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Is Keto Bad For Your Liver

Usc Researchers Among Those Seeking New Treatments For Nafld

How I reversed fatty liver using keto diet.

Rosen described new treatment approaches and drugs for NAFLD and NASH as one of the greatest unmet needs in medicine. The good news is many drugs are in the development pipeline, he said, including several ongoing clinical trials at USC.

When I see a patient, I always print up the contact info for the study coordinator in their discharge paperwork, just in case they are interested, he said. I would strongly urge people who have this disease to come to academic medical centers like USC, because we have access to all these trials.

He also called on health providers to learn more about liver issues like NAFLD. Doctors who see patients who are overweight or obese should consider recommending a screening ultrasound or other methods to determine fat levels in the liver.

There definitely needs to be enhanced education of primary care providers to think of NAFLD and how frequently it occurs, Rosen said. Youre talking about one out of every three patients you see in clinic.

Myth #: Ketones Overwork Your Kidneys Due To Increased Urine Acidity

Theres a common misconception that nutritional ketosis can change the pH of your urine from neutral to acidic and therefore overwork your kidneys.

However, this only happens during ketoacidosis, not ketosis.

Ketoacidosis is a complication that results from dangerously high levels of ketonesand blood sugar, most commonly in people with type I and II diabetes. This combination makes blood too acidic and negatively affects the liver and kidneys.

Ketoacidosis is most likely to occur in people with type 1 diabetes, who cant produce any insulin.

Nutritional ketosis, on the other hand, is different because the level of ketones is in a normal range. When youre in ketosis, you have more ketones in your blood than usual, but not enough to cause ketoacidosis.

The ketogenic diet is all about being in ketosis, not ketoacidosis.

Now that weve debunked those two myths, lets look at why the ketogenic is actually beneficial for your kidneys.

Usc Liver Specialist Recommends Well

Dont overdo it on fats, Rosen recommends, especially from processed foods. Fructose and other sugars are a major concern as well, especially in sodas, candy, sugary cereals, sweetened juices and fast food. Those kinds of refined foods can increase cholesterol and cause inflammation in the liver.

Instead, he suggests eating a well-balanced diet that features high-fiber foods, vegetables, fruits, fish, lean meats, nuts, eggs, seeds and unrefined oils. Its a menu familiar to those following other popular diet trends: the paleo and Mediterranean diets.

Some data have shown that a paleo diet has a significant and persistent effect on lowering liver fat compared to a low-fat diet, simply because a low-fat diet isnt palatable to a lot of people, he said.

Rapid weight loss is not recommended because its rarely sustainable.

Hugo Rosen

Thats one problem with fad diets, Rosen said they can be difficult to stick with, especially if they cut out tasty items entirely. Fasting is another approach that can have dramatic weight-loss effects but is hard to maintain.

Rapid weight loss is not recommended because its rarely sustainable, he said. I would favor a gradual weight loss of 5% to 10%.

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Myth #: The Ketogenic Diet Causes Kidney Stones

Kidney stones form when a mass of crystals develop in your urinary tract. They are extremely painful and while the cause remains unknown, some people believe ketone production can exacerbate these symptoms.

The argument is that excessive high protein consumption requires your kidneys to work in overdrive and forces your body to excrete excess amounts of sodium, calcium and potassium. This loss of electrolytes may also lead to low blood pressure which may stress your kidneys even more.

However, research doesnt seem to justify this argument.

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One recent meta-analysis that measured the impact of low carb diet on renal function taking into account 1000 people from nine randomised controlled trials found that:

a low carbohydrate diet and the corresponding high-protein diet was not harmful for renal function in overweight and obese individuals without renal dysfunction.

Furthermore, it concluded that a low carb diet may even improve renal function thanks to its weight loss effects.

Following a proper keto diet plan with electrolyte supplementation will also help ensure that you dont come across these issues.

Is It Possible To Reverse Fatty Liver Disease Completely A Keto Success Story Testimonial

However, one crucial question still remains unanswered: Is this simple diet change enough to completely reverse fatty liver disease?

Christine is living proof that this is possible. Before trying keto, she was overweight with NAFLD, obstructive sleep apnea, and on the verge of type 2 diabetes.

No diet plan provided lasting results, and even a Diabetes Prevention Program failed to help her. Once she found out about keto, however, everything changed.

After just over a year of keto eating, her results are astonishing:

  • No more obstructive sleep apnea
  • No more non-alcoholic fatty liver disease
  • Achieved her goal weight
  • Feels better than she did at 30

Believe it or not, this is only a brief snippet of what she shared with us in her success story and all she did was switch to the keto diet.

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Serious Muscle Loss Is A Possible Side Effect Of Keto

Muscle loss on the ketogenic diet is an ongoing area of research, says Edwina Clark, RD, a dietitian in private practice in San Francisco. Small studies suggest that people on the ketogenic diet lose muscle even when they continue resistance training. This may be related to the fact that protein alone is less effective for muscle building than protein and carbohydrates together after exercise. Meanwhile, according to Sports, people following the keto diet for three months lost about the same amount of body fat and had about the same muscle mass changes as people following normal diets. Yet the folks on keto did lose more leg muscle.

Loss of muscle mass as we age has a number of serious consequences, notes Clark. Muscle is metabolically active and helps boost daily energy expenditure and mitigate age-related weight gain. Losing muscle mass can also decrease functional strength and heighten the risk of falls, notes Clark. Falls are the top cause of death from injury in older populations, according to the Institute of Medicine Division of Health Promotion and Disease Prevention.

