Weight loss 2016

[JfizzleBlazer]

Just out of curiosity, have you ever taken a moment to calculate how many liquid calories you consume? Switching to drinking only water all day long really isn't all that difficult, and it's an easy way to shave a ton of calories out of ones diet.

Yep. I just buy a bunch of those mio flavored water things. Grocery outlet has them for 99 cents instead of $4 at the grocery store

 

[VanillaGorilla]

Thats inspiring cause if 6 foot and when I saw 285 I was like oh fuck but ive never got below 270 before giving up. I cant do it with just diet change and lifting weights is slow going. I need to run but I always use shin splints and wearing down my fat knees as an excuse. Id love to see 200.

I've had trouble with shin splints before but stretching a lot and changing the way I run helped (look up pose method). Because I had never been a jogger, my running form was only suited for sprinting short distances, like I did in basketball and football. Or maybe try biking? That's what I'm trying to get in to now even though my bike is a piece of shit. If I decide to stick with it I'll probably buy a new one. You might have tried this already but something that has helped me is only eating during an 8 hour period during the day and "fasting" for the other 16, half of which is spent sleeping anyway. I used to have a big problem with eating right before I went to sleep, I think cutting that out was a big help.

And yeah, I actually saw 199 on a scale and it was fucking amazing. My weight hadn't started with a 1 since 8th grade and I honestly never thought it would again. Hopefully I can make it back down there.

 

[BlazerCaravan]

Yep. I just buy a bunch of those mio flavored water things. Grocery outlet has them for 99 cents instead of $4 at the grocery store

Yeah do what you gotta.

This is actually the third time I'm doing this, but I feel really good about it.

When I got out of high school, I weighed 220. It was mostly leg muscle since I did drum corps-level marching band. My freshman 15 was actually a freshman 85; I ate Coco Puffs until I weighed 300. I walked everywhere during college; I just also ate an entire rack of ribs and a pizza every day.

By the end of junior year I weighed 320. I cut out sodas, moved out of the dorms into my own apartment, and was too poor to eat well. I dropped to 250 by the time I was a year out of college. I could touch a basketball rim, since my leg muscles had been working carrying my fat ass around for five years.

I met my wife, and we went out, a lot. I still never drank sodas again, but I slowly ballooned up over the course of five years to 375. My wife and I got back on track, and I was able to drop to 325 and maintain that for about six years without really trying hard. But then we got married, and she got pregnant, and I got to eat everything she craved too.

I was back up to 370 by the time my son was a year old. We dicked around kind of trying to lose a little weight, but meal planning was impossible because the baby is insanely difficult, like way more difficult than we could imagine. There's literally no preparing for the way it changes your life forever.

Then, six months ago, my father-in-law died, and my father went into the hospital, and then my mother-in-law went into the hospital, and suddenly I'm all "fuck EVERYONE IS GOING TO DIE SOMEDAY AND I WANT TO LIVE TO PLAY WITH MY GRANDKIDS!"

So, now my son is 2 1/2, and I'm like, "I know it'll take me two years to get to where I need to be. I better get on it before he starts remembering that I was a fatass. I want to be able to run around with him when he's REALLY mobile!"

So here I am, doing this thing a third time, and dammit I'm going to kick the fucking habit this time.

 

[UncleCliffy'sDaddy]

I have a seriously arthritic knee but not bad enough for a knee replacement yet, and I really want to put that off for as long as possible. My doctor told me that losing weight would help (duh) and suggested the Keto/Atkins diet. As I had excellent success with it when I was in my 20's and 30's, I jumped right on it. Two weeks into it I ended up in the emergency room with kidney failure (despite flooding myself with water) and spent a night in the hospital to boot. Sometimes the things you can do in your 20's and 30's you can't get away with in your 60's. So all you weight watchers out there, please be careful and pay attention to what your body is telling you. And if you keep yoyoing weight wise in your younger days, you increase your chances of becoming a Type 2 diabetic in your dotage. Take it off and keep it off. This from a guy who found out the hard way....

 

[crandc]

I have maintained my weight loss for 6 months now. Those who said lifestyle change are correct; I never said I was "going on a diet" as that is temporary. People who "go on a diet" to lose weight for a particular event rarely succeed or, if they do, it is by unsustainable means like starvation.

People have asked me the "trick" or "secret". If I knew a "trick" that would make it easy I'd be able to retire rich. They are disappointed when I say I eat vegetables by the pound, cut sweets down to one small serving a week and work out for an hour a day including when I absolutely don't feel like it. They want a trick and there is no trick. It means changing the way I eat, for life.

