Understanding the Keto Flu: Symptoms and Remedies
Jun 17, 2025 By Alison Perry

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The keto flu is a set of symptoms some people may develop after beginning a ketogenic diet. These symptoms are similar to the flu and they occur as the body adjusts to using fat as an energy source rather than carbohydrates. Being aware of the reasons and solutions may alleviate this adjustment and make the keto experience smoother and better.

What Is the Keto Flu?

Keto flu describes a collection of symptoms that some individuals might have when they initially undertake a ketogenic diet. It happens when the body is adjusting to the utilization of fat as its main source of energy as an alternative to glucose. This metabolic change is capable of causing transient electrolyte imbalances, dehydration, and energy lows and highs, which produce flu-like symptoms.

Compared to the real flu, the keto flu is not viral in nature but is as a result of the body adapting to a low-carb, high-fat diet. These symptoms can occur in the initial days of going on the diet, and can last a few days to a couple of weeks, depending upon a variety of factors of the person, including metabolism, hydration, and the nutrients that a person consumes.

Common Symptoms of the Keto Flu

The keto flu can manifest in various ways, with symptoms ranging from mild to severe. Some of the most common signs include:

1. Fatigue and Weakness

When the body runs out of glycogen and starts to use fat as a source of energy, the energy levels of many people decrease dramatically. This may translate to feeling of tiredness, sluggishness, and lack of concentration.

2. Headaches

Low magnesium and sodium levels electrolyte imbalances may provoke headaches. This symptom can also be caused by dehydration that is typical of the early phases of the keto diet.

3. Dizziness and Lightheadedness

When standing up abruptly, a decrease in carbohydrate consumption may result in a decrease in blood pressure and blood sugar, which can make a person feel dizzy or lightheaded.

4. Nausea and Digestive Issues

Others might develop nausea, stomach cramps, or digestive discomfort because their body is changing to increased fat consumption. Alteration in fiber intake may also result in constipation or diarrhea.

5. Muscle Cramps and Spasms

Deficiency in potassium, magnesium and sodium may result in muscular cramps, twitching or spasms especially when a person is physically on the go.

6. Irritability and Mood Swings

Carbohydrates contribute to the production of serotonin, which is a mood controlling neurotransmitter. When carbs are drastically cut, some people may experience irritability, anxiety, or mood swings.

What Causes the Keto Flu?

The primary cause of the keto flu is the body's adaptation to ketosis. Several factors contribute to these symptoms:

1. Electrolyte Imbalance

Carbohydrates help retain water and electrolytes in the body. When carb intake drops, the kidneys excrete more water, leading to the loss of essential minerals like sodium, potassium, and magnesium. This imbalance can trigger headaches, fatigue, and muscle cramps.

2. Dehydration

As glycogen stores are depleted, the body releases excess water, increasing the risk of dehydration if fluid intake is not adequately maintained.

3. Reduced Insulin Levels

Lower carb intake leads to decreased insulin production, which affects how the body retains sodium and water. This can contribute to dizziness and fatigue.

4. Metabolic Adaptation

Switching from glucose to fat as the primary energy source requires time. During this transition, some people experience temporary drops in energy and cognitive function.

Effective Remedies for the Keto Flu

Fortunately, the keto flu can be managed effectively with the right strategies. Here are some proven remedies to alleviate symptoms:

1. Stay Hydrated

Hydration is key when transitioning into ketosis, as the body loses water rapidly due to glycogen depletion. Aim to drink at least 2-3 liters of water daily to prevent dehydration, which can trigger headaches, dizziness, and fatigue. Adding a pinch of high-quality salt, such as Himalayan salt, to your water can help replenish sodium levels, a vital electrolyte that is often flushed out during the early stages of a low-carb diet.

2. Replenish Electrolytes

Electrolytes such as potassium, sodium, and magnesium are essential for maintaining fluid balance and muscle function. Without them, you may experience cramping, fatigue, or other symptoms of the keto flu. Incorporate potassium-rich foods like avocados, leafy greens, and mushrooms; magnesium-rich options like nuts, seeds, and dark chocolate; and sodium from sources such as bone broth and Himalayan salt. If needed, consider using an electrolyte supplement to ensure you're meeting your body's needs.

3. Increase Healthy Fats Gradually

Transitioning to a ketogenic diet is easier on the body when done gradually. Instead of cutting carbs drastically, reduce your intake in stages while increasing your consumption of healthy fats like avocados, olive oil, coconut oil, and fatty fish. This gradual adjustment allows your body to adapt to using fat as its primary energy source and minimizes the intensity of keto flu symptoms.

4. Get Enough Sleep

Fatigue is one of the most common signs of keto flu, and getting enough high-quality sleep is one of the best remedies. Aim for 7-9 hours of sleep per night, and establish a relaxing bedtime routine to support better rest. Avoid screens at least an hour before bed, and consider calming activities like reading or meditation to help you unwind.

5. Engage in Light Exercise

While intense exercise can be difficult during the keto transition, light activities can actually help ease symptoms. Gentle movement, such as walking, yoga, or stretching, improves circulation, boosts energy levels, and helps the body adapt to burning fat for fuel. Listen to your body, and avoid overexertion during this period.

6. Consume Bone Broth

Bone broth is a powerhouse for hydration and electrolyte replenishment. Packed with sodium, potassium, and other minerals, it helps restore what your body loses during the initial stages of ketosis. Not only does it combat dehydration, but it also soothes the digestive system and provides a comforting, nourishing option to include in your meals or as a warm drink throughout the day.

7. Eat Fiber-Rich Foods

Digestive discomfort, such as constipation, can be a side effect of a low-carb diet. Prevent this by incorporating fiber-rich foods that are still low in carbs, like chia seeds, flaxseeds, and non-starchy vegetables such as broccoli, zucchini, and cauliflower. These foods promote gut health and keep your digestive system running smoothly, even as your diet changes.

Preventing the Keto Flu

Prevention is always better than cure. To minimize the risk of keto flu:

  • Gradually reduce carbs instead of making an abrupt switch.
  • Monitor electrolyte intake from the beginning.
  • Stay consistent with hydration and nutrient-dense foods.
  • Listen to your body and adjust your diet as needed.

Conclusion

The keto flu is a temporary but challenging phase that many individuals face when transitioning to a ketogenic diet. By understanding its causes and symptoms, you can take proactive steps to minimize discomfort and support your body’s adaptation to ketosis. Staying hydrated, replenishing electrolytes, and making gradual dietary changes are key strategies to overcome the keto flu successfully.

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