One year on the ketogenic diet

Feedback from Ruben, co-founder of Meaty

Following eczema problems that no specialist was able to explain, I undertook a radical change in my diet in February 2024. In view of the proven anti-inflammatory potential of "low-carb" diets, I turned to the keto diet, unaware that this choice would mark a point of no return.
⚠️ This article reflects my personal experience. It should in no way be considered as nutritional advice.

Contents

20-second summary

  • Ruben, co-founder of Meaty, shares his experience after a year on the ketogenic diet, adopted to relieve his eczema.
  • This diet, based on a high-fat, low-carbohydrate diet, led to better energy, increased concentration and a reduction in his symptoms.
  • It describes the transition to ketosis, the benefits observed, and the precautions to be taken.
  • Although the positive effects are noteworthy, he questions the need to strictly maintain ketosis or opt for a more flexible diet.
ruben keto before
Ruben, co-founder of Meaty

1. What is the keto diet?

"Ketogenic diet", "keto diet", or "low-carb, high-fat diet", all these terms refer to the same diet, which is based on the following principle: allowing the body to use fat as its main fuel, thanks to the state of ketosis.

Nutritional ketosis (not to be confused with ketoacidosis, a serious condition typical of type 1 diabetes) is characterized by a state in which the liver transforms certain fatty acids into smaller molecules: ketone bodies (also called ketones). This state is only possible when insulin levels remain low for long enough, such as during fasting, or as part of a low-carb diet.

Compared with conventional diets based on carbohydrates as the main source of energy, nutritional ketosis represents a major metabolic shift. In ketosis, ketone bodies are used directly by the brain (as a substitute for glucose) and also by organs such as muscles.

A ketogenic diet without the production of ketones cannot be considered as such. In fact, according to its proponents, ketones are responsible for most of its benefits.

2. How do I enter ketosis?

To enter ketosis, you need to meet just one condition: have low insulin levels for a sufficiently long time. Insulin is a hormone secreted when food is consumed, the amount of which varies according to the nutrient. Carbohydrates cause the greatest secretion, followed by proteins, then fats.

Logically, a ketogenic diet will therefore favor fatty foods and eliminate carbohydrate foods (fast and slow sugars). By way of example, here are the typical foods of the keto diet:

  • Fatty meat
  • Oily fish
  • Eggs
  • Butter
And here are the foods eliminated:
  • Cereals (bread, pasta, rice)
  • Tubers (potatoes, sweet potatoes)
  • Pulses (lentils, chickpeas)
  • Fruits
In terms of energy intake, here are the recommended macro-nutrient breakdowns:
cetogenic energy supply
As with the classic diet, protein intake accounts for 20% of calories consumed, and must be adapted according to physical activity.

3. Observed changes

Before I made this change, my diet was varied and balanced, and I followed commonly accepted recommendations. I considered myself to be eating healthily, and yet the improvements were not long in coming.

  • From the very first days, my energy level stabilized: I no longer felt drained, and my concentration improved. My general mood also improved; I was less irritable.
  • It took me about ten days to feel perfectly adapted. This coincides with the time needed to start ketosis. From that point on, the feeling of hunger changed to become less intense; I eat when I need energy, not when my stomach disturbs me.
  • After 3 months, my body had clearly changed. My weight remained the same, but I had converted some of my fat into muscle. My strength improved.
  • My eczema problem, for which I started the diet, has greatly diminished (though not disappeared). From then on, the initial motivation didn't matter to me; after noticing so many beneficial effects, I couldn't go back.

4. Keto-friendly meals

My typical day consists of two hearty meals, with no nibbling. They are not eaten at any particular time, but simply when hunger strikes.
A typical meal consists of :
  • Meaty cuts in all forms (grilled, stewed, roasted, etc.)
  • Eggs (fried, hard-boiled, omelettes)
  • Oily fish (mackerel, sardines, salmon)
These meals are often accompanied by cold cuts, cheese and sometimes a few vegetables. The cooking fats used are lard, beef tallow and butter (no vegetable oils).
The following cuts are particularly suitable for the ketogenic diet:
  • Chicken with skin: whole, thighs, wings and eggs
  • Beef: minced meat, flat rib, Parisian entrecôte, prime rib
  • Lamb: almost all parts, with the least fat being the leg.
  • Pork: belly, neck, ribs, sausages, cochonaille pack
  • Charcuterie: almost the entire range, the fatter the better!
keto flat rib
In keto, the flat rib is welcome

5. What does science have to say about the keto diet?

In addition to the aforementioned personal improvements, the ketogenic diet is often associated with other benefits such as lasting weight loss or the treatment of specific health problems.

