once it was all done.

I didn’t eat any of it.

I had thought about eating some before, but I decided that there were too many variables shifting around (coming back from a trip, switching back from avocado oil to heavy cream, etc…) plus I wanted to keep the inputs clean. I fully intend to do a press release after all this is done announcing that I lived for 4 weeks on JUST Keto Chow and I didn’t want to have to add a little asterisk footnote: “*except that one meal where I pigged out on brisket” (on an aside, anybody know how to do a press release? =) Really, it was just like cooking any other meal I didn’t eat these last 3 weeks (like the CavemanKeto chili I made Sunday). Once committed to this course of action, I just keep going. It’s a little like fasting in some respects. I’m not the only one cooking though, my awesome wife has been feeding the kids some really great keto meals too.

Don’t worry: I put a bunch of the meat in the freezer for lunch on Friday after my final blood draw =)

4 years of DreamForce, this year: Keto Chow only

Every year there’s a really large (over 170,000 attendees) tech conference called DreamForce that’s put on by SalesForce in San Francisco. I’ve been attending since 2014, in fact, it was DreamForce 2014 that catalyzed my resolve to do a Ketogenic Diet. This year I didn’t just stay keto, I stayed 100% Keto Chow. I’m in the middle of an experiment where I’m only eating Keto Chow and only drinking water for all my meals. At first, I thought it was a terrible idea to do that during DreamForce, then I decided it was an awesome idea. Here’s how I did it.

In the past, I’ve stayed at hotels with refrigerators, this time that simply wasn’t an option. Most of the hotels near the conference were all booked up and the remaining ones fell into 2 categories: over $1000/night super swanky, under $75/night hostels with shared bathrooms. I went for the latter, luckily I got my own room without a bunk bed – but there wasn’t a fridge. I had to come up with a plan for preparing Keto Chow using only shelf stable ingredients. I’ve used Trader Joe’s shelf-stable whipping cream but I wanted to give Avocado Oil a shot, but before that – I wanted to give butter a shot!

I’m testing out a new version of Keto Chow, it’s very close to the current 2.0.2, just with some slightly different ingredients and with new flavors. One of these flavors is Savory Chicken Soup – it’s meant to be consumed while hot. If it’s hot, then I can use butter, which has the added bonus of not being liquid so I can make it easily through airport security without problems. I did the math and for my calorie target, I needed either a 1/2 cup of heavy cream, 1/4 cup of Avocado Oil, or a half stick of butter in each meal. So I put a bag of chicken Keto Chow and a half stick of butter into a HydroFlask. After going through security I found a coffee shop and the nice lady filled up my HydroFlask with crazy hot water (for free!). I dropped in the butter and Keto Chow powder and waited for my flight. I finally drank it around lunch time and it was still hot enough to slightly burn my tongue.

I did learn a very valuable lesson for dinner that night: don’t put the powder in with the oil until it’s time to add the water too. If you do, the powder and the oil will not ever fully mix with the water and you get floating crunchy powder blobs. It wasn’t fun, I only drank about 3/4 of it.


The rest of my meals were made in my HydroFlasks or Blender Bottle using Avocado Oil. I got a great tip in a comment that I should use a large syringe to measure the oil. That worked exceptionally well with a 60 cc/ml syringe. I would pour the oil into a disposable plastic cup and then fill up the syringe, squirt it into the container and repeat for all 3 containers. The only clean-up was wiping off the syringe tip with a tissue. I would have sandwich bags with the powder pre-measured in my backpack; and as soon as I got to a place with either ice water (regular Keto Chow) or hot water (the chicken soup one) I would prepare 2-3 of the bottles.

How is Avocado Oil? Well, if I hadn’t ever tried Keto Chow with heavy cream, I would think it’s awesome, but I have – so I still think it tastes far better with heavy cream and that’s what I’m using now that I’m back home. For shelf stable purposes, for people with issues digesting the heavy cream, for those that are lactose intolerant, or for people that want insanely low net carbs, avocado oil is an amazing option. I’m planning on putting a bunch in my basement for emergency food storage. Coupled with Keto Chow powder and water, I’m set!

Most of my Cron-O-Meter entries for the last week look something like this:

Yeah, that’s 1.4g of net carbs for the whole day! That’s insane. We’re talking 100% of my daily nutrition: with all my fat, all my electrolytes, protein, and more – with 1.4g of net carbs. Along with the low net carbs, my blood ketones were consistently in the 4-5.5 range.

