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Keto STOPPED Working

author avatar Dr. Eric Berg 06/27/2024

Are you struggling with your keto diet not working as expected? You're not alone. Many people hit a frustrating plateau or don't see the results they hoped for when following a ketogenic lifestyle.

I've been there too, and I know how disheartening it can be when your hard work doesn't seem to pay off. This might leave you thinking, "Keto is good or bad for weight loss?".

As a long-time advocate and practitioner of the keto diet, I've seen firsthand how transformative it can be. But I've also encountered the roadblocks that can make it feel like your keto diet's not working.

Today, we're going to explore why this might be happening and what you can do about it. We'll dive deep into the world of keto and uncover hidden obstacles you may be facing on your keto journey.

Whether you're new to keto or you've been at it for a while, understanding this low-carb, high-fat diet is crucial for success. Let's explore common pitfalls, hidden obstacles, and practical solutions to get your keto journey back on track.

For some, this may involve understanding the right amount of calories to consume, while for others, it might be the quality of fat intake.

Why Your Keto Diet Might Not Be Working

Before we jump into solutions, it's important to understand why a keto diet might stall. Often, it's not just one factor, but several that can lead to the keto diet not working as expected.

This could be anything from your carb intake to underlying medical conditions impacting your progress.

Hidden Carbs: The Sneaky Saboteurs

One of the most common culprits behind a keto diet not working is hidden carbs. These sneaky saboteurs can creep into your diet without you even realizing it, preventing you from achieving ketosis and stalling weight loss.

Let's break down where they might be hiding:

  • Vegetables: While veggies are healthy, some pack more carbs than you might think. To maintain a low-carb diet, you'll need to be mindful of your vegetable choices.

  • Nuts and seeds: These can be carb-heavy if you're not careful with portions. Measure your servings to keep your net carbs in check.

  • Dairy products: Some dairy items contain more carbs than you'd expect. Opt for full-fat, low-carb options and consume them in moderation.

  • Processed "keto-friendly" foods: These often contain hidden sugars or starches. These added sugars and starches can significantly increase your carb intake and affect your blood sugar levels.

To combat this, it's crucial to track your carb intake. I recommend using a food tracking app or keeping a detailed food journal.

You might be surprised at how quickly those carbs add up. Consider using keto test strips to monitor your ketone levels, providing insights into how your body is responding to the diet.

Protein Overload: Too Much of a Good Thing

While protein is essential on a ketogenic diet, consuming too much can kick you out of ketosis. This is because your body can convert excess protein into glucose through a process called gluconeogenesis.

This process raises your blood sugar and insulin levels, potentially leading to weight gain instead of loss.

Aim for moderate protein intake on your keto diet, typically about 0.8 to 1 gram per pound of lean body mass. This balance helps maintain muscle mass without interfering with ketosis.

Maintaining this balance ensures your body primarily burns fat for fuel, aiding in weight loss.

Calorie Confusion: The Overlooked Factor

A common misconception is that calories don't matter on keto. While the type of calories you consume is important for maintaining ketosis, overall calorie intake still plays a role in weight management.

If you're eating more calories than your body needs, even from keto-friendly foods, you may not see the weight loss you hoped for. You could even experience weight gain on keto.

Consider tracking your calories for a week to understand your intake better. You might be surprised how extra spoonfuls of almond butter or pieces of cheese add up. Maintaining a calorie deficit, even on keto, is crucial for weight loss.

This means you're consuming fewer calories than your body burns, leading to fat loss.

Fine-Tuning Your Keto Approach

Now that we've identified common pitfalls, let's discuss how to fine-tune your approach to get things working again. This may involve adjusting your macros, incorporating intermittent fasting, or prioritizing high-quality fats in your diet.

Adjusting Your Macros

If your keto diet's not working, reassess your macronutrient ratios. The standard ketogenic diet typically follows these percentages:

  • 70-75% of calories from fat

  • 20-25% from protein

  • 5-10% from carbohydrates

However, these ratios might need tweaking based on your needs and activity level. Some people, especially those who are physically active or are focusing on building muscle mass, find success with a slightly higher protein intake while keeping their carb intake low.

