Keto During Pregnancy

By January 26, 2012Uncategorized

KETO DURING PREGNANCY

I get a ton of emails a few months after these consults telling me that they are ecstatic and are now pregnant but are wondering on what to eat now. As if this diet of REAL food would be harmful to a fetus. There are many reasons why to not add in certain foods like gluten and dairy. Many times when cravings get the best of pregnant clients and they consume these foods, the auto-immune response can result in a miscarriage. But even if the clients are committed about staying away from gluten and dairy, they often worry that too low of carbs is bad for the fetus. You will never find evidence of this, but you will read it all over the web. The information that clients read have a few flaws:

1. A huge mistake is when people and doctors compare benign dietary ketosis to diabetic ketoacidosis. You can produce ketones in a starvation state. So instead of using a well-formulated low carb diet, they starved pregnant rats to get them into ketosis. The flaw in that evidence should be obvious.

2. The last form of this “evidence” is when they sliced up the brains of rat fetuses and saturated them in ketones. What happened was that the brain cells lived but it stopped producing new brain cells. This is thought to be evidence that ketosis causes retardation.

Now let’s dive into the facts. The lean human body is 74% fat and 26% protein by calories. Fats are a structural part of every human cell and the preferred fuel source of the mitochondria, the energy-burning units of each cell. A fetus naturally uses ketones before and immediately after birth. Many studies done on pregnant pigs that are placed on ketogenic diets have fetuses with “increased fetal brain weight, cell size and protein content. In the early stages of pregnancy there is an upsurge in body fat accumulation, which is connected to hyperphagia and increased lipogenesis.

In the later stages of pregnancy there is an accelerated breakdown of fat depots, which plays an important role in fetal development. The fetus uses transported placental fatty acids as well as two other products: glycerol and ketone bodies. Even though glycerol crosses the placenta in slight proportions, it is a superior substrate for “maternal gluconeogenesis” (remember earlier, I discuss regular gluconeogenesis where we make glucose from protein when needed which is the preferred way of making glucose), and maternal glucose is the main substrate crossing the placenta. Heightened ketogenesis in fasting conditions or with the addition of MCT oils, create an easy transference of ketones to the fetus which allows maternal ketone bodies to reach the fetus, where the ketones can be used as fuels for oxidative metabolism as well as lipogenic substrates.

During pregnancy, women become even more sensitive to carbohydrates due to an evolutionary adaption in which they become slightly insulin resistant to allow a positive flow of nutrients to the developing fetus through the placenta. If the mom was more insulin sensitive than the fetus we could end up in a nutrient shortage situation. Biology fixes this problem by making mom a little insulin resistant, effectively “pushing” nutrients to the fetus. This rationalizes just how important feeding you and your fetus a nutrient dense ketogenic diet is.Keto During Pregnancy

Breast-milk is naturally very high in fat as compared to baby formula which is high in carbohydrates and sugar; causing babies to be addicted to sugar early in life. If a newborn is breastfed, it spends a lot of time in ketosis, and therefore keto-adapted. Keto-adapted babies can efficiently turn ketone bodies into acetyl-coA and into myelin. Ketosis helps babies develop and build their brains. I love it when my clients continue to consume those “fat bombs” they ate to get pregnant because the coconut oil helps with the baby because coconut oil has anti-bacterial, anti-viral and anti-fungal properties which keep the mother and baby healthy. The extra coconut oil also helps with lactation, but more importantly the coconut oil increases lauric acid in the breast milk. Lauric acid is a rare medium-chain fatty acid found in human breast milk that supports healthy metabolism. Read more about this in my new book Keto-Adapted.

I have a fantastic Keto plan for Fertility and Pregnancy! Click HERE to get started!

If you would like to help out a small family, rather than large business, I am happy to announce that you can now get my books as a high quality ebook that works on any platform. Plus, most of the profits don’t go to Amazon or apple! Click HERE or select “My Books” above to get your copy now!

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Thank you all for your love and support!

Testimony of the Day

“I just had a baby 8 weeks ago and followed Maria’s WOE the whole time. I had the best, easiest pregnancy I ever had! I had very minimal morning sickness and less fatigue than with the others. I had no swelling and my blood pressure was perfect. I never experienced that extreme discomfort that so many women complain of. I 100% attribute a great pregnancy to Maria’s WOE.  I gave birth naturally to a very healthy 7lb 5oz baby boy. I’m actually sad he’s the last one because my pregnancy was so wonderful.” -Sue

Click HERE to get started on your keto-adapted diet.

 

214 Comments

  • Mindy says:

    Hi Maria,
    I am currently breastfeeding my 10 month old. Last week I started a high fat moderate protein diet and have lost about 6 lbs in a week. I know this post says it is fine to do so but then I came across this post from a later date. http://mariamindbodyhealth.com/keto-fudge/ this post says not to because you will be feeding your child toxins. I am now confused and not sure what to do. I bought some ketostix and I am for sure in ketosis. I tested my breast milk and there was only a small amount registering on the test strip. Thanks for your help.

    • cemmerich says:

      If you lose significant weight while breastfeeding or pregnant, yes the fat cells will release toxins if they are stored there. But if you ate pretty clean (whole foods and not processed stuff if lots of chemicals and additives) then you wont have many toxins stored in your fat cells so you would be ok.

  • Lauren says:

    Hello Maria, I just found out I was pregnant and I have your book keto adapted. I know that the diet is safe and beneficial for pregnancy. I read something you wrote about fasting during pregnancy. I was unclear. Is that still ok to do while pregnant? I currently fast 16-20 hours. Each day

    • cemmerich says:

      I’m not sure. I think if you get the additional 200-400 calories for the baby that is should be ok. Or you could spread out 3 meals if you want to be safe. 🙂

  • Katherine says:

    Hello! I am breastfeeding my 3-month-old son, and he is doing great! I have been low-carbing since before he was conceived and all through-out pregnancy and continue now. I had a great pregnancy and a much more plentiful milk supply than with my first child. (This is possibly due to being a type 1 diabetic with well-controlled sugars this time, but poorly controlled with my first.) But I keep reading that low-carb or keto will greatly decrease milk supply. Is my experience so different because I was already well adapted to the diet long before breastfeeding started? Are there any studies (human or animal) on ketogenic diets and breastfeeding?

    • cemmerich says:

      Nope, if you are keto before and during the pregnancy, milk supply should be fine. If you change to keto during breastfeeding, milk supply may go down (as it would with any drastic diet change during breastfeeding). 🙂

    • Rachel says:

      Katherine,
      I’m also a type 1 diabetic and 16 weeks pregnant. I started a keto diet about a month ago, and its been going so well! But I would LOVE to talk with you about your experience and get any tips or things you experienced because I feel like we’re a rare breed…going out on a limb to do this while pregnant and type 1. Anyway, I’d love to connect and pick your brain about some things!! Thanks!

      • Joyce says:

        Hi Rachel. I would love to hear how your keto diet, type 1 diabetes, and pregnancy has continued! I have been type 1 since i was 7 and just found out im 5 weeks preggo with my 1st and started keto 1 week before i found out i was preggo (hence why i wasnt losing weight haha). I was just wondering where you keep your macros at and how it’s all been affecting your sugars!
        Katherine, any input you have would be greatly appreciated as well!
        Even though i was on keto for such a short time i noticed a positive change in my sugars and overall feeling and therefore would love to continue as long as it keeps my baby safe too.

        • Octavia Davis says:

          Rachel,
          i just found out that i am preggers and i am also a type 1 diabetic. i would love to know what your macro were and i am also considered obese since i never lost the baby weight from my first child. I know that weight plays a big role in you marco but it would help me to stay on keto (i love it) Pls Help and congrats Joyce

          • Maria Emmerich says:

            I would do 30g or less carbs, maybe 75g or so of protein and fat to keep your around maintenance level (maybe 120-140g or so).

