Janes, 28, can’t remember a time when she was ever small. “Not even in a baby picture,” she tells PEOPLE for the 2018 Half Their Size issue. “I was always overweight, and it continued through adulthood.” By then, Janes couldn’t fit on a normal scale. “I went to my friend’s family business where they weigh huge industrial tubs,” she recalls. “That’s how I found out I was 450 lbs.”

Start with a very low number of carbs and slowly add more. For this method, start by eating a maximum of 15g net carbs per day. This is a very, very low number of carbs, even for most on keto. As you enter ketosis, you can slowly start adding more net carbs to see where your body's limit is. Once you eat a certain number of net carbs that causes you to exit ketosis, then you know what your net carb limit is!
Tossing everything in your pantry out all at once is a good way to waste money and cause a Ben & Jerry’s meltdown, but gradually replacing processed foods with fresh alternatives helps curb cravings and hunger, says Begun. “Highly processed foods are low in nutrients, causing the body to seek more food to find the nutrients it needs, which leads to a vicious cycle of overeating.” You don’t have to empty the pantry all at once, but slowly start making swaps like fresh fruit and yogurt for protein bars (which can contain as much sugar as a candy bar) or hummus and fresh veggies instead of nutritionally devoid pretzels.
When adopting a healthy-eating plan, salads are a nutritional no-brainer. But while loading up on non-starchy veggies is a smart choice for weight loss, it can also leave you feeling deprived, leading to binge-eating later on. To keep salads satisfying, add a crunchy, creamy, or sweet element, like nuts and seeds, avocado, or dried fruit. And be sure to top salad with a filling protein like grilled chicken or fish.
Still, Mass is hesitant to recommend this way of eating. “I don’t see many benefits to going keto vegetarian,” she says. The major concern is nutritional deficiencies. As Medline Plus notes, vegetarians already are at risk of being deficient in vitamin B12, vitamin D, zinc, iron, calcium, omega-3 fatty acids, and protein. Keto then puts more restrictions in place, further increasing the likelihood of being deficient in some of these nutrients. For example, breakfast cereals, which are usually rich in vitamin B12, are not allowed on keto.
Sugars and processed carbs have an interesting effect on your hunger. The sharp rise in blood glucose causes your body to release tons of insulin, causing your blood sugar to then dramatically drop. This "sugar crash" leaves your body telling you that you need more energy, since your blood sugar is low. Carbs make you hungrier. This leads to a very dangerous cycle of overeating that can lead to prediabetes and insulin resistance.
There are other side effects as well when your body is first adjusting, like difficulty focusing, flu-like symptoms (keto flu), drowsiness, frequent urination, constipation, diarrhea, and reduced strength and physical performance. Most of these symptoms occur mainly in the first few days, while others can come and go depending upon how many electrolytes you are getting and your macronutrient intake.
Hell9 .. just diagnosed with a meningioma which my neurologist says has exacerbated epilepsy/partial brain seizures. He wants to put me on seizure meds but I am seriously against medication with short and long term side effects. I’ve been off and on ovo-vegetarian/vegan throughout my life and right now I can barely eat chicken so nearly ovo-vegetarian again,
“Instead of the hours each day I would spend reading news feeds, journal articles, and book chapters for work and pleasure, I switched to listening to audio books, podcasts, and spoken news while briskly walking the paved trails in the large park behind my house. I relied heavily on a great smartphone app called Umano that professionally narrated long form news stories that I would have read at my desk anyway. (Sadly, it was recently acquired and shut down.) Using a Fitbit and the MapMyWalk app, I pushed myself to walk farther and more often. By August 2014, I was walking 10,000 to 12,000 steps a day.”

A fast includes any period of time in which you consume 0 calories. This includes drinks, snacks, and all of that. In addition to water, coffee and tea are extremely common drinks that you can rely on during a fast. The two drinks’ caffeine works as an appetite suppressant while allowing consumption of some type during the fast. The key with drinking during a fast is to not include any milk, cream, or sugar (unless it’s one of the keto-friendly sugar alternatives and is calorie-free).
A challenge that you may face is keeping your carbohydrates below 30 grams per day because by nature, these plant-based protein products contain 2-10 grams of carb per serving. But these products are also higher in dietary fiber (aka low-digestible carbs) which has a reduced effect on blood glucose levels (Grabitske, 2008). This may give you a little more flexibility with the number of carbs you can eat while still maintaining ketosis (e.g. up to 50 grams per day), but this will require tracking to be sure.
“There is no secret. The only thing that I did differently was stay committed. I made a promise to myself not to give up and even when I wanted to quit, or when I messed up I just kept pushing. I took on a low-carb diet and started to run consistently. I also joined a weight loss clinic named Transform Institute, which gave me the tools and support that I needed.”
Copyright © 2014 - 2019 Create Mindfully - All Rights Reserved. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Willow Moon and Create Mindfully with appropriate and specific direction to the original content. All photos and artwork are property of Willow Moon and Create Mindfully. Do not duplicate or copy without proper consent.
In our sandwich-with-a-side-of-bread culture, cutting carbs down to the wire trips many people up. “Exact numbers vary person to person, but in general, strict keto dieters need to consume less than 50 grams of carbs a day,” says exercise physiologist Michael T. Nelson, Ph.D. (miketnelson.com). “Some people need to go as low as 30 grams.” The Mod Keto approach allows two to three times as many, but it’s still very low-carb compared to the diet of the average American. (For reference, one banana, one apple, or a single slice of bread would put you over your daily carb allowance on a strict keto diet.) #ketones
×