Author: Dr. Vikram Chauhan

Benefits of the Keto Diet: How It Works and Why It’s Effective

ABSTRACT

The ketogenic diet is the most popular diet around the world. The keto diet, short for ketogenic, means eating a high amount of fat, a moderate amount of protein and very few carbs, that causes the body to break down fat into ketones. The aim of this diet is to facilitate weight loss, boost energy levels and enhance mental clarity. Ketogenic diet stimulates ketogenesis. Ketogenesis provides energy to the body’s organs, especially the heart, brain and skeletal muscles, when there isn’t enough glucose or carbohydrates in the diet. Ketogenesis is preferred to compensate for the energy requirements. But the keto diet is considered quite difficult to follow due to its strict regimen and restrictions on carbohydrates, which can lead to significant lifestyle changes. Due to limited food options many people find it challenging to sustain for the long-term. If not carefully planned, a keto diet could lead to health problems and deficiencies in certain vitamins.

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INTRODUCTION

The keto-diet which is also known as the ketogenic diet is a specific type of diet in which low amounts of carbohydrates are taken and moderate amounts of protein is taken but the content of fat is kept high in food. So the body’s weight is reduced with high fats. This is a way of dieting which has been practised for several years. As the intake of carbohydrates content is reduced, the body is forced to switch to fatty acid oxidation. As it stimulates oxidation and ketogenesis, this diet is beneficial to treat different disorders such as obesity, triglycerides, blood pressure and blood sugar, refractory epilepsy, Parkinson’s diseases, Alzheimer’s disease, traumatic brain injury, and sleep disorders. It’s not just the diet for weight loss but also to manage many disorders.

WHAT IS KETO-DIET

The keto diet is a dietary plan that emphasizes foods high in fats, moderate protein, and minimal carbohydrates. Its objective is to derive a greater proportion of calories from fat than from carbohydrates. This diet operates by exhausting the body’s sugar stores, prompting it to begin breaking down fat for energy. This process produces ketones, which the body uses as fuel. As fat is burned, weight loss may also occur.

HOW DOES THE KETO-DIET WORK?

Our body uses different types of fuel from the food we eat in order to function properly, our body is designed to use three main fuels including carbohydrates, fats, and protein. Carbohydrates are the body’s primary fuel source. The keto diet aims to force your body to rely on ketone bodies (A type of fuel that the liver produces from stored fat) instead of carbohydrates. This is done by increasing the intake of fats roughly up to 70–80% and greatly reducing the intake of carbohydrates up to 5–10%.

KETOGENESIS

Ketogenesis is initiated in the liver. Ketone bodies are produced in the ketogenesis process. Ketone bodies are supplemental energy compounds. In the mitochondria of the liver, fatty acids are oxidized to produce a significant amount of energy, resulting in the creation of three compounds called “ketone bodies.” The three ketone molecules formed are – Acetone, Acetoacetate, and D-3-hydroxybutyrate. These ketones serve as significant sources of energy for outer tissues such as cardiac, skeletal muscle etc. The ketone bodies then enter the bloodstream and can be utilized by the brain, heart, and muscle, where they produce cellular energy. Ketone bodies not only serve as a source of fuel but also promote resistance to oxidative and inflammatory stress, by the upregulation of anti-oxidative and anti-inflammatory activities. Liver produces significant amounts of ketone bodies during a non-ketogenic diet also. However, in conditions like uncontrolled diabetes, ketoacidosis can happen if too many ketone bodies get built up.

BUT ISN’T FAT BAD FOR HEALTH?

Nowadays, many “healthy” foods are advertised with a low fat content…after all “cholesterol kills” doesn’t it? Fats have been the subject of its negative impacts on the body in recent years. Though It is true that too much fat can lead to arteriosclerosis which can lead to heart attacks or strokes. But fat is not as bad as people have been taught. Fats also have an important role to play in nutritional health, even cholesterol in controlled amounts is necessary for the body. Fats are the structural units of cellular membranes and it supports cell function. Fats help in the absorption of fat-soluble vitamins A, D, E, and K in the body. Body fat insulates the body, and helps to keep the body warm. So fat can be good or bad depending on the type of fat and how much you consume.