  • Alejandra says:

    I have not been able to have a baby in the regular carb diet and my body just does not feel food on it. I have blood sugar swings, have to eat every 2 hours….bad! (not diabetic). Plus i have a neuro condition. Right now im in ketosis and loving all about it! Even my neuro condition gets benefits. I can wait 4 hours to eat with no problem, im ovulating exactly on the same day each month, better energy…..so now i want to try again and i was totally scared by what im gonna do next of i do succeed on getting pregnant since i do so bad on carbs! So i see its just not bad to be in ketosis while pregnant! Have you had many clients going through this? You are right…couldnt really find good info about this online and what you find says only not supported info.

    • cemmerich says:

      That is awesome! Yes, I have had many keto pregnancies that went amazing. Here is a recent client:
      “I can share my amazingly awesome keto pregnancy! With my first baby I had severe nausea, blood sugar issues, and anemia due to eating fruit and whole grains. It was so bad i had to have iron infusions. I thought eating iron fortified cream of wheat was the way to go. Wrong!!! With baby 2, I was keto adapted and had an amazing experience. My recovery took about 3 days!! And my baby was healthier. The nurse would always scold me because she would see small amounts of ketones in my urine dip. I would just smile and go on about my business. Not even worth trying to explain!” -Emily

  • […] Keto Pregnancy This blogger’s wife was in ketosis during two pregnancies Message boards are often the best places to see people talking about this Article discussing metabolism and ketones JImmy Moore’s Podcasts about Low Carb diets and Ketosis And his book, Keto Clarity (Affliate link) […]

  • Christa says:

    I’ve been following your woe for a couple of months now. I have three of your cook books that I use almost daily. I just found out I’m pregnant! How many carbs would you recommend during pregnancy?

  • Diana says:

    Hi, there!

    Just a note that I have just completed a full-term pregnancy on a ketogenic pregnancy, and it was amazingly successful. I used the diet to avoid hyperemesis gravidarum, but also had an easier pregnancy in many other ways. I am now a huge fan! Thanks for this article!

    Diana

    • Diana says:

      Oop, meant to say “ketogenic diet.”

    • Liz says:

      I was wondering if this did in fact help you avoid HG?

    • Aygee says:

      HI I know this post is late. I am planning to get pregnant and thinking of going keto. It would help to hear from someone who did it and was successful. What was your macro during pregnancy? PLease and thank you.

      • Maria Emmerich says:

        Keto is great for pregnancy. Here is a recent client:
        “I can share my amazingly awesome keto pregnancy! With my first baby I had severe nausea, blood sugar issues, and anemia due to eating fruit and whole grains. It was so bad i had to have iron infusions. I thought eating iron fortified cream of wheat was the way to go. Wrong!!! With baby 2, I was keto adapted and had an amazing experience. My recovery took about 3 days!! And my baby was healthier. The nurse would always scold me because she would see small amounts of ketones in my urine dip. I would just smile and go on about my business. Not even worth trying to explain!” -Emily

  • sweta says:

    I haven’t been on keto till now. I am 6 weeks pregnant. Can I follow keto diet now

    • Maria Emmerich says:

      Yes, you can. But I would monitor weight. Try not to lose too much weight while pregnant or breastfeeding. You store toxins in your fat cells that get released when you lose weight. 🙂

      • Kaylee says:

        How much weight is to much? I’m overweight and just found out I’m pregnant I’m sensitive to carbs well addicted to them and sugar and I know in order to survive this pregancy I have to cut them out or I will have to get on anti depressants it’s just how my body is when pregnant. I weigh 196

    • Miranda says:

      I began eating Keto at about 15 weeks pregnant. I feel amazing but as mentioned previously, it is a little hard to maintain or gain weight. I have to eat at least 3500 calories a day in order to gain so just make sure you eat enough!

  • Agnes says:

    Hi Maria,

    I just found out that I’m pregnant. For some month I’ve been taking glutamine powder to heal my gut. Is it safe to continue with it or should I quit taking it? I was trying to find info on internet, but couldn’t find anything trustable.
    I’m really looking forward to your answer. 🙂 Thanks for your help in advance!

    • Maria Emmerich says:

      It should be fine but you can always check with your doctor to be sure. 🙂

    • Kerry says:

      If anything, You can get lots of glutamine from eating more meat but especially pork as it has the highest amount i believe. Eating lots of bacon has greatly healed my gut. (While pregnant too)

  • Agnes says:

    Thanks a lot for your answer!
    How can trust a doctor nowadays? 🙂

  • Agnes says:

    Thank you! Fortunately there are exceptions! 🙂

  • Breanna says:

    Hi! I am planning to start TTC baby #3 this summer. I am currently breastfeeding, but only about 4-6 times in a 24 hour period, and nursing sessions are typically pretty short. DS will be two next month. I’ve been 95% gluten free since his birth, as it actually causes me to have seizures. We are pretty toxin free. Would it be safe for me to ease into the keto diet now so I will be in full swing by summer?
    I’m trying to improve my health because my last two pregnancies have been horrible and my husband says if #3 is bad as well, no more. 🙁 I have to improve my health to improve pregnancy.
    With DD I had low progesterone, pPROM at 22 weeks, partial placental abruption at 22 weeks and preterm labor at 22 weeks that brought me to 80% and 3cm, and I stayed that way until birth.i experienced preterm labor two more times. I became anemic, borderline gestational diabetic, and developed preeclampsia. With DS; I had low progesterone and a subchorionic hematoma from 5-20 weeks, and was borderline gestational diabetic again.
    I’m currently overweight, have hypothyroidism, which I’m trying to fix through diet, pcos, endometriosis, and blood work showed close to having insulin resistance.
    From what I’ve read, keto diet can help, what do you think?

    • Maria Emmerich says:

      Yes, I think that would be a great idea. Keto can be amazing for pregnancy. Here is a recent client:
      “I can share my amazingly awesome keto pregnancy! With my first baby I had severe nausea, blood sugar issues, and anemia due to eating fruit and whole grains. It was so bad i had to have iron infusions. I thought eating iron fortified cream of wheat was the way to go. Wrong!!! With baby 2, I was keto adapted and had an amazing experience. My recovery took about 3 days!! And my baby was healthier. The nurse would always scold me because she would see small amounts of ketones in my urine dip. I would just smile and go on about my business. Not even worth trying to explain!” -Emily

  • Desiree says:

    Hello Maria,
    I have been doing carb cycling for almost a month now (6 days low carbs 1 day of modernate carbs) and I just found out that I am 4 weeks pregnant. I want to continue my LCHF journey throughout pregnancy because I feel amazing while in ketosis. I have also been HIIT training about 5 days a week and some strength training as well with hopes of trading in some fat for muscle. I am concerned that the toxins released from my stored fat could be a potential harm for my baby. I am morbidly obese 5’4 and 280 lbs so weightloss is almost inevitable. What do you suggest

    • Maria Emmerich says:

      I would just keep your calories at a point where you aren’t losing much weight during the pregnancy. Congrats! 🙂

  • Emilie says:

    So I have been reading about the ketogenic diet and have been doing research on the diet and prepping my family for a change. I just found out that I am pregnant again and I’m wondering if the process of keto adaptation is safe to do. I don’t see any reason not to, just trying to cover my bases.

  • Rebecca says:

    Hi! I was keto adapted, then we started ttc. I upped carbs, but after reading this will revert. My skin was so clear, I wasn’t bloated, etc. My question is, I had a double mastectomy, so won’t be able to breast feed. I will get as much donation milk as I can, but are there any formulas that aren’t crap?

