Losing weight with PCOS, or, how I cured my PCOS through weight loss

The Paleo Mom Collection

PCOS Nutrition Center Articles/Blog
Just be aware of your body… Pay attention to side effects especially to do with IBS there is a class action law suit against the drug makers currently. Recently my 18 years old son suggested that he, probably, also should eat VLC because he noticed it eliminated my need for asthma and eczema medications. I was on Accutane for 9 months. Can coconut flour inulin actually cause bacteria overgrowth? I was put on Zinc by my doctor for an unrelated thing and my skin has improved alot… worth a try as its way less aggressive than acutane.

Why Grocery Shopping Doesn’t Have to be a Nutritional Nightmare

PCOS & Acne: The Underlying Causes of PCOS and How to Treat It

I am aware of certain communities who do an indiscriminate keto diet for weight loss which includes foods like Crisco and Spam and does not even consider supplementation…. A ketogenic diet per se, does not say anything about the quality of the foods you are eating, it just means you are using ketogenic ratios to achieve nutritional ketosis. I recently attended the Epilepsy Summit and was appalled at what kind of foods where served to sick children only in order to maintain them in ketosis….

I have absolutely no doubt that following that kind of ketogenic diet, any of the adverse reactions you list could easily ensue. Any diet can be done either very well or very poorly, including Paleo! You should be very aware of that with all your experience! What I think is a more accurate point of view is to inform and educate people on the quality of different styles of Ketogenic diets, and to suggest working with a professional, or at least to do a good amount of research before embarking on one on their own.

That is what I do for people through my blog, I educate them about the right foods, the right supplementation and the best way to stay healthy, still maintaining all the benefits of being in ketosis. I hope you can reconsider some of your assumptions under this light and maybe give the right kind of ketogenic diet its earned value!

I think you will find both the Literature Review linked to in this post and my future mechanistic posts on this topic interesting one of which will discuss fat quantity versus quality. In terms of increased atherogenic profiles with a keto diet, do you have any comment on the role of lipoproteins in the innate immune system? This has been cited in a few studies and was the focus of a section of Dr. Ravnskov also discusses lipoproteins and the immune system in an editorial letter he sent to the ACC: There are many ways to demonstrate it.

One example is that researchers have looked at mixtures of lipoproteins and bacterial toxins with an electron microscope. What they saw was that the toxin molecules stuck to each other and became attached to the LDL molecules, 12 and similar experiments with virus gave the same result. Most of such mice survived, whereas normal mice died immediately, a beautiful proof that high cholesterol is advantageous.

Most surprising is that apart from those who have been directly involved in the research in this field, very few know anything about this system, not even experts in infectious diseases or immunology, and hitherto I have not found a word about it in any current textbook.

Ann Clin Lab Sci ; A short version in Swedish is available in Medicinsk Access ; Huemer HP and others. Superti F and others. Med Microbiol Immunol ; Flegel WA and others. Cavaillon JM and others. Northoff H and others.

Feingold KR and others. Netea MG and others. J Clin Invest ; In terms of increased atherogenic profiles with a keto diet, do you have any comment on the role of LDL in the innate immune system? The lipoprotein immune system Sixty years ago researchers discovered that the lipoproteins participate in our immune system by binding and inactivating bacteria, viruses and their toxic products.

There are varying degrees of ketosis from mild to fully ketogenic. I think we all agree that we should just eat real food to minimize blood glucose spikes and inflammation. The metabolically challenged by eating too much bad carbs for too long would probably do better in ketosis then someone brought up eating real food. I think the problem has more to do with micronutrients than the ratio of your macronutrients. You can eat a nutritially poor high carb diet or ketogenic diet, and in both cases it will lead to health problems.

Anyone registering the food they eat for a few weeks can see this. But it is also clear that you can get enough micronutrients and fibre by eating gr carbohydrates per day. Nice post Vivica, I am with you as a I utilize not only auto-immune protocols, but well-done mild to moderate forms of a ketogenic diet based off of high food quality sources, etc. Just the red and green visual of pros and cons is ridiculously biased. Did anyone else notice that? The spacing of the wording and drawings to clearly make the red cons side look much longer.

Does the keto diet threaten the future of your blog? It does not need to. One thing I have definitely noticed is how very unpleasant and short-tempered you all seem to be. It reminds me a bit of how I feel when my blood sugar is low — except that I make sure to not open my laptop and start yelling at strangers. Can you eat this way and still be kind to others? What about all of the animals consumed in this diet?

Or does that just not matter, as long as your skin is all shiny or whatever? What about the ethics of consuming animals? Have you visited the slaughter houses? Would you be willing to kill animals so you truly know what you are consuming? Call bacon what it really is. How can a dead thing do your body any good at all? Does none of this matter to you pro-keto people? Vegans are body builders and firemen and pastors and teachers. Just for the record.

So, you eat plants while they are alive in the dirt-root and all? I think such a deep emotional guilt for eating animals should be some sort of mental disorder. Humans would have never survived without dead animal flesh-no indigenous people ever lived solely as vegans and certainly not optimally. Also, many humans have an intolerance and allergies to many types of plants-but I guess they should just get over it to spare the animals.

What about your house? Are you tied to the electrical grid and the water systems? Do you get mad at lions for eating antelope? What about chickens eating grasshoppers? You can forgive animals for eating others animals, why is that? They are so insensitive to not just go against their biological functions and eat plants.

If you take a look at science and the organs that are part of our digestive tract compared to herbivores the cow with his many stomachs , you would see that we are designed not only to eat meat but to digest it fully in the stomach before entering the small intestine-giving you the optimum absorption of vitamins and minerals…compared to your vegetables that rot and ferment in the digestive tract.

