Keto Diet - Everything You Should Know About

Written By: Indus Health Plus Doctors Team

Medically Reviewed | Based on Clinical Guidelines

Last Updated: 30 Apr 2026

What is Keto Diet?

The ketogenic (keto) diet is a low-carbohydrate, high-fat diet that helps the body enter a metabolic state called ketosis, where fat is used as the primary source of energy.

While the keto diet is widely followed for weight loss and metabolic health, it is not suitable for everyone. Understanding its benefits, risks, and proper implementation is important before starting.

A keto diet is well known diet used for quick and considerable weight loss. Keto diet is also referred to ketogenic diet, LCHF (low carb high fat), low carb diet. The ketogenic diet is done to get calories from proteins and fats than the carbohydrates.

Keto Diet - Everything You Should Know About

How does Keto Diet Work?

When lesser carbs (lower than 50 grams) are consumed in a day; our body eventually runs out of fuel (blood sugar) it can quickly utilize; which usually takes 3 to 4 days. Then eventually the body starts to break down protein and fat for energy, resulting in weight loss. This process is called ketosis.

Keto Diet Benefits

In the keto diet plan, a conscious effort is made to cut back most on the carbs which are easy to digest, for example: simple sugars, white bread, soda, bakery items, etc. Following are some of the Keto Diet Benefits:

  • Increases the 'Good' Cholesterol Levels:

    HDL (High Density Lipoprotein) levels are increased with a low carb diet. It is ironic enough to say that a low-carb (high-fat ketogenic) diet is an excellent way to increase the HDL levels which eventually help in the prevention of heart diseases.
  • Controls the 'Bad' Cholesterol:

    High LDL (Low Density Lipoprotein) levels are associated with the increased risk of heart diseases. Eating low-carb both reduces the LDL level in the blood which directly correlates to improvement of the heart health.
  • Lowers the Triglycerides:

    Triglycerides are nothing but fat molecules! It is known fact that higher triglycerides levels are associated with a high risk of heart diseases. A low-carb diet is an excellent method to reduce the triglyceride levels.
  • Controls Blood Pressure:

    In case you are planning to control your blood pressure long-term diet low-carb is an ideal choice.
  • Insulin Management:

    Low-carb is also good for controlling the insulin levels and lowering the spikes of blood sugar levels and subsequent crashing of the sugar levels. Hence, the ketogenic diet serves as a naturally effective treatment of type 2 diabetes.
  • Lose the Surplus Water Weight:

    We usually carry an extra burden of weight in terms of stored water, especially if we are dehydrated. If you are planning for a fast weight loss you can shed these extra pounds in the form of water weight quickly with this diet.
  • Prevent the Metabolic Syndrome:

    Metabolic syndrome is a set of risk factors, which significantly puts you at the risk of conditions like heart disease, stroke, diabetes, etc. Since a low-carb diet can reduce these risk factors that cause metabolic syndrome, it is one of the most efficient ways to prevent cardiovascular disease and the associated complications.
  • Controls appetite:

    When you consume fats in the low-carb ketogenic diet, the body makes adjustments to predominantly burn out the fat for the need of energy (this process is called ketosis). Eating foods rich in fat curbs the need to snack frequently or overeat.
  • Increases mental being:

    There are study reports which state that with a low carb keto diet results in boosting your mood. This helps in the mental health and well-being eventually leading to a good physical health.
  • Rapid Weight Loss:

    You can experience a rapid weight loss by a keto diet because:
    • A low-carb diet aids in removing the excess water weight
    • Lowers the insulin levels, which means the kidneys start removing the excess sodium from the body. Most importantly, you can burn off the dreadful belly fat too.

Disadvantages of Ketogenic Diet

After looking at the benefits, we might wonder "Is keto diet safe?"

Let's have a look at some of the drawbacks of a Ketogenic Diet:

  • Adaptation/Adherence Issues:

    In the initial phase of the keto diet, it becomes really difficult to adhere to it. Since the body has been accustomed to acquire the energy from the carbohydrates in the diet and a sudden shift to a low-carb diet may cause a difficulty in adaptation/adherence to the diet itself. The adaptation might usually be from 1 - 2 weeks.
  • Adverse effects on health:

    a high-fat diet regimen for sustaining ketosis might have long-term, detrimental effect on the health. For example:
    • Foods which are high-fat and low protein/carbohydrates, like: egg yolks, butter, coconut, are a rich source of saturated fats; which can put you at an increased risk of heart ailments.
    • High-fat diets are known to cause injury to the brain cells that help in controlling body weight.