  • Joanne says:

    So it is safe to be in ketosis while pregnant?

  • Joanne says:

    Thank you for the response. I am overweight and have been on a ketogenic diet for 3 weeks. I am also nursing a baby.
    I have lost about 10 lbs but feel amazing. I know I shouldn’t loose too much but is it ok to still slowly loose at this point? also. I read the article and I agree that many ppl are misinformed. People loose weight while pregnant often and some ppl hardly eat at all so would they not also be on ketosis? This proving it’s really NOT dangerous? Just some things I have been wondering after my research.
    Thanks so much!

    • Maria Emmerich says:

      I would try not to lose more than a pound a week or so until after breastfeeding is done. 🙂

  • Joanne says:

    I’m 5 weeks pregnant I forgot to add:)

  • Becki says:

    I have been following a keto diet for 2.5 months now after reading your book, keto adapted and have lost 16lbs (6 inches off my waist!!) and have now discovered I am pregnant with my second child.
    I am happy with my choices and will remain on this eating plan as the benefits to my well being are numerous.
    My question is about the supplements – I currently take magnesium and potassium and use more salt to increase my sodium – we are told sodium is very dangerous to babies and small children in high doses so should I continue with these or could the sodium cause any harm to my unborn baby?
    I understand this article was posted a whole ago so unsure if you still check comments on it.
    Hope you can help – many thanks
    Becki

    • Maria Emmerich says:

      That is great! Congrats!! I don’t think you need to restrict salt. Even on standard diets they don’t recommend that anymore during pregnancy. 🙂

  • Taylor says:

    I am currently 27 weeks pregnant with my second child. I was on Lchf before I got pregnant losing 60 lbs and feeling amazing. I got off of the diet when I found out I was pregnant because I has mixed feelings and didn’t know who to ask knowing my doctor would totally be against it. Now I started LCHF again almost two weeks ago and took my glucose test and they called me in for the three hour test stating my levels are 182 and the highest they should be is 135! Is this normal for a keto state while pregnant? I haven’t bought any keto stix yet but I am pretty sure I am in ketosis & my baby is kicking more than ever!! I think he is loving this eating healthier. Btw I gained about 50 lbs already in 6 months being off of low carb high fat. I just need to know what to do about my glucose test. Do you think my blood sugar spiked from drinking the glucose drink?

    • Maria Emmerich says:

      Yes, if you were keto adapted taking the glucose drink will spike your blood sugar even more (it is pure glucose and your body is converted to burning fat for fuel). I would look at other indicators (like A1c) to determine where you are at. That glucose test just isn’t very applicable to this lifestyle.

  • Taylor says:

    Also, do you think it Is safe that u started keto in the middle of pregnancy ? I’m hoping it will help with my sweelling as well.

    • Maria Emmerich says:

      I would have stuck with it the whole time. But as of now, I would just watch your weight. Just make sure not to lose significant weight during pregnancy or while breastfeeding. You store toxins in your fat cells which gets released when you lose weight.

      • Taylor says:

        Thank you. I’m going in tomorrow for my 3 hour test hoping for good news. I’ve only lost about 3 lbs so far so I’m not losing much at all which is fine I didn’t want to lose weight as much as sustain the weight I’m at and not gain anymore. I gained 100 with my other child and I know that is just not good at all for my body. I wish I would’ve stayed on LCHF as well! And am regretting getting off but now that I’m back on hopefully it will help me post Partum. & plus I am going to breast feed as well.

  • Michelle says:

    Hello, I have been thinking about purchasing your keto-7 plan and I was wondering which one you would recommend? I am currently pregnant and my husband has decided to give this lifestyle a go. Would the regular plan be the way to go? Neither of us need to loss weight?

  • Beth says:

    Hi Maria,
    I’ve been eating the “Maria way” for over a year now, and am considering trying to get pregnant again. Unlike some of your clients, I am actually using the diet to stay at a healthy weight, instead of being under weight. I am not limiting my calories, but am staying in ketosis. IF I get pregnant, my one worry is that I will not be able to stay on the KETO diet because of other health issues – or even that I’d accidentally slip up. Could this harm the baby?
    For example, during my last pregnancy I had horrible constipation (partly because of the Progesterone supplementation I had to use to stop miscarrying), and had to take high doses of Lactulose. I assume this would kick me out of ketosis, and I’m afraid that that – in turn – could cause a miscarriage, since you state “Many times when cravings get the best of pregnant clients and they consume these foods, the auto-immune response results in a miscarriage.” Does this apply to going out of ketosis in general? You were specifically talking about cheating with milk and gluten. I would NEVER end up eating gluten, since I am a celiac, but do you also think all pregnant (and KETO) women should be off all dairy? I do currently eat goat’s/sheep’s dairy…
    Thanks so much for your advice! I wonder if all of these questions are answered in all of your books I got in your complete package…I just sadly haven’t been able to read them all, due to my other health issues. I do realise that some problems (like the constipation) hopefully would not occur BECAUSE of the keto diet, but since I can’t medically guarantee that I will be able to stay keto throughout an entire pregnancy, I was wondering if it’s still safe to give it a shot…and ease out of the keto state if it does become medically necessary at some point!

    • Maria Emmerich says:

      If you aren’t sensitive to dairy then it won’t be an issue. The best is to stay with your keto lifestyle and you will hopefully have a smooth pregnancy. 🙂

      • Beth says:

        Thanks for your quick reply, Maria! Do you know if it’s dangerous for a foetus to stop eating KETO during pregnancy, though? You have mentioned starting a KETO adapted diet during pregnancy can cause problems, if you loose too much weight, but what about stopping?

        • Maria Emmerich says:

          I don’t think there is any issue with stopping keto during pregnancy for the fetus. Except of course if you eat foods with a lot of added junk and chemicals in them which would effect the fetus. Keto is definitely best for the fetus in general.

          • Beth says:

            Oh that’s very good news! I will definitely try to stay keto throughout pregnancy then 🙂
            One last question: in your experience, does the auto-immune response from eating gluten and dairy cause miscarriages mostly in the first trimester, or would it be severe enough to cause problems in later trimesters too? I assume this auto immune miscarriage response could also happen in dairy/gluten sensitive women on a non-keto diet…Or is it for some reason only the case in those who are keto adapted?
            Thanks again for everything you do for us. You’re a wealth of information 🙂

          • Maria Emmerich says:

            Typically yes, during first trimester. Thanks!

  • Ashni says:

    Hi, I know that many women have had successful, problem free pregnancies while on ketosis. What I would like to know is the actual effect of the ketones on the baby. I am currently 5 weeks pregnant and have been on the KCHF lifestyle for the past 6 months. I have 3 very bright and healthy kids, from pregnancies where I ate anything and everything . In my previous pregnancies I had severe morning sickness and depression But the babies and now kids are absolutely healthy and bright . I’m very open to doing the LCHF pregnancy this time around especially to combat the depression and sickness But highly stressed about all the bad publicity of ketones effect on baby and brain development. Are there testimonials about babies and children after mum’s ketosis pregnancy? Thanks in advance

    • Maria Emmerich says:

      A baby will be in ketosis naturally in pregnancy and while breastfeeding even if the mother isn’t. Breast milk is over 60% fat. The brain is over 60% fat also. So it thrives on a high fat diet. 🙂

  • melissa says:

    Hi Maria,

    I am currently 5 weeks pregnant and have been doing Keto WOE last month or so ( previously i was Paleo with all organic foods so just changed my macros as i was gaining weight due to high carbs),

    i know macros are important so wanted to know the minimum amount should be consumed whilst pregnant

    i.e. I am 63kg with 35% body fat, my macros are protein 54g/ fat 65-80g /and 800-1000kcals for moderate weight loss, is it dangerous for the feotus to stay this way even if i lost weight moderately to slow (keep in mind only organic foods eaten and only wanting to lose another 5kg)? i am more concerned about the baby getting enough nutrients with such low cals etc??

