Who is Number 1 in Corona Era USA or China

Who is Number 1 in Corona Era 

USA or China

According to the latest figures collated by Johns Hopkins University, the US has overtaken China (1,507,798 cases-16 May) and Italy (224,760).

But with over 11,300 Covid-19-related fatalities, the US death toll is overtaken China (4,633-China-90,113-USA) and Italy (31,763).

The grim milestone came as President Donald Trump predicted the nation would get back to work "pretty quickly". but it is laughing to people.....

How did the White House react?

Asked about the latest figures at a White House briefing on Thursday afternoon, President Trump said it was "a tribute to the amount of testing that we're doing".

Vice-President Mike Pence said coronavirus tests were now available in all 50 states and more than 11,952,481(16th May) tests had been conducted nationwide.

• Trump says US tested more than S Korea - is he right?

Mr Trump also cast doubt on the figures coming out of Beijing, telling reporters: "You don't know what the numbers are in China."But later, he tweeted that he had had a "very good conversation" with China's President Xi Jinping.

"China has been through much & has developed a strong understanding of the Virus. We are working closely together. Much respect!" President Trump said.

Does the president still hope to ease restrictions?

Mr Trump has set a much-criticised goal of Easter Sunday, 12 April-2020, for reopening the country. That plan seemed to gather impetus on Thursday as it emerged an unprecedented 9.3 million Americans have been laid off because of the virus.

At Thursday's briefing, he said: "They [the American people] have to go back to work, our country has to go back, our country is based on that and I think it's going to happen pretty quickly.

"We may take sections of our country, we may take large sections of our country that aren't so seriously affected and we may do it that way."He added: "A lot of people misinterpret when I say go back - they're going to be practicing as much as you can social distancing, and washing your hands and not shaking hands and all of the things we talked about."What could he be planning?

In a letter to state governors on Thursday, Mr Trump said his team plans to release federal social distancing guidelines that may advise some regions to loosen restrictions.

Mr Trump wrote of a "long battle ahead" and said "robust" testing protocols might allow some counties to lift their safeguards against the coronavirus.He said the "new guidelines" would create low, medium and high risk zones that would allow the government to advise on "maintaining, increasing, or relaxing social distancing and other mitigation measures they have put in place".

• Trump knows economic meltdown brings political pain

• What this crisis reveals about US - and its president

On Thursday night, Mr Trump phoned in to Fox News host Sean Hannity's program and said he believed Iowa, Idaho, Nebraska and parts of Texas could reopen earlier than other states.

The plan emerged as new research on Thursday estimated Covid-19-related deaths in the US could top 180,000 over the coming four months - even if people observe strict social distancing.

As many as 2,300 patients could be dying every day by April(in an average), according to the study from the Institute for Health Metrics and Evaluation at the University of Washington's School of Medicine.What's the reaction?

The Republican president's get-back-to-work goal found unexpected support on Thursday from a prominent Democrat.Governor Andrew Cuomo of New York, the current coronavirus epicenter in the US, said statewide quarantine orders may not have been the best approach to coronavirus.

"Young people then quarantined with older people was probably not the best public health strategy," he told a news conference, "because the younger people could have been exposing the older people to an infection."Mr Cuomo said a better way forward might be a "get-back-to-work strategy" in tandem with a public health strategy.

Public health experts on the White House task force have demurred when asked about reopening the country by Easter, suggesting the timeline should be "very flexible".

Can the president order everyone back to work?

 On 16 March, he set a 15-day period to slow down the spread of Covid-19 by urging all Americans to drastically scale back their public interactions.But those guidelines were voluntary and did not amount to a national order.

The US Constitution makes clear states have the power for maintaining public order and safety, which scholars say means it is the responsibility of governors to decide when virus-related restrictions get lifted.Currently 51 US states have told residents to stay in their homes or ordered the closure of non-essential businesses in order to contain the pandemic.What's happening elsewhere in the US?

There were growing fears that Louisiana could become the country's next hot spot, with the governor warning that the state's biggest city, New Orleans, were out of ventilators by 2 April and potentially out of beds by 7 April.

