First off, there’s the taste. Consumers want to have their cake and eat it too. At the end of the day, if the sweet indulgence tastes more like a bar of chalk, then there is a high probability that consumers will not be running out to buy it. In my opinion, most companies have nailed this aspect down to some degree. The majority of bars, cookies, or other low-carb snacks that I have tried actually taste really good. However, even if a product can meet the consumer standards with respect to taste and quality, the true separation occurs at the level of fiber source. The buzz words “high-fiber” and “low net carbs” are exploding in today’s society. Thus, companies are attempting to find ways in which they can add fiber to their products, thereby boosting their nutritional profile and simultaneously decreasing the number of net carbs. This now prompts the question: are all fiber sources nutritionally the same, and if not, what does this mean for the consumer?
A close relative of maltose is a molecule known as isomaltose (typically found in items such as beer and honey). The biggest difference between maltose and isomaltose is that isomaltose is joined together by an α-1,6 chemical bond, rather than an α-1,4 chemical bond. Scientists suspected that by adding a certain enzyme (transglucosidase) to high maltose syrup, they could change the bonds from α-1,4 to α-1,6, thereby making it more resistant to being broken down by the enzymes, as described above, when compared to maltose. Again, while this sounds excellent in theory, it is not necessarily what happens in our bodies. In fact, isomaltose (and thus, IMO syrups used in some of these products) is broken down by certain enzymes on the brush border of the small intestine.[2] Though the α-1,6 bond breaks down slower compared to the α-1,4 bond, these IMO syrups, which often use a blend of di-and oligosaccharides, ultimately metabolize into small amounts of glucose and maltose[2] and thus should be viewed as a slow digesting carbohydrate rather than a true fiber.
Breath Hydrogen is an assay that indicates in “real-time” whether or not a particular nutrient is being digested. Upon consumption of a standard carbohydrate (e.g., rice), you can see that it is broken down in the small intestine, and, subsequently, blood glucose rises. If the carbohydrate is not digested in the small intestine, it moves into the large intestine. This indicates that it is a “true fiber.” In the large intestine, bacteria digest the fiber through a process called “fermentation.” In doing so, the bacteria produce hydrogen ions (H+) that circulate into the bloodstream, through our lungs, and is then exhaled outward. We monitored a subject consuming either IMOs or SCF respectively and then tracked the variables listed above for 150 minutes following consumption.
The National Institutes of Health (NIH) advises getting 25 to 31 g of fiber a day, depending on age and gender. Following a keto diet food list doesn’t mean it’s impossible to get what you need, but you have to remain diligent and determined to make it happen, says Keri Glassman, RD, who is in private practice in New York City. There are many fiber-rich foods that contain a low amount of net carbs (total carbs minus fiber) and that won’t kick you out of ketosis — which is the metabolic state that makes keto work. Here are 10:
This recipe has been highly requested as of late, so we figured we should have our go at it so you can enjoy the holidays to their full extent this year! Our Keto Eggnog is not only easy to make, but replicates the eggnog you use to drink pre-keto to a tee. I’ll be honest, I’ve never had eggnog, but Matt used to drink it every year and couldn’t stop raving about how exact our keto version tastes. Matt isn’t quick to give a compliment so I think it’s safe to assume we have a winner with this recipe!

