Bodie Guerra it's because I live with my grandma this is from the diabetes signs
and symptoms video Bodie Guerra what does diabetes have to do living
your grandma hey guys you're probably here because you want to know all about
the keto diet is it safe is it good for you does it help you lose weight
a loads more well I'm gonna answer that question a lot with many other questions
in this week's responding to your comments where we look at fun questions
with a science-based questions and most importantly we look at the evidence
Aya Sawad I have a question is the keto diet a bad diet thank you for the information
in this video Aya Sawad thank you for your comment this is from the how to
lose weight video and I guess it's time to talk keto so firstly the keto diet is
short for ketogenic diet it's basically a super low carbohydrate and high fat
diet and to be quite honest with you over the years more and more patients have
been asking me about the keto diet whether it's safe whether it's good for
you do I recommend it does it help you lose weight and loads more now despite
the recent hype the keto diet actually isn't that new because in medicine it's
being used for almost 100 years to help treat drug-resistant epilepsy in
children now the aim of the keto diet is to significantly reduce your
carbohydrate intake so your body switches from burning carbohydrates so
using sugar for energy to burning fats for energy most cells prefer to use
blood sugar for energy which comes from the carbohydrates but in the keto diet
because of the absence of carbohydrate intake and the high amount of dietary
fat intake your liver then starts to generate what's known as ketone bodies
and this effectively puts your body into a metabolic state of ketosis so because
of this the keto diet is very high in proteins and fats like meats eggs
sausages processed meats cheese fish nuts and the list goes on but the diet
is very restricted and because of this it's actually very hard to follow over
the long run so in ketosis your body becomes incredibly efficient at using
those ketone bodies generated from the breakdown of fat for fuel so in other
words your body becomes really good at burning fats and that was a very
simplified version of how the keto diet works but I really did try and simplify
it because if we went through it in a lot of details this video is gonna be
over an hour long and by the way I will leave loads more information about the
keto diet how it it's all in the description below so if
you want more information please check it out but now that we know a little
more about the keto diet and how it all works now let's move on to the
question is it good for you is it bad for you and most importantly what does
the evidence say let's start with weight loss does the keto diet help you lose
weight well there was actually a really good meta-analysis done in the British
Journal of nutrition and it looked at 13 different studies where they followed
patients either following a keto or low-fat calorie controlled diet for at
least a year now the keto diet did perform statistically better with an
average weight loss between the two have less than a kilogram now for anyone who
doesn't do kilograms that's about half a pound
now there's two very interesting things to discuss about these results firstly
these results weren't found to be clinically relevant to health and
secondly after two years these differences well this small difference
in weight loss actually vanished completely so what does that mean well
it means that following such a restrictive diet such as the keto diet
which is very hard to follow isn't actually worth it for weight loss now if
you are thinking about trying to lose weight or trying to lose belly fat I
have made quite a few videos on this topic it doesn't involve the keto diet
it's actually a diet from a study done in Oxford and if you follow it properly
you can expect to lose not 0.5 to 1 kilograms every single week which is
great but here's the best part after 6 weeks those individuals in the study
also reduce their visceral fat now if you don't know what visceral fat is
visceral fat is the dangerous fat so these individuals had a reduction in
their visceral fat of about 14 percent they also reduced their blood pressure
they also reduced their cholesterol and they had a five centimeter reduction in
their waistline and this is all through a diet control without any additional
exercise so if you haven't seen that video I will leave a link to it up here
and in the description below so feel free to check it out now the keto diet
can also have many side effects associated with it and long term it can
cause many nutritional deficiencies because remember the diet is so
restrictive it means that you're not getting a full variety of fruits a full
variety of vegetables or grains the keto diet can also cause problems of the
liver and kidney so remember earlier how we said the liver is producing ketone
bodies and ketosis and how these ketone bodies are used for energy so during
this ketosis your liver is working in overdrive so if
you have any pre-existing liver conditions it can actually make your
liver worse the kidneys can also be affected because they help metabolize
proteins and during the keto diet it's quite easy to overload them because it's
so easy to go over the recommended daily intake of protein that you should be
having when just following the keto diet normally so I guess so far it's not
looking too good for the keto diet I mean does it help you lose weight not