"It's not conjecture, it's not some flimsy theory," John Bel Edwards told a news conference. "This is what is going to happen."Additionally, Dr Deborah Birx, the co-ordinator of the White House coronavirus response, said two other cities showed signs of rapidly rising new infections - Detroit, where the mayor described the situation as "really concerning", and Chicago.


In The Economic Sector ||

More countries currently see the United States as the world’s leading economic power than China. This is particularly true in Latin America and the Asia-Pacific region. Few name Japan or the European Union as the world’s leading economic power today.

But, while perceptions of current economic leadership are somewhat divided between the U.S. and China, when it comes to preferred global leadership, there is no competition. Majorities or pluralities in nearly every country surveyed say the future would be better if the U.S. were the world’s leading power than if China were.

U.S. seen as world’s leading economic power
The publics surveyed tend to believe the U.S. is the world’s leading economic power, albeit by a somewhat slender margin. Across 25 countries, a median of 39% name the U.S. as the top global economy, while 34% say it is China. Fewer say this about the EU or Japan.

America is seen as the leading economy in all three Latin American countries surveyed – Brazil, Mexico and Argentina. In the Asia-Pacific region, only Australians are more likely (52% vs. 35%) to name China as the world’s leading economic power. Australians have, in fact, consistently named China over the U.S. since the question was first posed in 2008.

In sub-Saharan Africa, publics in Kenya, Nigeria and South Africa are divided in their views: No more than four-in-ten name either the U.S. or China as the world’s top economy.

European opinion, too, is mixed. In the two Eastern European countries surveyed – Hungary and Poland – the U.S. is the clear favorite. In the Southern European countries of Italy and Greece, too, more name the U.S. than China. But in France and the UK there is no clear consensus; nearly as many point to the American as to the Chinese economy.

 Meanwhile, in the Netherlands and Germany, opinion leans in favor of China. This is especially true in Germany, where about half (53%) view China as the world’s economic leader. Germans name the EU as often as the U.S. as the world’s leading economic power (21% vs. 19%).

Compared with a year ago, slightly more in the UK, France and Poland name the U.S. as the world’s leading economic power. By contrast, Germans are now less likely to see the U.S. as the globe’s dominant economy.

Regardless of which country people think is the current leading economic power, one thing is consistent: Most publics surveyed prefer the American leadership. When thinking about the future, a 25-country median of 63% say they prefer a world in which the U.S. is the leading power, while just 19% would favor one in which China leads.

In the Asia-Pacific region, few say they prefer China. Among China’s immediate neighbors, preference for the U.S. is particularly high: 81% of Japanese, 77% of Filipinos and 73% of South Koreans all favor a future where Washington, not Beijing, leads. In Australia – where 52% say China is the current leading economic power – nearly three-quarters still say they prefer a future where the U.S. is the world’s dominant power.

Argentina, Russia and Tunisia stand out as the only three countries where just one-third or fewer prefer U.S. leadership.

In many countries, preference for a U.S.-led world order is linked to ideology. Those on the ideological right are more likely than those on the ideological left to say that it’s better for the world if the U.S. is the dominant power. This ideological divide is most pronounced in Israel, where 74% of Israelis who self-identify as being on the right say they prefer Washington’s leadership, compared with 45% of those on the left.

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#1 Job Hunting

#1 Job Hunting for Grads: Virtual Internships  and Other Tips from a Job Expert

Experts say new college graduates will need to change their approach to finding a job during these unprecedented times. Job Consultant's Career Center's senior director provides advice on where they should begin. 

Houston-Unemployment has hit record highs, as the economy continues to take a deeper hit. We are committed to helping people get back on their feet through our Job Consultancy and  Hiring campaign.

For graduating seniors it's a very uncertain job market. Lori Shreve Blake, senior director and Consultant a  Career Center, joined us via Skype to talk about where to start.

How have internships changed?

