TROUBLESHOOTING KETO Flashcards
WHAT SHOULD YOU LOOK FOR IF CLIENT IS NOT LOSIG WEIGHT ON A KETO DIET?
CHECK TOTAL CALORIE INTAKE
ADDED FATS ARE CALORIE DENSE, AND SOME CLIENTS ARE SENSITIVE.
RECOMMEND TO CHECK THYROID FUNCTION, BUT IT IS OFTEN BETTER TO JUST SHIFT TO A DIFFERENT APPROACH
WHAT IF A CLIENT EXPERIENCES GUT DISTURBANCES SUCH AS CONSTIPATION?
ENSURE ADEQUATE NON-STARCHY VEGETABLE INTAKE.
INCREASE FIBER CONTAINING HIGH-FODMAP VEGES
CONSIDER: DIGESTIVE ENZYMES, OX BILE, AND PROBIOTICS/PREBIOTICS
WHAT IF A CLIENT HAS DISRUPTED SLEEP WHILE ON A KETO DIET?
CHECK TOTAL CALORIES TO ENSURE THEY ARE EATING ENOUGH.
CONSIDER MILD CARB REFEED AT NIGHT IF BLOOD SUGAR IS DROPPING TOO LOW OVERNIGHT.
CHECK SEX HORMONES, PARTICULARLY IN WOMEN…LOW ESTROGEN IN WOMEN CAN CONTRIBUTE TO INSOMNIA.
WHAT IF A CLIENT GETS AMENORRHEA?
UNDEREATING CAN BE A TRIGGER, SO CHECK TOTAL CALORIE INTAKE.
CONSIDER ADDING INTERMITTENT CARB REFEEDS.
SWITCH TO LOW-CARB (NOT KETO DIET) OR MODERATE-CARB APPROACH
WHAT IF THE CLIENT IS HAVING A LOSS OF ATHLETIC PERFORMANCE?
CONSIDER CARB REFEED AFTER AN INTENSE ACTIVITY.
NOTE: ATHLETES MAY REMAIN IN KETOSIS AFTER A CARB REFEED BECAUSE OF INTENSE EXERCISE
WHAT IF CLIENT EXPERIENCES MUSCLE CRAMPING?
ELECTROLYTES AND MINERAL IMBALANCES MAY BE THE PROBLEM.
EAT ENOUGH SALT, POTASSIUM, CALCIUM, AND MAGNESIUM AN ENSURE GOOD HYDRATION STATUS.
WHAT IF THE CLIENT EXPERIENCES HYPOGLYCEMIA?
CHECK FOR ADEQUATE CALORIE INTAKE
MA INDICATE LIVER IS NOT PRODUCING GLUCOSE AND CARB INCREASE IS NEEDED.
WHAT IF CLIENT GETS HIGH CHOLESTEROL OR HIGH LDL PARTICLE NUMBERS?
REDUCE SATURATED FATS. SWITCH TO A MEDITERRANEAN KETO DIET FOCUS ON MONOUNSATURATED FATS: OLIVES OLIVE OIL AVOCADOS MACADAMIA NUTS AND OIL....ETC
WHAT IF CLIENT GETS MORNING ELEVATED FASTING BLOOD SUGAR?
BLOOD SUGAR MAY BE DROPPING OVERNIGHT WHICH CAUSES STRESS HORMONES (CORTISOL OVER-STIMULATES GLUCOSE) WHICH CAUSES HIGH FASTING BLOOD SUGAR.
HIGH CORTISOL LEVELS IN THE MORNING FROM ACTIVE STRESS RESPONSE