There are many differing opinions in the scientific community. Proponents of the ketogenic diet claim that ketosis is the human body's optimal energy state. One of the main arguments is that this type of diet is close to that of our ancestors, so the body is in the conditions for which evolution has shaped us. Another argument in this direction is that newborn babies are in ketosis, and this continues during breast-feeding.

Obviously, this information needs to be put into context. Nevertheless, it is interesting to note the current state of science on this subject:

6. Safety precautions

If you're considering trying the ketogenic diet, it's important to observe a few precautions to get the most out of this change:

Choose your food carefully
As the ketogenic diet is particularly restrictive, it's important to choose quality foods to ensure you don't develop a nutritional imbalance. For example, pasture-raised meats have been shown to contain more vitamins and a favorable lipid profile.

Measure the results
Ketosis is proof that the ketogenic diet is working. Measuring the ketones present in the blood or urine allows you to verify that the dietary changes are bearing fruit.
Get support
The keto diet radically alters the metabolism. It is therefore recommended that you seek help to :

✔️ Managing the transition and limiting side effects (ketogenic flu, fatigue)

✔️ Avoid micro-nutrient deficiencies (vitamins, electrolytes)

✔️ Adapt the proportions of fat and protein to your personal needs.

For personalized care tailored to your lifestyle, we recommend these nutrition experts:

👩‍⚕️ Sophie Balestra - A holistic approach focusing on the microbiota
nutribiote.ch - instagram.com/nutribiote

👨‍⚕️ Christian Petten - Ancestral principles for metabolism
nutrivore.ch - instagram.com/nutrivore.ch

7. Conclusion

At the end of this first year, I can say that the ketogenic diet is having a very appreciable effect on my body and my quality of life. However, I am aware that this is a personal conclusion and that these results may vary for other individuals.

On the other hand, I can't say whether the positive effects observed are due to ketosis, or simply to the following dietary changes:
  • Drastic reduction in carbohydrates and resulting insulin levels
  • Regular supply of high-quality proteins (Meaty ❤️)
  • Drastic reduction in processed foods (not even bread)

So I wonder whether the restrictions imposed by the state of ketosis are worth it. Indeed, this state is particularly fragile and any deviation requires a major effort to return to it. In the case of a healthy individual, I imagine it's possible to find a less restrictive balance, allowing you to enjoy the beneficial effects of a healthy diet while enjoying the gustatory and convivial pleasures of meals.

8. Questions & answers

Isn't eating keto too expensive?
On the ketogenic diet, you eat less to eat better. Concentrating on a few quality foods rather than having drawers full of imperishable foods is often less expensive. Especially since, in the case of meat, fatty cuts are the cheapest (ribs, ground meat, pork belly, etc.).
Yes, but it requires careful planning. Eggs, fatty fish, cheese and certain vegetable proteins can be good alternatives.
The vitamins and minerals found in fruit can easily be found in vegetables and... meat! Indeed, we tend to forget that meat is a very nutrient-dense food. If offal is also consumed, then the amount of vitamins obtained is simply unmatched by plants.
To adapt your metabolism and enter ketosis, you need to follow a ketogenic diet for around 2 weeks. This period can be accelerated by fasting and physical activity. After adaptation, if the state of ketosis is interrupted by dietary deviations, it can be re-established within a few days.
Slow (or complex) sugars are actually chains of fast (or simple) sugars. The body breaks them all down in the same way, in the form of glucose. Insulin response is systematically higher than when protein or fat is ingested. They are therefore not suitable for a ketogenic diet.
Of course, this is not necessary. Rather than adding fat, a good ketogenic diet will favor naturally fatty foods, such as certain cuts of meat. These automatically respect the recommended macro-nutrient distribution.

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