The Targeted Ketogenic Diet (TKD).A compromise between CKD and Regular ketogenic diet

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    The Targeted Ketogenic Diet (TKD).A compromise between CKD and Regular ketogenic diet


    The Targeted Ketogenic Diet (TKD)

    Having examined glycogen levels and glycogen depletion in the last chapter, the details of
    the first ‘modified ketogenic diet’ can now be discussed. The targeted ketogenic diet (TKD) is
    nothing more than the standard ketogenic diet (SKD) with carbohydrates consumed at specific
    times around exercise. This means that the general guidelines for constructing a SKD in chapter
    9 should be used with the exception that more carbohydrates are consumed on days when
    exercise is performed. If fat loss is the goal, the number of calories consumed as carbohydrates
    should be subtracted from total calories, meaning that less dietary fat is consumed on those
    days.

    The TKD is based more on anecdotal experience than research. Invariably, individuals on
    a SKD are unable to maintain a high training intensity for reasons discussed in chapters 18
    through 20. However, for a variety of reasons,some dieters choose not to do the full 1-2 day carbup
    of the CKD (discussed in the next chapter). The TKD is a compromise approach between the
    SKD and the CKD. The TKD will allow individuals on a ketogenic diet to perform high intensity
    activity (or aerobic exercise for long periods of time) without having to interrupt ketosis for long
    periods of time.

    Why pre-workout carbs?
    Weight training is not generally limited by the availability of blood glucose. Studies giving
    carbs prior to resistance training have not found an increase in performance (1). However,
    almost without exception, individuals on a SKD who consume pre-workout carbs report improved
    strength and endurance and an ability to maintain a higher intensity of training during their
    workout. Anyone following a ketogenic diet who wishes to perform high intensity training can
    benefit from the TKD approach.

    Very little research has examined the effects of a ketogenic diet on weight training
    performance and it is difficult to determine exactly why performance is improved with preworkout
    carbs. It may be that raising blood glucose to normal levels, which only requires a
    minimal 5 grams of carbohydrate (2), allows better muscle fiber recruitment during training or
    prevent fatigue. Ultimately, the reason why carbohydrates improve performance is less critical
    than the fact that they do.
    Additionally, individuals performing extensive amounts of aerobic training on a SKD
    typically report improved performance with carbs consumed before and during workouts. Even
    at low intensities, performance on a SKD is limited by glucose and muscle glycogen. For this
    reason, endurance athletes using a SKD are encouraged to experiment with carbohydrates
    around training.

    Amounts, types and timing of carbs
    The major goal with pre-workout carbs is not necessarily to improve performance,
    although that is a nice benefit. Primarily, the goal is to provide enough carbohydrate to promote
    post-workout glycogen synthesis without interrupting ketosis for very long. That is, the
    carbohydrate taken prior to one workout is really an attempt to ‘set up’ the body for better
    performance at the next workout by maintaining glycogen levels.
    Although experimentation is encouraged, most individuals find that 25-50 grams of
    carbohydrates taken thirty minutes before a workout enhance performance. The type of
    carbohydrate consumed pre-workout is not critical and individuals are encouraged to experiment
    with different types of carbs. Most seem to prefer easily digestible carbohydrates, either liquids
    or high Glycemic Index (GI) candies to avoid problems with stomach upset during training. A
    wide variety of foods have been used prior to workouts: glucose polymers, Sweet Tarts, bagels,
    and food bars; all result in improved performance.

    One concern of many SKDers (especially those who are using a ketogenic diet to control
    conditions such as hyperinsulinemia) is the potential insulin response from carbohydrate
    ingestion on a TKD. Generally speaking, insulin levels decrease during exercise. Exercise training
    itself improves insulin sensitivity as does glycogen depletion (3,4). So hyperinsulinemia should
    not be a problem during exercise for individuals consuming carbs pre-workout.
    However, following training, if blood glucose is still elevated, there may be an increase in
    insulin (1). This has the potential to cause a hyperinsulinemic response in predisposed
    individuals. Sadly there is no direct research to say that this will happen and the only data points
    available are anecdotal. Most people appear to tolerate pre-workout carbohydrates quite well,
    and very few have reported problems with an insulin or blood glucose rebound with post-workout
    carbohydrates. Once again, for lack of any strict guidelines, experimentation is encouraged.

    Effects on ketosis
    Research suggests that carbohydrates consumed before or after exercise should not
    negatively affect ketosis (5). However, some individuals find that they drop out of ketosis
    transiently due to the ingestion of pre-workout carbohydrates. After workout, there will be a
    short period where insulin is elevated and free fatty acid availability for ketone production is
    decreased (5). However, as blood glucose is pushed into the muscles, insulin should drop again
    allowing ketogenesis to resume within several hours. Performing some low intensity cardio to
    lower insulin and increase blood levels of free fatty acids should help to more quickly reestablish
    ketosis (see chapter 21 for more detail).
    Post-workout carbohydrates might be expected to have a greater effect on ketosis, in that
    insulin levels will most likely be higher than are seen with pre-workout carbohydrates (5,6). For
    this reason, individuals may want to experiment with pre-workout carbohydrates first, only
    adding post-workout carbohydrates if necessary.

