Hormonal
Implementing a ketogenic diet (KD) with very-low carbohydrate intake (<50 g/day) significantly reduces fasting insulin levels and promotes substantial weight loss in patients with obesity and insulin resistance who have experienced weight regain after Roux-en-Y gastric bypass surgery.
If you have had weight loss surgery and are regaining weight, or if you are obese with high insulin but normal blood sugar, standard 'calorie counting' may not be enough. Consider a ketogenic diet (very low carb, high healthy fat) under medical supervision to lower insulin levels, which may help shift your body from storing fat to burning it, potentially leading to significant weight loss and reduced inflammation.
In the case of this patient, the implementation of a KD resulted in significantly reduced FI and substantial weight loss. These subsequent changes influenced the improvement of inflammatory biomarkers and eliminated her hypertension (HTN).
Why this rating
This is a single case report (n=1), lacking control groups or statistical generalizability.
Source
Successful treatment of obesity and insulin resistance via ketogenic diet status post Roux-en-Y
Richard Todd Handley et al. · BMJ Case Reports · 2018
DOI 10.1136/bcr-2018-225643
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