The keto diet permits eating cheese, which is rich in fat and high in protein. A cheeseburger from Dubai restaurant The Keto Fix comes with low-carb buns, made using flaxseed and oat fibre
The keto diet permits eating cheese, which is rich in fat and high in protein. A cheeseburger from Dubai restaurant The Keto Fix comes with low-carb buns, made using flaxseed and oat fibre
The keto diet permits eating cheese, which is rich in fat and high in protein. A cheeseburger from Dubai restaurant The Keto Fix comes with low-carb buns, made using flaxseed and oat fibre
The keto diet permits eating cheese, which is rich in fat and high in protein. A cheeseburger from Dubai restaurant The Keto Fix comes with low-carb buns, made using flaxseed and oat fibre

Is keto a healthy way to lose weight? Everything to know about the divisive low-carb diet


Panna Munyal
  • English
  • Arabic

Indian actress Mishti Mukherjee, 27, died on October 2, with the cause of death cited by her publicist and family members as kidney failure brought on by the keto diet. While it's not known whether Mukherjee had any underlying health issues, that is still a disturbing claim, given that the ketogenic diet has experienced the largest growth among most-searched dietary requirements in the UAE over the past three years, with a 1,028.21 per cent rise, ­according to ­digital marketing platform ­SEMrush.

We ask Dubai nutritionist Mitun de Sarkar and Ruba El Hourani, head dietician at RAK Hospital, for their expert opinions on the diet.

How would you describe the ketogenic diet?

Mitun de Sarkar: In its simplest form, it is eliminating food groups that contain any glucose (mainly carbohydrates), and eating a dominantly high fat, medium protein and very low or almost negligible carbohydrate diet.

Ruba El Hourani: The keto diet prescribes a minimum 70 per cent of energy from fat and a severe restriction of carbohydrates to mimic a fasting state and induce ketosis. This is a process that happens when your body doesn't have enough carbohydrates to burn for energy, and it burns fat instead.

What are the foods the keto diet prescribes and avoids?

MDS: The keto diet requires followers to avoid sweet and carbohydrate-rich foods such as wheat flour, lentils, beans and rice, as well as sweet fruits. They can base their diets on natural fats, for example, avocados, coconut oil, coconut butter and ghee; proteins that come mainly from animal sources, such as beef, lamb, poultry, fish and eggs; low-starch vegetables, such as ­asparagus, broccoli, lettuce and mushrooms; and some fruits, including coconuts, limes, lemons and some berries.

REH: Followers of the diet can also eat cheese, which is rich in fat and high in protein, but they must avoid most refined carbohydrates, such as grains and flour, sugar, sweetened yoghurt, crisps, crackers and processed food.

Can the keto diet cause kidney failure or other issues in a person with no pre-existing health conditions?

Ruba El Hourani, head dietician at RAK Hospital, says the keto diet may affect the composition and function of the gut microbiome, which can burden the organs
Ruba El Hourani, head dietician at RAK Hospital, says the keto diet may affect the composition and function of the gut microbiome, which can burden the organs

MDS: All elimination diets, barring the ones required due to medical conditions or food allergies, carry a certain amount of risk. As the human gut is used to different food sources, eliminating entire food groups can put one at risk of certain gut issues and this may also disturb the homeostasis, or balance, of the body. Eating a higher protein diet could add more stress to the kidneys by raising levels of uric acid and it may disturb the calcium balance.

The authentic ketogenic diet is very difficult to follow socially, and requires the elimination of many fibre-rich, plant-based foods, so one may experience ill effects such as gut discomfort and constipation.

Research is ongoing to establish a definitive guide to navigate the ketogenic diet and some of the data is still nascent. It is advisable for anyone attempting the diet to do so under supervision and get regular tests done, to minimise the unpleasant side effects that may occur.

REH: Since more protein and fewer carbohydrates are the most common modifications of the keto diet, it can result in health complications over time. Changes in the macronutrient composition affect hormones, 14 metabolic pathways, gene expression, and the composition and function of the gut microbiome, which might affect fat storage. This can burden the organs and lead to conditions including kidney diseases and, eventually death if not treated or monitored. 

Are there any conditions for which the diet is beneficial?

REH: Early research suggests that a keto diet that is closely monitored and based on individual needs, for a shorter period of time, may benefit several health conditions, including epilepsy, metabolic syndrome, glycogen storage disease and type 2 diabetes.

If a person is following the keto diet for weight-loss reasons, for how long can they do so safely?

Dubai dietician Mitun de Sarkar says weight loss is sustainable only if done over a period of time, rather than relying on a quick-fix elimination diet
Dubai dietician Mitun de Sarkar says weight loss is sustainable only if done over a period of time, rather than relying on a quick-fix elimination diet

REH: To minimise the adverse effects of ketosis on the body, I suggest that the ketogenic diet not exceed a 28-day cycle. This should be sufficient to initiate weight loss if other prescribed diets have failed, depending on each individual's needs and condition. Every cycle of the diet could be initiated again when the rate of weight loss has decreased, but for no longer than three cycles. It is important to keep in mind that old lifestyle habits will affect weight regain and health status, so any weight-loss plan should not be initiated without the supervision of a healthcare provider and dietician.

MDS: Get the required tests done, establish your core markers of health and the recommended ranges before going on any extreme diet.

What is a suitable substitute to the keto diet?

MDS: That's an easy one – a wholesome, plant-dominant diet with plenty of fresh fruits and vegetables. Also, engage in mindful eating – eat to nourish your body, avoid TV and mobile screens while eating, avoid grazing and processed foods, and follow professional advice if needed.

In general, is it time we got over quick-fix diets?

MDS: Weight loss is sustainable only if done over a period of time. Quick-fix diets are not permanent; we see many examples of people regaining the lost weight and more. The ketogenic diet may be beneficial to a few, but its long-term sustainability is one of its main caveats.

Take the case study of one of my clients, a lady in her late forties, who went on a keto diet based on the advice of a social media influencer, who cited the example of how she transformed herself. Followers were told they are allowed to eat slabs of butter every day to meet their fat needs, plus free-flowing ghee, coconut oil, fried burger patties without the bread and so on.

As enjoyable and tasty as it was initially, a stage came when my client had zero energy, suffered severe acidity and started losing her hair. A check at the clinic showed that her ferritin levels had hit rock bottom, her cholesterol and triglycerides had skyrocketed, her gut microbiome had suffered due to a lack of prebiotics and probiotics, and a few other blood markers were out of whack.

On top of this, her fear of the weight coming back caused her mental trauma. We are now helping her transition to a healthier eating plan, replenishing the deficiencies and treating her gut, yet without weight gain.

My question is, why do anything that's not sustainable? How is it logical to eat a whole slab of butter a day and consider it healthy? How and why would you want to be so adventurous with your health and believe everything you see on social media? Celebrities with personal chefs and high budgets cannot be the markers for determining our own trajectory to better health.

PROFILE OF INVYGO

Started: 2018

Founders: Eslam Hussein and Pulkit Ganjoo

Based: Dubai

Sector: Transport

Size: 9 employees

Investment: $1,275,000

Investors: Class 5 Global, Equitrust, Gulf Islamic Investments, Kairos K50 and William Zeqiri

KEY DEVELOPMENTS IN MARITIME DISPUTE

2000: Israel withdraws from Lebanon after nearly 30 years without an officially demarcated border. The UN establishes the Blue Line to act as the frontier.

2007: Lebanon and Cyprus define their respective exclusive economic zones to facilitate oil and gas exploration. Israel uses this to define its EEZ with Cyprus

2011: Lebanon disputes Israeli-proposed line and submits documents to UN showing different EEZ. Cyprus offers to mediate without much progress.

2018: Lebanon signs first offshore oil and gas licencing deal with consortium of France’s Total, Italy’s Eni and Russia’s Novatek.

2018-2019: US seeks to mediate between Israel and Lebanon to prevent clashes over oil and gas resources.