Maybe you are reading the words with too much emotion. Hilarious, fruits are not toxic, can you consume too many yes, but u can consume too much water also. Fruit has a high sugar content which is great for storing energy over long distances.

If you abuse it now then it can be detrimental but like anything moderation is key. It is a bit bonkers how sure people are, with nothing to back it up whatsoever. Fruit is in no way toxic, unless you only eat fruit, and then kiss your pancreas good bye.

It killed Steve Jobs. Seriously…are we still fear mongering about sugar?! Come on insert eye roll! Often times, the praises of keto wonders are hard to ignore while the adverse reactions are rarely mentioned. The terrible feeling you had, if you had done even minimal research on the diet, was because of the transitional period. It can last weeks and there are plenty ways to minimize these adverse effects known as the keto flu, which include making SURE you drink plenty of water AND absolutely get enough electrolytes sodium, pottasium and magnesium being the most important Failure to do so is not good for you and will feel awful and is often the reason keto gets a bad rap in addition to people who attempt the diet who have health issues and take medications and do not consult a doctor prior to, which can be dangerous.

I think in addition to a temporary Keto flu, one can be depleted in electrolytes on this diet at other times as well. Maybe women a little more susceptible to this. I drink this about once per day, and if I forget, I can wind up not feeling very well. I love that you are acknowledging this. Thank you for your courage in talking about things that some people are reacting to versus considering and seeking to understand. There is always a lot to learn. The nutritional industry can be so confusing, biased, and full of fear on both sides.

With any extreme change, precaution is wise and having a good practitioner guide you along the way. I am happy someone is talking about this topic. Hopefully we can find the truth. There appears to be some misunderstanding in the origins of the ketogenic diet, modern medicine may claim its discovery in a therapeutic sense, however the diet was used as far as I can tell by explorers and natives for centuries for the sole objective of avoiding starvation!

I got really sick after trying a keto diet. Lost hair, developed psoriasis which I never had before, became paranoid, anxiety attacks, lethargy, and other things. I developed racing heartbeat, in the ER twice, the docs think it is a tachycardia, but my heart rate went back down by the time I got to the ER. I was so scared, even after adding carbs back for a couple of months, I unfortunately just had another episode, and my anxiety around it is so bad. Maybe your potassium was low.

I read somewhere that because alot of water weight is flushed out on a keto diet that potassium gets flushed out in the crossfire and needs to be supplemented back in.

Thank you Sarah, I appreciate the work you do. I was gaining weight alarmingly, fatigued, enormous pain in hips to knee area. This hugely restrictive diet, and hormone treatment is starvation though the fat levels eaten are very low. During the 4 weeks I was on it, I guess I was in ketosis. I felt like I was taking a pause, a deep breath. I plateaued weight wise on the diet and investigated further and discovered I had Hashis.

I would never do that diet again, loosing another 6 kilos, and most of the pain on the AIP and medication for my thyroid, but I wonder if being ketogenic has to be an all or nothing affair. Could some people cycle it, say 2 or 3 short periods a year to mitigate symptoms, but guard against adverse effects? Heather, I believe there are methods of cycling ketogenic diets.

I have heard of body builders cycling ketogenic diets with carbs. That would be interesting to see. I believe the risks you enumerate are present with most diets and I think you article lacks of that specific balance and probably the studies that you refer too.

Its like all these possible side effects are only associated with keto. Eat crappy food keto or not and yes you can die sooner or later. I totally agree with Vivica comments and there is more to it than fat and low carbs for keto and same thing for Paleo and other diets. I eat a wide variety of food dense in nutrients Paleo style while avoiding carbs.

My blood panel improved significantly within less than a year. Is this mean that everybody going keto will react the same? Im sure you can cook commercial bacon in hydrogenated fats and drink the juice and be in ketosis big time. Would I ever do that? I think it is all about food quality and variety. The real question is: The answer is probably yes.

And this the main reason I would not recommend keto to everyone and this is probably why it is even probably a risky business for some and in that sense I agree with the above risks. If you are like me… like testing, researching, trying new food, aim for quality over quantity, make adjustments based on evidence… keto might be for you. Insulin resistance in keto as been shown to be temporary and when you think about it is kind of a normal mechanism to maintain a minimum blood glucose level.

At the end, we are all on the same side, aiming for healthy lifestyle and promote it. Hi Eric, i have been keto-ing for weeks now. I have been quite a health nut over these years. I try and eat lots of veggies non starchy ones in my keto diet and my daily test strips say i am in ketosis, altho have started eating some meats again and also bone broths. I try and get organic and free range meat and bones whenever i can but for someone who has been veggie and recently pescaterian for many years, the reintroduction to meat is the hardest part to keto for me.

I like what you have written here and i wonder what your daily diet intake looks like? I have not had one migraine in the weeks of going keto which was my reason to try it as before this i was in an awful migraine pattern of 3 a week. I was desperate to change my health.

This has undoubtably worked for me although i have been feeling very low energy in the last week and also needing to drink a lot of water. I am currently in keytosis for the first time. Call me shallow, but my buddie and i are simply doing it to try to get a six pac in 30 days. I am a hige believer in eating healthy grains, and am slowly adding them back into my diet while still staying in keytosis. I can definitely see that staying in this diet for long periods of time could be detrimental.

But to loose unwanted pounds and then add carbs in through veggies and ezekiel bread seems like a great method to me. I am not an expert. But i have done a lot of research on the subject, and your artical is one of 2 articals that i have ever found that are against it.

Most of the sites and articles are very for it. And the reviews i have read from people who have done it are all awesome. What do you think about using it for a short period of time? I am still getting spinach, leafy greens, and 1 slice of ezekiel bread every day and staying in ketosis. We are all going to die some time, Paleo diet, ketogenic diet, vegetarian diet……whatever diet.