    TIA!!

    • Maria Emmerich says:

      I would take whatever you where doing before and add about 300-400 calories (same macro %). Keep an eye on your weight as you progress and adjust as needed. You don’t want to lose too much fat while pregnant. 🙂

  • melissa says:

    oh and how important is it to eat for hunger as i am still in early pregnancy, i will assume i will get more hungry and need to eat more, this might get me out of ketos and i may want to hold off eating extra, will this be detrimental/ starving the baby at all??? TA!!

    • Maria Emmerich says:

      I would listen to your body and if you are hungry eat more. Just keep macros the same % and you should be fine. 🙂

  • melissa says:

    Can you also give some advice to help with constipation, i have tried everything but nothing is keeping me regular. i know its common to have constipation from early on but i would love to have a solution that works for every 2nd day at least……..i’m going every 5-6 days and thats with taking psyllium husk x2 a day, tablespoon of coconut oil at night, warm water and lemon first thing, eating lots of kale, spinach and lettuce and 2 litres of water a day 🙂

    sorry for the TMI!! Thanks again!!

  • Eliza says:

    Hi there. I am wondering if you have successful stories of type 2 diabetics reversing readings eating in the keto state?

  • Barbara says:

    I am about 5 weeks pregnant. I am struggling with the decision to eat low carb and go in to ketosis while I am pregnant. I have been in ketosis before and reaped the wonderful benefits of feeling good, better sleep, and weight loss. I am currently overweight though and ideally would like to become healthier during my pregnancy.

    Is it safe for me to be in ketosis so early in my pregnancy? Also, I’ve seen you mention a couple of times that you shouldn’t lose too much weight. How much is too much weight? I know there is an initial water weight loss, but after that… how many pounds a week is too much? Is there a way to remedy the toxins being released? Like teas or more water?

    • Maria Emmerich says:

      I would focus on Keto and maintaining weight until done breastfeeding.

    • Maria Emmerich says:

      Ketosis is safe for pregnancy at any stage. It is hard to say how much weight loss is too much. It depends on a number of factors. If you weren’t eating too many toxins before (preservatives, food dyes, etc) then it is less of a concern as you have less toxins stored.

  • Lydia says:

    Hi Maria,
    I have been enjoying the ketogenic diet for a year now and am so excited to be in the early stages of pregnancy with my first child. However I have the usual symptoms of appetite suppression and severe nausea (no vomitting yet) and diarrhoea (sorry for TMI).
    Everything I read online says to eat a BRAT duet to combat this which I am NOT going to do so I was wondering if you had any advice on what may help me prevent losing too much weight and curb these symptoms a bit?

  • melissa says:

    In regards to IF and pregnancy (for my future reference wink emoticon …….is it not recommended only because if you are hungry you should eat…..my cals are approx 1200-1300 now….one day do protein 65g, fat 100g….next day i do protein 85g, fat 90g. I am IF alternating between these 2 macros and have found the right macros so i am not hungry during the fast 16/8……should i still stop this if i fall pregnant? or just see how i go? Thanks Maria!!

    • Maria Emmerich says:

      I don’t recommend losing weight while pregnant. Fasting is fine as long as you can get enough calories.

  • Lynda says:

    What sweeteners would you recommend during pregnancy? I normally use erythritol because stevia tastes horribly bitter. Is erythritol safe during pregnancy?

  • melissa says:

    thanks Maria, when you say enough calories, how much should i be having once i fall pregnant? i am 155cm height, 63kg weight. My recommended daily intake on the FatSecret site says my RDI is 1600……im not sure if that is the amount to lose weight or just in general i should be eating. what amount is appropriate for my size and what macros are recommended once i am pregnant? thanks so much again!!

    • Maria Emmerich says:

      I don’t recommend losing weight while pregnant. You release toxins stored in fat cells and are released into the blood stream which reach the fetus.

  • melissa says:

    thanks, i am not looking for weightloss macros/calories, are you saying to get enough macros and calories for maintenance level?

  • Melissa says:

    Wow- you are amazing at responding to questions– that’s awesome, thank you.
    I am about 5 weeks pregnant- I have a 12 and 14 year old, so it’s kind of like starting over again!

    I am on day 42 of the keto WOE and have lost 16 pounds (200 to 183.4, 5’7″) and then found out I am very unexpectedly pregnant- whoah! I am older, 39, and just nervous for this whole thing!!

    My question is: should I adjust anything due to age? I fall into the beautiful advanced maternal age category and want to try to have as healthy of a pregnancy as possible!

    Thanks!

  • Andrea says:

    Hi

    I have a question about being in ketosis during pregnancy. I’ve read all of the comments and the common theme seems to be to not lose much weight because you release toxins when you do and that goes to the baby. I’m wondering if this is true beyond this way of eating. For example, I know many women who lost weight (some fairly significant amounts) either due to morning sickness or more commonly those who were overweight to begin with and decided after finding out they were expecting to eat clean/super healthy etc. Needless to say they all went on to have healthy babies. Clearly those who lost a decent amount of weight despite being pregnant (due to a much healthier diet) were losing “fat”. So my question is, whether or not you are in ketosis, if you’re losing fat during pregnancy, are the toxins being released to your baby? Is all the same no matter what “diet” you are following. I’m by no means an expert, but it seems to me no matter how you eat, if it’s true that fat loss will cause toxins to release that could potentially be passed to the baby, it’s not just when you are it ketosis. Note: I’m fully aware pregnancy is not the time to diet or try to lose weight but for one reason or another some women just do. There isn’t a ton of people who have lost weight via kerogenix diet during pregnancy to share their story but there are many women who have lost weight during pregnancy in general and to me it seems like it’s all the same. Just very curious for anyone to weigh in.

    • Maria Emmerich says:

      Anyone who has toxins stored in fat cells will have his happen when losing weight. So the babies did get exposed to those toxins (food dyes, preservatives, etc). If you eat none of those processed foods and nothing with preservatives, dyes, ect you won’t have toxins stored in your fat cells so it won’t be as much an issue.

  • Jennifer says:

    I just finished your book Keto Adapted and I loved it. I am currently 24 weeks pregnant with twins and I was Keto up until 16 weeks and then lately I’ve been just low carb at about 60 carbs per day. I have recently developed a weird rash around my mouth and saw that Evening Primrose Oil could help. Is it safe to take the Evening Primrose Oil during pregnancy? I wasn’t sure if I should take the dose you suggest the n your book or not. Thanks!

    • Maria Emmerich says:

      Hi!

      Thanks so much!

      Would you mind writing a review on Amazon? It helps sooooooo much!

      No, please don’t take while pregnant.

      Do you have any allergies? Any ears, nose or throat issues with seasonal allergies?

      • Jennifer says:

        y write a review 🙂
        No, I do not have seasonal allergies. I usually have very nice, clear skin, no bumps, pimples, etc and it’s only been better since being Keto for the past few years. I can only think the rash may be pregnancy related. It’s dry and itchy and it’s driving me crazy. I keep coconut oil on it and that’s not even helping. I very rarely wear makeup so I know it’s not that either.
        I will not take the EPO.
        Thank you for your response!

  • Jennifer says:

    I will definitely write a review 🙂
    No, I do not have seasonal allergies. I usually have very nice, clear skin, no bumps, pimples, etc and it’s only been better since being Keto for the past few years. I can only think the rash may be pregnancy related. It’s dry and itchy and it’s driving me crazy. I keep coconut oil on it and that’s not even helping. I very rarely wear makeup so I know it’s not that either.
    I will not take the EPO.
    Thank you for your response!

