There's a lot health experts still do not know about the long-term effects of the keto diet-but some warn it might be dangerous.

The keto diet hype shows no signs of slowing: The low-carb regimen remains massively popular, with celebs like Al Roker and Jenna Jameson crediting the diet for serious weight loss in recent months.

It’s easy to ascertain why a diet that promises quick results-and that technically allows you to still enjoy foods like burgers and cheese-would be so tempting. But before you are trying it, it’s important to understand that keto also can have its downsides which there’s tons health experts still don’t realize its long-term effects on the body.

Following the keto diet for an extended period of your time are often difficult, and even a number of its top proponents warn against sticking to its strict guidelines (like curtailing carbohydrates to 50 grams each day or less) for quite 30 to 90 days. Other researchers warn that sticking to the diet long-term could even be dangerous. Here are a couple of reasons why.

Low-carb diets could lead on to vitamin or mineral deficiencies
Limiting carbs to 50 grams each day or less likely means you’re ablation unhealthy foods like light bread and sugar. But it also means you'll need to crop on fruits and certain vegetables, which also are sources of carbohydrates.

That’s a priority, says Annette Frain, RD, program director with the load Management Center at Wake Forest Baptist Health, especially if someone is spending quite a couple of weeks on this sort of diet. “Fruits and vegetables are good for us; they’re high in antioxidants and filled with vitamins and minerals,” she says. “If you eliminate those, you aren’t getting those nutrients over time.”

It may even be hard to urge enough fiber while you’re curtailing so severely on carbohydrates, since whole grains are one among the most important sources of this important nutrient. which will cause digestion problems (ranging from constipation to diarrhea), bloating and weight gain, and even elevated cholesterol and vital sign.

It may affect your athletic performance
There’s no shortage of athletes who have jumped on the keto bandwagon, but some researchers worry that they might actually be sabotaging their strength and fitness. during a recent study within the Journal of medicine and fitness, researchers found that participants performed worse on high-intensity cycling and running tasks after four days on a ketogenic diet compared to those who’d spent four days on a high-carb diet.

The body is during a more acidic state when it’s in ketosis, lead researcher Edward Weiss, PhD, professor of nutrition and dietetics at Saint Louis University, previously told Health, which can limit its ability to perform at peak levels.

Sure, keto can help athletes reduce, which may be helpful for speed and endurance. “But I’m very concerned that folks are attributing the advantages of weight loss to something specific within the ketogenic diet,” Weiss said. “In reality, the advantages of weight loss might be a minimum of partially canceled out by reductions in performance.”

Relaxing the principles can cause weight re-gain
Because the keto diet is so strict, many variations of the diet recommend incorporating several stages. the primary stage, usually the primary one to 3 months, is extremely low-carb and allows for only a few “cheat days,” if any in the least. It also requires keeping close track of your carbohydrate and fat consumption to make sure your body is entering ketosis.

But then, people may transition to a more relaxed sort of keto that permits for more carbohydrates or less monitoring-sometimes referred to as lazy keto, keto cycling, or “maintenance mode,” as Jenna Jameson has called it. the matter here, says Frain, is that weight re-gain is nearly inevitable.

“Keto are often an excellent jump-start to weight loss, but the truth is that the majority people can't adhere thereto for very long,” says Frain. “Often, people are going into ketosis and losing weight, then beginning and gaining it back and falling into this yo-yo pattern, and that’s not what we would like.” additionally to being extremely frustrating, she says, these sorts of weight fluctuations also are linked to a better risk of early death.

The type of weight you gain back is vital also. If you lost weight once you first started on keto, you likely lost some muscle mass along side fat tissue, says Kristen Kizer, RD, a nutritionist at Houston Methodist center. Now, since you’re following a high-fat diet, you'll probably gain back more fat and fewer lean muscle—which not only looks and feels different on the body, but also burns calories at a slower rate. this will affect your metabolism and make it harder to reduce again within the future.

It may also damage blood vessels
Enjoying a “cheat day” within the short-term on the ketogenic diet also can have long-term consequences, say researchers from the University of British Columbia. during a recent study published in Nutrients, they found that indulging during a high-sugar treat (like an outsized bottle of soda) while on a high-fat, low-carb diet can actually damage blood vessels.

“My concern is that a lot of of the people happening a keto diet-whether it’s to reduce, to treat type 2 diabetes, or another health reason-may be undoing a number of the positive impacts on their blood vessels if they suddenly blast them with glucose,” said senior author Jonathan Little, professor within the School of Health and Exercise Sciences, during a handout. “Our data suggests a ketogenic diet isn't something you are doing for 6 days every week and take Saturday off."

Too much fat can raise chronic disease risk
Health experts worry about how a long-term keto-style diet can affect the guts and arteries. A not-yet-published study, presented at the American College of Cardiology’s annual Scientific Session, found that folks on low-carb diets are more likely to develop fibrillation (AFib) compared to those that eat moderate amounts of carbohydrates. AFib is that the commonest cardiac rhythm disorder and raises the danger of stroke and coronary failure.

It’s not just the guts they’re worried about either. Research presented earlier this year at the ecu Society of Cardiology Congress found that folks who followed low-carb, high-fat diets had an increased risk of dying from cancer and every one other causes during the study period. And a recent study within the Lancet also found that low-carb dieters who consumed large amounts of meat and dairy had a better risk of early death compared to those that consumed carbs carefully or who consumed mostly plant-based protein.

Most of this research, it’s worth remarking, remains observational—meaning that it’s only been ready to find associations with certain health outcomes and not cause-and-effect relationships. Frain says that, overall, there’s not enough long-term research to understand exactly what the ketogenic diet does to the body over an extended period of time-or why it seems to affect some people differently than others.

But she advises anyone who’s brooding about trying keto to strive for balance, not for extremes. “It’s important to seem at what you’re missing during a diet and what's really sustainable for you,” she says. “You want to form sure you've got satisfaction and satiety from the foods you’re eating which you are feeling good and are becoming great nutrition from a spread of foods. That’s what is going to assist you keep it up and keep the load off.”

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