Also a huge thanks to everyone that has shared their stories here; as with many in the /r/keto world, they were instrumental to my research, motivation, and ultimately dedication to this WOE. Keep calm and keto on fam!
Although there can be many different side effects that manifest while becoming keto-adapted, many of them stem from similar underlying issues. In this article, I outline what those underlying issues are, their related keto side effects, and simple strategies to overcome them so you can become keto-adapted as smoothly as possible.
This includes, but is not limited to, desserts, artificial sweeteners, smoothies, soda and fruit juice. Even condiments are usually filled with sugar, so put down the ketchup and mayo. If you are craving a dessert, try one of the keto-friendly dessert recipes listed on this site instead.
By default, your body generates energy from carbohydrates (glucose), which are stored as glycogen in your muscle tissue and liver (6). You store enough carbs for approximately 24 hours worth of energy (7). Most of us easily replenish our carb stores by eating fruit, vegetables, grains and legumes, so our carb “fuel tanks” rarely get low and we continue burning glucose for energy.
For example, say someone requires 2,000 calories per day and is eating 75% fat, 20% protein, and 5% carbs. That would come out to 1,500 calories/167 grams of fat, 400 calories/100 grams of protein, and 100 calories/25 grams of carbs. This person would need to make sure they stay at or below 25 grams of carbs each day.
“It was extremely difficult,” he recalls. “You spend your entire life hearing that fat makes you fat and causes heart attacks and strokes. Now, all of a sudden, you’re eating 200 grams of fat per day. There is a huge psychological component to conquer before you can become successful with the keto diet. In the beginning, it’s like trying to convince people 1,000 years ago that the world is in fact round, not flat.”
Alternating days of higher vs. lower carb intake, especially when timed around workouts if you’re active, is beneficial for cutting your body fat percentage down while still not sacrificing your muscle mass. How many carbs should you aim for if you go with approach? Higher-carb days might include 100 grams of net carbohydrates, while lower-carb days should stay closer to 20–30 grams of net carbs. Exact numbers will differ, with men who are bigger and more active requiring more of both calories and carbs than smaller, less active women.
When you eat foods high in carbohydrates and fat, your body naturally produces glucose. Carbohydrates are the easiest thing for the body to process, and therefore it will use them first – resulting in the excess fats to be stored immediately. In turn, this causes weight gain and health problems that are associated with high fat, high carbohydrate diets (NOT keto).
The body then further breaks down these fatty acids into an energy-rich substance called ketones that circulate through the bloodstream. Fatty acid molecules are broken down through the process called ketogenesis, and a specific ketone body called acetoacetate is formed which supplies energy.
The report goes on to say that while these various diseases are clearly different from each other, the ketogenic diet appears to be so effective for neurological problems because of its “neuroprotective effect” — as the keto appears to correct abnormalities in cellular energy usage, which is a common characteristic in many neurological disorders.
Sweeteners can be tricky on keto, but they do exist. Stick to low glycemic index sweeteners that won’t affect your blood sugar levels, and avoid sugar alcohols (even low or no-sugar ones). These include maltitol, dextrose or maltodextrin.
I’m sad I didn’t get to spend my youngest years in a healthy way, but I’m not quite 30 yet and I still have time, besides, I think being a bit of an outcast made me who I am today- the only regret really is holding myself back from doing quite a lot of things because I thought I was too fat (I probably was).
You can have a completely smooth transition into ketosis, or…not. While your body is adapting to using ketones as your new fuel source, you may experience a range of uncomfortable short-term symptoms. These symptoms are referred to as “the keto flu.” Low-sodium levels are often to blame for symptoms keto flu, since the kidneys secrete more sodium when you’re in ketosis, says Volek. A few side effects:
Healthy fats include saturated fats, monounsaturated fats and certain types of polyunsaturated fats (PUFAs), especially omega-3 fatty acids. It’s best to include all types in your diet, with an emphasis on saturated fats, especially compared to PUFAs.
I’m desperate to find some answers~I have no history of sensitivity to anything, no allergies. I understand allergies can happen at any time. I started the Keto diet and in a one month time I had four separate episodes of my tongue swelling~each episode worse than the one before. I LOVED this diet~felt great, handled it with ease. The last episode almost put me in the hospital~my tongue was so swollen it was coming out of my mouth making it difficult to swollen and breath. I had no choice but to narrow it down to Ketosis. All the foods were the same that I have eaten all my life. No new meds. The last episode I took 2 Benadryl and pulled myself out of Ketosis with consuming a Dr.Pepper, and 2 pieces of white toast. I was terrified. Everyone on Facebook in all these Keto sites tell me it has nothing to do with Ketosis….but I’ve tried literally everything I consumed when a was on that WOE and I’ve had no reaction in days. My body feels horrible, I have no energy, my entire body aches. I want back on the Keto diet because my body was responding really well to it~except for my tongue.
