[PragmaticPulp]

> It is but compliance is generally lower in a world of Coke and donuts.

It's not just Coke and donuts. Even bacon and eggs don't reach the threshold of ketosis used in these studies. The pop-culture definition of a ketogenic diet is really more like Atkins or low-card than the ketogenic diets used in these studies.

Ketosis at this level requires not only restricting carbohydrates, but restricting protein intake as well. This usually means drinking heavy whipping cream and oils.

[porknubbins]

I did not find it as hard as that. I did it once by going under the carb limit (think it was 20g) for a couple of days eating things like bacon, eggs, avocado, steaks, oil dressing salads etc and was using strips to check for some keytones. Admittedly wasn’t trying to go long term as I don’t know how healthy my diet was but I definitely noticed some of the saiety and weight loss benefits claimed so I don’t think these so called “pop keto” people are necessarily deluded if they get reults.

[toomuchtodo]

Heavy whipping cream or butter in coffee isn’t bad on a keto diet.

[PragmaticPulp]

Ketogenic diets used in epilepsy go far beyond a bit of heavy whipping cream in your morning coffee.

A classic ketogenic diet would require significant quantities of heavy whipping cream (or MCT oil or other oils) with every meal, including snacks. Wikipedia has a good example: https://en.wikipedia.org/wiki/Ketogenic_diet#Classic

Doing a true ketogenic diet is hard work. Most of what people call ketogenic diets are actually more like Atkins or low-carb. Going into full ketosis requires significant protein restriction and augmenting with significant fat sources.

[amanaplanacanal]

What do you consider “full ketosis?” Is that defined somewhere?

[toomuchtodo]

There are test strips available to indicate your ketone levels. You're in ketosis once your blood ketone levels are at or above 0.5 mmol/L.