  • Sarah says:

    Hi! This is an awesome website. What should macros be in first second and third trimesters for maintenance? Do we just eat calories at maintenance? How many grams of carbs do we stay under? What about protein? Do you recommend more cardio or lifting? Also, what do you recommend no dairy in the first trimester? I read someone saying something about miscarriage :/

    Thanks sooo much!

  • melissa says:

    Hi Maria, are 1. egg protein powders (Jay Robbs), 2. quest bars and 3. sweetness: stevia (most of the time), xylitol (rarely) 4. water kefir brewed 48hrs safe during pregnancy and breastfeeding?? Thanks again!!

  • jolene says:

    Hey Maria,
    I just want to be sure I understand correctly. I’ve been keto since June and am fully adapted. so if I’m going to stay keto, ttc, and get pregnant it is healthy to stay keto throughout pregnancy as long as I don’t lose weight at all or too much weight ad that will release toxins to the baby? How much is too much? I’m 5’5 185 and hope to not gain much weight while pregnant as I still have much to lose in the legs.

  • jolene says:

    One more thing- would you recommend continuing with IF and a bulletproof coffee or switching to a daily breakfast?
    thanks in advance!!

  • Sydney says:

    Hello Maria,
    I have had much success with ketogenic diets in the past but fell off and gained weight again. I had started back Keto when I found out I was pregnant. I was always told it was unsafe to do keto during pregnancy so I stopped. I’m now 25 weeks and really want to go back to keto. Is it safe to transition this late during pregnancy? Also how do I avoid loosing too much weight (I always loose drastically on keto even with higher calories) I’m currently 356lbs (gained 15 since becoming pregnant) so how high would my calories need to be? Thanks in advance.

  • Teresa says:

    I was keto adapted all last summer feeling great. Got pregnant. Had bad nausea and fell off wagon eating super bland food, like toast.
    my question is I gained more than I would like. My baby due in 6 weeks and I want to get back to keto. Should I do now at 8 months pregnant so I’m keto adapted for birth or wait and gradually do it after while breastfeeding .
    afraid of losing milk supply or toxin isuue. Love your advise please:)

  • Teresa says:

    One more question Maria,
    What supplements should I take while keto and breastfeeding. Anything? You also said loss of a pound a week is okay while breastfeeding?

  • Teresa says:

    Sorry also what sweetener is ok while nursing?

  • Crystal says:

    I have a 3 year old. I miscarried a year ago at 11 weeks. We are trying to get pregnant again. I have been struggling to do a higher protein keto-like diet for 4 months but just got your books and Advanced program and so adjusting macros. Many of your recipes include dairy and I am wondering if its safer to continue to consume high fat dairy (butter, cream) than to cut it out and possible eat it later. I am not sure if I’m sensitive (chiropractor said so but never noticed any issues..might increase appetite a little if too much) and love dairy but really want to avoid another miscarriage. Does the autoimmune response only happen if you quit dairy and then start consuming it again or can it happen if consuming it continuously and regularly if sensitive?

    • Maria Emmerich says:

      I’m so sorry to hear about your loss:(

      My advanced meal plans are dairy free;). I suggest cutting it totally out.

  • Crystal says:

    Do you think it is okay to take l-glutamine and l-carnitine while trying to get pregnant?

  • JMS says:

    Hi Maria!
    I’ve been full Keto since about June. I’m also newly pregnant. Would you recommend staying full keto during pregnancy or adding a bit more carbs such as sweet potato and fruits as much of the world is encouraging? I currently don’t eat any fruit at all – not even berries. Should I add some in? I don’t feel like I’m missing anything without fruit or S.P., but I want to do what’s best for baby! Also – do you have a pregnancy food plan? Thanks in advance for replying to comments and being generally awesome! You guys rock!

    • Maria Emmerich says:

      No way! I have clients who have done a Keto pregnancy after a non-Keto pregnancy and they do a million times better in Ketosis!

    • Maria Emmerich says:

      Yes. The maintenance or any of my plans work. Just add more calories;)

  • Emilie says:

    I’ve done keto before and after a month long break am going to get back to it tomorrow. I’m currently ttc and tracking fertility signs. It’s possible I’m in the very early stage of pregnancy but won’t be able to know for another week or so. Any harm starting keto at this point before I even know I’m pregnant?

  • Teresa says:

    Hello Maria,
    I have a 1month old baby. Want to start to either do keto or like 60 carbs daily. I keep hearing that women lose their milk supply. is this true and what should I do?
    I’m assuming our ancestors always were in keto while nursing and must have been able to feed their babys. So what’s all the hype about low carbing and nursing?
    Please give me your advise. Also got your new book so excited about it!!!!

    • Maria Emmerich says:

      Thanks!

      No. Hormones are made from cholesterol. I see that women do way better if they do Keto properly while breastfeeding and eat enough Keto food so they don’t lose weight.

      Weight loss is what can cause milk to stop.

  • Emilie says:

    Maria, Do you know for those who track basal body temperature in trying to conceive, does keto make your basal body temperature go lower? I’m on my 3rd day of keto, was in ketosis per the sticks last night (not my first go at keto). I’m on cycle day 25 and 10 days post ovulation…and suddenly saw a dip in my temps this morning. They were .5 degrees lower than yesterday. Just wondering if you knew if this was related to keto in any way.

  • Malisa says:

    Hi, I started ketogenic diet at the beginning of the year again. I fell off during the holidays. Now, I am pregnant and I was concern if this diet is healthy. I came across your website; thank you so much, I am now confident to stay on. However, I want to lose a little more weight, can I do it safely during the first trimester? And I would like to purchase your book but I don’t have much time to read all of them (busy with twins at home and work) Do you have at least one that needs to be read during pregnancy that would help me have a better pregnancy this time?

  • AJ says:

    I quickly scrolled through the comments, so not sure if this has been addressed. I went paleo/keto almost a year before conceiving. I wasn’t strictly counting carbs, but basically ate no grains, little to no sugar (only very dark chocolate and small amounts of fruit), and rarely starchy veggies. I am now pregnant with my third baby and started out at a lower, healthier weight than with my first two. Now I apparently have GD (not officially diagnosed, but I know that I would very likely be), which I did not have in my other pregnancies. What keeps worrying me is this idea that we need a minimum of 175g of carbs per day. I’d have to TRIPLE my carb intake just to follow a GD diet. And I keep reading about how bad it is for moms to not have this minimum amount. But I also know that I don’t have any blood sugar issues with the way I have been eating, even with allowing a slightly higher carb intake. If I go too low, I don’t feel very good, so I try to do somewhere between 50-75g most days. So for one thing, I wonder if being so low carb has contributed to my glucose intolerance. And I also worry that I’m somehow doing a bad thing when I’m really just trying to be as healthy as possible!

  • Amber says:

    Hi Maria!

    I’ve been eating LCHF for 5 months now and just found out I am pregnant. I am planning on continuing to eat LCHF, however food just doesn’t doin good. How have you or your past clients gotten through the lack of hunger with keto foods without reaching for carbs? Nothing sounds good to me at all.

    • Maria Emmerich says:

      Well that is a very difficult question to answer. Finding healthy Keto options is your best bet.

  • amy says:

    Hi! i am pregnant and have been consuming about 40 grams of net carbs/day give or take a few. I am concerned about there being ketones in my urine and causing my doctor to freak out. I have also heard that women who go low carb when pregnant often fail the glucose tolerance test. I cannot change doctors and do not think my doctor will be supportive of a low carb diet. Wondering what your experience is with this. Is there a way to pass these tests while still being low carb or should I just up my carb intake?

