Keto Flu: A Common Side Effect Of Ketogenic Dieting

how common is keto flu

The keto flu is a common side effect of the ketogenic diet, which involves drastically reducing your intake of carbohydrates. Symptoms of the keto flu can include nausea, dizziness, sugar cravings, muscle soreness, irritability, and trouble sleeping, among others. These symptoms typically start two to seven days after beginning the diet and can last for a few days to several weeks. While the keto flu can be unpleasant, there are ways to reduce its symptoms, such as gradually reducing carb intake, staying hydrated, and getting plenty of rest.

Characteristics Values
Onset Within the first two to seven days of starting the keto diet
Duration A few days to several weeks, or up to a month in extreme cases
Symptoms Stomach aches, nausea, dizziness, sugar cravings, cramping, muscle soreness, irritability, diarrhea or constipation, trouble sleeping, poor focus and concentration, brain fog, fatigue, headache, decreased energy, feeling faint, heartbeat alterations, flu, decreased motivation, gastrointestinal discomfort, etc.
Cause Unknown, but experts suggest it may be related to the body adjusting to a low-carb diet, sugar withdrawal, changes to the gut microbiome, genetics, dehydration, and more.
Prevention Gradually reduce carb intake, stay hydrated, replace electrolytes, get enough rest, avoid strenuous activities, ensure adequate fat and carb intake.

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Keto flu symptoms

The keto flu is a collection of symptoms experienced by some people when they start a ketogenic diet. This happens as the body adapts to a new diet consisting of very few carbohydrates. The symptoms can be flu-like and are caused by the body going into ketosis and burning ketones for energy instead of glucose.

Symptoms of keto flu can include:

  • Headaches
  • Fatigue
  • Nausea
  • Dizziness
  • Brain fog
  • Gastrointestinal discomfort
  • Decreased energy
  • Feeling faint
  • Heartbeat alterations
  • Diarrhea or constipation
  • Trouble falling or staying asleep
  • Sugar cravings
  • Muscle soreness
  • Irritability

These symptoms typically start within the first few days of starting a ketogenic diet and can last from a few days to several weeks. In rare cases, keto flu can last up to a month.

If you are experiencing keto flu, it is important to stay hydrated, replace electrolytes, get enough rest, and ensure you are consuming enough fat and carbohydrates. Transitioning to a ketogenic diet gradually, rather than all at once, may also help to reduce symptoms.

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Causes of keto flu

The exact cause of keto flu is unknown, but there are several factors that are believed to contribute to its onset. Here are the key causes:

Carbohydrate Withdrawal

When you drastically reduce your carbohydrate intake, as is typical in a ketogenic diet, your body experiences a form of carbohydrate withdrawal. Carbohydrates are the body's preferred source of fuel, and this sudden switch to burning fat for energy can be a significant shock to the system. The body is forced to burn ketones from fat, instead of glucose from carbohydrates, which can result in flu-like symptoms.

Detox Factor

The keto flu may also be related to a detox factor. A ketogenic diet often involves a significant reduction in processed foods, trans fats, and saturated fats. This dietary change can affect how your cells use energy, leading to symptoms such as fatigue and brain fog.

Changes to the Gut Microbiome

The keto flu could be the result of changes to the gut microbiome. A shift in the types and amounts of food consumed can impact the balance of microorganisms in the gut, which may contribute to the flu-like symptoms.

Genetics

An individual's genetics may also play a role in the onset of keto flu. Some people are naturally "metabolically flexible," meaning they can easily shift between metabolic states without experiencing negative health symptoms. Others may struggle more with the transition, leading to keto flu.

Dehydration and Electrolyte Loss

The ketogenic diet can quickly deplete your body's water stores, putting you at risk of dehydration and electrolyte imbalances. This is because the reduction in carbohydrate intake leads to a decrease in glycogen, which binds to water in the body. Additionally, ketones have a diuretic effect, increasing urination. Dehydration and electrolyte imbalances can contribute to symptoms such as fatigue, muscle cramps, and nausea.

In summary, the keto flu is caused by a combination of factors, primarily the body's response to a sudden reduction in carbohydrate intake, as well as the associated dehydration and electrolyte imbalances.