    Training and the TKD
    While an intake of 25-50 grams of carbohydrates prior to training is a good rough guideline,
    some individuals have asked how to calculate the exact amounts of carbohydrate which they
    should consume around exercise.
    For weight training, the amount of carbs needed will depend solely on the amount of
    training being done. Recall from the previous sections that a set of weight training lasting 45
    seconds will use approximately 15.7 mmol/kg of glycogen. Individuals on an SKD typically
    maintain glycogen levels around 70 mmol/kg and performance will be extremely compromised if
    glycogen is lowered to 40 mmol/kg, allowing roughly 2 sets per bodypart to be performed.
    Assuming ~30 mmol/kg used per bodypart in 2 sets, we can estimate how much
    carbohydrate is needed to replace that amount of glycogen. To convert mmol of glycogen to
    grams of carbohydrate, we simply divide mmol by 5.56.
    30 mmol/kg divided by 5.56 = ~5 grams of carbohydrates to replace 30 mmol of glycogen.
    So for every 2 sets performed during weight training, 5 grams of carbs should be consumed
    to replenish the glycogen used. If a large amount of training is being performed, necessitating a
    large amount of carbohydrate (greater than 100 grams) it may be beneficial to split the total
    amount of carbohydrate up, consuming half 30’ prior to the workout and the other half when the
    workout begins. This should avoid problems with stomach upset during training. Some
    individuals have also experimented with consuming carbohydrates during training. All
    approaches seem to work effectively and experimentation is encouraged.

    Post-workout nutrition
    For individuals wishing to consume carbs post-training to help with recovery, an additional
    25-50 grams of glucose or glucose polymers are recommended. In this situation, the type of
    carbohydrate ingested does matter and fructose and sucrose should ideally be avoided, since they
    may refill liver glycogen and risk interrupting ketone body formation. This limits post-workout
    carbohydrates to glucose or glucose-polymers, which are not used to refill liver glycogen (7).
    With pre-workout carbs, there will be an increase in insulin after training ends. Even if
    individuals do not want to take in carbs after training, ingesting protein can help with recovery as
    the insulin from pre-workout carbs should push amino acids into the muscle cells. Consuming 25-
    50 grams of a high quality protein immediately after training may help with recovery.
    Fat should generally be avoided in a post-workout meal. First and foremost, dietary fat will
    slow digestion of protein and/or carbohydrate. Second, the consumption of dietary fat when
    insulin levels are high may cause fat storage after training (1).

    Summary of the guidelines for the TKD
    1. Individuals following the SKD who want to perform high intensity activity will absolutely have
    to consume carbs at some point around exercise. The basic guidelines for setting up a SKD (from
    chapter 9) should still be used to develop a TKD. The only difference is that calories must be
    adjusted to account for the carbohydrates being consumed around training.
    2. The safest time to consume carbs, in terms of maintaining ketosis, is before a workout and
    ketosis should be reestablished soon after training. Depending on total training volume, 25-50
    grams of carbohydrates taken 30-60’ prior to training seems to be a good amount. The type of
    carbohydrate is less critical for pre-workout carbs but quickly digested, high GI carbs seem to
    work best to avoid stomach upset.
    3. If more than 50 grams of carbohydrates must be consumed around training, it may be
    beneficial to split the total amount, consuming half 30’ before training and the other half at the
    beginning (or during) of the workout.
    4. If post-workout carbohydrates are consumed, an additional 25-50 grams of glucose or glucose
    polymers are recommended. Fructose and sucrose should be avoided as they can refill liver
    glycogen and interrupt ketosis. Additionally protein can be added to the post-workout meal to
    help with recovery. Dietary fat should be avoided since it will slow digestion and could lead to fat
    storage when insulin levels are high.
    5. If post-workout carbohydrates are not consumed, taking in protein only can still enhance
    recovery as blood glucose and insulin should be slightly elevated from the consumption of preworkout
    carbohydrates.