    • Maria Emmerich says:

      Well, first of all doctors on average get only 24 hours of nutrition education in 12 years of college and internship. Second, you don’t have to use their recommendations. Ultimately it is your choice about what is best for your body. But if you want, you can eat higher carb for 1-2 days before taking the tests and they will be fine.

  • mel says:

    Hi
    Wow…this is so interesting. I have read every comment, question and answer. I can’t wait to get your books Maria. I have the keto cook book currently.
    I am currently undergoing fertility treatment for a frozen embryo transfer. I already have twin 4 year olds and was not doing a ketogenic diet with them as I didn’t know that this was ultra healthy at the time or I would have. I have been doing a ketogenic diet for 3 weeks but because of the upcoming tranfer I decided to start eating more fruit and the day I came off of it, I had a grilled cheese sandwich and immediately had cravings for chocolate and ate 3 atkins bars and felt sick after. I started researching keto and pregnancy and have made the decision to stay keto to help me get and stay pregnant and to have a healthier baby/child/adult(most importantly). I am currently 5 feet 1 inches and weigh 152 pounds. I would like to get to 145 pounds before the transfer on Feb 3rd. I really would have liked to be down to 130 before pregnancy. Weight loss has somewhat stalled over the last week. Is it safe for me to lose 15 pounds during the first trimester and then maintain or gain very little? With my twins I only gained 15 pounds (I had a hard time eating as no room…I think). I worked out until 33 weeks and had no GD, hypertension or any problems. My OB was not ecstatic that I wasn’t gaining much but she was ok with it. I weighed less after the birth than prepregnancy. I have 2 happy healthy very smart and active children. The other thing is that I am still breastfeeding but they are 4 so milk is probably low and they are only bfing once or twice a day and sometimes not at all. I haven’t told fertility docs that I am still breastfeeding as don’t want to stop quite yet?? What do you think and can I keep losing until end of April??

  • amy says:

    have you seen this study? http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-109
    I don’t know if I am understanding it correctly but it caused me to question a keto diet during pregnancy and the long term effects of it on a child.

    • Maria Emmerich says:

      That has been totally debunked

    • Maria Emmerich says:

      As with any study, the devil is always in the details. First it was a mouse study, not on humans. Second, the fat used was soybean oil (which is very estrogenic and I don’t recommend) among other issues. I have helped many clients get pregnant and have wonderful pregnancies with a ketogenic lifestyle. Here is one:

      “I can share my amazingly awesome keto pregnancy! With my first baby I had severe nausea, blood sugar issues, and anemia due to eating fruit and whole grains. It was so bad i had to have iron infusions. I thought eating iron fortified cream of wheat was the way to go. Wrong!!! With baby 2, I was keto adapted and had an amazing experience. My recovery took about 3 days!! And my baby was healthier. The nurse would always scold me because she would see small amounts of ketones in my urine dip. I would just smile and go on about my business. Not even worth trying to explain!” -Emily

  • mel says:

    I am really sticking with the ketogenic diet and have gained a pound over the past week. Could this be because of the hormones that I am taking in preparation for the embryo transfer on Feb 3rd. I was hoping to lose another 7 pounds by then but don’t think it’s going to happen. Any suggestions?
    My other issue is that I get a gall bladder attack from eating to much fat although I haven’t had one for a couple of weeks now and I am using bile salts if I have a really fatty meal. Do you have any suggestions for this. It is so painful and lingers for days after.
    Thanks Maria…we got your keto adapted book and my sugar addicted husband is doing the ketogenic WOE now too. He has no weight to lose but I have preached the benefits to him.

  • mel says:

    Yikes!! What about heavy cream?

  • Teresa says:

    Is being in ketosis completely safe for baby while nursing? As long as you watch not to lose much weight?

  • amy says:

    Hi, I was wondering if it would be okay for me to lower my net carb intake to 20g or less per day. I used to eat around this but since becoming pregnant I increased my carb intake to 40net grams per day. I feel a lot better consuming fewer–less cravings, steadier energy and focus. As long as I am gaining the right amount of weight during the pregnancy, would lowering my carb intake be safe for the baby? thanks so much for your time!

  • Keomie says:

    Hi I have been in keto for 5 weeks now and have lost a total of 7 KGS but iv just found out I’m pregnant and about 5-6 weeks pg.. Could all the toxins from my weight loss effect the fetus during the very early stages ? Feeling a bit worried

  • erica says:

    Maria,
    I have been on keto for 4 months now and I am currently 6 weeks pregnant. I have had all day nausea which I did not have with my first pregnancy. Any recommendations on things to help with nausea since most things they recommend are not keto friendly? TIA!

  • amy says:

    Would it be safe to eat less than 20g net carbs during pregnancy? I know there are no formal studies, but in your experience/opinion.

  • Betsy says:

    Hi Maria,

    I found this post yesterday and then bought your book, Keto Adapted. I have finished reading it. I have been low carb for two weeks, but still eat dairy. I am sure it’s best to give that up. I start my first IVF cycle and hope for implantation to take place mid March. Is it safe to lose weight until implantation occurs. I still have quite a bit to lose and what to be a healthier BMI when I implant. I plan to also continue a Keto diet while pregnant. Are there any tips that you have during this process, and supplements or foods I should be eating more of, besides avocado and coconut oil?

    Right now I do two 24 hour fasts a week, I know this isn’t recommended but hope to do a daily 16:8 or 18:6 when pregnant and making sure that I get all my calories still, is that ok?

    Supplements I have just started taking is Probiotics, folate (not folic acid) Liquid D3 drops, and fermented cod liver oil.

    I know you say to give up dairy, how to you feel about grass fed real butter? Would you advise to cut that out too?

    Thanks so much
    Betsy

  • Teresa says:

    Hi Maria,
    I’m nursing a 2 month old. I’m in ketosis. Can I take L-Acetyl carnintine while nursing? Thanks

  • Ashley says:

    Hi Maria,
    I just found your article. I started keto about 6 weeks ago and just found out I am pregnant! I have felt great on keto, more energy, etc.
    Anyway, I have had preeclampsia witg three of my 5 living children. I miscarried last Sept. at 12 weeks.
    I am 5’7″ and 135#. My chiropractor suggested not being in full blown ketosis because it can be detoxifying and he was worried about toxin transfer. If I don’t have any weight to lose, would there be toxins that can be loosened by ketosis?
    Also, have you had clients that have had preeclampsia go on a ketogenic diet for a subsequent pregnancy and avoid developing it?

  • Erin says:

    Hi Maria-

    I am currently 6 weeks preggo. Prior to being pregnant I was eating keto to try and lose weight from my first pregnancy. I actually gained very little during my first pregnancy because I was soooooo sick the entire time. However, after pregnancy is when I gained weight due to having a prolapsed bladder and not being able to work out. I am currently about 25-30 lbs overweight now and would like to try to maintain during this preganancy. If nothing else I was hoping the keto diet would keep me from puking throughout the entire pregnancy again. Is there one of your keto programs you recommend that is safe during pregnancy? I want to be healthy but also don’t want to gain another 30 lbs 😁

  • Kristin Tigges says:

    Maria! So LOVE all your recipes and info. My baby is 6 mo through pregnancy and up to this point I have primarily ate fairly low carb and clean but not full out keto. I am still only breast feeding our son but am hoping to lose some weight before a trip we’re taking this summer. Is it a bad idea to try to lose weight and change to full out keto because of toxicity and milk supply decreasing?

  • Fd says:

    Hi Maria . How many grams of carbs to eat when pregnant? What exactly are the effects of “toxins” on the fetus with weight loss?

    Also , if knocked out of ketosis during pregnancy and stay that way for the rest of it, will it cause rapid weight gain even with lower, but slightly increased carbs?

