Here are my thoughts on the keto diet. One of the things that happens when
you are in ketosis is that you often lose your appetite. When I did this
about 20 years ago, I literally had to make myself eat something. That
does't sound like a good thing for a nursing mother who may be really
cutting down on calories in a short period of time. If your body is not
conditioned to this type of eating, that could have an impact on milk
production. The other thing is that over time, as I have become more
educated about nutrition, it just seems to me that keto is not a very good
long-term eating option. It is high in fat and often lacks a lot of very
healthy foods. The people who live in the "Blue Zones" - long-lived and
very healthy populations - eat almost the exact opposite of keto with lots
of legumes, grains and vegetables with much lesser amounts of dairy, meat,
fat. Yes, you can lose weight quickly doing keto, but long term, not such a
great plan, IMHO.

Sharon Knorr, BFUSA counselor
Colorado, USA

On Mon, Jul 22, 2019 at 3:32 AM Anna Swisher <
[log in to unmask]> wrote:

> >> Date:    Sun, 21 Jul 2019 22:11:12 -0400
> >> From:    Hadassah Mann <[log in to unmask]>
> >> Subject: keto diet while breastfeeding
> >>
> >> I have a client who is pregnant and would like to start a keto diet
> after
> >> giving birth. She has PCOS and was told the diet could help her. If she
> is
> >> getting enough calories, is it safe?
>
> Good morning,
>
> Here is a brief summary I wrote when researching keto diets while
> lactating. This is a draft.
>
> Ketogenic Diets
> A recent diet trend gaining popularity is the ketogenic or “keto” diet.
> This diet originated in the 1920s in an effort to reduce epileptic seizures
> in children. The diet seeks to mimic carbohydrate starvation and throw the
> body into burning ketones for energy (Walczyk & Wick, 2017). It calls for
> very high fat intake, minimal carbohydrates, and few sources of fiber.
> Several studies have reported lactating women hospitalized with
> ketoacidosis associated with diet and restricted intake (Al Alawi &
> Falhammar, 2018; Sloan et al., 2017, von Geijer & Ekelund, 2015). These
> risks warrant counseling women pursuing this diet to be cautious and to
> involve their primary healthcare provider in their nutrition.
> Al Alawi AM, Falhammar H. Lactation ketoacidosis: case presentation and
> literature review. BMJ Case Rep. 2018 May 30;2018.
> Sloan G, et al. A rare cause of metabolic acidosis: ketoacidosis in a
> non-diabetic lactating woman. Endocrinol Diabetes Metab Case Rep. 2017;2017.
> von Geijer L, Ekelund M. Ketoacidosis associated with low-carbohydrate
> diet in a non-diabetic lactating woman: a case report. J Med Case Rep.
> 2015;9:224.
>
> Hope this helps,
> Anna Swisher
>
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