This adjustment ensures adequate protein for muscle repair and growth without compromising ketosis.

Fasting woman checking watch

Intermittent Fasting: A Powerful Tool

Incorporating intermittent fasting can be a game-changer when your keto diet's not working. This approach can help boost ketone production, promoting your body to burn fat for fuel more efficiently.

Additionally, it may accelerate fat burning, contributing to faster weight loss results.

Start with a simple 16:8 fasting schedule, where you eat within an 8-hour window and fast for 16 hours. Ensure you're consuming all your required calories and macros within your eating window.

Remember to stay hydrated during your fasting periods and break your fast with a nutrient-dense, keto-friendly meal.

Quality Over Quantity: Choosing the Right Fats

Not all fats are created equal on the ketogenic diet. Focus on consuming high-quality, nutrient-dense fats such as:

  • Avocados and avocado oil

  • Extra virgin olive oil

  • Grass-fed butter or ghee

  • Coconut oil

  • Fatty fish like salmon and mackerel

These fats help you stay in ketosis and provide essential nutrients supporting overall health. They also offer additional benefits like reducing inflammation and improving heart health, which are essential aspects of overall well-being.

Lifestyle Factors Affecting Your Keto Success

Sometimes, the reason your keto diet's not working lies beyond your plate. Let's explore lifestyle factors that can impact your success.

Factors such as chronic stress, poor sleep, and inadequate physical activity can significantly influence your hormone levels and hinder weight loss.

Stress: The Silent Keto Killer

Chronic stress can impact your keto efforts. Stress triggers the release of cortisol, a hormone that can increase blood sugar levels, making it harder to stay in ketosis. Elevated cortisol levels can lead to increased cravings and fat storage, hindering your progress.

Here are some stress-busting strategies:

  • Regular meditation or deep breathing exercises

  • Yoga or gentle stretching

  • Spending time in nature

  • Journaling or creative activities

Managing stress is good for your keto journey and overall well-being. By incorporating stress-reducing activities into your routine, you can regulate your cortisol levels, promoting better sleep and improved keto adherence.

Sleep: The Underrated Keto Ally

Poor sleep can be a major reason why your keto diet's not working. A lack of quality sleep disrupts hormones that regulate hunger and metabolism.

This disruption can lead to increased hunger, cravings, and reduced metabolism, ultimately making it harder to lose weight on keto.

Aim for 7-9 hours of quality sleep each night. Here are some tips:

  • Stick to a consistent sleep schedule

  • Create a relaxing bedtime routine

  • Avoid screens for at least an hour before bed

  • Keep your bedroom cool, dark, and quiet

Prioritizing good sleep impacts your keto results and overall health. When you're well-rested, your body functions optimally, making it easier to maintain ketosis, manage cravings, and achieve sustainable weight loss.

Exercise: Finding the Right Balance

Exercise is important for overall health. Finding the right balance is crucial on keto. Too much high-intensity exercise, especially in the early stages of keto adaptation, can sometimes work against you.

Your body needs time to adjust to burning fat as its primary fuel source, and intense workouts may overload your system.

Consider incorporating a mix of:

  • Low-intensity steady-state cardio (like walking or swimming)

  • Strength training to preserve and build muscle mass

Listen to your body and adjust your workout intensity as needed. Remember, exercise should energize you, not deplete you.

Finding the right balance ensures you reap the benefits of physical activity without compromising your body's adaptation to the ketogenic diet.

Hidden Health Issues: When Keto's Not the Culprit

Sometimes, a keto diet not working might signify underlying health issues. Consider these possibilities, especially if you've been diligent without results.

Addressing these underlying conditions with the help of a medical professional can improve your chances of success with the ketogenic diet.

Thyroid Function: The Metabolism Master

Thyroid issues impact your metabolism, making weight loss challenging, even on keto. If you suspect thyroid problems, consider a comprehensive thyroid panel.

Hypothyroidism, a condition where your thyroid doesn't produce enough hormones, can significantly slow down your metabolism, making weight loss difficult despite diet and exercise.