There are, however, treats and yes, there need to be. On Thanksgiving I did not count calories but I spent the rest of the week living on salad, fruit and vegetable soup. I have San Francisco Ballet season tickets and on performance days like to try San Francisco restaurants, some of the world's best. Every restaurant meal has to be balanced by two lean (salad/fruit/vegetable soup) days. And get up early to do full workout before hitting BART to cross the bay.

Incidentally, a couple of weeks ago I accidentally tipped over the big mirror that sits on my dresser in my bedroom, sending everything crashing to the floor. Miraculously the only thing to break was a hairbrush although the mirror lost a corner. When I moved in I could not lift it onto the dresser as it is very heavy; two movers did it for me. I was now, after a year and a half of lifting weights, able to pick it up by myself and put it back. So workouts have practical benefits aside from weight loss and having biceps.

 

[Denny Crane]

I'm not trying to eliminate carbs completely (just candy), but I basically have anyway; egg white omlette with spinach and mushroom and hot sauce, two-pump (half sugar) non-fat mocha for breakfast. Some white meat fillet (chicken breast, swordfish, whatever) with broccoli and some other side like slaw or whatever for lunch, one chocolate bar or whatever for a snack, and whatever I want for dinner (usually it ends up being like a turkey sandwich or a couple slices of pizza). The biggest change, to be honest, is I then DON'T eat 1,500 calories of caramel corn after dinner.

On netflix: https://www.netflix.com/search/fed up?jbv=70299287&jbp=0&jbr=0

http://fedupmovie.com/#/page/home

 

[Denny Crane]

I have a seriously arthritic knee but not bad enough for a knee replacement yet, and I really want to put that off for as long as possible. My doctor told me that losing weight would help (duh) and suggested the Keto/Atkins diet. As I had excellent success with it when I was in my 20's and 30's, I jumped right on it. Two weeks into it I ended up in the emergency room with kidney failure (despite flooding myself with water) and spent a night in the hospital to boot. Sometimes the things you can do in your 20's and 30's you can't get away with in your 60's. So all you weight watchers out there, please be careful and pay attention to what your body is telling you. And if you keep yoyoing weight wise in your younger days, you increase your chances of becoming a Type 2 diabetic in your dotage. Take it off and keep it off. This from a guy who found out the hard way....

Sounds like you're diabetic, diagnosed or not.

http://www.livestrong.com/article/463341-ketosis-kidney-failure/

The mistake people make is thinking keto is a diet you do for a while until you lose weight, then you go eat something else (and gain it all back and then some). I've been on it for 2.5 years now and have no intention of stopping. My weight has been stable, within +/- 5 lbs of my target weight for close to a year.

 

[BlazerCaravan]

Sounds like you're diabetic, diagnosed or not.

http://www.livestrong.com/article/463341-ketosis-kidney-failure/

The mistake people make is thinking keto is a diet you do for a while until you lose weight, then you go eat something else (and gain it all back and then some). I've been on it for 2.5 years now and have no intention of stopping. My weight has been stable, within +/- 5 lbs of my target weight for close to a year.

Really, why would you stop? The food options are tasty (if you can afford it) and eventually you lose the cravings for sugar.

 

[JfizzleBlazer]

My parents both grew up poor. So they had bad habits for eating purposes and are both overweight. I've since inherited those bad habits of eating (but luckily have always had a fast metabolism, but it's gotten much slower in my late 20s) Then I met my wife who grew up in a strict eating family. She's really helped me eat better and probably add years onto my life. I've always been a skinny guy, and I could use more weight because I don't want osteoporosis as I get older. But I just get a little belly fat I like to get rid of which is why I try to eat on the zone diet consistently.

I still have cravings of disgusting food like pork rinds, pickled sausage, fried foods, hamburger helper, boxed macaroni and cheese etc that are not good for you.

 

[Denny Crane]

Really, why would you stop? The food options are tasty (if you can afford it) and eventually you lose the cravings for sugar.

Exactly.

My wife went from WeightWatchers to 100g carbs a day. Not keto, but still a low carb diet. Since then, she gets to eat all the keto food I make and she's dropped weight that seemed to be stubborn to lose doing the WW point counting (low fat, exercise, low calories, etc.) approach.