  • Bev says:

    I have been taking keto OS since September. Is it still OK to take if pregnant?

  • Erin says:

    Hi Maria-
    Just curious , but if I purchase the Maintain plan do I get all the others too? I am confused by “receive all the PDFs.” Or are there multiple PDFs for one plan and then if you want to try another plan you have to pay $205 again. I also was curious what is different in the plans vs. your cookbooks? I really want to do the Maintain because I am pregnant, but don’t want to have to change and purchase another plan when I am no longer breast feeding. Money is a bit tight for us right now. Is it possible to buy one of your cookbooks and be successful with the Maintain plan?

    • Maria Emmerich says:

      There are multiple PDFs in each plan. If you want all the plans the Keto-90 package is your option. 🙂

  • Teresa says:

    Hi what’s up with the ideal protein diet? Its keto
    seems like a starvation diet. Is it just a marketing thing so you buy their products when a person can do keto by just buying real food and some free instructio from you of course:)

  • Ruth says:

    Hi Maria

    I have been keto for almost a year to control LADA I’m not on meds. I even under the care of a nutritional therapist who specialises in ketogenic if diet and was pretty confident to keep on the diet through pregnancy until my nutritional therapist said I should come off it as the evidence is too thin. I know you’ve had a lot of success with clients, have you followed up with any of them years later to see if thier child is still in good health? I guess my concern is there isn’t a lot of info on the long term outcome and how this may have influenced epigenetics

    • Maria Emmerich says:

      Yes I have. Plus you can gain and maintain weight in Keto. My kids have eaten Keto their whole life. At 5 and 6 years old they are super healthy and happy!

  • Melissa says:

    Hi Maria,

    I have been gluten free ( to the best of my knowledge) to eliminate depression (which it has) for over a year now, I am now 10wks pregnant and haven’t been so strict on my gluten intake due to cravings……I am definitely not gorging on breads or heavy gluten laden products but a chocolate bar or some sauces that contain gluten here and there. Is this going to have any effect on my body or the baby in regards to causing an “allergic” type response as it is a toxin ?? Or is it all in my head ?? Little amounts doesn’t bring on any anxiety or depression for me so thought it MIGHT be OK to curb my cravings.

    Thanks !!

  • Teresa says:

    Hi I’m a nursing mom and wanted to make recipes using the just like sugar. Is chicory root safe while nursing? Also what about sucralose/ splenda?

  • Melissa says:

    Hi Maria, not sure if you missed my question above……. I read something about this topic on this thread a while ago but can’t find it now ( having gluten in pregnancy after being gluten free)

    Also, can you please advise why you advise to be off all dairy? I have been off dairy for over 2 years due to being lactose intolerant and inflammatory response to it, keto is high in dairy so just really curious as to your reasons for no dairy…..I have just started to eat organic yogurt and cheese, wondering if I should stop and why in your opinion?

    Thanks!!

    • Maria Emmerich says:

      Yes. I would stop. Yogurt has too much sugar anyway! I wrote a post about it. Even plain yogurt

  • Melissa says:

    Hi Maria, not sure if you missed my question above……. I read something about this topic on this thread a while ago but can’t find it now

    Also, can you please advise why you advise to be off all dairy? I have been off dairy for over 2 years due to being lactose intolerant and inflammatory response to it, keto is high in dairy so just really curious as to your reasons for no dairy…..I have just started to eat organic yogurt and cheese, wondering if I should stop and why in your opinion?

    Thanks!!

  • Cami says:

    Hi Maria,
    My husband and I started low carb maybe 3 mo ago to lose weight. We started with Dukan but I’m changing to your way as I agree with high fat. I lost 10 lbs in first mo but have stalled at that weight. We haven’t eaten perfectly due to birthdays and my husband’s weak will power which affects mine too. So I know I may be in and out of ketosis. Admittedly I still need to get your keto adapted book (I rec’d kids one as a gift which introduced me to you) to get all the details. I don’t feel fully aware of how this works. But in the meantime, I just found out I’m pregnant and am wondering if I should just proceed with trying to stay lchf. Any concerns? I was treated for endometriosis before I got married and I’ve never had trouble conceiving (praise God) or gotten gestational diabetes (3 pregnancies completed so far) but my last baby I did have some crazy carb cravings halfway through! Can you share with me any suggestions or guidelines to follow? Sidenote: I tend to be low in progesterone and typically need progesterone therapy (not synthetic!) during most of the pregnancy to maintain it. Many thanks to you!

    • Maria Emmerich says:

      Are you dairy and nut free?

      No! It’s the only way to eat in my opinion! Even my 5 and 6 year old eat this way 100 percent!!

  • Cami says:

    I used to rarely eat dairy other than some cheese but I’m eating more on low carb, including cream. I feel like too much animal proteins do make me feel worse though. I’m not clear on why you suggest dairy at times and no dairy at other times. Depends on the person maybe? I love nuts so I eat them regularly. I feel best eating lots of veggies (plant based diet), and mild/moderate meat. Love coconut oil but need to work on incorporating more. I’m still nursing my 16 mo old also. Thanks for any add’l feedback.

  • Joanna says:

    Hi maria! I am keto and we are going to try for children this coming year. I am so torn as to continue keto when I do become pregnant. It seems there is not much medical research out there. This article worries me as it says the heart was larger and the brain and other organs were smaller during development. And that it can lead to issues as the child grows. I would love to know your thoughts on the article please. http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/1471-2393-13-109

  • Teresa Haas says:

    Hi hopefully you can enlightened me on why the potatoe diet works. Isn’t that full of carbs. Is it just because of calorie restriction. I’m very confused. I’m in ketosis and it’s working but my husband wants to try the potatoe diet. I don’t understand how it can work

  • John says:

    Stunning.. I love this blog, thanks for the article!

  • Meaghann says:

    Hi Maria, I fully grasp the carb side of the Keto, but I’m struggling on the protein side. I’m currently 5’5″ and about 155lbs 4.5 months post partum while exclusively breastfeeding. My endocrinologist has encouraged me to loose weight (diagnosis unclear, but somewhere between a LADA T1 diabetic and MODY, just went off my insulin pump a week ago and started metformin). I know it isn’t good to loose weight fast, but I’m planning on nursing for another 1.5 years at least so I need to chip away at the weight somehow. I recently watched your metabolism class where you said diabetic women should consume about 60g of protein a day, does breastfeeding effect that number? I also recently started moderate weight training as well..

  • Lenka says:

    I am low carb the whole my pregnancy, eating practically the same things as I did before. I am now in seventh month and decided to check my ketones. Instead of just elevated ketones I saw clear bright purple as I never seen before. Why I increased ketones level that much? Well, it was evening, right after dinner, but still… I always had very stable ketones. How it can be related to my pregnancy?

  • Amanda says:

    Hi, I am currently 25 weeks pregnant. I have been on a high carb high fat completely unhealthy diet for the most part. Its no surprise I am gaining weight like crazy. I think I just kind of gave up because this is baby number 4, and despite my previous efforts of other diets I always gain a lot of weight. I happened upon this ketogenic diet while doing a research paper about how diets effect cancer for school and I have been hooked! I’ve been doing so much reading. However I am very concerned to switch diets this dramatically while pregnant. But I don’t want to put it off till after I have the baby because I have had little success with breastfeeding and I would like to see if this would help improve it. Do you have any advice as to what I should do?

    • Maria Emmerich says:

      Congrats on the pregnancy!

      I would seriously start lowering carbs as well as cut out gluten and junky oils for the sake of your baby. You can do it😍😍😍

  • Courtney says:

    Great blog!! Iv been doing keto for about a week (25 grams) and on/off for 5 weeks prior but 65g. A few slips in between also. I exercise with a PT 3-4 times per week and was doing keto to prevent migraines and lose weight! It’s defiantly been helping! I eat dairy to ( cheese and full cream/milk) I just found out I’m 5 weeks pregnant and was hoping to continue with keto. Is it ok if I lose weight ( not too much) and gain muscle during my first trimebster without worrying about toxin transfer if like you mentioned I shouldn’t have toxin build up in my cells? I still do have a bit of weight to lose (4kg) and I want to keep with my weights training…

    • Maria Emmerich says:

      IF you have been eating a well formulated ketogenic diet for a while you shouldn’t have that many toxins stored in your fat cells. But yes, try to keep fat loss limited during that time to be safe.

  • Rachel Costello says:

    Hi, Maria,

    I am commenting today because I am a nursing mamma who wanted wholesome meals for her family. I got the book “The ketogenic cookbook” a week ago and it took me a week to realize that the woman I have been following on blog, was the same woman whose recipes I have been using. You have an awesome writing voice! I have been gradually going to lower and lower carbs after baby because I didn’t want to shock my system, and I didn’t want my milk to die. This past week was the first week I have been officially ketogenic! I have lost 10 lbs and my milk supply is stronger than ever. I realize it won’t be this way forever, but from a woman who has struggled lose weight after every baby I have had (3 in total) any weight is amazing!

  • Adriana Briceno says:

    Hi Maria,
    I read the comments but had an additional question: I didn’t gain much with my first pregnancy, but gained after having my son (had gestational diabetes and went crazy after I was able to eat whatever I wanted). I have been trying to lose weight and have been unsuccessful. We want to try to have baby 2 soon, but I would like to lose some weight as I don’t want to gain any weight on top of my already high weight.
    I would like to lose some weight, get pregnant while still eating keto, and not gain much weight while pregnant so I net out at about the same weight I was when I got pregnant the first time. After reading about toxin release, how long after following a Keto plan to lose weight could I feel safe in getting pregnant? How long will it take for toxin release? This is the only giving me anxiety over losing weight before getting pregnant… we just don’t want to wait too long to start to try to conceive.

    THANKS!!!!!

    • Maria Emmerich says:

      Your body is really good at detoxing. So once you have lost the weight you want to lose (and if you are not ingesting any more toxins like preservatives, etc) then you should be fine. Good luck! 🙂

  • Jenna Perry says:

    Hello Maria,

    I am nursing my 26 month old. He nurses roughly 2-4 times a day. Being an older toddler and milk is a complement to his daily diet…Am I OK to persue a more “aggressive” weight loss goal? I’m not too concerned about the detoxing as we have maintained a pretty clean diet aside from having “carb Stockholm Syndrome” for the last year. However I am in no hurry to wean or for a low supply to push him to wean. Should I continue to keep a 300-500 calorie extra intake? Any other thoughts? Thank you!

  • crista says:

    I haven’t been eating Keto – though I have in past years. I have been vegetarian and vegan. My weight has gone steadily up over the past year and I’ve felt terrible in my body. I don’t eat a lot of junk though, mostly fruits, vegetables, tofu, rice, whole grains, some candy and treats not often. I’m about 10lbs over my ideal weight but still in healthy BMI range. I just found out I’m 5 weeks pregnant. I want to feed the fetus the healthiest diet possible. after a lot of research my vegan diet doesn’t seem to best. I feel bloated a lot and all the fiber from fruit and vegetables (and the saltines I’ve been eating for morning sickness) ravage my stomach. I think something more close to a Keto would be ideal but will it be harmful to the baby now? If i lose weight it wouldn’t be more than 10lbs but I’m not sure there’s not toxins stored in my fat cells. I know you’re not a doctor. but what would you advise?

  • Adriana Briceno says:

    Hi Maria,
    What are your thoughts on using Keto//os caffeine free while pregnant? They state it is safe, but I have not seen any research behind it. I’m taking Keto//os now and I really like it, and we will start trying to conceive in a couple of weeks, and would like to continue taking it if it is safe and OK to do so.

    Thanks!

  • Devonnish says:

    Hi Maria,

    I was keto adapted a couple years ago and completely fell off the bandwagon and it’s taken me a while to get back on. I’m in the mind space now where I can get back on and stay on. However I’m 14 weeks pregnant. Is it too late in pregancy to start a ketogenic diet due to the toxins being released. I didn’t eat great before the pregnancy so I know I have toxins built up. I’m currently 5’1 210lbs. I don’t want to gain weight with this pregnancy, but I would definitely like to lose some. At lease get under 210lba by the end of pregnancy. Given your experience what do you think? I tried talking with my doctors but they are totally against low carb and told me to eat whole grains etc.

    • Maria Emmerich says:

      No. It’s not too late. I think it is a way healthier way to feed a fetus.

      • crista says:

        thank you! I had the same worry! I’m 12 weeks and I’m in so much pain from gas and bloating (I always get this way when not on Keto. Fiber hurts me so much!) but i didn’t want to change to a ketogenic diet if it could at all hurt the fetus!! but I’m really wanting to feel better.

  • Adriana says:

    Hi Maria,
    What are your thoughts on using Keto//os caffeine free while pregnant? They state it is safe, but I have not seen any research behind it. I’m taking Keto//os now and I really like it, and we will start trying to conceive in a couple of weeks, and would like to continue taking it if it is safe and OK to do so.
    Thanks!

  • Brittany M says:

    Hi Maria,
    I am currently nursing a 3 month old and would like to start a keto diet for weight loss, but I am concerned about a decreased milk supply. I am currently doing paleo with my carb intake of 145g, protein 121g, and fat 96g and 1930 cal a day and haven’t noticed a decrease in milk. I wanted your advice about transitioning safely into a keto lifestyle. I came upon your keto calculator and would like to know which plan would work? Ex. Maintenance, slow, accelerated? I also consider myself moderately active.

    Thanks!

  • Melissa says:

    Hello, I am 15 weeks pregnant with my 2nd child. I didn’t lose the baby weight after my first child so now I’m concerned that I’ll gain even more weight. I’d like to start a Ketosis Diet not to lose weight, but to reduce my chances of gained excesses weight. Would you recommend this? Up until now, I’ve been eating anything and everything. Which doesn’t make me happy, so I’m keen to find a diet that’s good long term and healthy for pregnancy and breast feeding. What would you recommend, start immediately or wait until I’ve given birth?

  • Jenna says:

    Love al these comments and posts! I have a question. My hubby and I are ttc and want to start Keto. I’m getting mixed reviews when I search the Internet on whether or not starting right now is a good idea. I would be ovulating sometime next week. Should I start now or wait until the pregnancy is confirmed? I don’t want it to mess up the ovulation or put toxins into my system.
    FYI: I’m 5’2″ 125lbs. Just looking to tone up and get healthier!

    • Maria Emmerich says:

      I would never delay starting. Just make sure you eat more calories as cholesterol because that helps make healthy hormones.

  • Rachel says:

    Hello,
    I had my gallbladder removed after delivering my 2nd baby in 2006. I am currently nursing my 8 month old but starting to wean off and trying conceive my last baby now. I am overweight and trying to lose weight and just be healthier overall. Can I still start the keto diet and fasting if taking Ox Bile?

  • Kim says:

    Would you explain a little more about “Many times when cravings get the best of pregnant clients and they consume these foods, the auto-immune response results in a miscarriage.” Does this go for any pregnant women doing keto, just women that are sensitive to gluten and dairy or women with a autoimmune disease? I am 15 weeks pregnant and wanting to start keto, but would like to know more about this before starting. Thank you!

    • Maria Emmerich says:

      Autoimmune response is basically your body attacking itself. This can have many complication and in some cases even miscarriage.

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