“The diet advice is very similar across all the studies.
“Some are low carb, some are low fat; it’s all about getting a healthy range of macrobiotics in your gut and getting the right amount.
“The best diet? Weight loss!
“The idea is to stay at a healthy weight throughout your life if you’re in good health.
“You start to realise that it’s a big, massive effort for your body to do that!
“Most diets are high in fat. You have to eat a lot to get off the ketogenic diet.
“It only gets easier to do it over time, if you get on it properly and are consistently working out.”
And it could take up to a second year before a patient starts to lose weight and not just look like they have.
Dr Brown said: “We have not seen as many people on this diet as some people had in the past.”
The ketogenic diet, named after ketones, help you stay lean if you eat enough carbohydrate like bread, bread products, pasta or rice.
But that doesn’t mean you can get it to your waistline.
Weaker gut bacteria
The problem is the way your gut bacteria is behaving.
It’s the first line of defence against the onslaught of food you consume, but it can become a problem when it is not working well.
It’s made of trillions of bacteria that live in your gut and play an important role in digestion.
But when too much of them, referred to as dysbiosis, is created in your gut the results can be devastating.
The result is a feeling of hunger, weight gain and an inability to lose weight.
“If you have a dysbiosis, your gut bacteria is no longer happy living in the gut,” said Dr Brown.
“Instead, they are trying to get out of there.”
When you have bad gut bacteria, which can be inherited, you’re more likely to suffer from many other health ailments including Type 2 diabetes, obesity and asthma.
The good news is the diet doesn’t always work.
Many patients go on to get very slim to help with weight loss.
In the 1990s study on which Dr Brown based his advice, more than a quarter of patients in Scotland were still losing weight six years later.
A new study conducted at the University of Virginia Medical
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