
The keto diet is a high-fat, moderate-protein, and low-carbohydrate diet that has been around since the 1920s. It is a popular weight-loss diet, but it also has many possible health benefits, including increased energy, improved sleep, and treating chronic illnesses such as epilepsy and type 2 diabetes. However, the keto diet can be difficult to follow and maintain, and it may produce several side effects. So, what are the side effects of a ketosis diet?
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What You'll Learn

'Keto flu'
The keto flu is a term used to describe the flu-like symptoms associated with the beginning of a very low-carb ketogenic diet. It is not an official medical condition, but a collection of symptoms experienced by some people when they first start the keto diet. These symptoms are caused by the body adapting to a new diet consisting of very few carbohydrates.
Symptoms of the keto flu can start popping up within the first few days of cutting back on carbs, and they can range from mild to severe. The keto flu can last a week or less for the average person, but in extreme cases, it can last up to a month. Some people may never experience the keto flu, as they are naturally "metabolically flexible".
The keto flu can cause various symptoms, including:
- Upset stomach
- Headaches
- Fatigue
- Muscle cramps
- Stomach discomfort
- Diarrhea or constipation
- Trouble sleeping
- Poor focus and concentration
- Sugar cravings
- Muscle soreness
- Irritability
- Dizziness
- Nausea
There are ways to reduce the symptoms of the keto flu and help your body get through the transition period more easily. Staying hydrated by drinking plenty of water is important, as a keto diet can cause a rapid shedding of water stores, increasing the risk of dehydration. Replacing dietary electrolytes may also help reduce symptoms, as the keto diet restricts many foods that are high in potassium, such as fruits, beans, and starchy vegetables. Eating more salt and including potassium-rich, keto-friendly foods like leafy greens and avocados can help maintain a healthy balance of electrolytes.
Additionally, light activities like walking, yoga, or leisurely biking may improve symptoms, and it is recommended to avoid strenuous exercise. It is also important to eat more frequently and ensure you are consuming enough calories and colourful vegetables. If you are having trouble sleeping, taking an Epsom salt bath can help soothe and relax your muscles, as well as improve electrolyte absorption.
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Dehydration
However, this reduction in carbohydrates can lead to dehydration because carbohydrates help the body retain water. In addition, the keto diet is diuretic, meaning it increases urine production, which can further contribute to dehydration. Therefore, it is important for individuals on the keto diet to stay well-hydrated and drink plenty of water to prevent dehydration.
The keto diet can be challenging to follow and may produce other side effects, including "keto" breath, constipation, fuzzy thinking, mood swings, and headaches. It is also associated with an increase in "bad" LDL cholesterol, which is linked to heart disease. Additionally, the high-fat content can put a strain on the liver and kidneys, potentially causing or worsening existing conditions in these organs.
Furthermore, the keto diet restricts many nutrient-dense foods, such as fruits, vegetables, whole grains, and legumes. This restriction can lead to deficiencies in micronutrients, including selenium, magnesium, phosphorus, and vitamins B and C. As a result, individuals on the keto diet may not be getting all the necessary nutrients required for optimal health.
While the keto diet has been shown to be effective for weight loss, especially in the short term, it is important to be aware of the potential side effects, including dehydration, and take the necessary precautions. It is always recommended to consult with a healthcare professional before starting any new diet, especially a restrictive one like the keto diet, to ensure it is safe and suitable for your individual needs.
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Nutrient deficiencies
The keto diet is a high-fat, moderate-protein, and low-carbohydrate diet. It changes the way your body uses food by reducing the number of carbs you eat and teaching your body to burn fat for fuel instead.
However, the keto diet can lead to nutrient deficiencies, especially if followed for a prolonged period. The diet restricts entire classes of macronutrients, including carbs, fat, and protein, which can inadvertently eliminate foods that are rich in nutrients.
- Vitamins: The keto diet can lead to deficiencies in several vitamins, including B vitamins such as thiamin (B1), folate (B9), and vitamin B6. Other vitamin deficiencies that may occur include vitamin B7 (biotin), vitamin B12, vitamin A, vitamin E, vitamin D, and vitamin C.