"Internships are virtual now. With COVID-19 we're in the situation where some of the major employers are converting their physical on-site interviews or internships into actual virtual internships," said Shreve Blake. "We encourage our students to get those micro-internships, special projects and be resourceful during these times."

What's the best way to do an informational interview?

"The best way to do an informational interview is really to contact the person. I know at USC we have something called the Trojan network, which is a database of alumni who agreed to talk to students. LinkedIn is great and it doesn't matter where you went to college. You can research alumni that are working in your industry of choice and send them a an email and request an informational interview. And 80% of jobs come through networking. We know it works. And so, informational interviewing is the number one thing that people should be doing lots of. And then the most important question to ask is there anybody else that you recommend that I speak with?"

What do you tell students who are feeling bored  in this job market?

"What we need to do is keep moving forward. Don't put the brakes on your job search. Understand that there still are jobs out there. I know of a few cases. General Mills hiring for supply chain management. What I really want students and graduates to know is that in addition to the big Fortune 1000 companies, there are midsize companies, there are small companies. There are companies you've never heard of who are doing very well during this time of COVID. And seek out opportunities in those organizations. So it's gonna take a little bit more research, a little bit more work, a little bit more determination, but they will succeed if they keep on trying."

"And what a great story to tell after COVID is over: About how they were resilient and they found work even during these tough times."

Can the Satiating Diet Help You Lose Weight

What is the satiating diet?

The foundation of the satiating diet consists of healthful foods that trigger satiety—or feelings of fullness and satisfaction. These include lean proteins, like fish and yogurt; produce and high fiber whole grains; and good fats, from foods like avocados and nuts. The plan also incorporates capsaicin, the substance that gives spicy peppers their heat. That makes sense, as this natural chemical has been shown to curb appetite and rev metabolism.

According to a 2017 study by the Canadian researchers, the satiating diet consists of the following daily: at least four servings each of whole veggies and fruits; 5 servings of high fiber whole grains (with at least 4 g of fiber per portion); lean protein in every meal (meat, poultry, fish, eggs, dairy products, or tofu); nuts and seeds, avocado, and other healthy plant fats; at least one legume meal per week; and the consumption of hot peppers or red peppers.

Does it help with weight loss?

The results of the aforementioned small study seem to indicate so—at least for obese men. The study of the diet tracked obese men. Thirty four followed the satiating plan, which provided 20–25% of calories from protein, 45-50% from carbs, and 30-35% from fat for 16 weeks. Another 35 obese men followed a standard diet with 10–15% protein, 55-60% carbs, and 30% fat, based on Canada’s national guidelines for healthy eating.

The men on the satiating diet lost significantly more weight and body fat, and they experienced greater feelings of fullness compared to those who followed the standard diet. Even better, the satiating diet eaters stuck with it. Only 8.6% stopped following the diet, compared to 44.1% of standard diet eaters.

Why it's similar to the keto and Mediterranean diets

If you’re thinking that aside from the hot peppers this is pretty much a Mediterranean diet, I agree. In fact, with all the whole grains and fruit, it’s far from the keto diet. These days, any diet that allows for generous portions of fat is labeled keto, when in fact keto also severely limits carbs to about 5% of total daily calories.

A Mediterranean diet typically provides 30-35% fat, so the satiating diet is not above the norm. While the satiating diet slightly tweaks the other two macronutrients, curbing carbs a tad and upping lean protein, it’s still very balanced overall. And the fact that it doesn’t eliminate any entire food group does make it more doable than other extreme approaches.

How to follow the satiating diet

Unfortunately, there is no one website or go-to resource to learn about the satiating diet, but it may be coming. For now, if you’re interested, here’s my advice: Follow a Mediterranean diet, for which there are many resources available online (Health's guide to the Mediterranean diet made simple is a good place to start.)

Next, add some whole hot peppers or dried pepper seasonings to your meals, to take advantage of their calorie-boosting, appetite-suppressing benefits. Finally, fine-tune your protein and carb portions so you strike a balance that allows you to feel energized—while simultaneously filling you up and downgrading your desire to eat.

