This energy is in the form of molecules called ‘ketones’. Supplements may be necessary for the majority of people on a keto diet. Food restrictions also may decrease total phytonutrient and dietary fiber consumption, leading to constipation and deleterious effects on the gut microbiome. Studies on weight change of participants on a low-fat diet compared to a diet with 35 to 65 percent of calories from carbohydrate foods continue to find no significant long-term differences. However, there is strong evidence that ketogenic diets better support weight loss.
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