Slim 36 AVIS   Reduction in appetite is a frequently noted effect of the ketogenic diet. This could be because of the satiating effect of protein, despite its restriction to low-to-moderate levels. Or, something about the diet—possibly the ketones themselves—may increase levels of appetite control hormones.4,9 In one small 2013 study of adults without diabetes with BMIs in the overweight or obese range, levels of ghrelin (the hunger hormone) and subjective appetite were lower when the subjects were in ketosis, even on a very low-energy diet (VLED) of 500 to 550 kcal per day. However, after eight weeks on the VLED, subjects began refeeding, and, at week 10, ratings of hunger and the urge and desire to eat were significantly higher than before their weight loss.10 .

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