Focus on whole foods, such as oats and quinoa over processed carbs, like pita bread and crackers. Choose high quality animal products, like pasture-raised eggs and grass-fed meat and yogurt. Above all, listen to your body and your gut instinct.

Many people quit the keto diet because they don’t feel well on it, or they find it impractical to never eat a banana or potato again. If you tried keto and felt the same way, ditch what doesn’t feel right, regardless of what’s popular. Hone in on an eating pattern that best supports your physical, emotional, and social wellness, so you can shed pounds happily and healthfully, and keep them off for good.

Top 10 Trending Diets of 2020 According to Google

 Top 10 Trending Diets of 2020

 According to Google

Today, Google is putting out its annual Year In Search report, which includes the top trending diet searches of the year in the US. You’ve probably heard of most of them, if not tried a few yourself. Some are actually sound, nutritionists say, while others don't necessarily have much scientific backing...and a few are a little off the wall. Here's the entire list of the top trending diets of 2019, starting from the top.

Intermittent fasting diet

The intermittent fasting diet caught everyone’s attention recently when Jennifer Aniston revealed that she does it. There are different versions of this diet, which involves periods of going without solid food—Aniston favors the 16:8 version, which means she eats within an 8-hour window then fasts for 16 hours. But does it actually work? It can.

“It’s suspected that the reason it helps people lose weight is that eating within an 8-hour window simply limits the total amount of calories consumed in a day,” New York-based nutritionist Lauren Harris-Pincus, RD, previously told Health.

Dr. Sebi diet

The Dr. Sebi diet is a controversial one. The guy behind it is the late Alfredo Darrington Bowman, aka Dr. Sebi, who wasn’t a medical doctor but a self-educated herbalist. It didn’t help that he claimed (until a 1993 lawsuit ordered him to stop doing so) that his diet could cure conditions like AIDS, sickle cell anemia, lupus, and leukemia. Basically, the Dr. Sebi diet promotes consuming plant-based foods and supplements that supposedly decrease disease-causing mucus by bringing the body into an alkaline state.

Noom diet

“Noom diet” was one of the top trending diet searches in 2018, and it’s high on the list again this year. Noom is actually an app—one that lets users log meals, access workout plans, track exercise, set goals, rate their motivation level, and connect with like-minded people. It also has articles, recipes, and support from personal health coaches (although not RDNs).

If that’s not enough, if attempts to address emotional eating and looks at how factors like stress and boredom can affect eating decisions. That all comes at a price, however: around $50 a month, and the plan is designed to last for four months. “While the app provides support, the user ultimately has to make his or her own eating and exercise decisions,” Cynthia Sass, MPH, RD, Health contributing nutrition editor, previously told Health.

1200 calories diet

Just as the name of this diet implies, it's an eating plan that limits dieters to 1200 calories daily. Many variations exist, and the diet doesn't restrict any one food group or type of food. While sticking to 1200 calories a day might sound feasible for the short-term, keep in mind that the USDA's Dietary Guidelines for Americans advises that moderately active women between ages 26 and 50 should take in about 2,000 calories daily to maintain a healthy weight. Cutting back to 1200 might be too restrictive to sustain.

Keto ultra diet

The high-fat, low-carb keto diet was at the top of last year's top trending diets list from Google. Quick refresher: the goal of the diet is to get your body to a state of ketosis, where you burn fat for energy rather than carbs, which leads to weight loss. This variation of the super popular keto diet is basically keto with supplements, which claim to put your body in a state of ketosis or increase fat burning while you're in ketosis already.

GOLO diet

The premise of the GOLO diet is that hormone imbalances lead to stress and anxiety, and this in turn makes you hungry and tired...which triggers overeating. While diet and exercise are part of the GOLO plan, users are also advised to take a supplement called Release to help bolster those healthy habits and boost weight loss. "Without independent data on Release, it’s difficult to say if it indeed leads to better results, and if it’s safe for all," Sass previously told Health.