A meeting of young minds

The 3,494 entries for the 2019 Sharjah Children Biennial come from:

435 – UAE

2,000 – China

808 – United Kingdom

165 – Argentina

38 – Lebanon

16 – Saudi Arabia

16 – Bangladesh

6 – Ireland

3 – Egypt

3 – France

2 – Sudan

1 – Kuwait

1 – Australia
 

Greatest Royal Rumble results

John Cena pinned Triple H in a singles match

Cedric Alexander retained the WWE Cruiserweight title against Kalisto

Matt Hardy and Bray Wyatt win the Raw Tag Team titles against Cesaro and Sheamus

Jeff Hardy retained the United States title against Jinder Mahal

Bludgeon Brothers retain the SmackDown Tag Team titles against the Usos

Seth Rollins retains the Intercontinental title against The Miz, Finn Balor and Samoa Joe

AJ Styles remains WWE World Heavyweight champion after he and Shinsuke Nakamura are both counted out

The Undertaker beats Rusev in a casket match

Brock Lesnar retains the WWE Universal title against Roman Reigns in a steel cage match

Braun Strowman won the 50-man Royal Rumble by eliminating Big Cass last

Timeline

2012-2015

The company offers payments/bribes to win key contracts in the Middle East

May 2017

The UK SFO officially opens investigation into Petrofac’s use of agents, corruption, and potential bribery to secure contracts

September 2021

Petrofac pleads guilty to seven counts of failing to prevent bribery under the UK Bribery Act

October 2021

Court fines Petrofac £77 million for bribery. Former executive receives a two-year suspended sentence 

December 2024

Petrofac enters into comprehensive restructuring to strengthen the financial position of the group

May 2025

The High Court of England and Wales approves the company’s restructuring plan

July 2025

The Court of Appeal issues a judgment challenging parts of the restructuring plan

August 2025

Petrofac issues a business update to execute the restructuring and confirms it will appeal the Court of Appeal decision

October 2025

Petrofac loses a major TenneT offshore wind contract worth €13 billion. Holding company files for administration in the UK. Petrofac delisted from the London Stock Exchange

November 2025

180 Petrofac employees laid off in the UAE

Company%20profile
%3Cp%3EName%3A%20Cashew%0D%3Cbr%3EStarted%3A%202020%0D%3Cbr%3EFounders%3A%20Ibtissam%20Ouassif%20and%20Ammar%20Afif%0D%3Cbr%3EBased%3A%20Dubai%2C%20UAE%0D%3Cbr%3EIndustry%3A%20FinTech%0D%3Cbr%3EFunding%20size%3A%20%2410m%0D%3Cbr%3EInvestors%3A%20Mashreq%2C%20others%0D%3C%2Fp%3E%0A
The President's Cake

Director: Hasan Hadi

Starring: Baneen Ahmad Nayyef, Waheed Thabet Khreibat, Sajad Mohamad Qasem 

Rating: 4/5

Our legal consultant

Name: Dr Hassan Mohsen Elhais

Position: legal consultant with Al Rowaad Advocates and Legal Consultants.

Tax authority targets shisha levy evasion

The Federal Tax Authority will track shisha imports with electronic markers to protect customers and ensure levies have been paid.

Khalid Ali Al Bustani, director of the tax authority, on Sunday said the move is to "prevent tax evasion and support the authority’s tax collection efforts".

The scheme’s first phase, which came into effect on 1st January, 2019, covers all types of imported and domestically produced and distributed cigarettes. As of May 1, importing any type of cigarettes without the digital marks will be prohibited.

He said the latest phase will see imported and locally produced shisha tobacco tracked by the final quarter of this year.

"The FTA also maintains ongoing communication with concerned companies, to help them adapt their systems to meet our requirements and coordinate between all parties involved," he said.

As with cigarettes, shisha was hit with a 100 per cent tax in October 2017, though manufacturers and cafes absorbed some of the costs to prevent prices doubling.

The End of Loneliness
Benedict Wells
Translated from the German by Charlotte Collins
Sceptre

The specs: Audi e-tron

Price, base: From Dh325,000 (estimate)