I do the cooking most of the time. I'll go to the grocery store every day. 1lb of ground chicken, a couple of jalapenos, and a bag of pre-made broccoli slaw mix or cole slaw mix and I make us an awesome meal for under $10 (for 2).

1 lb of hamburger, $2 worth of broccoli (or a bag of premade salad) and 3 slices of cheese makes a sub $10 meal as well. Cheeseburgers without the bun

It's not really that expensive, but you do have to prepare your own food a lot.

I used to do the low fat, count calories diet and lost weight. But gained it back again because weighing everything and calculating the calorie count of a meal became so automatic I thought I could wing it and do it by eye. Gradually my portions got bigger and I put on the pounds again.

I also found I was eating a lot of highly processed food. You don't get many low fat foods in nature (like low fat cheese or milk). When you take the fat out of food, you're taking out the flavor. So they have to add back something to give it flavor and that something is almost always sugar (or some form of it).

Beyond that, I love nuts but if you're eating low fat they're a food to avoid. A handful of almonds is 200 calories, which is considerable if you're limiting yourself to 1200-1500 calories per day. Watching my wife do WeightWatchers and eating tiny portions of food and little or no beef and so on, it's no wonder people hate to diet and go off the diet that lost them weight.

With Keto, I can eat a pound of hamburger for dinner and lose 1/2 lb overnight. Or a huge steak. Or all of a roasted chicken instead of just the breast meat.

The best restaurants add a lot of butter (fat) to their recipes because it makes the food taste so good. It's hard to get enough fat on my diet, so butter, butter, and more butter on anything that it tastes good with.

As 3rainiac can attest, I can go on and on about how good the food is and how much sense the diet makes.

I've cheated only 1 day on my diet and that was 2 months in, our anniversary. We ate a chicago style deep dish pizza. All those carbs just made me feel bloated and killed my energy. I simply don't care to have carbs anymore.

Some people just have the idea they can't live without carbs. I don't get it. Why do I want to fill myself with bread, a lump of dough in my belly, when I can have an extra burger patty instead? The burger has all the flavor and is the best part anyway.

Gotta have pizza!!!

Made this last night:



Pepperoni, sausage, green pepper, and 2 kinds of cheese. The dough/crust was a small bit of almond flour and a bunch of mozzarella rolled out thin in a pizza pan and pre-cooked. It looked and tasted like pizza crust. The pizza was yummy.

But I had to make it. From fresh ingredients.

 

[Denny Crane]

My parents both grew up poor. So they had bad habits for eating purposes and are both overweight. I've since inherited those bad habits of eating (but luckily have always had a fast metabolism, but it's gotten much slower in my late 20s) Then I met my wife who grew up in a strict eating family. She's really helped me eat better and probably add years onto my life. I've always been a skinny guy, and I could use more weight because I don't want osteoporosis as I get older. But I just get a little belly fat I like to get rid of which is why I try to eat on the zone diet consistently.

I still have cravings of disgusting food like pork rinds, pickled sausage, fried foods, hamburger helper, boxed macaroni and cheese etc that are not good for you.

Pork rinds are 0 carbs. In keto recipes, we grind them up and use them as coating for fried chicken, onion rings, etc.

I like to dip them in ranch dip.

 

[UncleCliffy'sDaddy]

Sounds like you're diabetic, diagnosed or not.

http://www.livestrong.com/article/463341-ketosis-kidney-failure/

The mistake people make is thinking keto is a diet you do for a while until you lose weight, then you go eat something else (and gain it all back and then some). I've been on it for 2.5 years now and have no intention of stopping. My weight has been stable, within +/- 5 lbs of my target weight for close to a year.

I do have Type 2 Diabetes and was diagnosed several years ago. And it was doctor who suggested the Keto diet, all the while knowing I was diabetic. I'm finding out the hard way that doctors are nowhere as smart as they think. But then, with a world of information only a few keystrokes away, I have no one to blame but myself.....

 

[BlazerCaravan]

The trick (imho) is managing sodium intake, and keeping the fat/protein ratios reasonable. I am not an expert by any means, but it's what my body reacts well to. Also, I'm not even worrying about limiting carb intake, but naturally it has dropped to 200g a day even though my "budget" is 260g.

 

[Denny Crane]

260g of carbs is equivalent to a 6 pack of sugar loaded Pepsi or Coke.

We made a deep dish pizza a couple weeks ago. Again, almond flour based crust.