Staying Keto Chow only at the conference really wasn’t that hard. When everyone else was standing in line for a lunch box, I was on-time for my next class. When everyone else was trying to find dinner accommodations, I drank mine (and often headed back to the hostel to sleep!). At the “DreamFest” concert, while all the people were scrambling to get hotdogs or the other food available (yeah like any of it would be keto friendly!) I just went and grabbed a seat – no fuss, no muss. The grand total cost of all my food for 5 days was $55.71 – that’s a screaming deal at just over $11 a day.

The picture collection at the top of this post is the “headshot” photos they offer for free in the “Admin” zone at DreamForce. I’ve gotten one each year I went. The first one was taken about 2 weeks before I started Keto. That year during DreamForce I gained 4lbs. The next 2 years I was, and stayed, keto – but I still gained 2-3 lbs during the conference. This year? I lost 2.2 lbs the 5 days I was gone.

N=me experiment: 4 weeks of *ONLY* Keto Chow – 1st week tests back

This entry is part 124 of 131 in the series Ketogenic Diet

Way TL;DR: eating only Keto Chow & drinking only water for a week and a half has brought down my fasting insulin to 3.7 μIU/mL and raised my ketones to 3.2 mmol/L. I’ve also lost 9.2lbs but that’s not on the graphs below.

On October 22nd, 2017 (3 years and 2 days after I started Keto) I began an experiment: I was going to ONLY eat Keto Chow for 4 weeks and see what it did to some blood tests. Today I received my first blood test after starting the experiment. I took a baseline test before starting to establish a control to compare against. Leading up to “test 0” I was very much eating keto (and consuming Keto Chow 1-2 times a day) but I was not actively tracking my carb intake. Most (including me) would likely call it “lazy keto” – I know from my own experience that if I do strict keto and write down everything I eat BEFORE I eat it, I’ll invariably get on track and lose weight. But with this experiment, I wanted to go for the nuclear option: absolutely no food except Keto Chow. No drinks except water. No treats. No snacks. No confounding variables.

This would also serve another purpose in allowing me to do a validation test on the upcoming Keto Chow 2.1. I like to have absolute confidence in my product and this is a great way to do it. For the most part, the recipe for 2.1 is the same with some notable differences:

  • Switching from whey protein isolate to milk protein isolate [see footnote 1]
  • Switching the form of Selenium, this change removes a weird smell that goes away after a few minutes. Functionally it’s the same but I like the way it smells and tastes better.
  • One flavor (Natural Strawberry) will be available sweetened with Monk Fruit instead of Sucralose [see footnote 2], another flavor (Savory Chicken Soup)… well it’s savory and doesn’t need a sweetener.
  • A bunch of new flavors are coming, though that doesn’t affect the nutrition.
  • If I can pull it off: we’ll be switching all the magnesium from citrate over to malate.
  • We’re officially recommending using avocado oil as an alternative if you don’t want to use heavy cream (I still primarily use heavy cream).

In the same spirit of open data that Dave Feldman uses in his experiments – I’m publishing the complete blood test results from my experiment. You can view the blood results on this online spreadsheet. Currently, there are only two entries – more will come, there’s a 5-6 day lag between the test and me getting it. I’m also going to be posting my complete Cron-O-Meter logs so you can see exactly what the input variables were. Here are the first 11 days so far. I also did a test on my second day where I tested postprandial glucose while drinking Keto Chow.

So, how’s it coming along so far? The most obvious change I’m seeing is my blood ketone level which has gone from 0.4 to 3.2 mmol/L (I measure each night just after I brush my teeth – measuring in the morning is a bad idea). That rise makes sense since I’m getting exactly 10.54g of non-fiber carbohydrates per day. My fasting insulin has also gone down from 6.7 to 3.7 μIU/mL.  I asked Dave Feldman about the results so far, he said: “The insulin change actually looks even more interesting in the context of everything else being practically the same (including lipids!)” – I’m going to try to get Dave to do a written analysis of all this at the end of the experiment, he’ll probably do one anyway because he LOVES DATA! My small LDL-P has gone down by half, which is also interesting. Personally, I’m not concerned at all about my lipid panel because I do not believe that high cholesterol (or more properly: Elevated Lipoprotein) is something bad. Dave uses a really great analogy about lifeboats on cruise ships… hang on, I’ll just let Dave explain:

OK, that’s the blood part of my experiment. How has the experience been so far?

Before I started this, I was doing Keto Chow for at least 2 of my meals on most days, you’d think that going 100% wouldn’t be a big change but it seems to be. Maybe it’s all the ancillary things I also eliminated like sugar-free gum, diet soda, and anything else that wasn’t Keto Chow and water. Warning, poop talk ahead. First thing I noticed was Bristol type 7 stool, don’t worry though I took a probiotic and it went over to a 4. After a few days, as all traces of other food left my system it’s settled on a 5. I think this is due to everything getting digested and metabolized except for the acacia gum – and that gets metabolized by my gut bacteria into short-chain fatty acids (bonus fat!). The volume has gone down significantly. I’m still regular, there just isn’t that much there. OK, done with poop talk.