really in the long run it also can cause nutritional deficiencies and it also can
cause kidney and liver problems however saying all that we do have solid
evidence that the keto diet can help reduce seizures in children sometimes as
effectively as medication the keto diet has also been shown to improve blood
sugar control in type 2 diabetics at least in the short-term generally
speaking there is a lack of long-term studies into the safety and
effectiveness of the keto diet so what does this mean well it means that if you
are diabetic and you are even considering trying the keto diet please
first speak to your doctor your diabetic nurse specialist your diabetic
pharmacist specialist any of them please speak to them first before you do
anything and get their advice on it with regards to cholesterol there are a few
studies showing an initial increase in cholesterol from the keto diet followed
by a reduction in cholesterol however there are no long-term studies on this
analyzing the effectiveness of the keto diet at reducing the cholesterol levels
and it's safety there are quite a few other negative points to raise about the
keto diet so one that we've already mentioned is it's very restrictive and
hard to follow two it's very high in protein intake
usually going above the recommended allowance and three it's very heavy on the
meats and other fatty processed and salty foods which are notoriously
unhealthy for you and in addition it can also cause many side effects so to begin
with you will feel very tired you will feel very fuzzy and you'll have mood
swings it's very normal with the keto diet to begin with and also you can have
many side effects like feeling sick being constipated and also struggling to
fall asleep so my final thoughts on the keto diet firstly it's very restrictive
it's very hard to follow because it's such a big change to your eating habits
secondly it's not very good for weight loss
we know this the evidence has showed it that after a long period it doesn't make that
much of a difference thirdly its associated with many side effects and
problems and fourthly which is the most important thing there just aren't enough
long-term studies on the keto diet to look at its safety to look at its
effectiveness and to see if you can actually recommend it to people so
because of the lack of research and because of everything else that I've
mentioned in this video I tend not to recommend the keto diets and most of my
patients so what I do recommend is make changes that you can sustain over the
long run thank you for the question I hope this answer helps anyone who's
looking into the keto diet and always remember that you're awesome
Clare Finelli not one doctor pharmacist nurse surgeon ever explained this to me I
wonder how much flixonase beconase afrin I've squirted right
into the back of my throat thank you mate Clare thank you for you comment
this is from the how to use a nasal spray video and I'm so happy that I
could help you but please remember this now I've said it before in in previous
videos it's very difficult for health care professionals to give all the
information to a patient because it's been shown that even if you counsel the
patient so if I counseled you face to face whether it's in the pharmacy or in
a clinic that I'm working at you're probably only going to remember one or two of
those points which is why YouTube is so amazing because I can make a video on it
or a healthcare professional can make a video on it they can direct you to it
you can watch it you can learn how to use it and you can reap all the benefits
from it just like this video has done for you so Clare I'm very happy that I
can help you and thank you for the awesome comment flames fan for life have
you heard of the movie constipation it hasn't come out yet
flames fan for life thank you for your comment you know it's a really bad joke
to be honest with you but I actually did laugh when I read it this is from the
how to get rid of constipation video but hopefully the movie has come out now
because well a video has helped you thank you for the comment Daisy you've
decided that you want to make a change you've decided that you want to be
healthier me nodding in agreement at 3am Daisy thank you for your
comment this comment actually really made me laugh it's from the how to lose weight
video looking at specific exercises to help you lose weight and I just kind of
put myself in someone else's shoes listening to me and nodding their head
at 3:00 a.m. maybe let's try it side-by-side I'll be someone watching
the video and play me because you've decided that you
want to make a change you decided that you want to be healthier and you have
decided that you want the health benefits so it looks like we've run out
of time again in this week's responding to your comments if I didn't get back to
your comment I'm really sorry but the best advice I can give everyone is
leaving at the comment and I will try my best to get back to you in a future
episode of responding to your comments always remember you're awesome and I'll see
you next week you know that's a terrible joke but I actually enjoyed it secretly visceral
fat is the dangerous fat and the study actually showed a reduction of 14% in
their visceral fat they also had a reduction in their blood pressure they
also had the reduction in their cholesterol and they had a reduction I can't
remember what okay hey guys thanks for watching this week's video make sure to
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