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keto diet – Everything you need to know

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Following a keto diet means getting more of your daily calories from fat, and fewer of them from carbohydrates. You could lose weight by following a keto diet, and there may be other benefits. Improvements in total cholesterol, blood sugar and blood pressure have been shown.

But should you follow a keto diet? If so, what foods do you need to eat, and which recipes should you use? We’ve got the answers. Find more about healthy eating, plus tons of recipes (healthy and indulgent) on our dedicated page.

28-Day Keto Challenge

What is a keto diet?

Normally the body converts carbohydrates to glucose to use as fuel. Following a ketogenic diet where carbs are in very short supply causes the body to produce ketones from stored fat – it’s an alternative fuel. Hence the diet is ketogenic. The bottom line is that after three or four days with little glucose available from your diet, the body starts to use fat as the primary fuel.

Consuming fewer carbohydrates means eating less sugar, rice, pasta and bread, for example, and also cutting out sugary drinks and more (see below). A keto diet usually reduces daily carb consumption to under 50g a day, although it can be as little as 20g a day.

What are the keto diet foods?

When you’re on a keto diet, you can eat meat, including beef, pork, poultry, lamb and game. When you’re choosing meat, remember that processed meats can contain carbs, so check the labels, or avoid them altogether and prepare your own recipes using unprocessed meat.

Fish and other seafood is fine, too, with fatty fish like salmon or mackerel preferable.

Eggs, butter, cheese and cream are also keto diet friendly. (Milk, by the way, contains sugar, so see foods to avoid, below).

You can also eat vegetables, but think leafy and green mostly, and stick to those that grow above ground, so that’s cabbage, cauliflower, broccoli and so on. Potatoes are out (see foods to avoid, below).

Other things you can include in your diet? Nuts – but swerve higher carb cashews and pistachios and opt for pecans, brazils and macadamias. Seeds like flax and chia, are okay, too, as are avocados, and oils such as olive and coconut.

Fruit is generally a no-no (see foods to avoid, below), but you can have berries such as strawberries and raspberries in small portions.

Overall, most of your daily calories (see above) should be obtained from fat, which will come from meat or fish, the fat you cook with, and even high-fat sauces.

Which are the foods to avoid on a keto diet?

Some of what you’ll need to avoid will probably suggest itself to you, while other food and drink can catch you out.

Sugar in its many guises is on the banned list – and that includes foods like honey and maple syrup. You can’t add sugar to your tea and coffee, of course, nor can you have soft drinks. However, you’ll also need to avoid fruit juices and sports drinks.

Breakfast cereals are out as well. Sugar is also used in lots of products where you might not expect to see it – think ready meals and sauces. Always check labels. Naturally, you’ll be saying no to sweets, cakes, biscuits, chocolate bars, ice cream…

Watch out for milk in your drinks. A splash to whiten is OK, but skip the lattes and Frappuccinos, Starbucks fans. And while we’re on the subject of drinks, beer is out, too. Generally, plain water, and black and white tea without sugar are best, and you could even have a small glass of wine on a special occasion.

Carbs: say goodbye to bread, rice, pasta, and potatoes. Just for the avoidance of doubt, that includes crisps and chips.

Legumes: perhaps surprisingly, you’ll also need to cut out legumes – including beans, chickpeas, lentils – to follow a keto diet.

Fruit: You’ll also need to step away from fruit aside from berries (see keto diet foods, above).

How to follow a keto diet plan

Generally, if you follow a keto diet, what you eat daily should be around 70% to 80% fat, 10% to 20% protein and 5% to 10% carbohydrate.

To attain the required fat consumption of the diet, you’ll probably need to eat some at each meal. Your protein intake, on the other hand, will be moderate. Bear in mind that this isn’t a high fat and high protein regime – like the Atkins diet, for example. Opt for free range poultry, wild-caught fish and organic beef for preference.

You can follow the diet plan if you’re vegetarian as you can consume eggs and dairy products. As a vegan it’s not considered a healthy option because eating legumes and grains is key to obtaining essential nutrients on a plant-based diet.

If you’re going on a keto diet to lose weight, programmes frequently suggest following it until the weight you want to lose is shed. Then, you are advised to return to the diet perhaps some weeks of the month or some days of the week.

28-Day Keto Challenge

Stay healthy on a keto diet

A keto diet can be a healthy choice for many people but the ratio of fat, carbs and protein needed can vary from one person to another.

If you are diabetic, discuss the diet with your doctor before starting as it’ll likely involve changes to medication and increased monitoring of your blood sugar.

On medication for high blood pressure? Again consult your doctor before starting a keto diet.

Don’t start on a keto diet if you’re breastfeeding.

Be aware that restricting carbs can make you feel irritable, hungry and tired, among other possibilities. This could be a temporary effect, however.

Remember, also, that your diet should still be balanced so you’re obtaining all the vitamins and minerals you need. Also crucial is sufficient fibre.

Find keto recipes

Cooking from scratch makes sticking to a keto diet easier as you won’t need to scan lists of ingredients of pre-prepared foods to check for hidden carbs. Dishes like bacon and eggs are on the agenda, together with meals such as omelette, scrambled eggs and frittata. You can also base meals around chicken, beef or fish, for example.

