The fat-filled, carb-skimping keto diet isn’t for everyone, but is it for you? Although no one but you and your doctor can make that determination, we’ll help you do a little groundwork to see if it’s something you should consider. The cluster of side effects from ketosis is known as the “keto flu.” Despite its name, however, there is no fever or infection associated with it. Symptoms of fatigue, headaches, sleep disturbance, nausea, and foggy thinking are common with the keto flu. Fortunately, it usually disappears on its own within a week of starting the diet.
However, although ketone bodies are acidic, the body usually manages to keep the acidity of the blood within normal limits during carbohydrate restriction or prolonged fasting. The hepatic generation of ketone bodies is the normal physiologic response to fasting. Mild ketosis (ketone body concentration of about 1 mmol/L) develops after a 12- to 14-hour fast. If fasting continues, ketone body concentration continues to rise and peaks at a concentration of 8 to 10 mmol/L. Beta-hydroxybutyrate is the major ketone body that accumulates.
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