Nutritional ketosis via carbohydrate restriction is a natural phenomena, and can accompany a therapeutic diet or a maintenance diet. There are a variety of ketogenic diets for epilepsy, cancer, diabetes, weight loss, dementia……. Among the pediatric population there are a variety of diseases, including congenital and inborn errors of metabolism, some of which are not compatible with normal survival.

For some of them, the ketogenic diet is not the appropriate solution for their metabolic disease. This is not the fault of the dietary regimen, rather the person prescribing it.

And, extrapolations from rodents ……………. Sarah has produced brilliant and clear nutritional guidance for the Paleo autoimmune diet. It sounds like there will be more to come about the macronutrient composition of the ketogenic diet. Thank you for doing this research!

It is way more in depth than I could have done. So many places only talk about the positives. Give us a paper to go to. Seems to be a lot of general criticism. Everyone has to discover their own nutrition and their own way. But cutting carbs is proven to be effective to lower blood sugar. It seems that reading the actual studies, rather than the review, is necessary here. I started reading this article with great interest until I read through some of the peer reviewed articles referenced in the blog post.

The first question that comes to mind is for how long and when did subjects experience adverse effects e. What was the nutritional composition and macronutrient balance of the experimental diet?

The answers to these questions are not consistently detailed or clear in the study methodologies if addressed at all. Another concern is whether this post and the literature review reflects an understanding of research design and statistical analysis.

For example, the discussion of death being an adverse effect gave me pause. Which begs the question: I was hoping for an objective discussion of the pros and cons of a ketogenic diet and sincerely appreciate the amount of work that went into the post.

However, this ultimately felt quite biased towards a particular point of view based on a questionable review of the literature. This diet occurs in nature. How do bears survive when they enter hibernation? They are starving, but sustained on their own stored body fat and the nutrients within. This is very well documented. All mammals have this capability.

The fact that you left out insulin resistence, leptin resistence, and metabolic disorders leaves quite the crater in your article. You spouted much data on epilepsy which has far less impact than the obesity epidemics that follow the style of eating like the standard american diet.

Epilepsy is a serious condition, but far less prevelent than obesity. Is this article your answer to the recently popular documentary Fed Up? Which in and of itself did not specifically promote a ketogenic diet, but it did cite a WHO report about a carbohydrate limitation which is ketogenic? Being critical of your view I would be interested to see how a very low carbohydrate diet could cause nutrient deficiencies.

I have the upmost respect for the Paleolithic viewpoint. Eating whole foods, real foods, no GMO, no toxins, no hormones, etc. A ketogenic diet has a lot in common with Paleo, and both can be undertaken simultaneously.

They are NOT the same of course. Maybe that is your angle, you want to keep Paleo distant and above this ketogenic trend. Do as you wish. But I guess you got website hits, that is what counts, right?

I went keto in Feb I was Paleo for months before that so I was already quite fat-adapted and then I went the Paleo-ketogenic route so that includes bone broth, offal, the whole shebang.

Within 2 months, my thyroid started acting out, and my hair started falling out. I will never do keto again. And yes, when I was ketogenic, I felt like I was hibernating. My eyes were closing off in the middle of the day, and I was so cold, and I wanted to sleep. I was that bear you are speaking of. And you want to know the other thing too?

I have ALL of my days in keto written down on Cronometer. And it works for me best. Eugenia, do you mind sharing your records of eating keto. I personally am interested to see and I think it would help give others something to compare to. What do you mean your eyes were closing off?

I am having eye issues, been in ketosis 9 weeks. I am not super strict with it and do not count every single thing so I am somewhere under 50 g carbs.

I feel good otherwise, lost weight and no cravings for foods like before. This reads very biased toward no keto. It seems pretty balanced to me. She mentions both the pros and cons and that we rightly need more research. No one has any real-life help to offer. Look up Stephanie Person on youtube. I love when 20 something guys try and preach to 45 year old woman what works for them. When estrogen is too high and progesterone already too low. Wenchypoo, Trina, Brenda — we need to form a club or new forum.

You have to step out of the Paleo arena to find more mature men and women like us addressing our issues. I appreciate so many of the brilliant Paleo minds and all they have to offer, but it does get tiresome sometimes hearing the 20 and 30 something perspective on life and health most of the time. IMO not enough real life mileage to fully appreciate the intricacies and complexities of aging. That said, I feel that Dr Sarah is very balanced in her approach and in this article.

IMO the big point is that there is a LOT of ketogenic emphasis right now in the Paleo community and so young people are perhaps at greatest risk as a group of thinking that they should be following this type of diet. It is important for us to understand the difference between short term therapeutic protocols and sustainable lifestyles including diet.

I say Kudos to Dr. Sarah for standing up to the movement and presenting a more complete picture of the pros and cons. I do not consider this article to be a slam against ketogenic diets at all. She is arguing that they are not a panacea, not that they are evil. Yes, that would be great. You can find her on youtube. She talks a lot about metabolic derangement and how it causes massive troubles in preventing you from adapting to keto.

This is what happened to me when I went keto which made me ill. I have metabolic syndrome. Which means no keto for me. This is so scary, did any of you speak with your doctors or a doctor before eating this way? Do you really want a stranger to tell you how to eat? I went into menopause early, lived with so much illness my entire life, now I am a healthy, happy vegan.

I was a Keto missionary a few years ago. I was convinced that it was the right diet for everyone. I lost a lot of weight, but I have now gained it all back again mostly because I have been eating crap. Two years ago, whilde still on a ketogenic diet, I started fainting, and get severe shivers and it was really hot. I bought a blood sugar mesuring device.

