"I was feeling great and doing fantastic when bam, I hit a roadblock I couldn’t overcome," my 43-year-old patient Aimee told me a few months after her initial visit. "Despite massive effort to remain in ketosis and mix up my workouts, the scale wouldn’t budge and my skinny jeans are a little less skinny."
As an obstetrician-gynecologist, I frequently find that a ketogenic diet helps my patients lose weight, reduce or eliminate menopausal symptoms, regain sex drive, and so much more. Like Aimee, many patients do beautifully on a keto diet—especially as a keto-alkaline diet—for a while, but then an inevitable plateau occurs. I understand how frustrating those plateaus (which can occur on any diet) can become. Occasionally, frustrated patients consider abandoning their plan when roadblocks hit.
I encourage them to stay the course; one study found a long-term ketogenic diet was safe, maintainable, side effects free, and significantly reduced weight while improving health measures like lipid levels. At the same time, you want to do everything possible to break that plateau, so here are the top seven mistakes I see my patients make and how to fix them: