well the term well-formulated ketogenic diet is one that I like to use in it because it you know there are a lot of people attempting ketogenic diets and prescribing them that may or may not understand all the nuances that go into formulating the diet so we often focus on the carb restriction and that’s a certainly a major component of a ketogenic diet is to get carbohydrate levels usually below about 40 grams but it varies from person to person some people may require less than 35 grams some people may be able to consume 60 grams and still be in ketosis so so that is something that needs to be you know experimented with on an individual basis and through trial and error but that’s just one component in order for a diet to really be safe effective and sustainable long term you know one also needs to get protein in the right range not too high not too low so it’s not a high protein diet but it’s not a protein deficient diet either so that has to be titrated to some extent as well the quality of fat becomes very important so obviously fat becomes the primary nutrient on a ketogenic diet and the types of fat are very important to focus on so very briefly it’s it’s really the saturated and monounsaturated fats that are the preferred sources of fat on a ketogenic diet and so we don’t need a lot of polyunsaturated fats in fact if you overemphasize soybean oil or corn oil for example that’s very high in omega-6 fatty acids that becomes very unpalatable and not sustainable and potentially makes the diet you know not not as effective as well the other major effect of a ketogenic diet that’s different than a non ketogenic diet is the the mineral newtrich ER and in particular a ketogenic diet is associated with an accelerated loss of sodium which can be a good thing if people are retaining excess fluid this loss of sodium you also lose some fluid with that and that’s often a good thing but if you don’t compensate for that extra sodium loss you can end up with a lot of side effects that range from just feeling tired and lethargic to fainting to headaches and down you know down the road if it continues long enough you can end up with imbalances and other minerals like potassium and magnesium but ultimately not only minimize some of the effectiveness of the diet but can make it unsustainable for folks so understanding some of these you know different nutrient requirements beyond just the carb restriction all kind of factor into a what I would consider a well formulated ketogenic diet
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