How the Keto Diet Works

In a standard diet, the body uses carbohydrates as its main energy source. In the keto diet, carbohydrate intake is significantly reduced, forcing the body to burn fat for energy.

This process produces ketones, which become the primary fuel for the body and brain.

Who Should Avoid or Be Careful with Keto Diet?

The keto diet may not be suitable for:

- Individuals with kidney disease  
- People with liver conditions  
- Pregnant or breastfeeding women  
- Individuals with eating disorders  
- People on certain medications  

It is advisable to consult a healthcare professional before starting the diet.

Risks and Side Effects of Keto Diet

- Nutrient deficiencies  
- Constipation or digestive issues  
- Keto flu (fatigue, headache, nausea)  
- Increased cholesterol levels in some individuals  
- Long-term sustainability challenges  

Keto Diet Plan

Before thinking of getting on a ketogenic diet, one should keep in mind about what-to-eat and what-to-not-eat. Following are some options which you can incorporate in your Keto diet food list:

  • Eggs (Whole eggs)
  • Cheese (Full-fat)/ Cream cheese
  • Sour cream
  • Salted butter
  • Olive oil
  • Grilled Chicken
  • Chicken broth
  • Fatty fish like: mackerel, salmon, anchovies, sardines
  • Bacon
  • Pork rinds
  • Beef options like: ribeye, filet mignon
  • Nuts like: almonds, macadamia nuts, cashews, pumpkin seeds
  • Avocado
  • Greens/Vegetables like: spinach, lettuce, thyme and other green leafy veggies, asparagus, broccoli, bell peppers, cabbage, cauliflower
  • Mushrooms

Keto Diet in Indian Context

Following a keto diet in India can be challenging due to the high carbohydrate content in staple foods like rice and roti.

However, alternatives such as paneer, eggs, nuts, seeds, coconut-based foods, and low-carb vegetables can be included to adapt the diet.

Also Read: DASH Diet- Control Blood Pressure Naturally

Before starting any restrictive diet like keto, it is important to understand your current health status.

Regular health checkups can help assess metabolic health, cholesterol levels, and overall fitness, ensuring the diet is safe and effective for you.

Want to know if the keto diet is right for you?

Indus Health Plus offers preventive health checkups that help assess your metabolic health and guide better lifestyle decisions.

Frequently Asked Questions

What is the keto diet? +

The keto diet is a low-carbohydrate, high-fat diet that helps the body enter ketosis, where fat is used as the primary source of energy.

Is the keto diet safe for everyone? +

No, it may not be suitable for people with certain medical conditions. Consulting a healthcare professional is recommended.

How long does it take to enter ketosis? +

It usually takes 2 to 4 days of low carbohydrate intake to enter ketosis.

What are the side effects of the keto diet? +

Common side effects include fatigue, headache, nausea, and digestive issues during the initial phase.

Can keto help with weight loss? +

Yes, keto may support weight loss by reducing appetite and increasing fat burning.

Is keto diet sustainable long term? +

For many people, strict keto can be difficult to maintain long term.

Can keto increase cholesterol? +

Yes, in some individuals keto may increase cholesterol levels, so monitoring is important.

What foods are allowed in keto? +

Foods include eggs, meat, fish, paneer, nuts, seeds, and low-carb vegetables.

Can keto be followed in India? +

Yes, but it requires planning using low-carb Indian food alternatives.

Should I consult a doctor before keto? +

Yes, consulting a healthcare professional is recommended before starting the keto diet.

Sources & Medical References +

The information provided in this article is based on nutritional science, clinical research, and global health guidelines related to low-carbohydrate diets and metabolic health.

  • World Health Organization (WHO)
    Provides global guidance on balanced diets, nutrition, and long-term health risks associated with dietary patterns.
  • National Institutes of Health (NIH)
    Offers research-based insights on ketogenic diets, metabolism, and weight management.
  • Mayo Clinic
    Provides expert-reviewed information on keto diet benefits, risks, and safety considerations.
  • Harvard Medical School – Nutrition Source
    Offers evidence-based insights on low-carb diets, heart health, and long-term sustainability.

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