How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 28658
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

I am following a very low calorie diet - around 800 cals per

Resolved Question:

I am following a very low calorie diet - around 800 cals per day - and I understand it is important to maintain a state of ketosis. I am confused because some sources quote a particular level of carbohydrate consumption as being key - usually 20 - 60g per day - whereas other sources make no mention of carbohydrate consumption at all and simply rely on you keeping to the VLCD. Please can you explain this and advise the best approach.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi--are you following a specific diet?
Customer: replied 3 years ago.
Yes, but not a well known one. Basically it is 5 meals/snacks, high protein, low carb, each meal/snack is around 140 cals and then I have some allowable vegetables on top.
Expert:  Dr. Chip replied 3 years ago.
OK Tony. Truth be told here the main ingredient in any weight loss diet is cutting back the calories and while going into a state of ketosis mobilizes the fat from fat cells so it can be burned, without the cut in calories that alone does very little to help lose weight. I don't think less than 60 gm of carbohydrates a day is at all healthy so I'd advise you not go below that. That said, so long as you make a major attempt to cut out carbohydrates in your diet, that really should be all you need to do.
Customer: replied 3 years ago.
That is interesting because I believe that Atkins (which I am not following!) recommends keeping to an average of 20g, although that is "net carbs" which may mean something different.
Expert:  Dr. Chip replied 3 years ago.
I consider the Atkins diet unhealthy Tony. Way too much of a cut in carbohydrates. A simpler low carb low total calorie diet is just as effective and more healthy.
Customer: replied 3 years ago.
I agree. One nagging fear I had was that if I don't maintain ketosis and so burn fat, then my body will 'choose' protein I.e. Muscle as an energy source instead of the fat. Is that possible/likely?
Expert:  Dr. Chip replied 3 years ago.
Not if you exercise and up the protein in your diet Tony but with a low carb diet like the one I advise you follow, you'll still have an adequate level of ketosis
Customer: replied 3 years ago.
OK, thanks, XXXXX XXXXX makes a lot of sense.
Expert:  Dr. Chip replied 3 years ago.
My pleasure but be sure to let me know how it goes and remember to rate my service to you Tony
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 28658
Experience: 20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
Dr. Chip and 4 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions