Book cover of Women, Food, and Hormones by Sara Gottfried

Sara Gottfried

Women, Food, and Hormones Summary

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“How can women align their diets with their unique hormonal needs to achieve lasting health and vitality?”

1. Hormonal Needs Differ Between Men and Women

Many dietary plans are centered on research conducted with male physiology in mind, leaving women at a disadvantage when it comes to their hormonal health. Women’s bodies respond differently to dietary changes, particularly with how hormones interact with food.

Dieting without considering women's unique hormonal environment can lead to unintended consequences, such as imbalanced thyroid function, increased stress hormones, and blood sugar instability. These challenges explain why some women may see little success with widely promoted diets like the ketogenic diet, despite their popularity. For example, while the keto diet can improve mental clarity and promote weight loss, its low carbohydrate nature can disrupt essential hormonal functions in women.

A modified approach is necessary. By tailoring diets to align with women’s hormonal profiles, women can improve not only weight management but also mood regulation, energy levels, and overall wellness. Addressing these overlooked factors helps create a personalized plan that fosters long-term health and energy.

Examples

  • Studies indicate that restrictive low-carb diets can raise cortisol levels, the stress hormone, in women.
  • Women are twice as likely as men to develop hypothyroidism, potentially exacerbated by keto habits.
  • Hormonal fluctuations during menstrual cycles impact how women utilize energy from food.

2. The Gottfried Protocol’s Female-Focused Approach

The Gottfried Protocol offers a four-week dietary plan tailored to women’s hormonal rhythms, improving both weight management and overall hormonal balance.

The protocol modifies the traditional ketogenic diet, emphasizing a 2:1 ratio where fat intake doubles the combined amount of protein and carbohydrates. With macronutrient guidelines of 25 grams of net carbs, 60-90 grams of healthy fats, and 50-75 grams of protein daily, the approach prioritizes hormonal-friendly foods like avocados, nuts, and sustainably sourced proteins.

Uniquely, the plan avoids even “healthy” sugars and limits fruits to low-glycemic options like lemons, limes, and tomatoes for optimal hormonal signals. The focus on mindful eating, hydration with electrolytes, and overnight fasting supports the body’s recalibration for a healthier state.

Examples

  • The 2:1 keto ratio promotes ketosis, a fat-burning state, optimized for women's health needs.
  • Foods like avocados and olive oil provide essential fats while supporting hormonal functions.
  • Those on the protocol report fewer sugar cravings and improved energy levels.

3. Keto Flu and Its Management

Transitioning into a ketogenic diet can trigger the "keto flu," a set of unpleasant symptoms like fatigue, headaches, and irritability. These arise as the body shifts from burning glucose to using fat for energy.

Mitigating the keto flu is possible by adjusting hydration levels and adding electrolytes such as sodium, potassium, and magnesium. These small changes help offset dehydration and maintain kidney function during this metabolic shift.

Additionally, balancing meals with adequate fat, protein, and carbs reduces symptoms. Incorporating fibrous vegetables or supplements like MCT oil ensures smoother digestion and minimizes discomfort.

Examples

  • A patient on the protocol found relief from leg cramps by drinking a magnesium-rich electrolyte solution.
  • Upping water intake from two to three liters per day significantly reduced fatigue during the transition.
  • Including ground flaxseed helped improve digestive regularity.

4. Understanding Cravings

Cravings, especially for carbs and sugars, are common in the initial week of transitioning but can be managed with deliberate meal planning.

The Gottfried Protocol emphasizes meals rich in fats and protein to maintain fullness and blood sugar stability. This strategy helps prevent the spikes and crashes that lead to cravings. Herbal teas and supplements also offer additional psychological and physiological support.

By addressing the root causes of cravings rather than ignoring them, you can stay on track without turning to sugar-filled quick fixes.

Examples

  • Eating extra protein at lunch helped one follower of the plan stay satiated through the day.
  • Sipping cinnamon tea reduced sweet cravings due to its blood sugar-regulating benefits.
  • Incorporating more leafy greens in meals prevented late-night hunger.

5. The Importance of Macronutrient Ratios

Balancing macronutrient intake is fundamental to the success of the Gottfried Protocol. Women benefit from a ketogenic plan that carefully calibrates fat, protein, and carb content for hormonal equilibrium.

Hitting your macronutrient targets ensures the body sustains ketosis and stabilizes energy use. Monitoring macronutrient ratios can also highlight any imbalances contributing to stalled weight loss or fatigue.

Using tools like a food tracking app simplifies the process, ensuring you understand your exact intake and make necessary adjustments for better results.

Examples

  • A woman increased her fat intake using MCT oil and noticed improved morning energy.
  • Lowering carb consumption by five grams daily led to decreased bloating.
  • Balanced macronutrient meals helped stabilize mood swings.

6. Monitoring Progress

Tracking is vital to understand how your body responds to dietary changes. By measuring factors such as body circumference, weight, and blood ketone levels, you can assess progress and optimize the plan for maximum impact.

These metrics provide insights into hormonal and metabolic shifts. Regular tracking also shines a light on whether certain foods or habits are derailing progress, allowing for immediate adjustments rather than months of trial-and-error dieting.

Examples

  • Weekly waist measurements revealed a 1.5-inch reduction by the end of the first month.
  • Testing blood glucose helped a participant determine the impact of specific vegetables.
  • Real-time data on ketones confirmed the effectiveness of overnight fasting routines.

7. Transitioning to a Mediterranean Diet

After the four-week protocol, transitioning to a carb-adjusted Mediterranean diet helps maintain health improvements while integrating more dietary variety.

Start reintroducing carbs slowly, adding five grams every three days with options like berries, legumes, and starchy vegetables. This measured approach prevents sudden blood sugar spikes while creating a sustainable plan.

Intermittent fasting during this period ensures residual benefits from ketosis carry over into the new routine.

Examples

  • Adding sweet potatoes to dinners increased meal satisfaction without weight gain.
  • Two intermittent fasting days weekly maintained previously achieved weight loss.
  • Swapping to a Mediterranean-inspired diet enriched long-term diversity.

8. Long-Term Benefits of Hormonal Balance

Aligning your diet with hormonal patterns extends benefits far beyond fat loss. It leads to better sleep, stable energy, regulated moods, and lower risks of conditions like diabetes.

The Gottfried Protocol’s focus on hormones helps address common challenges women face in middle age, such as perimenopause fluctuations or insulin resistance. Understanding these connections empowers personalized long-term health.

Examples

  • Improved thyroid hormone levels were noted in blood tests after following the plan.
  • Reduced sugar cravings supported consistent energy levels throughout the day.
  • Participants in their mid-forties saw improved menstrual regularity.

9. Empowerment Through Knowledge

The book encourages women to take control of their health by understanding how food interacts with their unique physiology. This awareness builds confidence to make informed dietary choices.

By shifting focus from dieting myths to science-based strategies, women can achieve lasting well-being. Food becomes a tool, not a challenge, in the journey to balanced living.

Examples

  • Learning about healthy fats debunked the misconception that all fats are harmful.
  • Tracking responses to reintroduced fruits clarified personal tolerances.
  • Understanding keto mechanisms helped one woman overcome yo-yo dieting.

Takeaways

  1. Begin by tracking your baseline health metrics and writing a personal value statement to guide your journey.
  2. Follow the Gottfried Protocol meal structure with planned macronutrient ratios and daily hydration to stabilize hormones and initiate ketosis.
  3. Gradually transition to a carb-adjusted Mediterranean diet to maintain results while widening dietary options.

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