But my blood sugar acted strange. I remember checking my blood sugar, and it was at 3,5. So I would eat a banana. When I checked after half an hour it was 1,9. I would then eat some meat and veggies, and it would stabilize around ,5 which is still low. But still I think fainting of low blood sugar levels is serious. I still do sometimes get low levels. Especially if I eat to much fruit og sugar.

My blood sugar never seems to go above 6 or maybe 7 if I had a lot of sugar. But my doctor said that it is not high enough to be diabetes. Anyways my blood sugar regulation seem to be very bad, and I have suspected that I actually do have diabetes. I have two questions. The first is; how do eating a fruit result in low blood sugar in only half an hour? The second questopn is; what can I do to better regulate blood sugars? Is there any nutriens I should focus on, or fibers, type of carbs or any other foods that might help?

Thank you for talking about this. A lot of my experiences makes more sence I listen to you and Stacy, and already knew a bit of her struggles. Nobody here can diagnose you, but your symptoms are consistent with reactive hypoglycemia. Your blood sugar spikes because you are most likely insulin resistant already. It takes a lot of insulin to finally get the cells to respond to glucose levels in your blood, and when they do, all that insulin drops your blood sugar low—it can make you feel awful.

The best way to avoid these symptoms is to reduce carbohydrates so that less insulin has to be secreted. Eating protein and fat and restricting carbohydrates to non-starchy vegetables will keep your blood sugar on an even keel and get rid of the hypoglycemia symptoms. Fruit is clearly causing you issues. Reactive hypoglycemia is definitely an early symptom of insulin resistance—and unchecked it is very likely progress to Type II diabetes, although it may take decades to get there.

Thank you for taking the time to respond to my post. Just to clearify, I was on a keto diet when this started hapening. I just tried bananas to get my blood sugar back to a normal level, I would never eat a banana back then, as I was on a less than 20g carbs a day diet.

When I was in ketosis my blood sugar was constantly low for the last few months, and I felt bad all the time the first two years I felt good. My blood sugar levels have become a bit better after I started to eat more carbs, but sometimes I still have these symptoms. I can now eat bananas without my blood sugar going crazy and sweet potatoes and other starchy vegs. My question was on what micronutrions could help, rather than a macronutrient question.

One Of Sarahs points in the Paleo approach is that micronutrients are much more important than the macros, and that is what I find interesting. I think my macros are under control. But if I eat high glycemic foods I have problems, but medium GI is perfectly fine now. And when it comes to diabetes, I am just wondering, if I had gotten tested before I did my diet change, maybe I would have been diagnosed with diabetes.

I am now pretty well checked by a doctor. And they are not concerned about low blood sugars. The first study she linked to is a case study of a single child. The child died of acute pancreatitis, and the paper simply assumes the ketogenic diet was to blame. How do we know that? It appears as just guesswork. The studies which show deaths with the ketogenic diet were done specifically on epileptic children and not healthy children or adults. They studies have no control, and do not take into consideration existing health complications.

One of the papers actually states: So those studies show nothing. Long term research on the ketogenic diet is non-existent. More research would be nice for sure. Why not post studies of deaths of sick people who are NOT an a ketogenic diet? Not being in ketosis must have killed them, right? I started adding back in carbs in the form of fruits, sweet potatoes, occassional rice, ditched the low carb sweeteners for maple syrup and honey and the weight started falling off and now I feel like I could sprint three miles!

I think from my research that some people,like myself, need the carbs for their thyroid or liver to turn T4 into T3?

My conclusion as well, from experience. Keto is important for either specific problems e. Two-three months later, regular low carb for life is healthier e. Ketogenic sure made me lose weight… far TOO much. I also developed a slew of neurological problems orthostatic hypotension, near syncope, vagus nerve activation, tachycardia.

I was trying to starve gut fungus while on antifungals. I think it was far too much stress on my adrenals. I felt like my digestion came to a halt, as did my blood. I have gained 12 pounds still lean and have much more energy bringing back starchy tubers, rice, and some fruit, and cutting back on protein and fat.

I have fat malabsorption even with less daily intake. Ashley this is very interesting. I too was on the ketogenic diet for a month or so and was just diagnosed with gastritis.

I was wondering if the ketogenic diet was a precursor to this. So how have you been feeling? Are you back to normal? I have been suffering with stomach pain and slow digestion for a couple months now. Just FYI — there is one more side effect missing from your list: In my case this was so severe I ended up at the opthamologist half thinking I was going blind.

Eye drops helped but when I upped my carbs, it went back to normal. I had a number of the other adverse reactions including such severe disruption of my menstrual cycle I was worried I had triggered pre-mature menopause. That took months to return to normal after resuming a higher carb intake. The ketogenic diet has the potential though to have positive effects on digestive symptoms, for example it has been shown to be beneficial for treating reflux symptoms in obese individuals as well as being helpful in treating IBS symptoms with diarrhea-predominant IBS.

These are the people we also need to be consulting with on how to properly design this type of protocol. I read your article and started doubting my diet. I started 1 year ago — because I am over 40 and what ever I ate — I gained weight. I read many many articles about ketogenic diet, about the metabolism boost and I do agree with you as for the hair loss.

But it took just about 1 month and then the hair loss stopped. And now my hair is longer, shinier and went from thin to thicker. My face is glowing, many people told me that I look much better than 10 years ago in may ties. And I am happy. I am full of energy, though I live in a warm and humid place, and eating gluten and processed foods made me feel always tired and then hungry again. But you know what? I have never felt better, I eat eggs, proteins, soups, whipping cream, sour cream, bacon, sweet potato which I hated before , green salads, tomatoes, broccoli, cauliflower, … butter and coconut oil.

