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Lastly, scientific research shows that 80+% of subjects in a study were able to adhere to the diet over a six month period which is quite high in research. [8]Safety: 2/5 StarsThe keto diet was rated poorly in the category of safety, due to the high fat content. One panelist stated the diet could be dangerous for some while another cautioned those with heart disease, kidney disease, and severe diabetes against adoption of the diet. Counter: It’s interesting to note that a group of experts who rightfully admitted that a ketogenic diet can help with
weight loss also ranked it low on safety. Further, a recent meta analysis examined 12 studies utilizing a ketogenic diet and saw no adverse effects. [9] Well, if sustained weight loss for two years following the study is an adverse effect, then I
think it’s one that most people would be willing to risk it for. Lastly, it’s even been published and shown to be safe in children with intractable epilepsy. [10]Moreover, the primary criticism (from the experts) regarding safety lies in the high-fat content. We must keep in mind that the ketogenic diet relies heavily on healthy monounsaturated fats and omega-3 fatty acids. Those fats have been shown, time and again, to improve cholesterol and decrease mortality risk from cardiovascular disease. [11]The majority of fat sources found in the ketogenic diet stem from salmon, other fatty fish, nuts, seeds, olives, olive oil, and avocado.
1 cup (164 grams) of cooked wild rice provides 32 grams of net carbs. [12]Ezekiel bread is a sprouted ancient grain bread containing organic grains and legumes, including soybeans, lentils, millet, wheat, and barley. Some people might be able to incorporate one slice of Ezekiel bread on keto. [13]Off-Limits High Carb GrainsGrains that are less processed and refined also usually have a lower carb content. Some grains and refined grain-based products have a much higher carb count and are lower in fiber, making them off-limits on keto, such as:White breadRefined pastaWhite riceGrain-based breakfast cerealPizza doughInstant oatmealWheat flour muffins and cakesCrackersAdding Grains to a Keto DietThe easiest and best way to determine if a little portion of carbs will kick you out of ketosis is by testing your ketone levels. People are different, and you might be sensitive to certain types of carbs, while others have little to no effect. Generally speaking, if you are certain that grains are suitable for your health and results, choose unprocessed, unrefined, and lower carb whole grains like wild rice, popcorn, and bulgur. Those on a therapeutic ketogenic diet of less than 25-30 grams of carbs daily may choose to avoid all grains, while those following a more standard ketogenic diet may decide to consume smaller amounts of lower carb grains. And others eliminate grains altogether out of concern for detrimental ingredients and possibly adverse effects on the microbiome. Wild rice is a low-carb grainIf you want to expand your palette or adopt a more paleo approach, you can use keto-compliant whole-grain alternatives like almond flour and coconut flour. Read our article for info on ideal grain substitutes for your favorite grain-based foods like noodles, pasta, cereal, and bread.