Calorie Depletion And Nutrient Deficiency

Keto And Non Alcoholic Fatty Liver Dr. Eric Westman [Presentation]

Because the keto diet is so restricted, youre not receiving the nutrients vitamins, minerals, fibers that you get from fresh fruits, legumes, vegetables and whole grains, says Dr. Ring.

Due to these deficiencies, people also report feeling foggy and tired. These symptoms have been dubbed the keto flu. Constipation is also common on the keto diet due to the lack of fiber.

Wednesday, 5 February 2020 / Topics:

There are countless diets and healthy eating plans to choose from nowadays, many of which promise big results, but it can be difficult to know which one is best for your health and lifestyle. The Ketogenic diet, also known as the Keto diet, has become a very popular eating regimen recently among celebrities, with many jumping on the bandwagon.

To help us understand what the Keto diet is all about and if its really the best eating plan to be following, dietician and co-founder of Sprout Cooking School, Themis Chryssidis, has a chat to us.

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Other Things You Can Do To Promote Liver Health

There are a few lifestyle changes that you can be aware of to promote a healthy liver. They include:

  • Have a healthy diet with fiber and fatty fishes
  • Get vaccinated for hepatitis A and hepatitis B
  • Dont share needles or personal care items
  • Be sure your doctor knows about any medications you are taking
  • Exercise regularly
  • Limit alcohol consumption, as your liver works hard to eliminate the alcohol toxins

Genetics And Fatty Liver Disease

Some genetic variants also increase your risk of NAFLD, while others make NAFLD more likely to progress to NASH, the version of NAFLD that causes liver inflammation and damage.

You can get a genetic test to see if youre predisposed to have NAFLD. Even if you are, though, diet and exercise should keep your liver healthy.

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The Ketogenic Diet Can Lead To Dehydration And A Loss Of Electrolytes

Suddenly and drastically reducing carbohydrates sets your body up for a double whammy of sorts, says Yawitz. The brains favorite fuel is glucose, which is most easily created from carbohydrates. In very-low-carb diets, the brain has to adjust to using ketones from digested fats for energy. To add to this discomfort, your kidneys release more electrolytes as insulin levels fall. Additionally, your total body water decreases as carbohydrates become depleted on a keto diet, notes Clark. The result? Whats known as the keto flu, which could cause constipation, nausea, headache, fatigue, irritability, cramps, and other symptoms. Dont fret, though: Many of these symptoms are short term and should last only a few days to weeks. Make sure to drink plenty of water to help your body cope with these symptoms. And call your doctor if symptoms especially nausea are prolonged, advises Yawitz.

How To Reverse Nonalcoholic Fatty Liver Disease

Is a Keto Diet Bad for Your Liver? â Lauren Naturals

The key to disrupting the vicious cycle of fatty liver disease before it damages the liver is exercise and diet.

Thats right Treating obesity of the liver is similar to treating obesity of the body. In fact, many scientific papers agree that the treatment of nonalcoholic fatty liver disease should be focused on controlling diabetes, obesity, insulin resistance, and hyperlipidemia. We should only focus on treating the liver in those with nonalcoholic steatohepatitis.

This means that the best way to reverse nonalcoholic fatty liver disease and prevent liver damage is with a diet that has been proven to control diabetes, obesity, insulin resistance, and hyperlipidemia.

Luckily, this diet already exists and has been found to more effective than caloric restriction and low-fat diets. This diet is called the ketogenic diet. A diet that focuses on restricting carbohydrates, removing one of the main drivers of fatty liver disease from the diet.

However, we cannot call the ketogenic diet the ideal diet for fatty liver disease yet. This is only a theory that is based on evidence for how the ketogenic diet helps people with issues related to nonalcoholic fatty liver disease. To see what works best for the disease itself, we must dig through the research.

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Because Keto Severely Limits Carbs You May Develop Nutrient Deficiencies

When carbohydrate intake is low, fiber consumption tends to be low, too. This doesnt come as a surprise when you consider fruits, whole grains, and starchy vegetables are decreased in your diet, says Asche. This can lead to one especially uncomfortable side effect .

Another possible nutrient deficiency: potassium, a mineral important for both electrolyte balance and blood pressure control, notes MedlinePlus. Inadequate intake of potassium is likely when consumption of fruits and starchy vegetables are decreased, says Asche. She recommends adding lower-carb to the diet, including avocado and spinach as well as lower-carb sources of fiber, such as chia seeds and flaxseed .

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Why Would People Choose To Do The Keto Diet

Themis says, The only reason someone would choose to do it is because they want to lose weight. This diet has been shown to help people lose weight initially very quickly.

People forget about the health consequences and sustainability of this diet though, unlike many other diets that people go on where youre trying to use willpower to avoid certain foods, says Themis.

The draw card of the Keto diet is that it has a lot of fat content, which means its satisfying. This way of eating will keep you feeling fuller for longer, making it easier to adhere to than other conventional diets.

Themis says, It is probably comforting because these are the sorts of food youre told you should never eat in the past, on a low fat diet.

May Damage Bone Health

Fatty Liver & Keto Adaptation Gut Health w/ Lyn Patrick, ND

The keto diet is also associated with impaired bone health.

Several studies in animals link the keto diet to decreased bone strength, likely due to losses in bone mineral density, which may occur as your body adapts to ketosis .

In fact, a 6-month study in 29 children with epilepsy on the keto diet discovered that 68% had a lower bone mineral density score after going on the diet .

Another study in 30 elite walkers determined that those who followed keto for 3.5 weeks had significantly higher levels of blood markers for bone breakdown, compared with those who ate a diet higher in carbs .

All the same, more extensive research is warranted.


The keto diet may reduce your bone mineral density and trigger bone breakdown over time, though further studies are needed.

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