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Common Questions

Why should I seek out a medical ketogenic coach and not just someone on the internet?
A medical ketogenic coach is a trusted healthcare professional that has been specifically trained in the ketogenic lifestyle and how it will affect your health.  Vital Life Keto is owned and operated by Robert T Motazedi, MD, a Board Certified Anti-Aging Physician that specializes in innovative treatments that can help improve and extend a patient's quality of life.  We are experienced in functional approaches to treating obesity, high blood pressure, type 2 diabetes, fatigue, sexual disfunction, hormone inbalances, hormone replacement and other age related disease processes.  Whether its losing weight, keeping it off or just getting heathy, a professional medical keto coach can help you through the rough patches and hurdles.   Our approach to the ketogenic diet is based on real science.  We don't play the guessing game like other so-called professionals in this field.  We not only get a full medical history, but we also run scientfic tests to check thyroid function, glucose, LDL, HDL, etc.  We will also monitor your blood levels throughout your program to make sure your body chemistry is functioning where it belongs. 

Is my information kept confidential?

Absolutely, Vital Life Keto is HIPPA compliant and does not share any of your information with anyone.  We offer a one-on-one relationship that provides a supportive and non-judgmental support to help you move forward towards a healthier lifestyle. 

How do I know if the ketogenic program is working?

You and your coach will strategize and go over in detail the tools you will need to achieve your goals.  First, an in depth evaluation of your medical history will be obtained so that we can come up with a program specifically designed for your special needs.  Second, a fasting blood work that includes thyroid testing, glucose, cholesterol etc. will be obtained to give us a baseline prior to starting the program.  If you are diabetic and not on insulin, we will need to follow your sugars very closely.  Once you start the program, you will be given a automatic wrist blood pressure cuff to use to track your blood pressure.  Adverse measurements will be discussed as needed depending upon the individual.  You will be supplied with a blood ketone meter to accurately check your ketones during our program.  This is very important to make sure that your system is converting from using glucose to energize your cells to using the dietary fat you consume and your own fat stores for energy.  You will be supplied with everything you need to chart your progress and we will go over these materials on a weekly basis to keep track of your progress.

What if I can't come in to your office for the initial medical screenings? 

Don't worry, even if you live too far away to come into our offices, we can still do online medical coaching.  We will supply you with a list of the blood work needed to complete our initial evaluation.  You can get this done at your physician's office and just fax a copy of your results to our office or upload it into your online file through our coaching software program.  Once you become a patient of Vital Life Keto, we will supply you with the other tools you will need to help us monitor your health.   Those include an automatic wrist blood pressure cuff, a blood ketone/glucose meter, lancing device, lancets, and a journal to make all your daily notations in.  We will then meet online for one-on-one weekly medical coaching sessions. 

Can I eat food from the grocery or do I need to buy food you supply?

There is no food or supplements to buy. We will supply you with an indepth guide that will outline the ketogenic lifestyle to you and what you will need to purchase from you neighborhood grocery store.  There are some supplements we will recommend you have on hand, but those can also be obtained through your local grocery or pharmacy. 

My family physician says the keto diet is dangerous.  Is this true?

This is a very common question.   Most nutritionists and physicians base their recommendations on the government's official food guidelines even though there is no scientifc study to support it.  It is no secret, just look around, no one is getting healthier or losing weight by following it.  The number of individuals with diabetes has skyrocketed since the 1970s when the high carb low fat guidelines were instituted by the government.  Recent scientific research has proven that diets high in saturated fats do not correlate to an increase in cardiovascular disease, heart attacks or increased cardiovascular death.  However, those studies seem to associate high-carbohydrate intakes of any source and cardiovascular disease.  The bottomline is that most medical students get less than 20 hours of nutritional education over a 4 year period in school, and most of their nutritional education has limited clinical relevance.  If your physician graduated before 1990, only 1 out of 3 medical schools even offered a course on nutrition.  It gets even worse, in most medical schools there is no requirement for physicians to take any courses in nutrition in order for them to graduate.  Sadly, physicians are considered by their patients to be the experts on nutritional guidelines, but most doctors do not pursue updated information backed by scientific studies on a regular basis.  

Can a vegetarian do the ketogenic diet?

Yes, absolutely a vegetarian can follow a ketogenic diet.  If you eat eggs, dairy and fish, but not red meat or chicken then you will have no problem switching to a ketogenic diet.  You will be able to get all your needed fats from sources like avocados, olive oil, oily fish like salmon, butter, etc.  Since the ketogenic diet does not require a high protein intake you should be able to get all your protein requirements in easily.  

I don't have my gallbladder.  Can I still do keto?

Yes, you can.  Your body will have to adapt to this new way of digesting fats, but you will have to make modifications to your diet in order to help your body adapt to fat digestion. We can help you with this process.

I have type II diabetes and I've heard a ketogenic diet can help me reverse my diabetes. Is this true?

Yes, If you have been diagnosed with type II diabetes or pre-diabetes, the ketogenic diet may be able to help lower your glucose levels fairly quickly.  Some patients have returned to normal glucose levels within a few days to 3 months.  It may take longer if you have been a diabetic for many years.  If you are on medications like metformin, you may be able to reduce and eventually discontinue those meds.  

What About High Blood Pressure?