Although egg yolks are high in cholesterol, consuming them doesn’t raise blood cholesterol levels in most people. In fact, eggs appear to modify the shape of LDL in a way that reduces the risk of heart disease (37).
There are a lot of misconceptions about low carb dieting which has caused an infamous outlook on keto. There have been tons of studies published over the last 30 years that show how high amounts of fat and few carbs are beneficial.
I’m strict keto. So yes when I can I weigh everything and track everything. Even when I deployed for ten weeks I tracked every bite although I could only eyeball my portions. I’ve now averaged an 11lb weight loss per month since my husband and I started. (He’s lost 50 but he doesn’t have any more to lose at 6’1 176lbs)
During this time, you will likely feel dizzy and drowsy due to a general lack of energy. You may feel especially dizzy upon standing due to blood pressure dysregulation and inappropriate cortisol response (HPA axis dysregulation which we’ll talk about shortly).
In gluconeogenesis, your blood sugar and insulin levels rise. This halts the production of ketones, which could then be used for energy. On keto, the goal is to simply eat enough protein to maintain muscle mass.
The brain can only use two types of nutrients for fuel: glucose and ketones (16). This is why, despite information that states a certain amount of glucose is needed per day for optimal brain function, a keto diet can actually support cognitive function. In fact, some people report improved focus, concentration and mental alertness when they enter ketosis.
When I first tried MCT oil a while ago, I didn’t know about the potential side effects and digestive discomfort. If you are new to MCTs, make sure you start with a small amount (such as a teaspoon) and gradually add more to avoid stomachache and/ or diarrhoea.
This standard ketogenic diet is one of the most researched versions of the keto diet and is what we’re referring to throughout this article (although, the same principles we’ve discussed apply to most of the other forms).
Hey Jan, great to hear the tumor growth stopped! I am a huge fan of trace mineral rich foods and grass-fed organ meats such as heart and liver for helping support blood cell formation. https://drjockers.com/top-12-trace-mineral-rich-foods/
When implementing any new diet — not just keto — it’s important to do so safely, and in a way that supports your unique lifestyle. With this in mind, here are two potential side effects you should know about:
You can try reducing carbohydrates to just 15 percent to 25 percent of total calorie intake, while increasing fat and protein to around 40 percent to 60 percent and about 20 percent to 30 percent, respectively, in order to test your own individual response.
Optimal ketosis is reached when they body stays in ketosis for at least a few weeks, when any type of side effects diminish greatly while the benefits are more pronounced with the body becoming a fat burner.
So that’s about it. Most of this happened within the last two months and it’s crazy to see so many things just do a 180. I’ll be sticking with OMAD keto the rest of my life, it’s gotten incredibly easy and I can’t wait to reach my goal weight and hopefully convert people asking for help.
Ketosis occurs when the liver breaks down fat into fatty acids and glycerol — a process called beta-oxidation. In particular, three primary types of ketone bodies that are water-soluble molecules are produced: acetoacetate, beta-hydroxybutyrate and acetone.
If you are following a ketogenic diet for its therapeutic benefits, KetoEdge is comprehensive support to maximize your success.  Feel free to check it out and we are currently offering $30 off and free shipping in the US if you use the coupon code DrJKetoEdge2018 at checkout.
This week we’re getting stricter with our fasting. We had a full week of intermittent fasting and now we’re going to skip breakfast and lunch. Water is our BEST friend here! Don’t forget that you can drink coffee, tea, flavored water, and the like to get your liquids in. Keep drinking to make sure you’re not thinking about your stomach. It MIGHT start growling, just ignore it – your body will adjust with time.
These are some of the lesser common problems that I am e-mailed about on a semi-consistent basis. Many of these problems also relate to hydration and micronutrients, so make sure that you are drinking plenty of water and replenishing electrolytes.
Soft drinks, fruit juices, sweet wines, craft beers, and flavored liquor are filled with way too much sugar and/or carbs to be allowed if you’re serious about keto. Some people will drink diet, or “zero,” soft drinks, but avoid them if you can because the citric acid and aspartame often found in them may derail your trip to ketosis.
Blinten, who has used a keto diet for some cancer patients in specific circumstances, cautioned, “people will do anything to get the weight off.” However, a keto diet will do more harm than good for the majority of patients, especially if they have any underlying kidney or liver issues.
Keto naturally lowers blood sugar levels due to the type of foods you eat. Studies even show that the ketogenic diet is a more effective way to manage and prevent diabetes compared to low-calorie diets.

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Diabetics: When you are eating less carbs and sugar, you will likely need less insulin or blood-sugar lowering medications to maintain blood sugar balance. Again, speak with your physician about this potential change and work with him to coordinate proper medication dosage.
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