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From navigating the keto flu to stocking up on ketogenic diet foods, here are science-backed answers to some of the most common keto questions. The keto diet is a therapeutic diet used to control seizures in people who have epilepsy, according to the Epilepsy Foundation. For these people, a keto diet may be necessary for their health. But today, the diet has become trendy, and many people are using it to lose weight. Given the restrictive nature of keto it eliminates most fruit and dairy, whole grains, many vegetables, and legumes, you may also fall short of certain nutrients, like fiber. Ketosis is the natural metabolic state that makes keto lead to weight loss. But there have been few long-term studies, adds Kendra Whitmire, a nutritionist and dietitian in Laguna Beach, California, who practices functional and therapeutic nutrition. For instance, olive oil is a healthier choice than butter; salmon is healthier than bacon. That said, following the keto diet properly, and particularly with help from a medical professional, should reduce negative health effects, says Whitmire. Typically, your body breaks down carbohydrates as its preferred fuel source. Ketosis is when your body has switched into a fat-burning state and breaks down fat into ketone bodies that are used as energy.