Persons with high blood pressure may experience sudden drops in blood pressure after starting a ketogenic diet.  Over time, persons with hypertension may be able to reduce or eliminate their use of prescriptive medications.  A daily log of blood pressure readings should be kept and medications adjusted as necessary by a physician.

How Does a Ketogenic Diet Affect Cholesterol and Cardiovascular Disease?

The current philosophy regarding cardiovascular disease is that it is caused by fat intake.  The problem with current thinking is that it ignores the effects of insulin resistance, hepatic glucose production and the large amounts of carbohydrates we are consuming.  LDL has a vital role in our bodies and is not the only risk factor for cardiovascular disease.  A ketogenic diet has been shown to increase your good cholesterol HDL and lowers triglyceride levels. It also improves insulin sensitivity and may reverse type II diabetes.  High fat, low carb protocols help reverse metabolic syndrome, reverse/decrease insulin resistance/diabetes, cause weight loss (fat), decreases inflammation, and increases good cholesterol (HDL), then it just makes sense that cardiovascular health improves.

The three greatest risk factors that lead to cardiovascular disease are obesity, high blood pressure and smoking.  LDL greater than 160 mg/dl by itself carries a much smaller risk for cardiovascular disease than the disease processes listed above.

The Woman’s health initiative studied 48,835 women between the ages of 50-79.  These women went on a high carb/low fat diet.  After 8 years, cardiovascular disease, strokes and coronary heart disease was not reduced.  However, those with diabetes got worse.  Overall, the women gained weight.  The people running the study ignored their own findings and just kept telling these women to keep eating low fat.

A clinical study done in 2011 compared patients on a low fat diet to those on a ketogenic diet.  Those on the high fat low carb diet saw an increase in their HDL (good cholesterol) levels and a reduction in LDL cholesterol.  Triglycerides also decreased and insulin resistance improved.  A small number of patients saw an increase in their LDL cholesterol, but with further cholesterol testing it was determined that most of these patients did not make more LDL, the LDL molecules they had only increased in size, not quantity which offset the negative test result.

I suffer from anxiety and depression, how will this effect my mood?

A ketogenic diet has been shown to help with mood swings including agitation, depression, ADHD, and many others.  If you are taking medications to help smooth out the rough spots, then you need to be cautious when starting a ketogenic diet.  Mood stabilizing drugs for depression, mania, and anxiety should also be monitored because a ketogenic diet can cause a dumping of excess fluid from the body thereby concentrating these drugs in the bloodstream potentially causing problems.  Dosage needs to be monitored by a physician during this time until the body has become accustomed to the keto diet.

How Will This Affect My IBS?

Many physicians are now recommending a ketogenic diet for their patients that suffer with IBS or irritable bowel syndrome.  It is very common to see dramatic improvement and even total resolution of IBS symtoms.  Most patients see an improvement in as little as two weeks after starting a LCHF (low carb high fat) diet.

What happens in a Ketogenic Coaching Session?

Each session is tailored to you personally and will vary based on individual needs. In the beginning, we will discuss what you are looking to accomplish and will go over your medical history in detail.  Once the doctor evaluates your bloodwork, we will address any concerns that we may have.  This is usually accomplished in two, one hour sessions.  Once we have come up with a plan that works with your lifestyle and have answered all your questions, weekly online meetings will take place at a time that is convenient for you and our counselor.  I promise that these sessions are quick and shouldn't interfere with your busy lifestyle, but be assured if we need time to go further into depth regarding a problem you may have, we will make time.  Accountability is the most important factor in successful weightloss so weekly meetings are essential to keep you on track and motivated.  Once you have reached your goal, our sessions will transition to a form that will help you maintain your result for a lifetime.  Your ketogenic workbook and the supplies you will receive in your Keto Care Box will be essential in helping us achieve long term results. With the conclusion of each session, we will revisit your goals and evaluate the next steps that are needed to achieve/maintain your results.

Do I really need a medical keto coach, can't I just do it by myself?

Your professional keto coach can help you stay on track and push through obstacles that have hindered you in the past.  More often than not, your busy life may get in the way of you reaching your greatest potential.  A medical professional can offer an unbiased and objective perspective, and can help you realize your patterns and habits. Most people experience that they are more efficient when working with a keto coach and that this unique relationship can provide them the opportunity to truly be successful and realize their goals.

How is Coaching different from Therapy?

As a medical ketogenic coach,  I  can provide you with a strategy to address weightloss and other medical concerns.  This may service can be therapeutic, but is not therapy. Coaching is distinct from traditional therapy because it is not designed to address psychological issues. While emotional issues may arise, the primary focus of professional ketogenic coaching is to help you identify your goals, achieve them, and develop constructive habits and skills that can last a lifetime.  There is little emphasis placed on the past with coaching, but instead the focus is on creating what you want now and in the future.

What is your cancellation policy?

I require a 24 hour notice to cancel all sessions. Please be sure to contact me if you will not be able to make your scheduled appointment in order to avoid being charged for the session.  You can email me at [email protected] or call 719-596-4000.  

How long do people generally work with a ketogenic coach?

To experience the effectiveness of a life coaching program, I suggest clients make an initial 6 week commitment. At the end of the six weeks,  we will evaluate your progress and discuss options for continued coaching.

Is medical ketogenic coaching confidential?

What we discuss will be held in confidence and not shared with others. Since this is an extension of our medical office, we are bound by HIPPA rules.  Our discussions are totally confidential and your personal information and the information we share is protected.

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