 

[Denny Crane]

You wouldn't eat this on a low fat diet:



That's two burger patties, pickled jalapeno nacho rings, full fat pepper jack cheese, two slices of bacon and a fried egg on top.

It's sitting on a bed of full fat mayo and mustard.

The pickle is 2 carbs.

The whole stack of burger is less than 2 carbs.

It sure did taste great

 

[Hobbesarable]

Started a weight loss bet with a friend at the end of February. No exercise; all food intake change. No midnight snacks, micromanaging my food intake. I finally feel in control, and for the first time in years, I'm sticking with it. So far in 43 days I've lost 16.6 pounds (I'm very big, so that's only around 4.5%), but it's made a huge difference.

My goal is to hit 30lbs by June 1st, and to keep going from there. I want to weigh only 200lbs before my son can form long term memories.

Anyone else working on weight loss this year?

I don't know if this will help you, but increasing my fiber intake helped me diminish my cravings for snacks throughout the day.

 

[Denny Crane]

I hope you don't mind me posting pictures of the food I make like this.



Sirloin roast, bacon wrapped asparagus, mashed cauliflower (potatoes are not good on this diet). The aioli is mayo, mustard, and the fat drippings from the pan I roasted the asparagus.

The asparagus and cauliflower on that plate are maybe 10 carbs.

 

[Denny Crane]

Tonight's dinner is chicken burgers with frank's wing sauce on oopsie buns, cucumber soaked in vinegar with crushed red pepper and cayenne and a packet of stevia, and jalapeno halves stuffed with cream cheese and melted cheddar.

Oopsie rolls are made of egg yolk, cream cheese, cream of tartar, psyllium husk. They look a lot like a hamburger bun, but they don't get overly soggy and fall apart.

 

[GriLtCheeZ]

Damn dude. How tall are you?

That joke was poorly constructed I apologize to everyone in the thread. I always fall off the wagon during the holidays. I got quite a few pounds to take off.

 

[rasheedfan2005]

Just out of curiosity, have you ever taken a moment to calculate how many liquid calories you consume? Switching to drinking only water all day long really isn't all that difficult, and it's an easy way to shave a ton of calories out of ones diet.

Yeah I cut out soda and sugar drinks and it always kept me from gaining but never helped me lose. I'm one of those people I think that will just have to do a fuck ton of cardio. Im drinking way too much beer lately but usually just water since December, though a soda at lunch has started creeping into my routine for the caffeine.

 

[Denny Crane]

Dinner

 

[rasheedfan2005]

I've had trouble with shin splints before but stretching a lot and changing the way I run helped (look up pose method). Because I had never been a jogger, my running form was only suited for sprinting short distances, like I did in basketball and football. Or maybe try biking? That's what I'm trying to get in to now even though my bike is a piece of shit. If I decide to stick with it I'll probably buy a new one. You might have tried this already but something that has helped me is only eating during an 8 hour period during the day and "fasting" for the other 16, half of which is spent sleeping anyway. I used to have a big problem with eating right before I went to sleep, I think cutting that out was a big help.

And yeah, I actually saw 199 on a scale and it was fucking amazing. My weight hadn't started with a 1 since 8th grade and I honestly never thought it would again. Hopefully I can make it back down there.

Yeah I never learned how to run, I got cut freshman year on the basketball team and gave up on sports. I was always fast across short distance but running I cant breathe properly. Biking is something I use to do a ton of it seems like my legs are so strong biking doesnt work me out. But honestly I think my problem is im an expert at preserving energy even when im supposed to be working out. Ive got being a lazy fuck down to a science.

 

[Further]

I think the Keto works great if you are strict about it. For me, I can't because I'm in the wine industry and have to drink at least small amounts of many types of wine, including sweet ones on a frequent basis. I'm pretty good about not drinking too much, as that's a real danger in the industry for all the obvious reasons, but Keto is strait impossible. I do however, eat low carb. I tend to get filled up easiest by eating lean whole meats, like chicken breast and certain cuts of pork, so I very frequently eat that for dinner with a nice helping of roasted cauliflower or something like that. Since I'm not keto, I can't load up on the fat without paying a price, but it's still better for me to indulge with fats than sugars or breads. For the past 10 months I didn't diet or do much of anything other than keep carbs low. When I abused that rule, I would put a pound or two on and that's how I gained 10. However, in the past, if I hadn't paid attention for 10 months, I would have gained 40 or more pounds. So just trying to not abuse sugars and carbs kept everything manageable. Now, that I'm trying again, in 3 weeks I'll have erased all my past years indulgences. It's lifestyle.


