The Body's Transition to Ketosis
Under normal circumstances, the body relies on glucose, derived from carbohydrates, as its primary and most immediate fuel source. However, when dietary carbohydrate intake is significantly reduced or eliminated, the body's stored glucose (glycogen) is used up within a couple of days. This depletion triggers a natural metabolic switch that forces the body to seek alternative energy pathways, a process known as ketosis.
Ketosis is a metabolic state where the body burns fat for fuel instead of glucose. When this happens, the liver begins breaking down fat stores into fatty acids, which it then converts into molecules called ketones or ketone bodies. These ketones can be used for energy by various tissues throughout the body, including the brain, which normally has a high demand for glucose. This ability to efficiently burn fat provides a steady and sustained energy source, as the body has a much larger reserve of fat than it does of stored glucose.
The Role of Dietary Fat and Protein
On a very low-carb diet, such as the ketogenic diet, the majority of your energy comes from fat. This fat can come from dietary sources or from your body's own fat stores. This is why very high-fat, low-carb diets are so effective at inducing and maintaining nutritional ketosis. Healthy fat sources include olive oil, avocados, nuts, seeds, and fatty fish.
Protein also plays a role, though it is not the preferred fuel source. A process called gluconeogenesis allows the body to create new glucose from non-carbohydrate sources, such as amino acids from protein and glycerol from fat. This newly created glucose is used to fuel cells and tissues that require it, like red blood cells. However, excessive reliance on gluconeogenesis for energy can lead to the breakdown of muscle tissue, making it an undesirable long-term strategy for energy production. For this reason, ketogenic diets are structured to be high in fat and moderate in protein.
Comparison: Nutritional vs. Starvation Ketosis
It is critical to distinguish between nutritional ketosis and starvation ketosis. While both involve ketone production, the contexts are vastly different.
| Feature | Nutritional Ketosis | Starvation Ketosis | 
|---|---|---|
| Cause | Controlled dietary restriction (low-carb, high-fat diet). | Prolonged fasting or severe caloric restriction (below 800-1000 calories/day). | 
| Purpose | Weight management, improved metabolic health, and other therapeutic uses. | Survival mechanism during periods of food scarcity. | 
| Ketone Production | Moderate and controlled elevation. | High elevation due to extended fasting. | 
| Energy Source | Ketones derived from dietary and stored fat. | Ketones from stored fat, with an increasing risk of muscle breakdown. | 
| Muscle Maintenance | Possible preservation due to adequate protein intake. | Significant risk of muscle breakdown and wasting. | 
| Health Implications | Potential metabolic benefits, generally safe when managed. | Nutrient deficiencies, fatigue, muscle wasting, and potential organ damage. | 
Becoming Fat-Adapted and Fueling Performance
When an individual's metabolism has fully transitioned to efficiently using fat and ketones for fuel, they are considered "fat-adapted". This state often results in more stable energy levels, as the body no longer experiences the sharp blood sugar spikes and crashes associated with carbohydrate consumption. For endurance athletes, fat adaptation can be particularly beneficial, allowing them to rely more on their vast fat stores for long-duration, low-to-moderate intensity exercise, preserving limited glycogen reserves for high-intensity efforts.
Foods that provide energy on a low-carb diet:
- Healthy Fats: Avocados, nuts (almonds, walnuts, macadamia nuts), seeds (chia, flax), olive oil, coconut oil, and fatty fish (salmon, sardines).
 - High-Quality Proteins: Meat, poultry, fish, eggs, and moderate amounts of full-fat dairy products like cheese and plain yogurt.
 - Non-Starchy Vegetables: Leafy greens (spinach, kale), broccoli, cauliflower, asparagus, and bell peppers provide essential micronutrients and fiber with minimal carbs.
 
For those considering a low-carb diet, it is important to understand the process and make informed choices to ensure a consistent energy supply. For more detailed information on ketogenic dieting and metabolism, you can consult resources like the Harvard T.H. Chan School of Public Health's review of the ketogenic diet.
Conclusion
In the absence of carbohydrates, the body employs a sophisticated and highly efficient metabolic pathway to generate energy from fat. By entering a state of nutritional ketosis, the liver produces ketone bodies that can power the brain and muscles for extended periods. This natural process allows for sustained energy without the reliance on glucose. The key is to consume adequate amounts of healthy fats and moderate protein to fuel the body and support metabolic functions, preventing the muscle breakdown associated with starvation. With proper planning and understanding, it is entirely possible to thrive and maintain high energy levels while eating a very low-carbohydrate diet.