Newer studies predominantly on athletes which have been long enough to either allow the sample set to become fat adapted or which compared already fat adapted vs. Non fat adapted subjects do not find these cons to have merit. As with any science we are limited by the methodology. The methodological flaws of most studies are in duration. It is now relatively common knowledge that the interim conversion of a glucose burning to an efficient ketone burning metabolism not only takes time, but is also no fun.

The cons are temporary the benefits are not. I chose it because I had an advanced case of papillary thyroid cancer. I am doing well. I can see where any diet would not be a panacea for everyone, absolutely not. I eat mostly an organic diet, tons of greens, grass fed or organic meats, and very little fruit. I do love bacon which I special order from Whole Foods because it is specially prepared without any sugar.

Years ago, I heard and followed to live on a very low fat diet because fat would give you a heart attack or something else. I only eat fats such as organic coconut oil, oil, butter, but it has to be a good, high grade, not any junk.

I enjoyed each and every post above, even though I agreed with some more than others, but on a personal level. I enjoyed, as well, that these posting are so current. My very best to each person who contributed so much to these postings. I tried the keto diet for a long period last year. There were benefits but also costs. I feel like it burnt me out, stress wise, and since eating a lot more carbs recently I feel they have allowed me to recover somewhat from all that stress.

One thing that did improve on keto were my vitamin d levels…without supplements! My doctor was amazed. I do wonder if that was down to having a fat based metabolism since vit d is a fat soluble vitamin. I would always recommend it to anyone suffering from migraines. I really enjoy your posts and agree that most people need to carefully consider the type of diet they try due to individual biology.

I do agree with Vivica, Sara Keough and Jana though. I did the Atkins diet for 1 year back in the mid 90s and had wonderful results. The main thing I noticed though was how many people doing the diet did not make wise food choices and would think they had a license to consume bacon all day everyday or some other issue where they were not varying their diet to get enough of all the nutrients they needed.

The food quality choices were questionable that I saw some others make and goes to previous posters comments about the need for some to consult with a nutritionist. I fell off the wagon after a year and made bad food choices incorporating grains, legumes and sugar and the weight came back.

Years after that I did the Rosedale diet with its more moderate protein carbohydrate ratio and also did really well with that. I had my doctor review the diet before I started it and he thought it was really well balanced. I am now a middle aged woman and the drop in progesterone has revealed numerous food allergies that the progesterone had shielded me from. I think it takes careful consideration of the stage you are in and the diet requirements you personally need.

There is a vast difference between the research done with epileptic children and the LCHF diet followed by people today that can increase ketone levels. Even if the author repeatedly tries to deny it. While the medical literature typically defines starvation as the lack of glucose or carbohydrates, this article tries to create the impression of a continues lack of food. You are doing a wonderful and meaningful work. I feel overwhelmingly grateful that I started researching Paleo and incorporating AI just as you began sharing the results of your personal research and journey.

Just keep acting with integrity and courage, head held high. I hope Paleo keeps moving more towards open frank discussions with all points of view being offered, discussed and aired opening with excitement.

With our enthusiasm to improve health we often forget about any caution and keto diet is a good example. We just want to believe in some cure. And there are almost no doctors willing to help us with dieting approach at least outside of USA. So we are just all alone with our different health conditions which are not well understood and not cured with medicines. In our lonelyness all we have are blogs and sites.

But people tend to speak louder about their success, not about their fail. So actually we have not well balanced picture. The articles like yours are like a cold water: Thank you for your great job! Looks like it is not so about them. Sarah, Thank you for this balanced article. When it comes to fasting and keto, I always wondered… How are gender differences relevant? This does not seem to be really addressed or considered in the research, but you are one of the few Paleo experts that have addressed the issue of gender and nutrition.

When one thinks about fasting, I find very remarkable that in traditional cultures practicing fasting of which there is great evidence it is usually men, and not women, who do fasting. Or women do it in a lighter form. Also, traditional cultures typically had special diets and no fasting for fertile women who may potentially concieve, pregnant women or breastfeeding women which women being practically always in one of the three categories.

Wait till you watch your child sit and drool having seizures a hour and not even swallOw her own salvia. You would try the diet in a heart beat! Read the side effects of the drugs they put your 3 year old on then get back to me. This diet saves lives. You do what it takes to save them today! Sarah never said that a ketogenic diet was not appropriate for medical issues, such as seizures.

I would think he probably has metabolic damage that would cause such weight gain. Going off keto never caused me to gain tons of weight. I see that there is more to come and maybe my two cents here will be addressed. First I do not think there is any one diet suitable for everyone. We all know there are vegans living long, healthy, vibrant lives.

And there are stories of people eating only meat living healthy lives. I think it creates more divisiveness.

On to my main point: Not only do I have metabolic and neurological issues but I have a very difficult to beat sugar addiction. Paleo for two years left me heavier than I have ever been because I could not get rid of the cravings and even though I was very active, and so thought I could handle the sweet potatoes and honey sweetened treats, they were horrible for me.

At one point I got so frustrated that I decided to attempt the Wahls protocol. Oh my gosh it was a disaster. I stuck with it for about two weeks thinking at some point all of these fruits and veggies will kick in and heal me! Nope…I could barely leave the house bathroom and I felt awful! Just about as bad as I was as a vegan.

Now, I have been doing keto and the cravings are gone. This is huge for me. I feel better than I have in a very long time. Complete calm in there! I will be carefully watching for any symptoms of something going wrong but for now I actually feel like I am healing. I feel Paleo is a godsend for many people but I think that everyone needs to assess their own body and figure out what is going on for themselves.