Crandc, great to see you post!

 

[Stevenson]

I've struggled with weight my whole adult life. What has worked best for me has been hi pro/low carb, but because of a recent heart diagnosis, meat is almost out of the question now. Right now, I am a pretty strict Mediterranean, and on Weight Watchers, because the beans and rice that I can eat bloat me. Oy vey.

What is Keto? It must be based on ketosis and low carb, right? Is there a book?

 

[santeesioux]

Do it man. I was 230 all of high school and never realized I was putting on weight. At 25 I hit the scale and saw 270 and was like wtf where is all this weight going? Now I hover between 270 and 290 but never seem to get below 270. It's no ones fault but my own. Some people have drug addictions, or pills or alcohol, my addiction is food. Nothing makes me happier than a bbq and a cooler of Coors light.

I've been trying to change dinner to mostly vegetables. I have to have meat and high protein for breakfast or I start shaking by 9 am and feeling sick. So I usually have some eggs and cheese and a meat for breakfast. Lunch is free at work so I get a chicken sandwich. I enjoy cooking dinner to wind down my day but I need to turn it into tossing a salad or something. Started experimenting making thai food, I made some bomb ass bamboo coconut curry chicken, I imagine it's better for me than burritos or pizza.

I was at 205 by the time I graduated, so I've put on about 40 pounds over the years. I've almost completely cut off soda outside of the rare fast food trip or some diet Coca Cola maybe once a month. I think portion control is my biggest problem, that and candy.

 

[santeesioux]

My parents both grew up poor. So they had bad habits for eating purposes and are both overweight. I've since inherited those bad habits of eating (but luckily have always had a fast metabolism, but it's gotten much slower in my late 20s) Then I met my wife who grew up in a strict eating family. She's really helped me eat better and probably add years onto my life. I've always been a skinny guy, and I could use more weight because I don't want osteoporosis as I get older. But I just get a little belly fat I like to get rid of which is why I try to eat on the zone diet consistently.

I still have cravings of disgusting food like pork rinds, pickled sausage, fried foods, hamburger helper, boxed macaroni and cheese etc that are not good for you.

I grew up like that too, there was always candy of some kind, greasy chips, or ice cream in the house, and me being the way I am, if it's in the house, I'll eat it. I still have that problem.

My father's metabolism is ridiculous though, he's in his sixties and will only eat one of those White Castle burgers you can get from the store before he goes to work, a sandwich for lunch, and then he'll go home and eat nothing but disgusting Little Debbie's brownies, Nutty Bars, and some really bad cheap cookies. He's been doing that for years and he's still tiny, keep in mind he's a big drinker and goes through a pack of cigarettes a day too. I'm jealous I didn't inherit his metabolism.

 

[SlyPokerDog]

This looks like a good diet plan.

 

[Denny Crane]

I've struggled with weight my whole adult life. What has worked best for me has been hi pro/low carb, but because of a recent heart diagnosis, meat is almost out of the question now. Right now, I am a pretty strict Mediterranean, and on Weight Watchers, because the beans and rice that I can eat bloat me. Oy vey.

What is Keto? It must be based on ketosis and low carb, right? Is there a book?

https://m.reddit.com/r/keto/wiki/faq

There are quite a few books. Anything by Jimmy Moore is going to be good. He runs one of the more popular keto oriented sites.

FWIW, before I started Keto, I was on 3 blood pressure medications. Now I'm on one and probably don't even need that one. The only reason I'm on this one is to address some infrequent edema I had in my ankles. Turns out the edema was due to Lupus that I've had but hadn't been diagnosed until recently.

It is based on ketosis and low carbs as you said.

Beans and rice are not on the diet.

Olives and oils and cheese and quite a bit of the Mediterranean diet can work with keto.

There are people who do keto vegetarian, so that can be done. It's not high protein though, it's moderate protein and high fat.