Not chewing anything anymore has also been very interesting. I think I need to drink more water – I keep getting a sort of film on my teeth. A quick swish of water in my mouth removes the film but it eventually comes back. I don’t think this would be a problem if I was chewing gum – but I wanted to eliminate ALL variables, including other non-nutritive sweeteners. Maybe I could find some unflavored and unsweetened gum…

Another interesting thing is the “no thanks, I’m just drinking this for now” aspect in social situations. I used to think politely declining carbage was an issue doing Keto. Man – that’s NOTHING compared to trying not to have to explain why I’m not eating bacon right now. For Halloween, we have a yearly neighborhood potluck. I mentioned to my kids a month ago that I could just wheel down the griddle and cook bacon (not thinking that it was SMACK in the middle of my experiment). They ultimately convinced me to do it – I cooked 10lbs of bacon, it was all eaten. Just not by me. Dinner with the family is also kinda weird. I’m cooking food that I’m not going to eat all the time.

Next week will be especially interesting as I’ll be at a tech conference in San Francisco without refrigeration. I have a solid game plan to cope but it’ll be a lot of work.

 

So. There you go. I have test #2 tomorrow, we’ll see what further changes come! (Test #4 will be a comprehensive test just like #0 instead of the subset I’m doing for 1-3)

 

 

[Footnote 1] So what’s the deal with Milk Protein Isolate (hereafter “MPI”) compared to Whey Protein Isolate (hereafter “WPI”)? MPI has a bunch of advantages over WPI and overall is simply a better product to use. I actually tried to get MPI back when I first started doing Keto Chow but nobody would take me seriously – they do now =). Advantages: first and foremost, MPI is the protein from milk, isolated out – this means the protein is in the same ratio as milk: 80% casein 20% whey. Casein is slower digesting, for bodybuilders that just finished a big workout that may not be optimal – but for people on a ketogenic diet, it means you will likely have a much smaller insulin response. WPI is a byproduct of the cheese making process, the supply goes up and down with the demand for cheese. MPI is a primary product, so the supply is consistent and reliable. It’s also coming from Idaho which makes for awesome lead times getting to Utah. MPI also contains a significant amount of calcium and phosphorus in extremely bioavailable forms, this allowed me to kill Calcium Phosphate from the ingredients. Overall, MPI is a slam dunk!

[Footnote 2] Monk Fruit and “natural” sweeteners. For some people, the sucralose we use in most of the flavors of Keto Chow is the end of the world… ok not really =) but many people do want to avoid sucralose completely. Some rat studies (note: humans are not rodents – it’s true, look it up) have indicated sucralose may cause changes to gut bacteria composition. We will be using 80mg of pure sucralose per meal in Keto Chow 2.1 (20% less than 2.0, that’s 0.08g – or 62.5 meals worth is the weight of a US nickel) with the exception of 2 flavors: Savory Chicken Soup and Natural Strawberry – the savory flavor won’t have any sweetener and the Strawberry will be using Monk Fruit extract. I tested Stevia instead of Monk Fruit and the taste wasn’t very good. I also tested Erythritol and blends of Stevia, Monk Fruit, and Erythritol – problem with those was the mass. To get the right sweetness we needed to use 43g of erythritol. That change would nearly double the weight of Keto Chow. No way man! I was toying with making all the flavors of Keto Chow with Monk Fruit but taste tests with people that aren’t me, along with surveys of our customers indicated that wasn’t a good idea (especially since Monk Fruit + Chocolate tasted REALLY weird). I still wanted to have a non-sucralose option available for those that wanted the option. Monk Fruit lends its self well to fruity flavors so we decided to have an additional “Natural Strawberry” flavor.

One is the cause and one is the effect, conventional wisdom has them switched

So I was listening to the 2 Keto Dudes podcast and something Richard Morris said struck me as extremely important. There’s a lot of heated debate in fitness and nutrition about “Calories In = Calories Out” – also known by the shorthand CICO. The basic premise is that: You lose weight if you eat fewer calories than you need, including calories from exercise. This thinking also assumes that people who are fat got that way because they eat too many calories (it’s a character flaw they should be deeply ashamed of) and they stay that way because they are too lazy to just exercise (again, it’s a character flaw they should be ashamed of). People who are fat got that way and stay that way because they indulge in “sinful” behavior and as a society we condemn them, mock them and denigrate them openly. It’s pretty much the only socially acceptable prejudice nowadays.

I think that line of thinking is stupid and reprehensible, among other things.