FAT FOR KETO DIET

Limit the consumption of fats from highly processed oils, meats, and fried foods. Reduce saturated fat intake and replace it with unsaturated fats, which can help decrease LDL (Low density lipoprotein) cholesterol levels. Healthy keto foods are fresh, unprocessed, whole foods that include beneficial fats, such as monounsaturated and omega-3 polyunsaturated fats, while steering clear of inflammatory seed oils and refined carbohydrates, like sugary drinks. The keto diet includes healthy unsaturated fats, but it also promotes the consumption of significant amounts of saturated fats. Saturated fats can increase levels of both low-density lipoprotein (LDL), often referred to as “bad” cholesterol, and high-density lipoprotein (HDL), often called “good” cholesterol. Thus saturated fats should be taken in limited amounts.

Unsaturated fats include

  • Monounsaturated Fats: They are healthy fats commonly included in the keto diet, known for their ability to help lower blood pressure, improve cholesterol, and aid in weight management. Some sources of monounsaturated fats are chia seeds, avocado oil, olive oil, and hemp seeds.
  • Omega-3 Polyunsaturated Fatty Acids: Foods such as fish, flax seed, and walnuts are beneficial in lowering cholesterol.

Saturated fats include

  • Coconut oil and palm oil
  • Butter
  • Cocoa butter, etc.

TYPES OF KETOGENIC DIET

The keto-diet can be categorized into four types. They are characterized on the basis of the percentage of macronutrients they contain, allowing for increased compliance with the regimen. These include:

  1. Classic Long Chain Triglyceride (LCT): This generally follows a 4:1 ratio of fat to protein and carbohydrates, meaning fat contributes around 90% of daily calories.
  2. Medium Chain Triglyceride (MCT): The MCT diet is a modified version of the standard 4:1 ketogenic diet. It incorporates MCT oil, which contains fatty acids that are more efficient in producing ketones compared to those found in butter and oil. This enables the diet to include higher amounts of carbohydrates and protein while still promoting ketone production. MCT oil such as coconut oil, palm kernel oil can be used.
  3. Modified Atkins Diet (MAD): The MAD is a less rigid form of the ketogenic diet (KD) designed to treat epilepsy. This type of diet restricts carbohydrate intake to 15–20 grams per day, with no limitations on protein, typically contributing 35% of daily calories. It is a high-fat diet, with a fat-to-protein-and-carbohydrate ratio of approximately 1.5:1.
  4. Low Glycemic Index Treatment: The LGIT is a variation of the ketogenic diet that emphasizes the consumption of complex carbohydrates rather than simple sugars. This diet tracks daily carbohydrate intake, with a typical target of 40-60 grams per day.

BENEFITS OF KETO-DIET

  • Weight Loss: It helps in weight loss by boosting metabolism and reducing appetite. Weight loss is the most primary benefit of the ketogenic diet.
  • Energy level: It increases energy levels.
  • Appetite: It reduces appetite by producing a state of satisfaction. The ketogenic diet suppresses hunger hormones. So by doing this it reduces the appetite.
  • Heart health: It manages heart health by increasing the levels of HDL in the diet.
  • Diabetes: Keto diet helps in managing diabetes, instead of sugar the keto diet fat is used for energy. So this diet may improve blood glucose (sugar) levels while also reducing the need for insulin.
  • Blood Pressure: This diet helps in the management of blood pressure. The ketogenic diet reduces blood pressure by reducing triglycerides and LDL.
  • Brain Health: Ketones produced in keto diet that protect neural cells. It acts as an antioxidant and assists in safeguarding brain cells from any damage. This diet reduces the risk of neurological decline and is used to treat seizures in neurological studies.
  • Acne: This diet helps in clearing the texture of the skin. It helps in reduction of insulin in the body. Lower insulin levels contribute to fewer acne lesions. So it has a good effect on acne.
  • PCOS: PCOS causes hormonal imbalance, keto diet is helpful in managing hormones thus it helps women with PCOS.
  • Migraines: This diet helps in maintaining the energy level of neural cells. This diet shows a reduction in migraine and severe headaches.
  • Cancer Treatment: This diet is the treatment of choice for cancer. Some research has shown reduction in growth of cancer cells due to this diet.

