Can the keto diet help me lose weight? - Harvard Health (2024)

Can the keto diet help me lose weight?

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Q. My friend says I should do a keto diet to help with my weight loss. What is it, and is it better for weight loss?

A. A ketogenic (keto) diet is high in fat and protein and low in carbohydrates. Most of the body's cells prefer to use blood sugar (glucose) as their main source of energy. The keto diet forces your body to use a different type of fuel. Instead of providing your body with glucose from carbohydrates, the keto diet relies on the liver to break down stored fat into molecules called ketones. (This process is called ketogenesis; that's where the diet's name comes from.)

For most people to begin using stored fat as fuel, they need to limit daily carbohydrate intake to fewer than 20 to 50 grams depending on body size. (For comparison, a medium-sized banana has about 27 grams of carbs.) But this is a highly individualized process, and some people need a more restricted diet to begin producing enough ketones. It typically takes two to four days to reach a state of ketosis (when fat becomes a main source of energy).

There's no shortage of keto-inspired diets. The Atkins, South Beach, and Paleo diets are some of the best-known examples. But a true ketogenic diet is different and calls for up to 90% of your daily calories to come from fat. That is often hard for people to maintain. However, research has shown that people can achieve faster weight loss with a keto diet compared with a calorie-reduction diet. In the short term, a keto diet is probably safe. But over time, it's tough to keep off the weight this way.

If you do try a keto diet to jump-start weight reduction, choose healthier sources of fat and protein, such as olive oil, avocados, and nuts (almonds, walnuts). But after a few weeks, switch to a reduced-calorie Mediterranean-style diet and increase your physical activity. This will help manage your weight loss for the long term.

— by Howard LeWine, M.D.
Editor in Chief, Harvard Men's Health Watch

Can the keto diet help me lose weight? - Harvard Health (2024)

FAQs

Can the keto diet help me lose weight? - Harvard Health? ›

In the short term, a keto diet is probably safe. But over time, it's tough to keep off the weight

weight
Average adult human weight varies by continent, from about 60 kg (130 lb) in Asia and Africa to about 80 kg (180 lb) in North America, with men on average weighing more than women.
https://en.wikipedia.org
this way. If you do try a keto diet to jump-start weight reduction, choose healthier sources of fat and protein, such as olive oil, avocados, and nuts (almonds, walnuts).

Does the keto diet really work for weight loss? ›

Ketogenic diets can help patients lose about 2 kg more than low-fat diets do at 1 year, but higher-quality studies show no difference. Weight loss peaks at about 5 months but is often not sustained.

What do cardiologists say about the keto diet? ›

However, a new study presented at the American College of Cardiology's Annual Scientific Session Together With the World Congress of Cardiology suggests that a “keto-like” diet may be associated with higher blood levels of “bad” cholesterol and a twofold heightened risk of cardiovascular events such as chest pain ( ...

How much weight can you lose in 1 week on keto? ›

The rate of weight loss on the keto diet without exercise ranges from 1-2 pounds per week. Therefore, if you want to lose significant weight, reaching your goals may take a few months. Exercise is essential to any weight loss plan, as it helps burn calories, build muscle, and improve overall health.

What is keto diet Harvard? ›

Here are the basics. The keto diet aims to force your body into using a different type of fuel. Instead of relying on sugar (glucose) that comes from carbohydrates (such as grains, legumes, vegetables, and fruits), the keto diet relies on ketone bodies, a type of fuel that the liver produces from stored fat.

Does keto shrink belly fat? ›

Research has shown that ketosis may have several health benefits. One of the biggest benefits of ketosis may be weight loss. The process can help you feel less hungry, which may lead to eating less food. It can help you lose belly fat (visceral fat) while maintaining a lean mass.

What are the downsides of the keto diet? ›

Three cons

Giving up whole grains, beans, fruits and many veggies can cause nutrient deficiencies and constipation. Common short-term side effects include fatigue, headache, brain fog and upset stomach, aka “keto flu.” Long-term health risks include kidney stones, osteoporosis and liver disease.

Why are so many doctors against the keto diet? ›

The keto diet could cause low blood pressure, kidney stones, constipation, nutrient deficiencies and an increased risk of heart disease. Strict diets like keto could also cause social isolation or disordered eating. Keto is not safe for those with any conditions involving their pancreas, liver, thyroid or gallbladder.

What are the biggest mistakes people make on keto diet? ›

Common Mistakes When on a Keto Diet
  • Not Eating Enough Fat. ...
  • Not Eating Enough Vegetables. ...
  • Obsessing Over Numbers. ...
  • Not Enough Electrolytes. ...
  • Not Watching Calories. ...
  • Eating Too Much Protein. ...
  • Not Fasting.

Who is not a candidate for keto diet? ›

Q: Who is NOT a candidate for the keto diet? A: Anyone with a chronic condition such as diabetes, high blood pressure or metabolic syndrome should avoid following a ketogenic diet. Plus, since the fat content hovers around 75 percent, it's a red flag for people who have heart disease.

How long to lose 20 pounds on keto? ›

Keto Weight Loss Results After 90 Days on Keto

“If the patient can maintain a steady calorie deficit, I expect them to lose one to two pounds per week,” says Dr. Seeman. So after 12 weeks, her clients are usually down around 20-25 pounds.

How to speed up weight loss on keto? ›

To maximize weight loss on a ketogenic diet, get adequate sleep, reduce stress, be more active and consume whole, nutritious, low-carb foods whenever possible.

How quickly will I lose weight on keto? ›

If a person follows the 75% fat /20% carb/5% fat keto diet, average results may look like this: Weeks 1–2: rapid weight reduction phase due to water loss – up to ten pounds. Weeks 2–4: standard weight reduction – between one and two pounds per week. After the first month – slow weight loss – around one pound per week.

What is the controversy of keto diet? ›

One of the main criticisms of this diet is that many people tend to eat too much protein and poor-quality fats from processed foods, with very few fruits and vegetables. Patients with kidney disease need to be cautious because this diet could worsen their condition.

What food is not allowed in keto? ›

You need to limit your consumption of high-carb foods like: - Grains: Rice, wheat, oats, barley, rye, quinoa, buckwheat, etc. - Starchy Vegetables: Potatoes, peas, sweet potatoes, yams, corn, cassava, artichoke, etc. - Refined Carbs: Bread, pasta, pastries, tortilla, sandwich, etc.

What is the 30 30 30 rule for weight loss? ›

That plan is called the 30-30-30 rule. It's a simple but catchy idea that encourages you to eat 30 grams of protein within 30 minutes of waking up and then get 30 minutes of low-intensity exercise. The 30-30-30 rule now has millions of followers on TikTok.

Why don't I lose weight on keto? ›

Usually, when a person does not lose weight on the keto diet, it is because they have not achieved ketosis. One reason for not achieving ketosis is not cutting back enough on carbs. According to a 2023 overview of previous research.

How long should you stay on a keto diet? ›

The duration of following a ketogenic diet can range from a minimum of 2 to 3 weeks up to 6 to 12 months.

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