Lastly, one of the advertised benefits of IMO is possible prebiotic activity. Prebiotics are critical, as they feed the beneficial bacteria in our digestive system, specifically in the large intestine. These bacteria have several amazing functions, such as lowering body fat, improving insulin sensitivity, and lowering depression. Two “gold standard” prebiotics in the industry are inulin and fructooligosaccharides (FOS). Inulin and FOS are non-digestible carbohydrates that robustly increase beneficial bacteria. The challenge, however, is that both inulin and FOS, due to their rapid digestibility by intestinal bacteria, result in low gastric tolerance, and, ultimately, gastric distress. Additionally, inulin and FOS, when added to protein bars or other goods, may degrade over time into individual sugar units. Regardless, one study comparing inulin to IMOs, found that the prebiotic activity in inulin is 14 times greater than that of IMOs.[4] This is logical because, as you recall from above, approximately 70% to 90% of IMOs are digested. As such, only a small portion of these prebiotic fibers make it to the large intestine, in which two out of three studies have demonstrated that this small portion may indeed have some prebiotic effects.
In most cases, if you grab a low-carb snack at random from the grocery store shelf and look at the label, a common nutrient profile contains around 20 grams of carbohydrates, yet maybe 15 of those grams are from “fiber.” The result is five grams of net carbs, right? Not so fast. . . if a Type I diabetic were to consume that bar, cookie, or brownie with the five grams of net carbs, there should not be a need for insulin since, theoretically, there is minimal glucose (blood sugar) entering the system from those five net carbs, which shouldn’t require an insulin response. Unfortunately, theory and outcome do not always match.
7. Bouhnik, Y., Raskine, L., Simoneau, G., Vicaut, E., Neut, C., Flourié, B., … & Bornet, F. R. (2004). The capacity of nondigestible carbohydrates to stimulate fecal bifidobacteria in healthy humans: a double-blind, randomized, placebo-controlled, parallel-group, dose-response relation study. The American journal of clinical nutrition, 80(6), 1658-1664.

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The increased awareness regarding the importance of fiber, in addition to its distinct metabolic effects, has resulted in a surge of companies switching to an alternative fiber known as soluble corn fiber (SCF). Interestingly, SCF has been available on the US market since 2007 and is used in foods and beverages across the Americas, Europe, and Southeast Asia. SCF is produced through an extensive process: corn syrup is exposed to a suite of enzymes for at least 48 hours, some of which are found in the brush border of your small intestine, as well as the pancreas.[5] Notably, a large majority of the corn syrup contains easily digestible carbohydrates; however, a small portion is, in fact, not digestible. At the end of this enzymatic exposure, a stream of digestion-resistant carbohydrates remains and is subsequently filtered several times. The resulting product is a “true fiber” that contains a mixture of α-1,6, α-1,4, α-1,2, and α-1,3 glucosidic linkages, which, as mentioned above, contribute to its low digestibility.
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Whisk 1 cup of the warmed nut milk into the yolk mixture. Then add back into the remaining nut milk in the saucepan. Stir until combined. Continue cooking over low heat until the mixture has thickened and reach about 165 degrees and will coat the back of a spoon. Don’t boil or overcook or else your eggs will curdle. If the eggs do curdle, you can strain the mixture to get rid of the curdled chunks.
In contrast insoluble fiber, which does not dissolve in water, is inert to digestive enzymes in your upper gastrointestinal tract. While some forms of insoluble fiber (like resistant starch) can ferment in your colon, most insoluble fiber moves through your digestive system relatively unchanged, absorbing water as it goes, eventually adding bulk to your stool and easing your bowel movements.
Most hotels these days include at least a small refrigerator, and some even include a full kitchen and stove. This is great because it allows you to shop locally for some fresh food options. Search online for nearby farmer’s markets or grocery stores and see if you can pick up some local meats or fresh veggies to have in your room. This is more likely to be an option in the warmer months.
This content is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of such advice or treatment from a personal physician. All readers/viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
Even so, keto followers may experience a rise in LDL cholesterol, sometimes called “bad” cholesterol because too much of it can lead to a buildup of plaque in the arteries, which can increase the risk of heart disease. And that’s where fiber can help. However, many high-fiber foods, like beans, fruits, vegetables, nuts, seeds, and whole grains, are also high in carbs, so they're limited on the keto diet.

Psyllium husk is a type of fiber commonly used as a gentle, bulk-forming laxative. With no net carbs and a whopping 7 grams of fiber per two tablespoon serving, ground psyllium is an easy way to increase fiber intake on the keto diet. “It works great as a binding agent in recipes,” Yule says. “Just make sure to consume it with plenty of water, coconut water, or juice to avoid dehydration.” Add a tablespoon to your beverage, and you’re good to go.


Skimping on fiber isn’t good for your digestive health, as it feeds the good bacteria in your GI tract, something that benefits you beyond adequate bowel movements. “The digestive tract is where your body’s second brain is, and it’s home to the majority of your immune system,” says Elia. “If you’re following keto, it should be one of your biggest priorities to make sure you get adequate fiber to keep your gut healthy and happy,” she adds. And, she notes, high-fat diets slow digestion and decrease GI motility, so it’s especially important to get enough.
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