SIDE EFFECTS OF KETO-DIET

  1. The “Keto Flu”: Keto diet can lead to the keto flu. It consists of the following symptoms:
    • Headache
    • Constipation
    • Dizziness
    • Nausea or vomiting
    • Fatigue
  2. Hard to follow
  3. Vitamin and Mineral Deficiencies
  4. Dehydration
  5. Kidney Stones
  6. Weight Regain
  7. Anxiety

RISK ASSOCIATED WITH KETO-DIET

  • Serious Muscle Loss Is a Possible Side Effect of Keto.
  • The Possibility of Low Blood Sugar due to keto diet can be risky for people with diabetes.
  • Nutrient Deficiencies e.g. calcium, selenium, magnesium and other micronutrients.
  • Ketoacidosis
  • Atherosclerosis

WHO CAN FOLLOW THE KETO-DIET

  • In adolescents and adults
  • For weight loss
  • Bodybuilders
  • Endurance athletes
  • Patients of Alzheimer’s disease and autism
  • In the patients of seizures

WHO SHOULD AVOID KETO-DIET

The keto diet may not be safe for people with certain conditions:

  • Heart failure
  • High cholesterol
  • History of heart events or surgery
  • Respiratory failure
  • Pregnancy
  • Eating disorder
  • Recent stroke or myocardial infarction
  • Active or severe infections
  • Heart disease
  • People with type 1 diabetes must not adopt the keto-diet due to the possibility of hypoglycaemia (low blood sugar), also one who has already the gall-bladder replaced must skip this diet as this diet is too rich in fat

SOME GENERAL RULES OF KETOGENIC DIET INCLUDES

Keto-diet has several rules including:

  • Fat intake: Daily calories from fat should be 70–80%. Your main source of fuel should be fats. Some examples of fats to incorporate into your diet are avocado, peanut, butter, nuts, seeds, cheese, olives, full fat mayo, olive oil, coconut oil, ghee, heavy cream, vegetable oil and avocado oil.
  • Protein intake: Daily calories from proteins should be 10–20%. Some examples of protein sources include eggs, yogurt, seafood, meat, poultry and cottage cheese.
  • Carbohydrate intake: Daily calories from carbs should be less than 50 grams, or even as low as 20 grams. Avoid any type of food that is high in carbs. This includes potatoes, sweet potatoes, beets, peas, oatmeal, wheat flour, whole wheat flour, rice, barley. Fruits are also high in carbs so they should be avoided, such as apples, grapes, bananas, dates, mangoes, peaches, pineapples, raisins, pears etc. Avoid beverages, avoid legumes and beans, and low-fat dairy products should be avoided.
  • Hydration: Stay hydrated.

THE AYURVEDIC TAKE ON KETO-DIET

The keto diet is a low-carb, high-fat diet. By minimizing your carbohydrate intake and upping your fat intake, the body enters a metabolic state called ketosis and becomes a fat-burning machine. In ayurveda the 3 main types of prakruti (body constitution type) have been mentioned. They are Vata, Pitta, Kapha. These prakruti have different digestive powers. When the doshas are vitiated, Vata dominant prakruti people have Vishama Agni (Irregular Metabolism), Pitta dominant prakruti people have Tikshna Agni (Hypermetabolism) and Kapha dominant prakruti people have Manda Agni (Hypometabolism). So according to their agni (digestive power) food is metabolised. From an Ayurvedic perspective, this diet could be useful in short periods of time for kapha dosha to reduce excess weight. Keto-diet may be challenging if used for a longer duration in any Prakruti (Vata, Pitta, Kapha). However, in the long term, this diet would create problems, so it is advised for a shorter duration to get its benefit. Given that the keto diet involves 70-80 percent saturated fats. This could lead to serious health issues. But some herbs can be added with this diet to gain the maximum result.