Dubrow diet

Created by Heather Dubrow of Real Housewives of Orange County and husband Terry Dubrow, MD, one of the stars on Botched, the Dubrow diet is an intermittent fasting plan with three phases that focuses on whole foods and restricting calories. The diet features sample meal plans and it doesn't eliminate carbs. But all the phases and fasting windows could make it a bit complicated to follow, Sass previously told Health.

Sirtfood diet

The Sirtfood diet can be filed under “Is this too good to be true?” It claims to be the only eating plan which actively encourages red wine and dark chocolate, which are both high in sirtuin activators. (Sirtuins are a type of protein that protects the body’s cells from dying and from inflammation, and research suggests they can help regulate metabolism, increase muscle, and burn fat.) This diet has actually been making headlines for a while due to (unsubstantiated) claims that singer Adele followed it to lose weight.

No carbs no sugar diet

This plan appears to come from Jennifer Lopez and Alex Rodriguez, who announced on Instagram back in January that they would be attempting a 10-day no carb, no sugar challenge. Apparently J. Lo discovered that cutting out an entire macronutrient was not easy and reported this on social media: "So it turns out, when you don't have sugar and you don't have carbs, you're really really hungry all the time. So we're trying to figure out a lot of good snacks."

Endomorph diet

This diet is inspired by research from the 1940s, when a psychologist classified people into three body types: ectomorphs, mesomorphs, and endomorphs, the latter having excess fat and less muscle tone. Supposedly, endomorphs have slower metabolisms, and their bodies are more likely to convert excess calories to fat. They're advised to eat more protein and fats while keeping an eye on carb intake.

If Google's 2019 list has inspired you to try any of these diets, just remember that most diets don’t work, insofar as they don’t lead to sustained weight loss. The worst case scenario is that a structured eating plan (no matter how “healthy” it claims to be) can lead to disordered eating habits.

Hidden Danger of The Yo-Yo Dieting

You Need to Know About  Hidden Danger of The Yo-Yo Dieting 

It’s a scenario so many women can relate to: You succeed at losing weight, only to gain it back six months later. You shed the pounds again, but they return...and the cycle continues. This up-and-down routine is the definition of yo-yo dieting, and as a new study shows, the term isn’t reserved only for people who yo-yo drastic amounts of weight. 

Preliminary research presented at this week's scientific conference of the American Heart Association (AHA) found that women who yo-yo diet as little as 10 pounds have a higher number of risk factors for heart disease than women who have never been on that gain-lose-gain merry-go-round.

In the study, researchers at Columbia University focused on 485 women, asking them how many times they've lost and then regained at least 10 pounds in any given year. The average age of the study subjects was 37, and the average BMI came in at 26. (A woman with a BMI of 25 or higher is considered to be overweight.)

Unsurprisingly, the researchers found that yo-yo dieting was very common; 73% of the study subjects reported losing and regaining a minimum of 10 pounds at least once—and some cycled the weight up to 20 times in their lifetime. The scary part: Women with a yo-yo dieting history scored lower on an AHA measure called “Life’s Simple 7.” These are seven heart-protective lifestyle markers the AHA has identified as being important to cardio health: “eat better,” “get active,” “lose weight,” “quit smoking,” “reduce blood sugar,” “control cholesterol,” and “manage blood pressure.” 

The more times a woman yo-yo dieted, the worse she scored on the AHA measure, researchers found.

“Achieving a healthy weight is generally recommended as heart healthy but maintaining weight loss is difficult and fluctuations in weight may make it harder to achieve ideal cardiovascular health,” Brooke Aggarwal, senior author of the study, said in a press release.

The yo-yo dieters were also 82% less likely to have a BMI in the healthy range. That makes sense, as research shows that it’s common for people to lose weight quickly on a diet only to slowly gain it back. One 2015 study in Obesity Reviews stated that when it comes to dieting, “weight regain is generally the rule.” In fact, as much as two-thirds of the pounds lost are regained within the year. And almost all the dropped pounds come back within five years, the 2015 study found.

The authors of the latest study clarified that while their research found a link between yo-yo dieting and heart disease risk factors, they stated that more (and longer-term) research is needed.

