Keto Flu

August 2, 2021
Updated: December 20, 2021
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The ketogenic diet, defined by low carb, high fat, and moderate protein intake, is a trendy diet for weight loss these days. When switching to such a different diet, many new keto diet practicers experience some side effects for the first week or so, known as “keto flu” or “carb flu.”  What exactly is keto flu, and what can you do to alleviate its symptoms?

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”More study is needed to gauge the effects of keto diet on other physiological aspects of health including sleep, cognitive and thyroid function, and cardiovascular health;(NIH.gov)

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Though not everyone gets it, keto flu is common for new keto dieters.  During the first week that you start practicing, you likely will notice changes in your digestion, mood, and energy levels, along with various other discomforts. These typically peak around days 3-5, then will gradually diminish the longer you stay on the diet.

Common symptoms of keto flu include:1,2

  • Fatigue
  • Headache
  • Irritability
  • Poor concentration
  • Difficulty focusing (brain fog)
  • Low motivation
  • Dizziness
  • Sugar cravings
  • Nausea
  • Muscle cramps
  • Vomiting
  • Constipation
  • Diarrhea
  • Muscle weakness
  • Stomachaches
  • Difficulty sleeping
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Feeling withdrawal symptoms is normal when you suddenly drop any kind of major calorie/nutritional source from your diet, whether its carbs or fats or something else. In the case of the keto diet, the lack of carbs changes your body’s metabolism dramatically within the first day. You enter a state called ketosis, which causes your body to burn lipids to produce cellular energy rather than relying on glucose and other sugars as a quick energy source.3

Certain organs in your body use energy at higher rates than others. Your brain has an especially high energy demand and can take a few days to become accustomed to the lack of easily-metabolized carbs available. During this time, your insulin levels will drop, and your body will start excreting more sodium and water. Increased frequency of urination is a common side effect during the first week on a keto diet. Carb withdrawal along with loss of electrolytes can cause the symptoms of keto flu.

Feeling withdrawal symptoms is normal when you suddenly drop any kind of major calorie/nutritional source from your diet, whether its carbs or fats or something else. In the case of the keto diet, the lack of carbs changes your body’s metabolism dramatically within the first day. You enter a state called ketosis, which causes your body to burn lipids to produce cellular energy rather than relying on glucose and other sugars as a quick energy source.3

Certain organs in your body use energy at higher rates than others. Your brain has an especially high energy demand and can take a few days to become accustomed to the lack of easily-metabolized carbs available. During this time, your insulin levels will drop, and your body will start excreting more sodium and water. Increased frequency of urination is a common side effect during the first week on a keto diet. Carb withdrawal along with loss of electrolytes can cause the symptoms of keto flu.

Feeling withdrawal symptoms is normal when you suddenly drop any kind of major calorie/nutritional source from your diet, whether its carbs or fats or something else. In the case of the keto diet, the lack of carbs changes your body’s metabolism dramatically within the first day. You enter a state called ketosis, which causes your body to burn lipids to produce cellular energy rather than relying on glucose and other sugars as a quick energy source.3

Certain organs in your body use energy at higher rates than others. Your brain has an especially high energy demand and can take a few days to become accustomed to the lack of easily-metabolized carbs available. During this time, your insulin levels will drop, and your body will start excreting more sodium and water. Increased frequency of urination is a common side effect during the first week on a keto diet. Carb withdrawal along with loss of electrolytes can cause the symptoms of keto flu.

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Stay Hydrated and Replenish Electrolytes

Drinking plenty of water is always a good idea and is helpful for virtually any health condition. As you are losing extra water and sodium during your transition into the keto diet, it is important that you keep replenishing these. Dehydration and loss of electrolytes can make you tired and give you headaches and muscle aches. Fortunately, that is easy to remedy by drinking extra fluids. A good rule of thumb is to drink a full glass of water whenever you feel thirsty, and make sure you are drinking at least three liters every day while you are on the keto diet.1,2

To up your electrolyte intake, try mixing half a teaspoon of salt into an 8-ounce glass of water and drinking it. For more flavor, broths and bouillons, such as bone broth or vegetable stock with an optional spoonful of salted butter are good alternatives. After drinking such a water/electrolyte mix, you can start to feel better within 15 to 30 minutes. Also, you may wish to take a multivitamin, or mineral supplements, to replace the calcium, magnesium, and potassium you would otherwise receive from starchy foods.1,2

Drinking plenty of water is always a good idea and is helpful for virtually any health condition. As you are losing extra water and sodium during your transition into the keto diet, it is important that you keep replenishing these. Dehydration and loss of electrolytes can make you tired and give you headaches and muscle aches. Fortunately, that is easy to remedy by drinking extra fluids. A good rule of thumb is to drink a full glass of water whenever you feel thirsty, and make sure you are drinking at least three liters every day while you are on the keto diet.1,2

To up your electrolyte intake, try mixing half a teaspoon of salt into an 8-ounce glass of water and drinking it. For more flavor, broths and bouillons, such as bone broth or vegetable stock with an optional spoonful of salted butter are good alternatives. After drinking such a water/electrolyte mix, you can start to feel better within 15 to 30 minutes. Also, you may wish to take a multivitamin, or mineral supplements, to replace the calcium, magnesium, and potassium you would otherwise receive from starchy foods.1,2

Keto+ Electrolytes Advanced Mineral Blend with Himalayan Pink Salt and Aquamin
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While new to the keto diet, your body is undergoing some major metabolic transitions. During this time, it is important that you let it rest, recover, and adapt to your new energetic situation. If you have been feeling tired, irritable, or fuzzy-headed, or feel headaches and muscle pains, it is especially important that you let your brain and your muscles rest. Intense workouts are best avoided, while getting adequate amounts of sleep is essential for feeling your best.1,2

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Eat Plenty of Fat

The keto diet isn’t just about cutting carbs from your diet. You need to make sure you are getting adequate energy and nutrition from other food sources. Make sure you are still getting plenty to eat, even if your appetite isn’t feeling normal. Working with a nutritionist would be a great idea for ensuring you still give your body the energy and vitamins it needs through non-carb food.1,2
The keto diet isn’t just about cutting carbs from your diet. You need to make sure you are getting adequate energy and nutrition from other food sources. Make sure you are still getting plenty to eat, even if your appetite isn’t feeling normal. Working with a nutritionist would be a great idea for ensuring you still give your body the energy and vitamins it needs through non-carb food.1,2
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[1] Eenfeldt A, Spritzler F. December 27, 2018. “The keto flu, other keto side effects, and how to cure them.” Diet Doctor. https://www.dietdoctor.com/low-carb/keto/flu-side-effects

[2] Kubala J. April 3, 2018. “The Keto Flu: Symptoms and How to Get Rid of It.” Healthline. https://www.healthline.com/nutrition/keto-flu-symptoms

[3] Veech RL. 2004. “The therapeutic implications of ketone bodies: the effects of ketone bodies in pathological conditions: ketosis, ketogenic diet, redox states, insulin resistance, and mitochondrial metabolism.” Prostaglandins Leukot Essent Fatty Acids. Mar; 70(3):309-319. https://www.ncbi.nlm.nih.gov/pubmed/14769489

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