CONCLUSION

In this article we discussed ketogenic diet and how it will work on our body. In this article we mentioned how keto-diet works, process of ketogenesis, types of ketogenic diet its`s benefits, side effects of keto-diet, risk associated with keto-diet, who can follow keto-diet, who should avoid keto-diet, some general rules of ketogenic diet and the ayurvedic take on keto-diet. In keto-diet, calories are restricted therefore it gives benefit by reducing the risk of different diseases.

Yoga and Pranayama: A Holistic Approach for Fatty Liver Treatment

Abstract

Non alcoholic fatty liver disease is a leading cause of worldwide liver disease. In today’s era pharmacological medications are ineffective and in this condition lifestyle changes and regular exercise is the effective and commonly used treatment for Nonalcoholic fatty liver disease. Regular practising of Yoga and pranayam can reduce liver inflammation and hepatic steatosis, changes body composition, increases cardio-respiratory fitness and also improves vascular endothelial functions. The role to evaluate the yoga and pranayam without medication. Daily practice of yoga and pranayam in fatty liver patients for some time provides very good results. Practising Kapalbhati pranayam, Dhanurasana, triangle pose are effective yoga interventions for the best and effective results in the patients of NAFLD.

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Introduction

Fatty liver is also known as steatotic liver disease and also hepatic steatosis is a condition where excess fat accumulates in liver cells. Diabetes, obesity, smoking, high triglycerides, and non alcoholic fatty liver disease is also a risk factor that cause liver cancer. NAFLD represents the spectrum of the disease which starts from simple stenosis to fibrosis and is commonly present in 70% of patients with obesity and type 2 diabetes are at higher risk.

Causes Of Fatty Liver

Fatty liver is also caused by various factors like Obesity: excessive weight can lead to a disproportionate fat muscle ratio:

  • Alcohol Consumption: For long term alcohol use can worsen the liver and increase liver disease and cancer.
  • Type 2 Diabetes Mellitus: High sugar level in the body can promote accumulation of liver. It can lead to inflammation or formation of scar tissue.
  • High Triglyceride Changes: High levels of triglycerides in the blood can cause fat build up in the liver.

Symptoms Of Fatty Liver

There may be some symptoms:

  • Abdominal discomfort
  • Tiredness, fatigue
  • Nausea
  • Loss of appetite
  • Dark urine
  • Itching
  • Jaundice (Yellowing of skin and eyes)

Stages Of Fatty Liver

  1. The first stage is Stenosis: A harmless buildup of fat in the liver.
  2. The second stage is Non Alcoholic Steatohepatitis: A more serious form of NAFLD where the liver may be inflamed.
  3. The third stage is Fibrosis: Persistent inflammation causes scar tissue around the liver and nearby blood vessels.
  4. The fourth stage is Cirrhosis: It will be the last and most severe stage of fatty liver. In it the liver will be most affected.

Investigations

  • USG
  • CT SCAN
  • MRI
  • LFT
  • CBC
  • Viral markers
  • Liver Biopsy

FATTY LIVER DISEASE CAN BE TREATED WITH LIFESTYLE CHANGES

  • Eat a healthy diet, limiting sugar and salt in diet, plus eating lots of vegetables, fruits and whole grains, Dark chocolate, blueberries, olives and plums. And must avoid a high protein diet, avoid dairy products and processed and packed food, sugary beverages etc.
  • Regular physical activities, aerobic exercises.
  • Avoid alcohol and quit smoking.