 

Here’s what I got from Richard’s comments. Conventional wisdom says that:

(Calories Consumed) – (Calories Burned) = (Calories Stored as fat)

Everything I’ve seen (with decent science behind it, and the fundamentals of how insulin works) say that instead:

(Calories Consumed) – (Calories Stored as fat) = (Calories Burned)

It’s a slight change in the order – which one is the cause and which one is an effect, but let’s look at what this means: If we take the standard CICO model and I eat 2000 calories a day, my BMR burns off 2500 calories (it was actually 2218 last time I had it measured but let’s keep the math simple) and I do absolutely no other exercise during the day I would have a negative energy balance of 500 calories. The standard model says each pound of fat is 3500 calories, so my 500 calorie deficit would have me losing 1 lb a week. Isn’t that a nice simple story? Guess what, our bodies aren’t that simple, especially considering the active metabolic management we have going on. If you cut intake by 500 calories a day, your body isn’t going to simply continue on at 2500 BMR, it will adapt down to fit the energy it’s given… unless you are able to mobilize the stored energy you have it your fat cells.

There’s a problem with that: if you have high levels of insulin in your blood, your body WILL NOT allow you to access energy stored as fat. From an energy balance standpoint, if your insulin is too high, you have the same energy stores as a theoretical person who has 0% body fat. Neither of you will have access to stored energy in fat and both will run out of energy when your blood glucose drops. “Carb Coma” anyone?

So let’s look at that second equation, it may not be a perfect model for the human metabolism but it’s far closer to explaining the observable data. So I eat 2000 calories in a day. If I eat mostly bread, fruits, and other carbohydrates; my body will dump insulin into my blood in an effort to deal with the potentially toxic levels of glucose running around. My cells (particularly my fat cells) will key off the insulin and dutifully pull the glucose out of the blood. I’ll be able to burn some of that 2000 calories in my muscles but much of it is going to go straight to fat storage. Let’s say that 500 calories (a number I’m making up out of thin air, again: easy math) gets stored – that means I only get to use 1500 calories for “keeping the lights on”… except I need 2500 today. My body will figure out a way to keep things going, either by breaking down non-essential muscle cells or other means, but you can be certain I won’t feel like running up the stairs, going for a walk… or anything. I’ll just want to lay down and find some food so my cells can get some energy (except the same insulin issue will arise). Eventually, my cells will get used to reduced calorie availability and my base metabolic rate will go down to fit what is available. Nature abhors a vacuum.

On the other hand, let’s assume I eat 2000 calories in a day, but most of that is in the form of calories that do not create an insulin response: a moderate amount of protein (so I don’t have to cannibalize muscles to rebuild cells), the smallest amount of carbohydrates possible, and the remainder of those calories as fat. This page about “Intermittent Fasting” does an astounding job of explaining how the different macronutrients affect insulin (and debunks the “you should eat many small meals” myth), but the short version is: fats have little discernable insulin response, protein has a slight-to-moderate response and carbohydrates cause a massive insulin response. Don’t believe me? ask a type 1 diabetic about dosing insulin for 500 calories of rice vs. 500 calories of cheese. So back to the thought problem: I have 2000 calories but my blood sugar didn’t spike and my insulin didn’t spike either. For argument’s sake let’s say 100 calories get stored away somewhere (probably as glycogen in my liver or muscles) so I still have 1900 calories to work with. I need 2500, so I need 600 more from somewhere… well my insulin is low… so I can mobilize energy stored in fat cells! Holy cow, I have all the energy I need! (usually 100,000 calories or MORE).

The funny thing is: this all still works if you decide you’d like to fast for several days. Your insulin is low and you have all the energy stored you could possibly want. Many people report massive energy after 36+ hours of fasting (you still drink water and get electrolytes). Anyhow, that’s the rant for today. If CICO is true then if you are overweight it’s because you suck as a human being, stop eating so much and should just get up and move more – is that really so hard? If the alternative is true (and I believe it is), then you are overweight because the foods you’ve been told are “healthy” (“low fat” cookies? “whole wheat” bread?) have messed up your insulin response to the degree that you are storing much of the energy you consume. So get rid of the rice, the pasta, the bread, THE SUGAR and go for the foods that will make you healthy. A ketogenic diet is essentially taking this a bit to the extreme, it’s a major intervention for people whose metabolism and insulin response are broken because of years of too much junk. Many people appear to be just fine living mainly off carbohydrates, that’s fine for them – I’m not one of those people.

I tell people I don’t eat sugar because I’m allergic to it, “how do you know you’re allergic to sugar?” they say. Simple: it makes me fat.

By |2017-06-21T10:24:19-06:00June 21st, 2017|Categories: Weight Loss, Ketogenic Diet|Tags: , , , , |3 Comments