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Some Ontario docs now offering RSV shot to infants with Quebec rollout set for Nov.

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Some Ontario doctors have started offering a free shot that can protect babies from respiratory syncytial virus while Quebec will begin its immunization program next month.

The new shot called Nirsevimab gives babies antibodies that provide passive immunity to RSV, a major cause of serious lower respiratory tract infections for infants and seniors, which can cause bronchiolitis or pneumonia.

Ontario’s ministry of health says the shot is already available at some doctor’s offices in Ontario with the province’s remaining supply set to arrive by the end of the month.

Quebec will begin administering the shots on Nov. 4 to babies born in hospitals and delivery centers.

Parents in Quebec with babies under six months or those who are older but more vulnerable to infection can also book immunization appointments online.

The injection will be available in Nunavut and Yukon this fall and winter, though administration start dates have not yet been announced.

This report by The Canadian Press was first published Oct. 21, 2024.

-With files from Nicole Ireland

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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Polio is rising in Pakistan ahead of a new vaccination campaign

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ISLAMABAD (AP) — Polio cases are rising ahead of a new vaccination campaign in Pakistan, where violence targeting health workers and the police protecting them has hampered years of efforts toward making the country polio-free.

Since January, health officials have confirmed 39 new polio cases in Pakistan, compared to only six last year, said Anwarul Haq of the National Emergency Operation Center for Polio Eradication.

The new nationwide drive starts Oct. 28 with the aim to vaccinate at least 32 million children. “The whole purpose of these campaigns is to achieve the target of making Pakistan a polio-free state,” he said.

Pakistan regularly launches campaigns against polio despite attacks on the workers and police assigned to the inoculation drives. Militants falsely claim the vaccination campaigns are a Western conspiracy to sterilize children.

Most of the new polio cases were reported in the southwestern Balochistan and southern Sindh province, following by Khyber Pakhtunkhwa province and eastern Punjab province.

The locations are worrying authorities since previous cases were from the restive northwest bordering Afghanistan, where the Taliban government in September suddenly stopped a door-to-door vaccination campaign.

Afghanistan and Pakistan are the two countries in which the spread of the potentially fatal, paralyzing disease has never been stopped. Authorities in Pakistan have said that the Taliban’s decision will have major repercussions beyond the Afghan border, as people from both sides frequently travel to each other’s country.

The World Health Organization has confirmed 18 polio cases in Afghanistan this year, all but two in the south of the country. That’s up from six cases in 2023. Afghanistan used a house-to-house vaccination strategy this June for the first time in five years, a tactic that helped to reach the majority of children targeted, according to WHO.

Health officials in Pakistan say they want the both sides to conduct anti-polio drives simultaneously.

The Canadian Press. All rights reserved.

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White House says health insurance needs to fully cover condoms, other over-the-counter birth control

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WASHINGTON (AP) — Millions of people with private health insurance would be able to pick up over-the-counter methods like condoms, the “morning after” pill and birth control pills for free under a new rule the White House proposed on Monday.

Right now, health insurers must cover the cost of prescribed contraception, including prescription birth control or even condoms that doctors have issued a prescription for. But the new rule would expand that coverage, allowing millions of people on private health insurance to pick up free condoms, birth control pills, or “morning after” pills from local storefronts without a prescription.

The proposal comes days before Election Day, as Vice President Kamala Harris affixes her presidential campaign to a promise of expanding women’s health care access in the wake of the U.S. Supreme Court’s decision to undo nationwide abortion rights two years ago. Harris has sought to craft a distinct contrast from her Republican challenger, Donald Trump, who appointed some of the judges who issued that ruling.

“The proposed rule we announce today would expand access to birth control at no additional cost for millions of consumers,” Health and Human Services Secretary Xavier Becerra said in a statement. “Bottom line: women should have control over their personal health care decisions. And issuers and providers have an obligation to comply with the law.”

The emergency contraceptives that people on private insurance would be able to access without costs include levonorgestrel, a pill that needs to be taken immediately after sex to prevent pregnancy and is more commonly known by the brand name “Plan B.”

Without a doctor’s prescription, women may pay as much as $50 for a pack of the pills. And women who delay buying the medication in order to get a doctor’s prescription could jeopardize the pill’s effectiveness, since it is most likely to prevent a pregnancy within 72 hours after sex.

If implemented, the new rule would also require insurers to fully bear the cost of the once-a-day Opill, a new over-the-counter birth control pill that the U.S. Food and Drug Administration approved last year. A one-month supply of the pills costs $20.

Federal mandates for private health insurance to cover contraceptive care were first introduced with the Affordable Care Act, which required plans to pick up the cost of FDA-approved birth control that had been prescribed by a doctor as a preventative service.

The proposed rule would not impact those on Medicaid, the insurance program for the poorest Americans. States are largely left to design their own rules around Medicaid coverage for contraception, and few cover over-the-counter methods like Plan B or condoms.

The Canadian Press. All rights reserved.

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