A friend of mine has several maladies, including migraines and blood sugar swings, that led me to suggest that she experiment with a ketogenic diet. The tricky part is that she also has problems with low appetite and losing too much weight. She's very skinny, and she's documented that when her weight drops even a few pounds below usual her health gets much worse. To be clear, this isn't psychological and she's not starving or malnourishing herself -- there's just something wrong with her appetite signals.
The standard ketogenic "success" stories have her understandably worried. Spontaneously reducing your appetite and shedding pounds of fat sound good to many people, but they'd be very bad for her.
Has anyone here gotten benefits from a ketogenic diet without losing weight? Do you have any advice on how to maintain -- or even gain -- body fat while in ketosis? I understand that losing some water weight is inevitable when you're depleting your glycogen, but she'd want to avoid anything beyond that.
asked byAxialGentleman (2624)
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on July 17, 2015
at 08:05 AM
What are the nature of her blood sugar swings?
Is one of her maledies gastroparesis or gastric dumping?
Low Appetite is a tough struggle, and probably related to blood sugar. Not every type of blood sugar swing causes hunger, nor is every blood sugar swing controlled solely by food intake.
I recommend adding liquid nutrition. Finding low carb liquid nutrition without artificial sweeteners is a tough find. Don't be afraid to recommend carbs up to 12-15g per hour. This should be enough to not trigger a blood sugar swing in 99.5% of people. If she still gets blood sugar swings from that level of carbs, then she needs to be assessed for beta cell pancreatic disorders by a physician.
on January 03, 2014
at 12:49 PM
Basically I would recommend she consume enough food to meet her energy demands. She may do even better consuming slightly more than she requires. I would very simply take 2000kcals as the starting point. If she was to aim to eat around 30g of protein (just over 100g of meat/fish) per meal (e.g. 3 meals) then that provides just over 500kcals. The rest can then be made up of non-starchy vegetables and fats. A tablespoon of fat (15g) is around 135kcals. Aim to eat close to 2000kcal per day and see how she is doing and taper up or down a hundred calories depending on results.