The ketogenic diet is probably the most popular diet of the year, and is only growing in popularity. If you have been researching keto, but are concerned about side effects, the first thing you want to learn about is the keto flu.
What is the Keto Flu?
It is a good idea to acquire a thorough understanding of why keto flu occurs, as this helps one to understand the root of each symptom and why such side effects are not permanent.
When the body switches over to burning stored fat for energy, which is the case with a low carbohydrate diet, it means it must go through keto-adaption. This is also referred to as beta-oxidation, and it is an easier process for some people than others. This is because a person may be what is called “metabolically flexible,” or he or she may be entirely inflexible with regard to metabolic changes.
Metabolic flexibility is another term that refers to how well a person will adapt to his or her body using an alternate fuel source, such as the switch from carbs to fats that is associated with the ketogenic diet. One’s level of resistance to this change typically determines the length and severity of his or her symptoms when beginning a low-carb diet.
Those with little or no metabolic flexibility almost always experience ketogenic diet side effects as their bodies adjust to this change. Although there are no specific markers for whether or not one will be flexible with regard to this process, it is believed that genetics may play a role.
Whether a person adjusts well to this change or not, when carbohydrates are restricted, the body goes through three primary metabolic changes. These changes are what lead to the common keto flu symptoms.
Sodium and Water are Flushed Out
When carbohydrates are restricted, the macronutrient responsible for the highest release of insulin is triggered. Insulin transports sugar and simple carbohydrates into cells where they can be used as fuel. In addition, this macronutrient has a specific effect on the kidneys. When insulin transmits information to the cells to let them know excess energy is available, it also sends signals to the kidneys to preserve water and sodium.
Sodium is released from the body when insulin levels drop, and it takes plenty of water with it during this process. For this reason, many people lose up to ten pounds of water weight in less than a week when following a low-carb diet.
This is also true of glycogen, which is sugar in its stored form. Water levels and glycogen are directly connected as well, as it takes approximately three grams of water to store one gram of glycogen.
During the first day of a low-carbohydrate diet, a person’s main energy source becomes the glycogen stored in his or her muscles and liver. This typically results in a pound or a pound and a half of water loss the first day.
The combination of low insulin levels and glycogen loss causes the elimination of enough sodium and water to lead to gastrointestinal issues, headaches, muscle cramps, nausea, and dizziness, which are some of the most common keto flu symptoms, as previously mentioned. As one might suspect, replenishing minerals and fluids is a good way to alleviate all or most of these symptoms, at least to some degree.
Although consuming eight, 8-ounce glasses of water per day is believed to be adequate water intake for healthy adults, those following a ketogenic diet may wish to up their water intake substantially, particularly during the first seven to ten days of the diet.
Increased Cortisol Levels
When a low-carbohydrate diet is followed religiously, it triggers a “starvation” response in the body. This leads to the need for increased energy levels, which is a problem the body solves by releasing a deluge of stress hormones, including cortisol. Not surprisingly, several negative side effects are associated with this release of cortisol, such as irritability, confusion, lack of energy and in some cases, muscle pain.
How do You Know You Have it?
Although not all individuals experience keto flu when following a low-carb diet, most have at least a few of the symptoms. Regardless of how many side effects a person experiences, however, most dissipate within five to seven days. In certain cases, symptoms may last for as long as a month, but this is quite rare. Most side effects of the diet typically begin anywhere from 24 to 48 hours after carbs are restricted and usually include the following:
You Suddenly Crave Sugar
The earliest, most common side effect of the ketogenic diet is strong cravings for sugar and starch. This is particularly true if the person was formerly in the habit of consuming substantial amounts of starchy foods and sugary snacks on a regular basis.
It is partially a physical craving, but is also a result of a reaction in the brain’s reward center when it is deprived of endorphin-producing foods such as chocolate or other high-carbohydrate “comfort” snacks. This symptom is typically one of the first to cease after a few days of following the ketogenic diet, after which sugar cravings usually plummet.
You Feel Dizzy or Lightheaded
Dizziness is a very common symptom of ketosis, and although it may be a bit scary, this side effect is almost always harmless. It has to do with the body’s electrolyte balances, which are temporarily disturbed by the low-carb diet. Although it is harmless overall, those who experience this symptom should not drive or participate in any activity where good coordination is needed, as this is the best way to avoid any potential injuries resulting from losing one’s balance or falling.
Poor Concentration and Focus
Poor concentration and focus, more commonly referred to as “brain fog,” is simply a lack of focus that occurs when the brain is no longer being fed raw sugar and simple carbohydrates on a regular basis. This symptom usually only lasts until the body is firmly into ketosis, after which it will break down fat stores with which to supply the brain with energy.
You are Moody or Irritable
Virtually all diets are associated with some level of irritability as a side effect. However, this symptom is very short-lived when one is following the keto diet, and usually ceases within three to four days.
You Have Nausea
Nausea is also a common side effect of the ketogenic diet, and is similar to the nausea felt when one becomes very hungry after not having eaten for a long period. This is because the body is feeling the deprivation of carbohydrates and sugars. Once again, after the body has reached the state of ketosis, this symptom abruptly stops.
Stomach cramps are a less common side effect of the ketogenic diet, but are sometimes experienced on and off throughout the first week after carbs have been restricted.
Muscle soreness is a symptom that affects approximately 50 percent of those following the ketogenic diet. Although it feels similar to the muscle soreness experienced after a vigorous workout, it usually comes and goes in a random pattern. This symptom may continue for up to a week or longer, depending on various factors.
Insomnia is a very common side effect of a low-carb diet, and most individuals who follow this diet usually experience this symptom for up to a week or two. Sleep is closely linked to how one’s metabolism functions, and because this balance is temporarily disrupted when a person begins the ketogenic diet, his or her sleep hormones may also be affected.
What Can You Do?
The best way to get a handle on your keto flu symptoms is to look at where they might be coming from. There is often an easy resolution for many of these symptoms and side effects to be more comfortable now. But don’t forget – the keto flu symptoms only last a short period of time. Once you get past them, you will feel amazing and on your way to a permanent lifestyle change.
Here are some helpful tips for managing these symptoms:
Take a Magnesium Supplement – This is helpful for many of the side effects of the ketogenic diet, but especially when you suffer from insomnia. Take this supplement at night before you go to bed, even if you take the rest of your supplements earlier in the day.
Replenish Your Electrolytes – One of the main reasons you feel dizzy or sluggish during the ‘keto flu’ period is because your body is going through a lot of your electrolytes. Focus on replacing the main ones, including sodium, magnesium, and potassium.
Get More Sodium – If you still feel lightheaded or just not yourself, focus on getting more sodium into your diet. Easy ways to do this are by drinking a little pickle juice when you feel lightheaded, or having some broth.
Make Sure You Have Enough Fat – You should also focus on getting enough fat in your diet, as this is a high-fat, low-carbohydrate diet. Choose healthier fats like coconut oil, olive oil, and avocados.