营养师当小白鼠：生酮膳食初体验
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">严正声明</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">请在专业医师或营养师的<span style="color: black;">评定</span>、<span style="color: black;">指点</span>和监控下进行特殊<span style="color: black;">膳食</span>，以上<span style="color: black;">膳食</span>和感受仅<span style="color: black;">做为</span>体验分享，严禁擅自模仿<span style="color: black;">运用</span>，如因擅自<span style="color: black;">运用</span>生酮<span style="color: black;">膳食</span>而产生任何健康后果，后果请自负。</strong></p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/be38b3d121e145b28eeccba922addd60~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=x%2BDTS6yk2yiIfFMkmjHjcDUk80s%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">俗话说，不想当小白鼠的吃货不是好营养师。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">于是乎，小妹我来了~ </p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这次</span>尝试的是：<strong style="color: blue;">7天的生酮<span style="color: black;">膳食</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">生酮<span style="color: black;">膳食</span>介绍</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">生酮<span style="color: black;">膳食</span>，<span style="color: black;">做为</span>一种特殊<span style="color: black;">膳食</span>结构，特点是高脂肪、低碳水化合物（后简<span style="color: black;">叫作</span>“碳水”）、适量蛋白质和其它营养素。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">它是用于模拟身体的饥饿状态，<span style="color: black;">经过</span>限制碳水化合物的摄入，减少血糖波动，降低胰岛素水平，消耗尽<span style="color: black;">咱们</span>的肝糖原<span style="color: black;">贮存</span>，<span style="color: black;">增多</span>脂肪分解和代谢，减少脂肪合成。脂肪分解过程中会产生酮体，一部分酮体被机体<span style="color: black;">做为</span>能量<span style="color: black;">源自</span>，另一部分从<span style="color: black;">呼气</span>道、皮肤、尿液中排出。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着减脂热潮，生酮<span style="color: black;">膳食</span><span style="color: black;">逐步</span>进入到<span style="color: black;">公众</span>的视野中。<span style="color: black;">然则</span>你<span style="color: black;">晓得</span>吗？刚<span style="color: black;">起始</span>，生酮<span style="color: black;">膳食</span>是设计并应用于治疗癫痫的。近年来的<span style="color: black;">科研</span><span style="color: black;">显示</span>，生酮<span style="color: black;">膳食</span><span style="color: black;">针对</span>减脂、改善胰岛素<span style="color: black;">敏锐</span>度<span style="color: black;">亦</span>有着<span style="color: black;">必定</span>的证据。随着<span style="color: black;">科研</span>的<span style="color: black;">持续</span>深入，其应用<span style="color: black;">行业</span><span style="color: black;">亦</span><span style="color: black;">持续</span>扩大，<span style="color: black;">日前</span>已用于<span style="color: black;">肥壮</span>、2型糖尿病、肿瘤、自闭症、帕金森病、阿尔兹海默病、多囊卵巢<span style="color: black;">综合症</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">自己</span><span style="color: black;">状况</span>介绍</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">女性，28岁；<span style="color: black;">日前</span>BMI=20，体重属于正常范围；体脂23%，属于正常<span style="color: black;">能够</span>优化的范围，<span style="color: black;">无</span><span style="color: black;">基本</span><span style="color: black;">疾患</span>，<span style="color: black;">无</span>生酮<span style="color: black;">膳食</span>禁忌，<span style="color: black;">近期</span>2个月的运动量很低，基本<span style="color: black;">仅有</span>通勤的走路。因不在适应证范围内，<span style="color: black;">因此</span>只打算尝试1周的生酮<span style="color: black;">膳食</span>，<span style="color: black;">况且</span>不限制能量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实我<span style="color: black;">自己</span>是最爱碳水的，让我不吃肉我觉得<span style="color: black;">无</span>难度，但很难想象让我不吃碳水会怎么样。<span style="color: black;">况且</span>我是容易<span style="color: black;">出现</span>低血糖的体质，学生时代都会随包放糖，一有低血糖的感觉就会蹲下来缓解它。在实验<span style="color: black;">起始</span>之前，我觉得<span style="color: black;">掌控</span>住自己不吃碳水会有点难度，<span style="color: black;">况且</span>会很担心血糖水平会降到很低。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">带着这份担忧，我就<span style="color: black;">起始</span>了<span style="color: black;">实验</span>。