I still believe in Paleo but also see the benefits of a ketogenic approach so am sad to see this divisiveness when there is a lot of crossover in the recommendations and benefits of each. Perhaps the controversy lies within the context of when and how someone is in a ketogenic or nonketogenic state. Is it possible we are having mixed results as not only an effect from our current biochemistry which may be imbalanced but because we are trying a keto diet in the wrong season? Most sources of carbohydrates do not grow year round in most places.

So, maybe the answer is that we are to eat seasonally, how nature would intend for us too: Has worked for me. This week I had my one year anniversary of when I began the ketogenic diet for health reasons…. In that time, the ketogenic diet has stabilized my reactive hypoglycemia and resolved my insomnia caused by blood sugar dysregulation , giving my adrenals a much needed break.

Nutritonal therapy and keto have also helped to heal my gut and liver, regenerate my pancreas and gallbladder, regulate my endocrine system and hormones, and replenish my neurotransmitters.

I am determined to be well. My naturopath just asked me to begin a ketogenic diet for the next two months due some really out of whack blood work results. Is there any way that the AIP diet would be superior for autoimmune and thyroid issues? I have read many PaleoMom articles over the years, but after reading this I now will treat everything she writes with more skepticism.

This is not a PhD science article but one with cherry picked research to make her point — i. I bet it served the purpose of driving more readers to her site. Very Very disappointing Sarah!

I would expect better. I appreciate your article on pros and cons, but also want to say that no 2 Ketogenic diets are alike. I am a member of a Ketogenic group on FB, and within that group, we all work hard and make sure we are eating healthy.

I eat lots of fiber more than most, at least 25 grams a day. Yes I eat them. Many people eating keto will eat bacon cheese burgers, ham sausage, brie, lots of bacon, etc.

Ensure a healthy immune system, use something like probiotics, etc. We are out there though. I know many with sterling bloodwork, people running marathons on keto. I appreciate that you note that more research is needed.

But in terms of deaths: Why would people put kids on this type of diet? And if they did, who was there to monitor the diet to make sure they got adquate nutrition? Were vegetables and supplements included? It is sad to hear anyone dying, but there is no direct proof that it was the keto diet and not the effects of medications or combinatin of both. If we are to be scientists, we would have to look at keto diets without the additional factor of medications.

And how many people have died due to being obese? I think for those who have more than pounds of weight to lose: No point in a ketogenic diet if you are well. But ive been suffering greatly for 20 years with kimuras disease which has no know cause or cure. The disease kills kidneys, the immune suppressors used to slow it down kill your kidneys… They say the ketogenic diet isnt good for the kidneys.. Well three weeks ago i had no options left and started the diet. Currently my tumour and symptoms of the disease are gone.

In 80 years no one every managed that before. Why it worked have no idea but this diet is faaaaaaaar more potent than any drug ive been on. I have no plans to eat carbs anytime soon. It worked because a diet in refined carbs and hydrogenated oils instead of saturated fats is junk food and drug insustry propaganda.

Sadly, ignorance, such as this article abounds everywhere. Fat phobia and government subsidized grains including the ones fed to factory animals are slowly killing us all.

Not to mention hack articles pretending to be scientific…. Very disappointed in the article. It is more of the same garbage pretending to be unbiased etc etc etc. People will go to great lengths to protect the profitable status quo and find all kinds of excuses to dismiss.

It is fear ok getting not and unbiased look. I am so tired of two presumptions: As your are in a plummet of stupidity all conclusions are suspect. Ketosis us not like starvation, which is not eating. Stop being automatically stupid by calling it starvation. It is a different dynamic. As for glucose, try for once to think if ketosis as the prime and preferred metabolic state and burning glucose the minor, secondary metabolic state.

You star with wrong limiting definitions that lead you to inescapable but wrong conclusions. Look at ketosis as the superior metabolic state, the evolutionarily preferred one. The judge it by those merits. You are right, I think that this is an anti-communism, pro-capitalism article. Capitalist doctors will do any thing to defend the capitalist medical system, and the capitalist philosophy of dieting. Capitalist doctors believe in high carbohydrate way of eating. Because they benefit from high-carbohydrate diets, capitalists ruling classes want people to get sick, to get diabetes.

As opposed to communist medical systems that are totally in favor of people, not in favor of profits. I think that this article is a little bit biased, I have about 3 years following the ketogenic diet without 1 single day of high-carbohydrates cheat meals, without 1 single day of a high-carb day. I have about 3 years doing the keto diet non-stop, and I am not dead.

Both of them have been on a ketogenic diet for a decade and have studied the performance of marathon runners and others while on the diet. I have been on the diet for three years. It has reversed all issues that I previously had including diabetes and arthritis. My last lipid test was better than it ever had been in the past decade. Most studies done on the ketogenic diet are too short to be reliable studies. A three week study is about the norm. This is not long enough to actually convert from glucose burning to fat burning.

Please see this recent study on a longer term ketogenic diet 24 weeks that is used in Dr. Weight loss for me has been acceptable but not extraordinary, but overall mood, energy level, cognitive functions including memory, bio-markers, etc. I would be disappointed if people read this article and decided on that basis to not try a ketogenic diet.

I will likely remain on it for life and I agree with the prior comments that note that there are very many formulations of ketogenic diets. That, however, is not evidence that there is something wrong with the ketogenic diet. I dont want to be rude. But many people eat terrible food. Full of refined carbs and other rubbish. Then they cut out carbs eat real meat and get results lol. Keto def seems to be good for some and for treating ailments. I think there is enuff evidence. But does it really beat my gameplan?

Well balanced diet with super veg, strength training and some cardio? I feel great i have cheat meals I enjoy my food. Why wud I give that up?

I love my metabolic rate…I love my body saying foooooood mmmm. I love eating 5 to 6 times a day. Why wud I remove an entire food group? I use carb cycling between. It just seems that keto is an excuse for many who try to sit on thr bums but they still wana lose weight.