Engine: Twin electric motors and 95kWh battery pack

Transmission: Single-speed auto

Power: 408hp

Torque: 664Nm

Range: 400 kilometres

THE BIO

Favourite book: ‘Purpose Driven Life’ by Rick Warren

Favourite travel destination: Switzerland

Hobbies: Travelling and following motivational speeches and speakers

Favourite place in UAE: Dubai Museum

FIVE%20TRENDS%20THAT%20WILL%20SHAPE%20UAE%20BANKING
%3Cp%3E%E2%80%A2%20The%20digitisation%20of%20financial%20services%20will%20continue%3C%2Fp%3E%0A%3Cp%3E%E2%80%A2%20Managing%20and%20using%20data%20effectively%20will%20become%20a%20competitive%20advantage%3C%2Fp%3E%0A%3Cp%3E%E2%80%A2%20Digitisation%20will%20require%20continued%20adjustment%20of%20operating%20models%3C%2Fp%3E%0A%3Cp%3E%E2%80%A2%20Banks%20will%20expand%20their%20role%20in%20the%20customer%20life%20through%20ecosystems%3C%2Fp%3E%0A%3Cp%3E%E2%80%A2%20The%20structure%20of%20the%20sector%20will%20change%3C%2Fp%3E%0A
The specs
  • Engine: 3.9-litre twin-turbo V8
  • Power: 640hp
  • Torque: 760nm
  • On sale: 2026
  • Price: Not announced yet
The specs

Engine: 2.0-litre four-cylinder turbo

Power: 268hp at 5,600rpm

Torque: 380Nm at 4,800rpm

Transmission: CVT auto

Fuel consumption: 9.5L/100km

On sale: now

Price: from Dh195,000 

SPEC%20SHEET%3A%20NOTHING%20PHONE%20(2)
%3Cp%3E%3Cstrong%3EDisplay%3A%3C%2Fstrong%3E%206.7%E2%80%9D%20LPTO%20Amoled%2C%202412%20x%201080%2C%20394ppi%2C%20HDR10%2B%2C%20Corning%20Gorilla%20Glass%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EProcessor%3A%3C%2Fstrong%3E%20Qualcomm%20Snapdragon%208%2B%20Gen%202%2C%20octa-core%3B%20Adreno%20730%20GPU%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EMemory%3A%3C%2Fstrong%3E%208%2F12GB%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECapacity%3A%3C%2Fstrong%3E%20128%2F256%2F512GB%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EPlatform%3A%3C%2Fstrong%3E%20Android%2013%2C%20Nothing%20OS%202%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EMain%20camera%3A%3C%2Fstrong%3E%20Dual%2050MP%20wide%2C%20f%2F1.9%20%2B%2050MP%20ultrawide%2C%20f%2F2.2%3B%20OIS%2C%20auto-focus%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EMain%20camera%20video%3A%3C%2Fstrong%3E%204K%20%40%2030%2F60fps%2C%201080p%20%40%2030%2F60fps%3B%20live%20HDR%2C%20OIS%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EFront%20camera%3A%3C%2Fstrong%3E%2032MP%20wide%2C%20f%2F2.5%2C%20HDR%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EFront%20camera%20video%3A%3C%2Fstrong%3E%20Full-HD%20%40%2030fps%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EBattery%3A%3C%2Fstrong%3E%204700mAh%3B%20full%20charge%20in%2055m%20w%2F%2045w%20charger%3B%20Qi%20wireless%2C%20dual%20charging%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EConnectivity%3A%3C%2Fstrong%3E%20Wi-Fi%2C%20Bluetooth%205.3%2C%20NFC%20(Google%20Pay)%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EBiometrics%3A%3C%2Fstrong%3E%20Fingerprint%2C%20face%20unlock%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EI%2FO%3A%3C%2Fstrong%3E%20USB-C%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EDurability%3A%3C%2Fstrong%3E%20IP54%2C%20limited%20protection%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3ECards%3A%3C%2Fstrong%3E%20Dual-nano%20SIM%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EColours%3A%3C%2Fstrong%3E%20Dark%20grey%2C%20white%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EIn%20the%20box%3A%3C%2Fstrong%3E%20Nothing%20Phone%20(2)%2C%20USB-C-to-USB-C%20cable%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EPrice%20(UAE)%3A%3C%2Fstrong%3E%20Dh2%2C499%20(12GB%2F256GB)%20%2F%20Dh2%2C799%20(12GB%2F512GB)%3C%2Fp%3E%0A
A State of Passion

Directors: Carol Mansour and Muna Khalidi

Stars: Dr Ghassan Abu-Sittah

Rating: 4/5

Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

Last five meetings

2013: South Korea 0-2 Brazil

2002: South Korea 2-3 Brazil

1999: South Korea 1-0 Brazil

1997: South Korea 1-2 Brazil

1995: South Korea 0-1 Brazil

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