The Downside to Eating Keto: A Comprehensive Look
- Kira Bowman
- May 23, 2024
- 3 min read
Updated: Jul 31, 2024
While the ketogenic diet boasts several health benefits, it's not without potential downsides. From the initial "keto flu" to concerns about nutrient deficiencies and long-term sustainability, it's essential to approach this diet with informed caution.

Newcomers often experience the temporary but disheartening "keto flu."
A strict keto approach can lead to nutrient deficiencies.
Overconsumption of salts and proteins might strain the kidneys.
Digestive issues, like constipation, can arise due to reduced fiber intake.
The strict nature of the diet can challenge long-term sustainability.
The ketogenic or keto diet, characterized by a high fat and very low carbohydrate intake, has been hailed for various potential benefits. But like all dietary strategies, it comes with its share of drawbacks. Before diving headfirst into this popular eating regimen, it's prudent to understand its potential pitfalls.
The "Keto Flu": One of the most commonly cited challenges of starting a keto diet is the so-called "keto flu." As the body transitions from burning carbohydrates to fats for energy, some people experience flu-like symptoms such as fatigue, headache, nausea, dizziness, and irritability. While typically temporary, lasting a few days to a week, it can be disheartening for many newcomers.
Nutrient Deficiencies: A strict keto diet can sometimes limit the intake of essential nutrients. For instance, avoiding fruits, certain vegetables, and grains can lead to deficiencies in vitamins like A, C, K, and potassium and magnesium. Over time, this can have repercussions for overall health, making supplementation or careful meal planning necessary.
Potential Strain on Kidneys: The keto diet tends to increase the excretion of salts, leading some individuals to adopt an approach rich in salty foods. Along with the increased protein intake often associated with keto, this can strain the kidneys, especially in those with pre-existing kidney conditions.
Digestive Discomfort: A drastic cut in carbohydrate intake can also mean a reduction in fiber, leading to digestive issues like constipation. Ensuring adequate intake of keto-friendly high-fiber foods, such as leafy greens and flaxseeds, can help, but it remains a concern for many on the diet.
Sustainability Concerns: For some, the strict nature of the keto diet can make it challenging to maintain long-term. Social events, dining out, or simply the desire for a broader range of foods can make adherence tough. This cyclical on-and-off pattern can also lead to weight fluctuations and metabolic confusion.
Bad Breath: A less severe but notable side effect of ketosis is the presence of acetone, a type of ketone, in the breath. This can result in a distinct, often metallic breath odor, which some find unpleasant.
Potential for Heart Health Risks: While some individuals on the keto diet experience improved heart health markers, others might see a rise in cholesterol, particularly LDL (often dubbed the "bad" cholesterol). The type and quality of fats consumed play a role here, emphasizing the importance of choosing healthy fat sources.
Diminished Athletic Performance: Some athletes, especially those involved in high-intensity activities, find that a keto diet diminishes their performance. While the body can adapt to use fats efficiently during endurance sports, quick energy bursts might suffer in the absence of carbs.
Risk of Disordered Eating: For certain individuals, the stringent rules of the keto diet might foster or exacerbate unhealthy relationships with food, leading to patterns of restrictive or binge eating.
Economic Concerns: High-quality fats and proteins, staples of the keto diet, can often be more expensive than carbohydrate-rich foods. Over time, this might lead to increased grocery bills for those striving to maintain a ketogenic lifestyle.
While the keto diet offers numerous potential benefits, it's crucial to recognize and prepare for its potential downsides. As with any dietary or lifestyle change, consulting with a healthcare professional or nutritionist can provide personalized guidance.
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