Then they claim to be full of energy? What does that mean? Energy to get thru the day? Thats not energy hehe. Running a new pb over m or crushing ur next game. Have you been diagnosed with PCOS or suspect it? Do you see yourself in one of these categories? Thank you so much Tracy for this article.

I had been so distraught lately about what to do about PCOS. I have every single symptom but the one about being overweight. I am actually quite underweight and petite. Maybe one of these days you could make a article about this as well. You are a awesome example for keeping up your weight and still eating a healthy diet. But anyways getting off topic haha I am definitely going to visit a natural practitioner. I check this blog almost everyday!

Have a great day! I find his highly insulting as a 47kg healthy woman who has pcos. I take a million natural supplements n eat all the recommended pcos foods and exercise daily.

Progesterone deficiency is usually due to oestrogen dominance rather than excess androgens. Although as with everything else, stress, diet and environmental factors can all contribute to progesterone deficiency. All the other symptoms you describe are pretty typical of PMS. Most of the time, it means having very few periods in a year… but apparently it could also include periods that are extremely heavy with severe cramps, or even a continuous period.

For me, that would me sense! Also, do you know anyone that have a website and who could help me lose weight… someone who thinks a little bit like you about nutrition and health in general. But anyway… I agree with you Stella — yes you can lose weight if you need to! So if you need to lose a few pounds, you will! Hi Tracy, I am wondering, how long did you take vitex berry for? How does one know when to stop taking it.

Hi J, check out this post by Lara Briden for the ins and outs of using vitex: Great post Tracy — I always wondered how PCOS actually occurred in the body, and you laid it out very nicely and sensibly here.

I have a bit of excess hair on my lower back but my mother assures me I was born with it! Hi Tracy, thanks for the article, you break it down really well. PCOS has been the bane of my life, especially the acne that came with it. Thanks for the info! Do you know if progesterone deficiency contributes to acne and if so, can it be controlled with a healthy diet and lifestyle? The reason why I wonder is because I eat pretty primal and am fairly active, but still have acne after 6 years.

I will check out those supplements! Probably food sensitivities would be the best idea — cutting out known known food sensitivities makes candida cleansing more effective for sure. I just took a look at the GAPS intro diet. To me, it seems like I would be starving all of the time, having to live off of broth then soup then eventually other soft foods.

What are your thoughts on the GAPS diet? It seems intense but may be a good option at this point. Lindy, I suggest talking to your ND, and doing detox. Yes acne will get worse as mine did, but now after using Pekana liquid 3 kit detox, helped get things under control. Your skin is showing the signs of natural detox of the body, but with pcos we need a little help because are bodies are so stressed out with everything going on. Both are worth the little bit of coin, and the detox is a 30 day easy to fit in your schedule kit.

Hi Tracy, just signed up for the next Candida cleanse an hope this is just what I need at the moment! Thanks for this article…. I too have PCOS, and had cysts removed from both ovaries.

I started developing acne primarily around my chin area when I was in my early 20s. Hormones have returned to good levels. I have been taking herbals and supplements for pcos. Any research you can find with duration of use till they are off it???? Blood sugar excellent now, acne only flares up during menses, and I lost that cranky testosterone drive that was really dampening my relationship with husband. Thanks for this article. This is something that really bugs me at the moment because I have excessive hair growth but I show no other symptoms of PCOS.

Sore and red skin and acne to name but a few! Whatever the blood tests say I do want to get a saliva test because my acne is ALWAYS a lot worse around my hormonal time of the month! Is it possible to have PCOS with no other symptoms like me? What else could it be? Does anyone have any experience with Vaniqua? I always hear about women with acne and other symptoms of hormonal imbalances not necessarily PCOS whose blood tests at the doctor turn out totally normal, when if they have acne and other hormonal symptoms, their hormones are obviously NOT normal.

Thanks so much Tracy for writing about it! It also became worse since I have gone into a very stressful routine for the last year. Also, congrats for your wonderful website, you really make the difference and helps a lot of people!

I would like to ask for your advice on some issues relating to my pcos. I must begin by illustrating an idea of where I am coming from. Reading this article actually changed my life! I came across it one night and realized pcos was one consideration for the root cause of my severe acne I had missed.

Before I came across this article, I have not had a period in about a year. During that time, I failed to see any doctor or professional about it. I did a self diagnosis. I told myself it was because I was under constant stress in college taking more than the recommended number of credit hours.

I have strayed away from carbs as much as I could and absolutely never, never refined sugar. I do however, have a weak point. I allow myself to over eat vegetables and fruit justifying that it is low in cards. I could easlily put away two heads of lettuce with a dozen plus kinds of different vegetable and still have room to eat an entire watermelon for dessert. I have come to realize this a major flaw in a healthy lifestyle.

I am now committed to eating smaller portions. But I have completely cut away all dairy and red meat. The only other meat I would eat is shrimp or salmon. Here is where my issue comes up. Since my diet for years has always been strictly veggies, I had never stopped to think that I could develope insulin resistance by eating too much.

I read the three stores you posted on the bottom of the pcos article about women who had beat their pcos. Since I am struggling to balance my hormones without over eating I am thinking that this may be my answer. I have still not yet had a period. Do you believe that I will have to eat only meat? I am so used to eating vegetables and believing that plants do wonders for your skin and health. Hi Lauren — the people who only eat meat are a bit extreme. I just bought the 7 day candida cleanse.

I must say I dont know where to start from im 17 and I do need some guidence. If you would please help me I would really appreciate it. Cant wait to start it: I got diagnosed with Pcos a few months ago. I didnt have high levels of testerone or facial hair just really bad acne and hair loss.