FATTY LIVER AYURVEDIC OVERVIEW

Fatty liver refers to accumulation of excessive fat in the liver. In ayurveda it is termed as Yakrit Roga (Liver disease), many conditions come into Yakrit Roga, from simple steatosis to hepatomegaly to liver disease. They may be due to an imbalance of Pitta dosha. It helps in digestion of food. So we need to balance pitta dosha by flushing out toxins from the body. In contrast with kapha dosha which is known to be its cold and heavy qualities, it can reduce pitta efficacy in the liver when present in excess amounts. Ayurvedic medications are best and effective. Regular practice of Yoga and Pranayam is preferable for preventive and curative management of NAFLD. Yoga and pranayam are interlinked with ayurveda. Yoga is one of the best philosophies that means for self improvement by gaining the full potential of one’s body, mind and soul. Pranayam (Breathing exercise), Asana (Yogic postures), Dhyana (Meditation) are the popular techniques. Yoga is preferably effective in obesity or to control your diabetes and also corrects liver functions. Surya namaskar on NAFLD is quite difficult so therefore other yogic practices like kapalbhati, dhanurasana, Bhujangasana are beneficials.

SYMPTOMS

  • Udarashoola (Pain in abdomen)
  • Aruchi (Loss of appetite)
  • Utklesha (Feeling of nausea and vomiting)
  • Hritkantahadaha (Heartburn)

MANAGEMENT AND TREATMENT

Maintaining a healthy lifestyle is the key to reversing the fatty liver. Plan a proper routine to practice yoga and pranayam in your day to day life. It may also help rejuvenate your liver and promote healthy functioning of the liver. Many people can follow this routine: yoga and pranayam, exercises and a balanced diet for fatty liver. Doing yoga for fatty liver may also build strength and boost blood flow also helps in improving digestion. It can also address underlying factors like stress and sedentary lifestyle.

IN YOGA YOU CAN PRACTICE THESE POSES TO REVERSE YOUR DISEASE

  • TRIANGLE POSE (Trikonasana): This is a standing pose which improves the blood flow of the body and targets the liver and also helps in detoxification.
  • SPINAX POSE (Salamba Bhujangasana): This asana helps in core strength, stimulates the abdominal muscle and helps in relaxation.
  • COBRA POSE (Bhujangasana): This asana helps with spinal flexibility, blood flow and also improves the core strength.
  • BOW POSE (Dhanurasana): This pose strengthens the abdomen and compresses the liver which helps in detoxification and enhance immune system.
  • HALF LORD OF FISHES (Ardha Matsyasana): This is a twisting pose which helps in massaging your abdominal organs and also livers.
  • PASCHIMOTTANASANA: This poses manage the spleen, liver, kidney and pancreas.

In Pranayam

  • Kapalbhati Pranayam: This asana enhances blood circulation and stimulates the liver and is very useful in liver disease.
  • Anulom Vilom: It is very beneficial and can help treat various liver issues. This involves alternating between inhaling one nostril and exhaling to the other one.

Procedure

  • Sit cross legged on the ground
  • Inhale deeply
  • Exhales forcefully through your nostrils

BENEFITS OF YOGA AND PRANAYAM IN FATTY LIVER

  • Reduces Fat Depositions: Yoga can help reduce fat deposition in liver by using them as a energy during yoga poses.
  • Improves Liver Functioning: Can stimulate liver enzymes and improves functioning.
  • Strengthen the Liver: The kapalbhati pranayam, bow pose, fish pose can strengthen the liver.
  • Improves Blood Flow: Yoga can improve blood flow and oxygenation which helps remove harmful substances from the body.
  • Helps in Digestion.

Conclusion

In this article we are studying about how yoga and pranayam are effective for treatment of fatty liver. In this we start from introduction then we study their causes, symptoms, investigation, treatment further we see the ayurvedic overview then symptoms according to ayurveda at last we study treatment and yoga and pranayam we do for fatty liver benefits of yoga and Pranayam in Fatty liver patients.