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 1</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/f2352deb156441a88f54a9987d874443~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=UuLwpZuhHbyK0aRd6KtD%2F9xcvUM%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">欠好</span>意思，所有<span style="color: black;">照片</span>上的<span style="color: black;">膳食</span>不是完全的记录，还有<span style="color: black;">有些</span>酸奶、鸡蛋、<span style="color: black;">果蔬</span>、饮品等<span style="color: black;">无</span>记录。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体变化：排便次数<span style="color: black;">增多</span>，3次正常的排便，不是拉肚子。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 2</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/ea55b8c6e81e43069bb6e77b2840d9bd~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=l%2B6YGMnplO7Mfemcw2F0VkIZ5uk%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体变化：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第2天早上<span style="color: black;">起始</span>有一点点尿酮，说明<span style="color: black;">已然</span><span style="color: black;">起始</span>生酮排酮了，<span style="color: black;">夜晚</span>浓度更高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">起始</span>会<span style="color: black;">显现</span>低血糖边缘的飘忽感，尤其是追公车跑了一小段路，上车后<span style="color: black;">起始</span>出汗和<span style="color: black;">没</span>力。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 3</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/744ca77e9b7d421dade83baa65f6d8eb~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=ucbQajeB7B7A9u1%2FBrMkicBQOg4%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因为</span>之前的碳水限制太极端，<span style="color: black;">出现</span>低血糖，<span style="color: black;">起始</span><span style="color: black;">增多</span>碳水，吃适量<span style="color: black;">果蔬</span>和奶制品。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">身体变化：大脑认知功能下降，晚餐前<span style="color: black;">显现</span>比较<span style="color: black;">显著</span>的低血糖。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">向Human营养-专注于减脂的营养师请教生酮过程中<span style="color: black;">显现</span>的问题</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/1a23bc2335a14252a4e8d7401db5e5e2~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=0jrxpE48qtzkCo%2BCl5SF8u9yWL8%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小<span style="color: black;">发掘</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">没</span>糖可乐，有效，但<span style="color: black;">由于</span>会对肠道菌群有影响，<span style="color: black;">因此</span>可能不是最好的<span style="color: black;">选取</span>。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 4</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/fcf70919e2c7409eb79a3a07176001fb~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=3Yv01Ip%2BBK8Fsvu36Y14RTVoowA%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span><span style="color: black;">无</span>点外卖的习惯（麻辣烫是楼下的），忘了<span style="color: black;">能够</span>点外卖，沙拉比较适合生酮<span style="color: black;">膳食</span>，<span style="color: black;">必须</span>额外加油脂。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/fb68ba74f2b44c57b945350cd31f1bdf~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=4tumxXkghvX1ugM4XKi1E2E5axM%3D" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/26600c5d976642a88c202cf93a1bef41~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=0T5OyQlH0H%2F0Q88u5CckbGOzvqk%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小<span style="color: black;">发掘</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">试了试天然带味道的草本茶：罗汉果、甘草片，<span style="color: black;">发掘</span>这些<span style="color: black;">亦</span>有<span style="color: black;">诈骗</span>大脑的<span style="color: black;">功效</span>。