- Minerals: The keto diet may also result in mineral deficiencies, such as calcium, iron, magnesium, phosphorus, chromium, iodine, potassium, sodium, and zinc.
- Antioxidants: The diet's restriction of certain foods may also reduce the intake of antioxidants, which are important for optimal health.
To avoid nutrient deficiencies on a keto diet, it is crucial to include nutrient-dense foods and consider taking supplements. Some keto-friendly foods that can help prevent deficiencies include grass-fed meat, poultry, wild-caught fish, liver, spinach, kale, nuts, and seeds. Additionally, drinking plenty of water can help ease or prevent some of the side effects of the keto diet.
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Kidney problems
The keto diet is associated with an increased risk of kidney problems. The diet's high protein content can cause the kidneys to work harder, potentially leading to chronic kidney disease. The kidneys help metabolize protein, and the high intake recommended by the keto diet may overload them.
The keto diet's emphasis on fat, particularly animal fat, increases the consumption of saturated fat, which may increase the risk of heart disease. The high amount of dietary fat may also bind to dietary calcium in the intestine, preventing its absorption and increasing the amount of oxalate absorbed. The absorbed oxalate is then excreted in the urine, increasing the risk of calcium oxalate nephrolithiasis (kidney stones).
The keto diet is also associated with a decline in kidney function for those who already have chronic kidney disease. It can worsen metabolic acidosis, a common complication of chronic kidney disease, which affects bone and muscle health. The diet's restriction of fruits and vegetables can also lead to reduced water consumption, which further increases the risk of kidney stones.
In addition, the keto diet may not be a sustainable long-term option due to its restrictive nature, and there are concerns about its potential negative impact on overall health. It is always advisable to consult a healthcare professional before starting any new diet, especially for those with existing health conditions such as kidney disease.
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Weight loss
The keto diet has been advertised as a weight-loss wonder, and it is often recommended for people who want to shed pounds quickly. The diet can help reduce hunger, which may lead to eating less food and, in turn, losing weight. Additionally, ketosis can help reduce belly fat while maintaining lean mass.
However, not everyone loses weight on a ketosis diet. There are several reasons for this. Firstly, some keto-friendly foods like avocados are high in calories, and overeating these can hinder weight loss. Secondly, research suggests that genetic makeup can influence how an individual responds to the keto diet. Certain medical conditions and medications can also interfere with weight loss on a keto diet.
Furthermore, the keto diet is quite restrictive, making it challenging to sustain long-term. It often requires the omission of multiple food groups, including grains, legumes, fruits, dairy, and many types of vegetables. As a result, there are concerns about potential deficiencies in micronutrients like vitamins A, C, K, and folate, as well as dietary fiber.
While the keto diet can lead to weight loss, it is not recommended as a long-term solution. For sustainable weight management, a balanced eating pattern, calorie deficit, and increased physical activity are generally considered healthier and more effective.
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Frequently asked questions
The keto diet can have several side effects, including:
- Dehydration and electrolyte imbalances
- "Keto" breath
- Constipation
- Fuzzy thinking and mood swings
- Headaches
- Stomach upset
- Fatigue
"Keto breath" is a common side effect of the keto diet, where the breath develops a sweet or fruity odour. This is caused by the presence of ketones in the body, which are released through the breath and urine.
Some side effects of the keto diet, such as dehydration, can be managed by drinking plenty of water. "Keto breath" may be masked by maintaining oral hygiene, such as brushing teeth several times a day or using sugar-free gum. However, it is important to note that not all side effects can be prevented or managed, and some may indicate more serious health risks.
The keto diet is high in saturated fat and has been associated with an increase in "bad" LDL cholesterol, which is linked to heart disease. Long-term compliance with the keto diet can also result in nutrient deficiencies, as it restricts the intake of fruits, vegetables, grains, and legumes. It is important to consult a doctor or registered dietitian before starting the keto diet, as it may not be suitable for everyone.











































