Complete UK Guide

What is the Keto Diet?

The ketogenic diet is a very low carb, high fat way of eating that transforms how your body burns fuel. Learn how it works, what to eat, and whether it's right for you.

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Understanding the Ketogenic Diet

The ketogenic (keto) diet is a very low carbohydrate, moderate protein, high fat diet that shifts your body into a metabolic state called ketosis. In ketosis, your body becomes remarkably efficient at burning fat for energy instead of relying on carbohydrates.

When you drastically reduce carb intake, your body runs out of its preferred fuel source (glucose). Within a few days, it begins breaking down fat into molecules called ketones, which your brain and body can use for energy. This is the foundation of the keto diet.

Standard Keto Macros

Fat
70-80%
Primary fuel source
Protein
15-20%
Moderate — not high
Carbs
5-10%
Under 20-50g/day

How Ketosis Works

Normally, your body converts carbohydrates into glucose, which is used for immediate energy or stored as glycogen in your liver and muscles. When carbs are restricted:

  1. Glycogen depletes — Your body uses up stored carbohydrates within 24-48 hours
  2. Fat breakdown begins — Your liver starts converting fatty acids into ketone bodies
  3. Ketones fuel your body — Your brain, heart, and muscles adapt to using ketones for energy
  4. Fat becomes primary fuel — Your body becomes "fat-adapted" and efficiently burns both dietary fat and body fat

The Science of Appetite Suppression on Keto

One of the most notable effects of ketosis is dramatically reduced hunger. Research published in the European Journal of Clinical Nutrition found that ketogenic diets suppress appetite through multiple mechanisms:

Ketones directly suppress appetite — Ketone bodies appear to act on hunger centres in the brain, reducing the drive to eat.

Stable blood sugar — Without carbs spiking and crashing your blood glucose, you don't experience the "hunger crashes" that drive snacking.

Higher satiety from fat and protein — These macronutrients keep you fuller for longer than carbohydrates.

Many people on keto report being able to skip meals easily, having no interest in snacking, and feeling satisfied on fewer total calories without deliberate restriction.

What to Eat on Keto

Keto focuses on whole, unprocessed foods that are naturally low in carbohydrates:

Keto-Friendly Foods

  • Meats: Beef, pork, lamb, chicken, turkey, bacon
  • Fatty fish: Salmon, mackerel, sardines
  • Eggs: Whole eggs, any style
  • High-fat dairy: Butter, cream, hard cheeses
  • Nuts & seeds: Almonds, walnuts, macadamias
  • Healthy oils: Olive oil, coconut oil, avocado oil
  • Low-carb veg: Leafy greens, broccoli, cauliflower
  • Avocados: High fat, very low carb

Foods to Avoid

  • Grains: Bread, pasta, rice, oats, cereals
  • Sugar: Sweets, chocolate, fizzy drinks, fruit juice
  • Starchy veg: Potatoes, sweet potatoes, carrots
  • Most fruits: Bananas, apples, oranges (small berries OK)
  • Beans & legumes: Kidney beans, chickpeas, lentils
  • Low-fat products: Often high in added sugar
  • Sauces: Ketchup, BBQ sauce (check labels)
  • Alcohol: Beer, sweet wines, cocktails

Getting into Ketosis: What to Expect

The transition to ketosis takes most people 2-7 days. Here's what typically happens:

1-2

Days 1-2: Glycogen Depletion

Your body uses up stored carbohydrates. You may feel normal, slightly tired, or experience increased urination as glycogen releases water.

3-5

Days 3-5: "Keto Flu"

Some people experience headaches, fatigue, brain fog, or irritability as the body adapts. This passes — stay hydrated and get extra salt.

6-7

Days 6-7: Entering Ketosis

Ketone production increases. You may notice reduced hunger, more stable energy, and possibly fruity breath or a metallic taste.

2-4

Weeks 2-4: Fat Adaptation

Your body becomes efficient at using fat for fuel. Energy improves, hunger decreases significantly, and mental clarity often increases.

Managing Keto Flu

The "keto flu" isn't actually flu — it's your body adjusting to using fat instead of glucose. Symptoms are often due to electrolyte loss. To minimise discomfort:

Drink plenty of water — You'll urinate more as glycogen releases water

Add salt liberally — Low-carb eating causes sodium excretion; add 1-2 teaspoons of salt daily

Eat potassium-rich foods — Avocados, leafy greens, fish

Consider magnesium — Many people are deficient; supplements can help with cramps and sleep

Keto Shopping List for UK Supermarkets

Here's what to pick up from Tesco, Sainsbury's, Asda, Lidl, and Aldi:

Proteins

Fats

Dairy

Vegetables

Is Keto Right for You?

The keto diet can be particularly effective for:

Keto may not suit:

Important: Consult Your GP

If you take medications — especially for diabetes, blood pressure, or other conditions — speak to your GP before starting keto. Medication doses may need adjusting as your blood sugar and blood pressure can change significantly.

Tracking Your Keto Macros

Success on keto often comes down to accurate tracking, especially in the beginning. Key tips:

Keto Diet FAQ

How many carbs can I eat on keto?

Most people need to stay under 20-50g of net carbs per day to achieve and maintain ketosis. Many start with under 20g for the first few weeks to ensure they enter ketosis, then may gradually increase to 30-50g while monitoring their results. Individual tolerance varies — some people can eat 50g and stay in ketosis; others need to stay under 20g.

How long does it take to get into ketosis?

Most people enter ketosis within 2-7 days of restricting carbs to under 20-50g per day. The exact time depends on your carb intake, activity level, and individual metabolism. You can verify ketosis using urine ketone strips (cheap but less accurate) or blood ketone meters (more accurate). Signs include reduced hunger, increased mental clarity, and sometimes fruity breath.

Will I lose muscle on keto?

Not if you eat adequate protein and maintain resistance training. Research shows ketogenic diets preserve muscle mass as well as higher-carb diets when protein intake is sufficient (1.6-2.2g per kg of body weight). Ketones themselves may have a muscle-sparing effect. The key is not under-eating protein — a common mistake on keto.

Can I drink alcohol on keto?

Yes, but choose carefully. Pure spirits (gin, vodka, whisky, rum) have zero carbs — mix with soda water, not tonic. Dry wines have 2-4g carbs per glass. Avoid beer (10-15g per pint) and cocktails with sugary mixers. Be aware that alcohol tolerance typically decreases on keto, and your body will prioritise burning alcohol before fat, temporarily pausing ketosis.

Is keto safe long-term?

Research on long-term keto is still evolving, but studies up to 2 years show maintained weight loss and improved health markers for most people. The key is eating whole foods — meat, fish, eggs, vegetables, healthy fats — rather than processed "keto" products. Some people do keto for life; others use it as a tool, then transition to moderate low-carb eating.

Track Your Keto Macros Free

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Last updated: February 2026