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 5</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/dffa8e12d9864081a55c051cab4560b8~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=CfcDhZ1AaiTlpZA5EbDpQ9kqnz8%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">晚餐的波奇饭（Poke bowl）的米饭底料换<span style="color: black;">成为了</span>白菜花米（<span style="color: black;">便是</span>白菜花切成末煮了，代替米饭），这个白菜花米有<span style="color: black;">非常多</span>用法，<span style="color: black;">倘若</span>有<span style="color: black;">伴侣</span>感兴趣之后<span style="color: black;">能够</span>介绍一下。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 6</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/94ad2707e7ce417d908cd2f898bee73d~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=jFL%2FiWJ4i9%2FynclCVKuDN%2Fe78U0%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小<span style="color: black;">发掘</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">午餐的炒蛋、煎龙利鱼以及炒<span style="color: black;">西红柿</span>都是用椰子油，觉得椰子油跟这些食材的味道不是很搭。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">夜晚</span>在宜家就餐，<span style="color: black;">选取</span>比较少。</p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;">Day 7</h1>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/f6b439ea25b748a89a366e328edf685d~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=X0MY4pCFxEYNexAg8jT6iB7wtic%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span>前两天吃得太油腻，<span style="color: black;">因此</span>今天的蔬菜都用油煮法，放水、盐、油翻炒而成。<span style="color: black;">因此</span>能量有些不足。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/01d5e75cf4964a1db1c35fcd1c271518~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=sUbmgyR%2BkIxOWI0zC53DTpDtpno%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">膳食<span style="color: black;">弥补</span>剂</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">益生菌+复合维生素+钙片</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">由于</span>碳水化合物是肠道菌群的<span style="color: black;">食品</span><span style="color: black;">源自</span>，<span style="color: black;">因此</span>这个<span style="color: black;">膳食</span><span style="color: black;">调节</span>肯定会影响到肠道菌群，<span style="color: black;">因此</span>我为了减少肠道的变化，<span style="color: black;">每日</span><span style="color: black;">弥补</span>一粒益生菌，<span style="color: black;">同期</span>几乎<span style="color: black;">每日</span>都会喝酸奶和吃<span style="color: black;">海量</span>蔬菜去维持肠道菌群平衡。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">执行的困难</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">食品</span>的<span style="color: black;">选取</span>范围很窄</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">例如</span>说，我去便利店买点吃的，就只<span style="color: black;">相关</span>东煮的海带和豆腐串、紫菜、不含糖的饮料和美式咖啡、纯肉、茶叶蛋和五香蛋<span style="color: black;">能够</span><span style="color: black;">选取</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">我<span style="color: black;">显现</span>的身体不适</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">低血糖</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">低血糖是我最<span style="color: black;">重点</span>的不良反应，尤其是最初限制的极低碳水，后来<span style="color: black;">快速</span>调整<span style="color: black;">增多</span>了<span style="color: black;">有些</span>碳水，低血糖<span style="color: black;">关联</span>的症状就消失了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>从安全的<span style="color: black;">方向</span><span style="color: black;">来讲</span>，<span style="color: black;">意见</span><span style="color: black;">大众</span><span style="color: black;">根据</span>指南来，“柔性生酮”<span style="color: black;">逐步</span>降低碳水摄入量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">头昏</span>头痛</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">头昏</span>头痛与酮体<span style="color: black;">关联</span>。<span style="color: black;">每日</span><span style="color: black;">最少</span>喝2000mL的水，血液中的酮体<span style="color: black;">能够</span>更顺利地随着尿液排出，<span style="color: black;">亦</span>就没<span style="color: black;">那样</span>难受。<span style="color: black;">没</span>糖饮料和天然花草茶<span style="color: black;">亦</span>有<span style="color: black;">必定</span><span style="color: black;">功效</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">并且，生酮的前1~2周可能会<span style="color: black;">显现</span>嗜睡或精神差，<span style="color: black;">因此</span><span style="color: black;">保准</span><span style="color: black;">睡觉</span><span style="color: black;">亦</span>很重要。