Research
Energy balance
Energy restriction, rather than carbohydrate restriction itself, is the primary driver of adverse symptoms (keto-flu) during the induction phase of low-carbohydrate diets.
If you experience 'keto-flu' or withdrawal symptoms, check your calorie intake first. You may be eating too little. Ensuring energy sufficiency can reduce these symptoms more effectively than adjusting carb levels alone.
GoodQualifiesHIGH confidence
energy restriction did occur, and it was more strongly associated with the magnitude of carbohydrate withdrawal effects than any other factor.
Why this rating
Strong observational finding within an RCT; energy restriction was a significant predictor of symptom magnitude.
Source
How Low Do You Need to Go? Exploring the Variability in the Effects of Keto‐induction and Individual Outcomes From Low‐carbohydrate Diets
Cliff Harvey · Tuwhera (Auckland University of Technology) · 2019
narrative_review · n=77
Read the paper More from this paper
- Medium-chain triglycerides (MCTs) increase ketonaemia and accelerate the time to achieve nutritional ketosis compared to long-chain triglycerides (LCTs) during keto-induction.Moderate
- Greater carbohydrate restriction (VLCKD) provides the greatest improvements in cardiometabolic markers (HDL-c, TG) and anthropometrics for individuals with poorer baseline health, although between-group differences were not statistically significant.Moderate
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