This isn’t the first time that studies have suggested an up-and-down weight can be harmful to a person's health. A 2018 study linked weight fluctuations to a greater risk of mortality (though it wasn’t associated with heart disease). On the other hand, a 2014 research review of 20 previous studies found that weight cycling did not have a negative impact on health. 

What's the takeaway if you're a yo-yo dieter? You might want to consider the role fad diets play in all of this. Most plans that promise quick weight loss of more than a pound a week are almost guaranteed to fail—because even if you do drop weight, the diet itself is difficult to sustain. Plus, many plans don't provide you with the information and tools to keep the weight off. Eventually, the pounds creep back on.

A better way to lose weight is to eat with your health in mind. In other words, don't diet; instead, load up on nutritious, whole foods (such as lean protein, fruits, veggies, legumes, and whole grains) and stay active—and let your body shed any excess weight at a slow, steady, sustainable pace.

The Risks of too Much Drinking of Alcohol, UK

Low-risk drinking advice

To keep health risks from alcohol to a low level if you drink most weeks:

• men and women are advised not to drink more than 14 units a week on a regular basis 
• spread your drinking over 3 or more days if you regularly drink as much as 14 units a week
• if you want to cut down, try to have several drink-free days each week

If you're pregnant or think you could become pregnant, the safest approach is not to drink alcohol at all to keep risks to your baby to a minimum.

Find out more about pregnancy and alcohol

              

No 'safe' drinking level

If you drink less than 14 units a week, this is considered low-risk drinking.

It's called "low risk" rather than "safe" because there's no safe drinking level.

The type of illnesses you can develop after 10 to 20 years of regularly drinking more than 14 units a week include:

• cancers of the mouth, throat and breast
• stroke
• heart disease
• liver disease
• brain damage
• damage to the nervous system

There's also evidence that regular drinking at high-risk levels can make your mental health worse.

Research has found strong links between alcohol misuse and self-harming, including suicide.

The effects of alcohol on your health will depend on how much you drink. The less you drink, the lower the health risks.

Read about alcohol units to work out how much alcohol there is in your drinks.

'Single session' drinking

Drinking too much too quickly on any single occasion can increase your risk of:

• accidents resulting in injury, causing death in some cases
• misjudging risky situations
• losing self-control, like having unprotected sex or getting involved in violence

To reduce your health risks on any single session:

• limit how much you drink 
• drink more slowly
• drink with food
• alternate with water or non-alcoholic drinks

Keto Diet : Health Risks for Long Term

 Keto Diet : Health Risks  for Long Term

Following the keto diet for an extended period of time can be difficult, and even some of its top proponents warn against sticking to its strict guidelines (like cutting back carbohydrates to 50 grams a day or less) for more than 30 to 90 days. Other researchers warn that sticking to the diet long-term could even be dangerous. Here are a few reasons why.

Low-carb diets could lead to vitamin or mineral deficiencies

Limiting carbs to 50 grams a day or less likely means you’re cutting out unhealthy foods like white bread and refined sugar. But it also means you may have to cut back on fruits and certain vegetables, which are also sources of carbohydrates.

That’s a concern, says Annette Frain, RD, program director with the Weight Management Center at Wake Forest Baptist Health, especially if someone is spending more than a few weeks on this type of diet. “Fruits and vegetables are good for us; they’re high in antioxidants and full of vitamins and minerals,” she says. “If you eliminate those, you aren’t getting those nutrients over time.”

It may also be hard to get enough fiber while you’re cutting back so severely on carbohydrates, since whole grains are one of the biggest sources of this important nutrient. That can lead to digestion problems (ranging from constipation to diarrhea), bloating and weight gain, and even elevated cholesterol and blood pressure.

It may affect your athletic performance

There’s no shortage of athletes who have jumped on the keto bandwagon, but some researchers worry that they could actually be sabotaging their strength and fitness. In a recent study in the Journal of Sports Medicine and Physical Fitness, researchers found that participants performed worse on high-intensity cycling and running tasks after four days on a ketogenic diet compared to those who’d spent four days on a high-carb diet.