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">大脑功能</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">只要不会低血糖，脑子更清晰、专注力<span style="color: black;">亦</span>更高。尤其是平时午餐过后，或多或少会有一点困意，生酮<span style="color: black;">膳食</span>吃完<span style="color: black;">无</span>影响。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">排便</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">生酮<span style="color: black;">膳食</span>中便秘和腹泻都有可能<span style="color: black;">出现</span>。我个人<span style="color: black;">第1</span>天比较通畅，可能与油脂<span style="color: black;">增多</span><span style="color: black;">相关</span>。<span style="color: black;">次日</span><span style="color: black;">起始</span>偏干燥便秘，于是<span style="color: black;">起始</span><span style="color: black;">调节</span><span style="color: black;">增多</span>水分和蔬菜的量。再这之后，我的排便又恢复到比较通畅。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">体脂、肌肉和体重的变化</strong></p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/2eec60a3fca84771af391d692c25b91c~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=WsPOlfFV7GeoHEBNjbh6RDgPfzE%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">体重方面：变化不<span style="color: black;">显著</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">体脂方面：轻微的下降后回升，不清楚<span style="color: black;">实验</span>更久会有什么变化。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/711708554e0446ca92b065df77839539~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=cXLw1X%2B9w58ndvvbo9q3deYxRk4%3D" style="width: 50%; margin-bottom: 20px;"></div>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://p3-sign.toutiaoimg.com/pgc-image/31493fdc24384142962bebde60bd6dbd~noop.image?_iz=58558&from=article.pc_detail&lk3s=953192f4&x-expires=1721487347&x-signature=5NBiBQYGV%2FREETT3fbmjerlvRaE%3D" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">体肌方面：变化不<span style="color: black;">显著</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其中，体肌<span style="color: black;">没</span><span style="color: black;">显著</span>变化是我最开心的，<span style="color: black;">由于</span><span style="color: black;">倘若</span>是节食，<span style="color: black;">通常</span>初期都会<span style="color: black;">导致</span><span style="color: black;">海量</span>的水分和肌肉的流失，会降低<span style="color: black;">基本</span>代谢率，相当于<span style="color: black;">咱们</span>身体<span style="color: black;">必须</span>的能量降低了，而当<span style="color: black;">咱们</span>结束节食恢复同等<span style="color: black;">膳食</span>时，能量就会超了。这<span style="color: black;">亦</span>是<span style="color: black;">非常多</span>人节食减肥后反弹得比之前还胖的<span style="color: black;">原由</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">生酮<span style="color: black;">膳食</span>的适应证和禁忌证</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">适应证：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">年龄18～65周岁，<span style="color: black;">过重</span>或<span style="color: black;">肥壮</span>（BMI＞24 <span style="color: black;">公斤</span> /m2），体脂率高于同龄正常标准，肝、肾功能正常，<span style="color: black;">没</span>严重糖尿病慢性并发症的2型糖尿病<span style="color: black;">病人</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">禁忌证：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">代谢禁忌：1型糖尿病、妊娠糖尿病、肉毒碱缺乏症、肉毒碱棕榈酰基转移酶Ⅰ或Ⅱ缺乏症、肉毒碱转移酶Ⅱ缺乏症、脂肪酸β-氧化缺乏症、中链酰基脱氢酶缺乏症、长链酰基脱氢酶缺乏症、短链酰基脱氢酶缺乏症、长链3-羟基脂酰辅酶缺乏症、中链3-羟基脂酰辅酶缺乏症、丙酮酸羧化酶缺乏症、卟啉病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span><span style="color: black;">情况</span>禁忌：重要生命器官（心、肝、肺、肾等）功能严重<span style="color: black;">阻碍</span><span style="color: black;">病人</span>、胰腺炎病史、活动性胆囊<span style="color: black;">疾患</span>、中重度肝功能损害、频发痛风、脂肪消化<span style="color: black;">阻碍</span>、肾衰病史、怀孕和哺乳、正在感染<span style="color: black;">或</span>体质非常差<span style="color: black;">不可</span><span style="color: black;">协同</span>的<span style="color: black;">病人</span> 。</p>
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