icon notify FLASH SALE

Lightheaded on Keto and Intermittent Fasting Do This

author avatar Dr. Eric Berg 01/10/2025

Starting a ketogenic diet can be exciting, but it also comes with unexpected side effects. One common concern is lightheadedness, that dizzy feeling that can make you feel unsteady.

While concerning, it's usually temporary. This article will equip you to manage and overcome these symptoms, making lightheadedness on keto a minor hurdle, not a roadblock.

Many people experience lightheadedness, especially when first starting keto. This occurs primarily due to shifts in your body's fluid and electrolyte balance as it adapts to using fat as fuel.

Understanding Lightheadedness on Keto


Initially, your body uses glucose from carbs for energy. The ketogenic diet drastically lowers carbs, switching to fat as the primary energy source.

Your body then eliminates excess fluid along with stored carbs, impacting fluid balance and possibly causing common symptoms.

The Role of Electrolytes

Electrolytes, like potassium and sodium, are essential during the transition to ketosis. They contribute to fluid balance, nerve function, and blood pressure regulation.

A deficiency may cause lightheadedness, a common symptom. We'll also cover other contributing factors and actionable steps to address them.

The Keto Flu and Electrolyte Depletion


Transitioning to a very low carbohydrate intake can lead to the “keto flu.” A primary driver of symptoms like nausea or vomiting, along with extreme thirst, is sodium imbalance.

This can occur at different levels in your system, causing various unpleasant feelings. While some experience this more intensely than others, certain indicators might signal where these imbalances originate.

This knowledge helps determine adjustments for quick remedies and addresses concerns about heart disease. It also sheds light on the broader effects of low-carb diets and keto diets and addresses mineral deficiencies.

Sodium and Fluid Balance

Sodium imbalance and excessive sweating are common challenges after heavy workouts. This is often accompanied by severe sodium imbalance due to dehydration combined with intense activity.

Low sodium levels can trigger lightheadedness, particularly on a low-carb diet like keto. Sodium regulates fluid balance, and low-carb intake initially causes fluid loss, further depleting sodium levels.

A study shows a direct correlation between fluid and electrolyte regulation, where fluid fluctuations directly affect the balance of key minerals like sodium. It highlights the importance of maintaining sodium for fluid and electrolyte management.

Other Contributors

Potassium and magnesium deficiency also often occurs on keto. While evidence of their direct impact on dizziness is limited, supplementing may help if levels are low.

Persistent leg cramps may indicate insufficient potassium. Consulting a registered dietitian can help create a personalized keto plan addressing potential mineral deficiencies.

Effective Strategies for Combating Lightheadedness on Keto


Increasing fluid and electrolyte intake is a simple fix for lightheadedness on keto. This may involve adding sea salt or mineral-rich broth to your daily water intake.

Hydration and Electrolyte Replenishment

A higher carbohydrate intake causes the body to retain more water weight. Switching to a much lower carb intake can reduce water volume rapidly, causing lightheadedness.

Consume sufficient sodium-rich water. Adding around ⅛ teaspoon of sea salt to your water can provide symptom relief. This can be repeated safely as needed.

Pouring water in a glass

Beyond Water and Salt: A Broader Approach to Electrolyte Balance

Water and salt alone don't fully address electrolyte needs. Consider other crucial minerals like potassium and magnesium for optimal electrolyte balance during rapid weight loss from fluid shifts in the initial weeks of keto.

Mineral-dense broth can be beneficial. Mineral supplements can also help, but consult a healthcare professional for personalized recommendations. Don't overdo your intake; just do what helps.

Addressing Underlying Health Concerns and Lightheadedness


If you experienced lightheadedness before keto, the diet may not be the cause. Other factors can cause similar dizziness. Investigating and assessing any unrelated, pre-existing causes is important.

Seek qualified medical advice to determine if the dizziness is related to keto or something else entirely.

Anemia and Low Blood Sugar

Dizziness can be caused by anemia, hypoglycemia (low blood sugar), or even adrenal gland issues, though the latter is less common. Consult a healthcare practitioner for individualized advice if any of these apply.

Practical Tips and Ongoing Management for a Smooth Keto Journey


For sustained progress with minimal disruption on keto, consider these suggestions.

Gradual Transition and Personalized Keto

Instead of drastically reducing carbs immediately, gradually transition to allow your body to adapt without intense symptoms.

If a strict keto protocol causes adverse effects, consider a personalized approach. A modified version may be more suitable for long-term benefits without undesirable episodes.

This personalized strategy can improve wellness and weight management safely and effectively. Addressing issues like dry mouth can also significantly enhance your experience.

Finding the right balance of increasing fat and incorporating healthy fats like olive oil is also important.

Listening to Your Body and Professional Guidance

Listening to your body is crucial for overall health optimization. Consult a healthcare specialist, especially at the start, to ensure your approach aligns with your health needs and to maintain safety throughout.

Addressing Nutrient Imbalances to Combat Lightheadedness


Lightheadedness is a common issue when starting a keto diet, often caused by electrolyte imbalances or insufficient calorie intake as the body adapts to a low-carb lifestyle.

Ensuring your meals are both satisfying and nutrient-dense is crucial to avoid these symptoms. Incorporating creative, balanced meals like a cauliflower crust pizza recipe can help provide essential nutrients while keeping your carb intake low.

Additionally, replenishing electrolytes through sodium, magnesium, and potassium-rich foods or supplements can stabilize energy levels and prevent dizziness.

Staying hydrated and mindful of your meal timing further supports your body’s adjustment to ketosis, ensuring a smoother and more comfortable transition.

Conclusion

Successfully adopting keto isn't always easy, but with the right approach, you can manage its challenges.

Understanding the potential side effects like lightheadedness on keto, addressing electrolyte and fluid balance, and gradually transitioning your diet can help ensure a smoother journey.

Listening to your body, seeking professional guidance when needed, and making informed choices can empower you to achieve sustained wellness and reach your weight management goals while minimizing disruptions along the way.

FAQs about lightheadedness on keto


Is it normal to feel lightheaded on keto?

Yes, lightheadedness is common, especially in the initial stages of keto. This is often due to fluid and electrolyte shifts as your body adapts to burning fat as its primary fuel source.

How to avoid dizziness on a low-carb diet?

Staying hydrated and replenishing electrolytes, especially sodium and potassium, helps prevent dizziness. Mineral-rich foods or electrolyte supplements can support your body's adaptation.

What is the hardest week of keto?

The first week is typically the most challenging due to significant dietary changes and the body's initial adjustment. This is when lightheadedness and other flu-like symptoms are most likely to occur.

What are the symptoms of keto shock?

Keto shock, or the "keto flu," includes fatigue, weakness, vomiting, diarrhea, constipation, headache, irritability, muscle cramps, and difficulty sleeping.

It stems from insufficient fluid and electrolytes, including sodium and magnesium. Consult your doctor if you experience severe or persistent symptoms.

Healthy Keto Guide for Beginner

FREE Keto Diet Plan