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Quit keto. When to Stop Keto: Recognizing Signs It’s Time to End Your Low-Carb Journey

Is the keto diet still beneficial for your health. How do you know when it’s time to transition off keto. What are the potential risks of long-term ketosis. When should you consult a doctor about stopping keto.

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Understanding the Ketogenic Diet: Basics and Benefits

The ketogenic diet, commonly known as keto, is a high-fat, low-carbohydrate eating plan that has gained significant popularity in recent years. But what exactly does it entail?

A typical keto diet consists of:

  • 55-60% fat
  • 30-35% protein
  • 5-10% carbohydrates

This macronutrient breakdown forces the body into a state of ketosis, where it burns fat for fuel instead of carbohydrates. While many people turn to keto for weight loss, it may also offer benefits for managing certain health conditions.

Are there any potential drawbacks to keto? Despite its benefits, the diet can be challenging to maintain long-term and may cause side effects in some individuals. It’s crucial to understand both the pros and cons before embarking on a ketogenic journey.

Identifying Red Flags: When Health Concerns Arise on Keto

While the ketogenic diet can be effective for many, it’s not without risks. Recognizing potential health concerns is crucial for determining when it might be time to stop or modify your keto approach.

Liver Health and Keto

Can the keto diet impact liver function? In some cases, a high-fat diet may lead to increased blood cholesterol levels and elevated liver enzymes. This can potentially contribute to non-alcoholic fatty liver disease (NAFLD) or hepatic steatosis. If you notice any signs of liver problems, it’s essential to consult with a healthcare provider.

Cardiovascular Considerations

How does keto affect heart health? While some studies suggest keto can improve cardiovascular markers, others raise concerns about the long-term effects of a high-fat diet, particularly if it’s rich in saturated fats. Monitoring your cholesterol levels and discussing any changes with your doctor is crucial.

Digestive Discomfort and Keto

Constipation is a common complaint among keto dieters. This is often due to the reduced intake of fiber-rich carbohydrates. If you’re experiencing persistent digestive issues, it may be a sign that the diet isn’t agreeing with your system.

The “Keto Flu” Phenomenon

Many people experience what’s known as “keto flu” when first starting the diet. Symptoms can include:

  • Fatigue
  • Headaches
  • Nausea
  • Dizziness
  • Difficulty exercising

While these symptoms often subside after a few weeks, persistent issues could indicate that keto isn’t the right fit for your body.

Beyond Health: Other Reasons to Consider Ending Your Keto Journey

Health concerns aren’t the only valid reasons to stop a ketogenic diet. Let’s explore other factors that might indicate it’s time to transition away from keto.

Achieving Your Weight Loss Goals

Have you reached your target weight on keto? If so, you might consider transitioning to a more balanced eating plan for maintenance. Consulting with a nutritionist can help you develop a sustainable approach to keep the weight off without strictly adhering to keto.

Plateauing Progress

Has your weight loss stalled despite strict adherence to keto? A lack of progress can be frustrating and may signal that your body has adapted to the diet. In such cases, reassessing your approach with a healthcare provider can help determine if keto is still the best option for you.

Lifestyle Compatibility

How well does keto fit into your daily life? If you find the diet too restrictive or difficult to maintain, it may not be sustainable in the long run. Consider whether the challenges of following keto outweigh the benefits for your individual situation.

Enjoyment and Food Relationship

Do you still enjoy your meals on keto? If the diet has negatively impacted your relationship with food or reduced your overall enjoyment of eating, it might be time to explore other nutritional approaches that better align with your preferences and lifestyle.

Navigating the Transition: How to Safely Stop Keto

Deciding to stop the ketogenic diet doesn’t mean immediately reverting to your previous eating habits. A gradual transition can help minimize potential side effects and maintain some of the benefits you’ve gained.

Gradually Increasing Carbohydrates

How should you reintroduce carbs after keto? Start by slowly adding small amounts of complex carbohydrates to your meals. This might include:

  • Whole grains
  • Fruits
  • Starchy vegetables

Gradually increasing your carb intake over several weeks can help your body readjust without causing drastic blood sugar spikes or digestive issues.

Maintaining a Balanced Approach

What should your post-keto diet look like? Focus on creating balanced meals that include a variety of nutrients. This might mean:

  • Lean proteins
  • Healthy fats
  • Complex carbohydrates
  • Plenty of vegetables

Emphasize whole, minimally processed foods to maintain some of the health benefits you may have experienced on keto.

Monitoring Your Body’s Response

How will your body react to stopping keto? Pay close attention to how you feel as you transition off the diet. Some people may experience temporary weight gain or changes in energy levels. If you notice any concerning symptoms, consult with a healthcare provider.

The Role of Professional Guidance in Stopping Keto

While it’s possible to stop the ketogenic diet on your own, seeking professional guidance can provide valuable insights and support during the transition.

Consulting with a Registered Dietitian

How can a dietitian help you transition off keto? A registered dietitian can:

  • Assess your individual nutritional needs
  • Help create a personalized meal plan
  • Provide guidance on maintaining a balanced diet
  • Address any concerns or questions you may have

Their expertise can be invaluable in ensuring a smooth transition and developing sustainable eating habits.