 

[Denny Crane]

I think the Keto works great if you are strict about it. For me, I can't because I'm in the wine industry and have to drink at least small amounts of many types of wine, including sweet ones on a frequent basis. I'm pretty good about not drinking too much, as that's a real danger in the industry for all the obvious reasons, but Keto is strait impossible. I do however, eat low carb. I tend to get filled up easiest by eating lean whole meats, like chicken breast and certain cuts of pork, so I very frequently eat that for dinner with a nice helping of roasted cauliflower or something like that. Since I'm not keto, I can't load up on the fat without paying a price, but it's still better for me to indulge with fats than sugars or breads. For the past 10 months I didn't diet or do much of anything other than keep carbs low. When I abused that rule, I would put a pound or two on and that's how I gained 10. However, in the past, if I hadn't paid attention for 10 months, I would have gained 40 or more pounds. So just trying to not abuse sugars and carbs kept everything manageable. Now, that I'm trying again, in 3 weeks I'll have erased all my past years indulgences. It's lifestyle.


Crandc, great to see you post!

Yep, if you're doing a low fat diet, eating any keto food is likely to make you gain weight in a hurry. But the food is soooo good.

I drink a glass of wine or two once in a while. It's not against keto rules nor is it necessarily bad to taste wine that is high in carbs. I see that a sweet dessert wine has 20.3g of carbs in a glass. That's more than a whole day's worth of carbs on the diet (for me). But if you are only taking a sip and spitting it out (for the most part), swallowing a teaspoon here and there, it is not going to add up to 20g of carbs or even close to it.

If you're drinking tablespoons of it at a time and over the course of a day you're getting a glass full's worth, then keto won't work.

 

[Denny Crane]

There are three macronutrients that make up all the calories in our diet: fat, protein, and carbohydrates.

The Recommended Daily Allowances set by the government suggest a diet low in fat and high in carbohydrates, about 2000 calories a day. A gram of fat is 9 calories, and a gram of carbs or protein is 4 calories. Add up all that you eat and the government says you should end up with 2000 calories, (too) much of it from carbs.

The RDA is based upon ONE medical study done in the late 50s or early 60s that has been shown to be wrong. The study said that high fat led to increased incidence of heart disease. In recent years, the RDA has been changed to be closer to keto as time and more studies have come out.

What numerous modern studies show is that high fat has nothing to do with increasing heart disease and that the keto diet has many health benefits. While some have mistakenly claimed keto is a cure for cancer, it is almost certain that cancer is fed by carbohydrates. Keto won't cure it, but it can keep it from getting much worse and it can possibly prevent you from getting it in the first place.

What keto does is shift the source of your 2000 calories from high carbs to high fat and low carbs. You still get the same number of calories.

Aside from feeding cancer, why are carbs bad? In theory they're not, but in order to make foods fit the RDA, the food companies resort to adding sugar (pure carbs). In fact, when I was growing up in the 60s and 70s, people were a lot thinner and there wasn't much obesity. Since then, there has been an obesity epidemic world wide and the added sugar to foods mass produced and distributed is surely the cause.

With all the emphasis on low fat and more and more exercise to burn calories to lose or maintain weight, why is it that so many people are obese? It's because what we've though was best for so long turns out to be wrong.

Many of the modern diets, keto, paleo, Mediterranean, etc. are all based upon removing mass quantities of sugar and processed food from what you eat.

I have nothing against carbs in general, it's just the source of them that matters. Sugar in soft drinks is downright evil. Natural sugars from fruits and vegetables are still carbs but not in the same class. The benefits of ketosis outweigh the benefits of natural carbs, IMO, so I avoid them all.

The effect on my health has been quite positive. As I said, I am less reliant on blood pressure medications. I have a lot of energy - I was walking 2 1/2 hours a day at a 15 minute mile pace (that's really fast) and even running (which I simply hate) miles.

I haven't had a cold or flu or fever that isn't caused by the Lupus in 2+ years. My wife comes home from work with a bad cold or flu and I don't catch it.

And you can tell by the pictures, I'm eating really good food. Very little comes from cans, frozen, or from a bottle.

If you're considering going on a diet, my best advice is to do so under the supervision of a doctor. Doctors really aren't trained at nutrition, but if they do a little research and watch your vitals, you have less risk of any sort of complications. FWIW, after I quite smoking and gained 40 lbs, my doctor recommended I lose weight and mentioned several diets including Atkins. Atkins is 3 phases: induction (which is keto), ongoing weight loss, and maintenance.

I didn't just read up about keto and start doing the diet. I had done the low fat, count calories, exercise kind of diets and lost weight and put it back on again 2-3 times. I hated it because the food was meh (and highly artificial) and I was basically starving myself and going hungry a lot (or eating celery stalks and carrots). I decided to try cutting carbs and started counting those. As I went on doing this, I looked for advice on how to fine tune the diet and found keto.

Sorry for the TL;DR post.