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How to manage keto flu

Keto flu is a group of symptoms that may appear two to seven days after starting a ketogenic diet. The symptoms can include headache, brain fog, fatigue, irritability, nausea, difficulty sleeping, and constipation. The good news is that you won't feel uncomfortable forever while on the ketogenic diet. For most people, side effects tend to go away within several weeks. Here are some tips to help you manage keto flu:

  • Ease into the diet: Start with a typical low-carb diet and give your body time to adjust. Try that for a week, and then go into the full keto diet.
  • Stay hydrated: Drink plenty of water and other fluids, such as no-calorie flavored water. Staying hydrated can help prevent headaches and increase energy levels.
  • Take electrolyte supplements: Electrolyte depletion can be a culprit behind some keto flu symptoms. Include plenty of electrolytes like salts, potassium, and magnesium in your diet. Drinking sports drinks or electrolyte-enhanced water can help.
  • Get enough rest: Make sleep a priority during this time. Remove distractions before bedtime and aim for 7-9 hours of quality sleep.
  • Eat keto-friendly foods: Eat plenty of healthy fats, such as coconut oil, olive oil, MCT oil, grass-fed butter, ghee, and fattier cuts of meat. Also, include a variety of non-starchy vegetables, such as spinach, leafy greens, broccoli, cauliflower, and Brussels sprouts.
  • Manage caffeine intake: Limit your caffeine intake as it can interfere with your sleep. Reducing caffeine can help lessen symptoms like insomnia, fatigue, and irritability.
  • Try light exercise: Light exercise, such as restorative yoga, can help relieve muscle pain and tension, boost your mood, and improve your sleep.

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How common is keto flu?

The keto flu is a common experience for people who are starting a ketogenic diet. The ketogenic diet is a very low-carbohydrate, high-fat, and moderate-protein diet. Carbohydrate deprivation depletes the body's glycogen stores, forcing it to use ketones, byproducts from the breakdown of fat, as energy instead. This process is called nutritional ketosis.

The keto flu is essentially a set of symptoms caused by the body's withdrawal from carbohydrates. The symptoms can include stomach aches or pains, nausea, dizziness, sugar cravings, cramping, muscle soreness, irritability, diarrhoea or constipation, trouble falling asleep or staying asleep, poor focus and concentration, and brain fog. These symptoms can start as early as the first day or two of starting the diet and can last for a few days to several weeks.

While the keto flu is a common experience, not everyone who tries a keto diet will go through it. The exact cause of the keto flu is unknown, but it is believed to be related to the body's adjustment to a low-carb diet, sugar withdrawal, and changes to the gut microbiome. Genetics, dehydration, and drastically changing diet quality in a short period may also be factors.

To minimise the chances of experiencing the keto flu, it is recommended to decrease carb intake slowly, stay well-hydrated, supplement with electrolytes, consume caffeine in moderation, and limit strenuous physical activity.

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How to prevent keto flu

The keto flu is a collection of symptoms experienced by some people when they first start a ketogenic diet. The symptoms can include nausea, constipation, headaches, fatigue, sugar cravings, and more. The good news is that there are ways to prevent and reduce these symptoms. Here are some tips to prevent the keto flu:

  • Decrease Your Carb Intake Gradually: Instead of cutting out carbohydrates immediately, reduce them slowly over time. This will help your body adjust and reduce the severity of symptoms.
  • Stay Hydrated: Drink plenty of water to prevent dehydration, which can cause headaches and fatigue. Aim for around 16 cups of water per day and listen to your body's signals.
  • Replenish Electrolytes: Electrolyte imbalances can occur on any diet and may lead to muscle cramps, nausea, and other symptoms. Include magnesium, potassium, and sodium-rich foods in your diet, such as leafy greens, avocados, and bone broth.
  • Moderate Caffeine Intake: Limit your caffeine intake to improve sleep and reduce symptoms like insomnia, fatigue, and irritability.
  • Get Plenty of Rest: Prioritize sleep to keep your energy levels up and reduce fatigue. Create a relaxing bedtime routine and avoid electronic devices before bed.
  • Ease into Exercise: Avoid strenuous exercise during the initial transition period. Opt for light activities such as yoga or walking, which can help relieve muscle pain and tension.
  • Eat Plenty of Vegetables: Include a variety of non-starchy vegetables in your diet to minimize digestive issues. Spinach, leafy greens, broccoli, and cauliflower are excellent choices and rich in essential electrolytes.
  • Increase Healthy Fats: Make sure you're consuming enough healthy fats, as the keto diet relies on them as the primary fuel source. Avocados, olive oil, and nuts are great choices.

Remember, it's important to listen to your body and adjust your diet gradually. Consult with a healthcare professional if you have any concerns or if your symptoms persist or worsen.

Frequently asked questions

Keto flu is a set of symptoms similar to the flu that some people experience when they start a ketogenic diet. It is essentially the body's response to withdrawing from carbs, its primary source of energy.

Symptoms can include stomach aches, nausea, dizziness, sugar cravings, cramping, muscle soreness, irritability, diarrhea or constipation, trouble sleeping, poor focus, and brain fog.

Keto flu symptoms are quite common in individuals starting a ketogenic diet, especially if they are not properly hydrated. However, not everyone will experience these symptoms, as it depends on the individual.

Keto flu symptoms typically last a few days to several weeks, but in some cases, they can persist for up to a month or more.

To prevent or reduce keto flu symptoms, it is recommended to gradually reduce carb intake, stay properly hydrated, replace electrolytes, get adequate rest, and ensure you are consuming enough healthy fats.

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