The body is in a more acidic state when it’s in ketosis, lead researcher Edward Weiss, PhD, associate professor of nutrition and dietetics at Saint Louis University, previously told Health, which may limit its ability to perform at peak levels.

Sure, keto can help athletes lose weight, which can be helpful for speed and endurance. “But I’m very concerned that people are attributing the benefits of weight loss to something specific in the ketogenic diet,” Weiss said. “In reality, the benefits of weight loss could be at least partially canceled out by reductions in performance.”

Relaxing the rules can cause weight re-gain

Because the keto diet is so strict, many variations of the diet recommend incorporating several stages. The first stage, usually the first one to three months, is extremely low-carb and allows for very few “cheat days,” if any at all. It also requires keeping close track of your carbohydrate and fat consumption to ensure your body is entering ketosis.

But then, people may transition to a more relaxed form of keto that allows for more carbohydrates or less monitoring—sometimes known as lazy keto, keto cycling, or “maintenance mode,” as Jenna Jameson has called it. The problem here, says Frain, is that weight re-gain is almost inevitable.

“Keto can be a great jump-start to weight loss, but the reality is that most people can't adhere to it for very long,” says Frain. “Often, people are going into ketosis and losing weight, then coming out and gaining it back and falling into this yo-yo pattern, and that’s not what we want.” In addition to being extremely frustrating, she says, these types of weight fluctuations are also linked to a higher risk of early death.

The type of weight you gain back is important as well. If you lost weight when you first started on keto, you likely lost some muscle mass along with fat tissue, says Kristen Kizer, RD, a nutritionist at Houston Methodist Medical Center. Now, since you’re following a high-fat diet, you will probably gain back more fat and less lean muscle—which not only looks and feels different on the body, but also burns calories at a slower rate. This can affect your metabolism and make it more difficult to lose weight again in the future.

It may also damage blood vessels

Enjoying a “cheat day” in the short-term on the ketogenic diet can also have long-term consequences, say researchers from the University of British Columbia. In a recent study published in Nutrients, they found that indulging in a high-sugar treat (like a large bottle of soda) while on a high-fat, low-carb diet can actually damage blood vessels.

“My concern is that many of the people going on a keto diet—whether it’s to lose weight, to treat type 2 diabetes, or some other health reason—may be undoing some of the positive impacts on their blood vessels if they suddenly blast them with glucose,” said senior author Jonathan Little, associate professor in the School of Health and Exercise Sciences, in a press release. “Our data suggests a ketogenic diet is not something you do for six days a week and take Saturday off."

Too much fat can raise chronic disease risk

Health experts worry about how a long-term keto-style diet can affect the heart and arteries. A not-yet-published study, presented at the American College of Cardiology’s annual Scientific Session, found that people on low-carb diets are more likely to develop atrial fibrillation (AFib) compared to those who eat moderate amounts of carbohydrates. AFib is the most common heart rhythm disorder and raises the risk of stroke and heart failure.

It’s not just the heart they’re worried about either. Research presented earlier this year at the European Society of Cardiology Congress found that people who followed low-carb, high-fat diets had an increased risk of dying from cancer and all other causes during the study period. And a recent study in the Lancet also found that low-carb dieters who consumed large amounts of meat and dairy had a higher risk of early death compared to those who consumed carbs in moderation or who consumed mostly plant-based protein.

Most of this research, it’s worth pointing out, is still observational—meaning that it’s only been able to find associations with certain health outcomes and not cause-and-effect relationships. Frain says that, overall, there’s not enough long-term research to know exactly what the ketogenic diet does to the body over an extended period of time—or why it seems to affect some people differently than others.

But she advises anyone who’s thinking about trying keto to strive for balance, not for extremes. “It’s important to look at what you’re missing in a diet and what is really sustainable for you,” she says. “You want to make sure you have satisfaction and satiety from the foods you’re eating and that you feel good and are getting great nutrition from a variety of foods. That’s what will help you keep it up and keep the weight off.”