Symptoms of thyroid dysfunction can include:

  • Unexplained weight gain or difficulty losing weight

  • Fatigue

  • Hair loss

  • Cold intolerance

  • Dry skin

Working with a healthcare provider to optimize your thyroid function can be a game-changer. Proper treatment and management of thyroid disorders can help regulate your metabolism, paving the way for successful weight loss on a keto diet.

Hormonal Imbalances: The Hidden Obstacle

Hormonal imbalances, particularly in women, can interfere with weight loss. Conditions like PCOS (Polycystic Ovary Syndrome) or imbalances in estrogen and progesterone make it harder to lose weight, even on a well-formulated keto diet.

These imbalances can affect insulin sensitivity, metabolism, and fat storage, making weight loss challenging.

If you suspect hormonal issues, consult an endocrinologist or functional medicine practitioner. They can help identify and address imbalances, potentially through lifestyle changes, medication, or hormone therapy.

Addressing these imbalances can significantly improve your chances of weight loss success on keto.

Advanced Keto Strategies

If you've addressed the basics and your keto diet's still not working, explore advanced strategies. These strategies, which involve modifications to the traditional keto diet, may provide your body with the extra push it needs to overcome weight loss plateaus.

However, consult with a healthcare professional or registered dietitian before implementing them to ensure they align with your health needs.

Cyclical Ketogenic Diet (CKD)

The CKD cycles between strict keto and higher-carb days. This approach replenishes glycogen stores, potentially beneficial for active individuals.

By strategically incorporating higher-carb days, CKD aims to restore muscle glycogen levels, which can improve athletic performance and support overall energy levels.

A typical CKD might look like:

  • 5-6 days of strict keto

  • 1-2 days of higher carb intake (150-300g of carbs)

This strategy requires careful planning to maintain overall ketosis and may not be suitable for everyone, especially individuals with difficulty regulating blood sugar levels. It's crucial to consult with a healthcare professional before attempting CKD.

Targeted Ketogenic Diet (TKD)

The TKD involves consuming small amounts of fast-acting carbs around workouts. This provides a quick energy boost for high-intensity exercise without significantly impacting ketosis.

The idea behind TKD is to provide your muscles with immediate energy for workouts, potentially enhancing performance and promoting muscle growth, all while maintaining the fat-burning benefits of ketosis.

Consider consuming 15-30g of easily digestible carbs 30 minutes before your workout. These carbs are quickly used up during exercise, minimizing their impact on blood sugar levels and ensuring you remain in ketosis.

This approach is particularly beneficial for individuals engaged in intense physical activities.

Exogenous Ketones: A Boost for Ketosis

Exogenous ketones can increase blood ketone levels, potentially useful when transitioning into ketosis or recovering from a carb-heavy meal.

They provide your body with a readily available source of ketones, helping you reach ketosis faster or recover more quickly from accidental slip-ups.

While exogenous ketones are not a magic solution for weight loss, they can be a helpful tool in your keto arsenal. They may provide an extra boost in energy levels and mental clarity, especially during the initial phases of keto adaptation.

It's important to note that they should complement a well-formulated ketogenic diet and not replace it entirely.

Mozzarella cheese sticks

Cheese the Day

​If you're navigating a plateau on your keto journey, incorporating keto mozzarella sticks can be a savory solution. These crispy treats pack a protein punch while keeping carbs in check, making them a perfect snack or meal addition.

Pairing them with fresh marinara or a creamy dip not only satisfies cravings but also ensures you stay within your keto macros.

Remember, balancing your diet with wholesome fats and proteins is key to breaking through plateaus and achieving continued success on your ketogenic diet journey.

Conclusion

If you've been frustrated with your keto diet not working, remember that success often lies in the details.

By addressing hidden carbs, fine-tuning your macros, and considering lifestyle factors like stress levels, sleep, and physical activity, you can overcome plateaus and reignite your keto journey.

Remember to consider underlying health conditions that might hinder your progress and consult with a healthcare professional if needed. Don't be afraid to experiment and find what works best for your body.

Remember, keto is not just a diet—it's a lifestyle change. Be patient with yourself, stay consistent, and trust the process. With the right approach and mindset, you can overcome the challenges of a keto diet not working and achieve your health and wellness goals.


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