Energy balance
Ketogenic diets (KD) do not independently reduce energy intake or increase energy expenditure compared to non-ketogenic diets when energy density and behavioral factors are controlled; any observed weight loss is attributable to caloric deficit rather than ketosis itself.
If you are choosing a diet for weight loss, know that a ketogenic diet is not metabolically superior to a high-carbohydrate diet in terms of appetite control or energy expenditure. You will lose weight on either diet if you maintain a caloric deficit. Do not expect ketones to magically suppress your hunger or boost your metabolism beyond what is achieved by simply eating fewer calories.
The strategies to induce ketosis by reduction of dietary carbohydrate availability (e.g., ketogenic diets) do not independently influence energy intake, being thus equally effective for weight loss as diets with higher carbohydrate content.
Why this rating
Based on a narrative review of multiple controlled inpatient studies (Hall et al., Johnstone et al.) showing equivalent weight loss between KD and non-KD.
Source
Effects of ketone bodies on energy expenditure, substrate utilization, and energy intake in humans
Rodrigo Fernández‐Verdejo et al. · Journal of Lipid Research · 2023
DOI 10.1016/j.jlr.2023.100442
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