It gets me really upset every day i was wondering as time goes on will i get all the symptoms? I use to drink thought 4 litres of coke every day from 15 to I recently just found out that I have pcos. The only symtoms I have are no periods and the ultra sound indicated that I have cysts on my ovaries. I am very much into supplements, so I wanted to get onto a protocol especially with Standard Process Supplemets.

Hi Tracey, i had a blood test and found out that i have high levels of testerones. Please advice on what i should do to reduce my testerone levels. Is Symplex f going to help me??? I literally laughed out loud when I read this.

Was this comment serious? It seems like she must have been kidding to prove the point? I also have regular periods. The thing that has always always worried me is my body hair. I have hair on my breasts, chest, stomach, butt, I have a mustache not at black as the body hair though. Recently the hair on my neck has been increasing. The worst is my skin is very white and the body hair is black.

My skin is also very sensitive and and epilation and plucking leaves it irritated. Not to mention acne. I remember staring at the mirror as a teenager crying and wishing all the pimples and hairs could go away. I have been to the obgyn a couple of times and they never said anything about PCOS. Diet has influenced my acne but not my body hair. There was a Turkish study where it helped women with hirsutism and many people on the net swear by it. I started it one week ago and today I had my ovulation and it was painful.

I usually know my ovulation and it is not that painful. I also take flaxseed. You should go back to the doctor and insist they test you for it. Anyway… I mean you might not have it, but hirsutism and acne are indicators there is certainly a chance, and it would be really nice for you to just know.

I hope you are awere of that everybody has hair all over The body and face exept palms and under feets. Some have more than others, some have dark hair on The head, as well as the body. So it is a bit sad that you say that these people has hirsutism, because they have hair and maybe acne. Humans are animal, born with hair all over The place? I have a very high sex drive, maybe even too high. Is it still possible? And my periods are very regular if I have sex or masturbate on a regular basis.

However, my sex drive seems unaffected by it… I also sometimes have an uncomfortable feeling in my thyroid gland. And a constant cough — flaxseed has improved it drastically. Thank you for the patience. I know how hard it is as a girl to talk about excess hair and how terrible it makes you feel.

Like you I am a normal weight, normal periods etc, and my main symptoms are acne and excess hair. Have you had any blood tests to test your hormone levels?

Mine all came back normal anyway but that was the first stage for me. Thank you so much. So I have to wait till I go home or have enough money to have them tested here. When I started spearmint tea my face became absolutely clear. But the painful ovulation scared me. The pain started to disappear, I had another cup of tea and it came back again, this time stronger.

Also I could feel my ovary really hard, I had never ever felt that before. I read that spearmint reduces you androgen levels but since they are still there, they just transform into estrogen.

And excessive estrogen is a big problem. So when you take spearmint you should also do something for excessive estrogen not sure what. And maybe you should drink the tea only five days a month like they did in the Turkish study. I think homeopathy can help with these kind of problems. It certainly helped me with my kidneys and it always helps me when I catch a cold or a flu so maybe that is the answer.

Try consulting a homeopath. At first I thought it was just cystic acne, so I removed milk from my diet, and started taking saw palmetto pills. This helped a lot, and my period started after I was taking the pill for a month or so, but I still have cystic acne and whiteheads on my cheeks,although not as bad as what I had on my forehead.

Tracy After perusing your blog religiously for months in search of answers for my own acne issues, my close work with my naturopath has finally diagnosed me with PCOS.

You help many of us keep asking the questions necessary to finally hone in on the root of our acne, and, ultimately, ourselves. I have two question about the diet for PCOS, though: I am a vegetarian because I live in the states and I find our meat industry appalling and immoral. I would not be able to live with myself for going back on this decision, so I am posed with a dilemma as far as the PCOS diet.

The idea of limiting myself too much also makes me sad, as life is just more fun with leeway and not stressing too much about food. It worries me, as I have been obsessive about foods in the past, that this will not be healthy either.

I know you mention that each person is different, but a general ballpark might help me with this question. Again, thanks for your amazing resource, and your tenacity for helping. It really does make a huge impact. Hi Cheryl, Im sorry to hear you have been diagnosed, but I am very happy to hear that you now know what is wrong! From reading that I have been doing since writing this article , it kind of sounds like it just manages the symptoms… so if you do the low carb paleo thingy, then it should work to keep your symptoms away, until the minute you stop doing it.

I encourage you to read gokaleo. Cheryl, I am so glad that you have a ND helping you out! Diet is so very important when dealing with this ailment. Therefore please note that liver congestion is one of the root causes as well as getting the right nutrition into the body-malaborsorption issues or vitamin deficiencies another root cause to PCOS. The liver controls the reproductive hormones and the pancreas fires off insulin when foods enter the body.

Someone can eat potatoes and another can not due to their tolerance to insulin response. Some start with 30 grams of carbs from whole foods for about 2 weeks and then add 10 every week until they feel ill or weight gain. I also do want to suggest having food sensativities testing done. I hope this helps with the low carb question. I know, sounds weird, but apparently this is coming from serious anxiety sufferers who found this was the only thing that worked.

By accepting the feelings and just letting them be there, paradoxically they go away and allow your nervous system to relax and heal. For more of what I mean, maybe check out this article for more info: Hi there everyone, there is hope for pcos sufferers! I was diagnosed at 19 after two emergency room admittances to hospital for Heavy periods. I had acne, irregular periods— either none or weeks of continual menstrating—, weight gain and male pattern hair growth.

My husband and I struggled for 8 years to conceive. We adopted our beautiful little girl when she was 8 months old. When she was 15 months old I became really ill and was laid up for two weeks. Turns out I was pregnant!! Our beautiful baby boy was born on our daughters 2nd birthday.

As for the hair growth — I have a great beautician.

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