Classic Ketogenic Diet | Boston Medical Center (2024)

The Classic Ketogenic Diet (CKD) was designed for the treatment of epilepsy by Dr. Russell Wilder of the Mayo Clinic in 1923. As it is typically described in scientific literature, the dietary prescription of the classic diet follows either a 4:1 or 3:1 ratio of fat to protein and carbohydrate. In the gold standard 4:1 ratio, 90% of calories come from fat, 6% from protein, and only 4% from carbohydrate sources.

The CKD is an individually tailored, characteristically structured regimen that requires a gram scale to weigh single ingredients. Specific meal plans are created to ensure nutritional adequacy for appropriate growth and development. The ratio of the diet can be adjusted based on outcome; increased for a more therapeutic effect or liberalized for improved tolerance.

In general, the CKD is reserved for infants, small children, and those receiving enteral feeds due to its restrictive nature. Older children, adolescents, and adults tend to fare well on the Modified Atkins Diet (MAD) or the Low Glycemic Index Treatment (LGIT), as they provide more dietary flexibility and variety.

Think the Classic Ketogenic Diet is right for you? Talk to your doctor and Registered Dietitian for a comprehensive evaluation.

Classic Ketogenic Diet | Boston Medical Center (2024)

FAQs

What is the classic ketogenic diet plan? ›

As it is typically described in scientific literature, the dietary prescription of the classic diet follows either a 4:1 or 3:1 ratio of fat to protein and carbohydrate. In the gold standard 4:1 ratio, 90% of calories come from fat, 6% from protein, and only 4% from carbohydrate sources.

What is the classical keto diet? ›

The typical "classical" ketogenic diet, called the "long-chain triglyceride diet," provides 3 to 4 grams of fat for every 1 gram of carbohydrate and protein. That is about 90% of calories from fat.

What do medical doctors say about keto diet? ›

The keto diet could cause low blood pressure, kidney stones, constipation, nutrient deficiencies and an increased risk of heart disease. Strict diets like keto could also cause social isolation or disordered eating. Keto is not safe for those with any conditions involving their pancreas, liver, thyroid or gallbladder.

What is the real medical keto diet? ›

The ketogenic diet, or keto diet, is a medical or therapeutic diet — a diet designed to help manage or treat a medical condition. The keto diet is suggested for children with epilepsy that continues despite medication. The keto diet is high in fat, adequate in protein and very low in carbohydrates (carbs).

What food is not allowed in keto? ›

10 Foods You Can't Eat on the Keto Diet & Their Substitutes
  • Grains and Starches. ...
  • Sugary Foods and Sweets. ...
  • High-Carb Fruits. ...
  • Starchy Vegetables. ...
  • Legumes and Beans. ...
  • Processed Foods with Hidden Carbs. ...
  • Alcohol and co*cktails. ...
  • High-Carb Sauces and Condiments.

Can you eat cheese on keto? ›

All types of cheese are allowed on the keto diet, as cheese is relatively low in carbohydrate, which complies with the key principle of the keto diet. The Ketogenic diet or “keto” diet is a low carbohydrate and high fat eating plan.

What is the hardest thing about keto? ›

Since the keto diet restricts carbs, it can be difficult to meet your daily fiber needs. Some of the richest sources of fiber, such as high carb fruits, starchy vegetables, whole grains, and beans, are eliminated on the diet because they provide too many carbs.

What is the difference between classic keto and lazy keto? ›

The classic ketogenic diet involves carefully calculating your intake of calories, carbs, fat, and protein to achieve ketosis, a metabolic state in which your body burns mostly fat ( 1 ). However, lazy keto is far less strict, as you only have to pay attention to your carb intake.

What is the controversy of keto diet? ›

Being low in fibre, high in saturated fat and red meat, and extremely restrictive, the keto diet does not really align with nutritional guidelines issued by government experts. The diet's critics say it is, at best, a passing trend and, at worst, a socially acceptable form of disordered eating.

What do cardiologists think of the keto diet? ›

However, a new study presented at the American College of Cardiology's Annual Scientific Session Together With the World Congress of Cardiology suggests that a “keto-like” diet may be associated with higher blood levels of “bad” cholesterol and a twofold heightened risk of cardiovascular events such as chest pain ( ...

Who is not a candidate for keto diet? ›

TABLE 2
Main contraindicationsMain arguments in support of contraindications
Recent stroke or myocardial infarctionIncreased risk of arrhythmia
Heart failureIncreased risk of arrhythmia, hydroelectrolitic alterations
Respiratory failureAcidosis
Active/severe infectionsImmunosuppression
11 more rows
Jul 10, 2020

What happens to the liver during ketosis? ›

Your liver produces a small amount of ketones on its own. But when your glucose level decreases, your insulin level decreases. This causes your liver to ramp up the production of ketones to ensure it can provide enough energy for your brain. Therefore, your blood has high levels of ketones during ketosis.

How long is it safe to be in ketosis? ›

Gulotta recommends staying on keto for six months max before reintroducing more carbs to your diet. And Scott Keatley, RDN, of Keatley Medical Nutrition Therapy in New York City, agrees: “The science hasn't gotten to the point where I would be comfortable recommending it as a forever diet,” he says.

What are the side effects of a keto diet? ›

The most common side effects include constipation, fatigue, dizziness, weakness, nausea, diarrhea, and stomach pain. The long-term safety of the ketogenic diet in adults is unknown. It is important to ensure any diet remains balanced and contains nutrient-rich foods.

How long to lose 40 pounds on keto? ›

With a rate of weight loss of 1-2 pounds each week, about 5-6 months is how long to lose 40 pounds on keto. There are other diets to help you lose 40 pounds fast. But, most of them aren't sustainable for the long term.

What is the traditional ketogenic diet? ›

What is the Ketogenic Diet? The mainstay of the ketogenic diet is that dietary carbohydrates are kept very low, with varying levels of protein and fat. The classic ketogenic diet is defined as a diet with one gram protein per kilogram of body weight, 10–15g carbohydrates per day, and the remaining calories from fat.

What is a super basic keto diet? ›

Ketogenic diets vary but will consist of about 70–75% fat, 15–20% protein, and 5–10% of carbs per day. Focus on high fat, low carb foods like eggs, meats, dairy, and low carb vegetables, as well as sugar-free beverages. Be sure to limit highly processed foods and trans fats.

What are the top 10 keto foods? ›

These are the top 10 keto foods you should include if you're on...
  • Salmon. Whether wild or farm-raised, salmon is rich in fat, making it an essential ketogenic diet staple. ...
  • Eggs. This affordable protein and fat source is highly versatile. ...
  • Cauliflower. ...
  • Greens. ...
  • Avocado. ...
  • Nuts. ...
  • Olive oil. ...
  • Zucchini.

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