    References Cited
    1. Conley M and Stone M. Carbohydrate ingestion/supplementation for resistance exercise and
    training. Sports Med (1996) 21: 7-17.
    2. Jacobs I. Lactate Muscle Glycogen and Exercise Performance in Man. Acta Physiol Scand
    Supplementum (1981) 495: 3-27.
    3. Kelley DE. The regulation of glucose uptake and oxidation during exercise. Int J Obesity (1995)
    19 (Suppl. 3): S14-S17.
    4. Ivy JL. Effects of elevated and exercise-reduced muscle glycogen levels on insulin sensitivity.
    J Appl Physiol (1985) 59: 154-159.
    5. Koeslag JH et al. Post-exercise ketosis in post-prandial exercise: effect of glucose and alanine
    ingestion in humans. J Physiol (Lond). (1985) 358: 395-403.
    6. Carlin JI et al. The effects of post-exercise glucose and alanine ingestion on plasma carnitine
    and ketosis in humans. J Physiol (Lond). (1987) 390: 295-303.
    7. McGarry JD et. al. From dietary glucose to liver glycogen: the full circle around. Ann Rev Nutr
    (1987) 7:51-73.

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    Good read. Anyone have any real world results with this?

    What would common "glucose polymers" be? Would grape or cranberry juice work? Or would something like dextrose or maltodextrin be better?
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    Re: The Targeted Ketogenic Diet (TKD).A compromise between CKD and Regular ketogenic


    Would a pack of smarties/sweet tarts pre-workout work?
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    Eat additional carbohydrates around periods of intense/prolonged physical activity is a good idea. Cutting carbohydrates to extremely low levels isn't needed in most cases and is detrimental to exercise performance.
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    anyway to get a sample food log of a day on TKD to get a better idea ? also what book is this excerpt from?
    "The only good is knowledge and the only evil is ignorance." - Socrates
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    Look in the ckd thread in the nutrition section
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    Quote Originally Posted by JudoJosh View Post
    anyway to get a sample food log of a day on TKD to get a better idea ? also what book is this excerpt from?
    The Ketogenic Diet by Lyle McDonald

    Quote Originally Posted by hypo View Post
    Good read. Anyone have any real world results with this?

    What would common "glucose polymers" be? Would grape or cranberry juice work? Or would something like dextrose or maltodextrin be better?
    Starches, dextrose and malodextrine. I would avoid fructose consumption because of a few reasons.

    1. Doesn't increase muscle glycogen
    2. Increases liver glycogen
    3. Can stall ketosis
    4. No nutritional benefit on a limited carb diet


    I tried it, didn't like it at all. It depends what's more effective for you the practitioner. For TKD you get around 25-30 carbs pre-workout then about 5 for every 2 sets that you perform during your routine in your post workout.
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    i do sort of a TKD/CKD Hybrid. i typically have no carbs(save residual carbs, and immediately Post WO) all day. i supplement with BCAA's pre/peri WO, and add 30-40grams of Dextrose to my PostWO Protein Shake. the CKD part comes in about once a week, when ill "carb up" at dinner after Leg day, or a White Mountain Hike Day, usually this just means i eat a sweet Potato with dinner.

    i find i have perfect energy levels, im always prepared to do anything physically exerting, but i can also sleep easy too. like i could at any time either, go for a run, or take a nap, my body allows either one.

    if i dont consume the carbs PWO than i do end up feeling lethargic, my mental energy is still good, but physically my muscles will be sore longer and be alittle weak at work and at the Gym.

    i also somewhat cycle my calories too. this is more random, but i like having a low calorie day here and there.

    i do think everyones different, but this works perfect for me.
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    Carb timing is more popular with the larger competitors.

    Carbs only pre-wo and post wo. Some in the AM on higher carb days (like legs) and little to none on off days.
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    Im currently 310 and wanting to reach 260 by April (first meet). Would this be right for me?
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    Targeted keto diet .. am i getting any substantial keto effect


    Q: I'm concerned / wondering how frequently/long Im in keto and its being effective. Is there on a daily, basis given the following TKD, is much keto effect due to the number of days of working out and adding the targeted carb interupting the keto. Im wondering if I should just skip the keto and carb cycle (not keto) I need to loose 2lbs/wk over next 7 weeks. (I know prob a bit much but no choice) I hoped TKD could help with rate of fat loss and targeted keto could help prevent muscle loss. Any input?

    Im doing the TKD. I am working out M,T,TH,F,SA I take W and Sun off. So on my workout days I take 45g of corn syrup (no high fructose) 30' prior with 25g protein isolate. My workouts have (18 sets/2)*5gm give 45g carbs preworkout.

    Im also working in a 1,000 cal deficit (best i can tell, bmr, activity factor, caloric intake, etc)

    My carbs are extreemly low during the rest of the day, like 4g of fiberous veg. per meal and small trace amounts.. so like 18g total for day.. 18g plus my 45g carb before workout is like around 63g carb total for the day, but of course that 45g is supposed to be taken up right away during the workout..
    I workout at 5pm, so small meals during the day following keto diet, preworkout drink (25g protein, 45g corn syrup carb), 50g protein isolate (no carb) post workout shake, dinner about 1hr later (no fat, 4g carbs from veg. or trace amounts)
    I eliptical for 20 min in the morning to kick start keto..
  

  
 

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