Eat More FatMost of your energy on keto comes from fat, so make sure you’re eating enough of it and eating the right kinds of healthy fats. Leave the fatphobia in the past and get ready to enjoy healthy fats like coconut oil and coconut milk, olive oil, grass-fed butter or ghee, grass-fed beef, wild-caught fish, avocado, nuts, nut butters, and seeds!Without enough healthy fat for fuel, you risk feeling lackluster and fatigued. Don’t buy into the fales statement that fat makes you fat. Eating healthy fats can actually help with weight loss and metabolism. Eat More OftenKeto meal preppingIf your metabolism isn’t fully adapted to keto, you may need to eat more often to provide energy for your brain and body. While intermittent fasting can be beneficial alongside a ketogenic diet, it doesn’t work for everyone, particularly those who aren’t fat adapted. Start with three meals every day and consume snacks if you feel you need to. Try not to skip meals and try meal prepping to streamline your kitchen time. Increase Your CarbsEspecially as your body adjusts to this way of eating, you might need more carbs. Unless you’re following a very-low-carb therapeutic ketogenic diet to treat a health condition like epilepsy, you could try upping your carb intake closer to 50 grams of net carbs per day to see if your fatigue resolves. If you’re not sure if you’re in ketosis, you can always test your ketones.
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In 2017, researchers at Yale University examined how ketosis affects NLRP3 inflammasome—the protein complex that triggers the inflammation associated with gout. Human and animal studies reveal that following a ketogenic diet lowered the inflammation of the joints. Trans fats, refined carbohydrates, sugar, and alcohol are among the foods shown to promote inflammation, a key player in various chronic diseases and the degradation of bone health.  Optimal metabolic and bone health also requires nutrients like magnesium, vitamin K2, and healthy fats. The ketogenic diet can work wonders for weight loss, which is one of the most effective ways to lower uric acid levels and prevent gout flare-ups. Short-term studies concluded there was a temporary rise in uric acid during the first few weeks of starting a strict low-carb diet; however, the effects disappeared after around six weeks. Countless doctors report their patient’s uric acid levels returned to baseline or lower after four-six weeks on keto. Research shows no drastic change in uric acid levels in people following a low-carb diet over several months or years. One study even showed uric acid went down significantly after six months on low carb, suggesting a reduced risk.  If you’re dealing with gout, you might choose to limit or avoid organ meats and be mindful of your purine intake in general. This doesn’t mean that eating meat causes gout.
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 If you’re dealing with gout, you might choose to limit or avoid organ meats and be mindful of your purine intake in general. This doesn’t mean that eating meat causes gout. The bottom line? Purine intake alone isn’t enough to trigger gout attacks. Nutrients, minerals, and healthy fats found in purine-rich foods like seafood and liver could actually help prevent gout flares. Moreoever, a ketogenic diet
isn’t necessarily high in meat. Ketogenic and low-carb diets that are higher in meat are miles apart from a meat-heavy standard American diet. The quality of the meat and the diet as a whole matter. The symptoms of gout can present without any crystals, so many people believe gout is more likely attributed to inflammation, liver problems, and fructose and sugar intake than meat consumption. If indeed sugar and refined carbohydrates significantly
heighten the risk of gout, it stands to reason that a ketogenic diet could be a beneficial therapeutic tool to reduce that risk. If you have gout or questions or concerns about gout, it’s always best to visit your healthcare practitioner. To decrease your risk of gout, it’s best to:Limit alcoholMinimize sugar and refined carbsLose excess weightImprove metabolic syndromeStay hydratedExerciseIn conclusion, a well-formulated ketogenic diet could potentially reduce the risk of gout in the long run, but more research is needed.