Regular Check-ins with Your Healthcare Provider

Why is it important to involve your doctor when stopping keto? Your healthcare provider can:

  • Monitor any health conditions that may have been affected by the diet
  • Adjust medications if necessary
  • Perform relevant health screenings
  • Provide personalized advice based on your medical history

Regular check-ins can help ensure that your transition off keto supports your overall health and wellness goals.

Long-Term Health: Life After Keto

Transitioning away from the ketogenic diet doesn’t mean abandoning your health goals. Instead, it’s an opportunity to develop a sustainable, balanced approach to nutrition that supports your long-term well-being.

Incorporating Lessons Learned from Keto

What valuable insights can you take from your keto experience? Many people find that keto helps them:

  • Become more mindful of their food choices
  • Reduce their reliance on processed foods
  • Develop a better understanding of how different foods affect their body

Applying these lessons to your post-keto lifestyle can contribute to ongoing health improvements.

Focusing on Whole Foods and Balanced Nutrition

How can you maintain a healthy diet without strict keto rules? Emphasize a variety of whole foods, including:

  • Colorful fruits and vegetables
  • Lean proteins
  • Healthy fats
  • Whole grains
  • Legumes

This approach provides a wide range of nutrients while allowing for more flexibility in your food choices.

Maintaining Healthy Habits

What lifestyle factors contribute to long-term health? Beyond nutrition, consider:

  • Regular physical activity
  • Adequate sleep
  • Stress management techniques
  • Staying hydrated

These habits, combined with a balanced diet, can support overall health and well-being long after you’ve stopped following a strict ketogenic approach.

The Importance of Personalization in Dietary Choices

When it comes to nutrition, there’s no one-size-fits-all approach. The decision to start, continue, or stop a ketogenic diet should be based on your individual needs, goals, and health status.

Listening to Your Body

How can you determine if a diet is right for you? Pay attention to various physical and mental cues, such as:

  • Energy levels
  • Mood
  • Digestive comfort
  • Sleep quality
  • Overall sense of well-being

These indicators can provide valuable insight into how your body responds to different dietary approaches.

Adapting to Life Changes

How might your nutritional needs change over time? Factors such as age, activity level, health status, and life circumstances can all influence your dietary requirements. Being open to adjusting your approach as needed can help ensure that your nutrition continues to support your evolving needs and goals.

Embracing Flexibility

Is it possible to incorporate elements of keto into a more balanced diet? For some, a cyclical or targeted ketogenic approach might be beneficial. Others may find that simply reducing their carbohydrate intake (without going into full ketosis) provides the benefits they’re seeking. The key is finding an approach that works for you and that you can sustain in the long term.

Remember, the goal of any dietary change should be to support your overall health and well-being. Whether you choose to continue with keto, transition to a different approach, or develop your own personalized eating plan, the most important factor is that it aligns with your individual needs and promotes long-term health.

When to Stop Keto: Learn When to Stop the Keto Diet

Written on February 3, 2023 by Sendra Yang, PharmD, MBA. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.


Table of contents

  • What is a keto diet?
  • Who should not start a keto diet?
  • When is it time to stop your keto diet?
  • Final thoughts on stopping your keto diet
  • Related content

What is a keto diet?

A ketogenic diet, commonly referred to as a keto diet, is a high-fat and low-carbohydrate diet that induces your body to undergo ketosis [1]. Normally, your body converts carbohydrates into glucose as its primary energy source. When glucose is unavailable as an energy source, your body will utilize stored fats to produce energy. The process of generating energy from stored fat is called ketosis. The keto diet taps into this alternative energy route, resulting in weight loss. Most typical keto plans consist of a daily diet of 55%-60% fat, 30%-35% protein, and 5%-10% carbohydrates [1]. A keto diet includes beef, chicken, pork, fatty fish, leafy greens, almonds, walnuts, and olive oil. To follow the diet, you typically reduce your carbohydrate intake and increase your fat intake while eating adequate protein.

Schedule online weight loss visit

Who should not start a keto diet?

You should not start a ketogenic diet if you have: pancreatitis, liver failure, fat metabolism disorders, types of carnitine deficiencies (carnitine is a compound that has a role in energy production), porphyrias (conditions that lead to excess porphyrins in your body; porphyrins are part of red blood cells and play a role in carrying oxygen), or pyruvate kinase deficiency (an inherited red blood cell enzyme disorder causing chronic hemolysis) [1]. Before starting any diet, be sure to consult with your healthcare provider.

When is it time to stop your keto diet?

Health concerns are a reason to stop your keto diet

The ketogenic diet is often used for weight loss. It can also help manage health conditions such as diabetes and improve cardiovascular health and gut microbiome diversity when good fats are included [2]. However, it’s essential to understand that not all diets are suitable for everyone, and sometimes health concerns can arise. You should consider stopping the keto diet if you are experiencing any health concerns related to the diet.

The keto diet can present some of the following health concerns [1,3-6]:

  1. Liver problems: The diet has the potential to increase blood cholesterol levels and elevate liver enzymes leading to non-alcoholic fatty liver disease or hepatic steatosis [1,3].
  2. Heart health: A high-fat diet can potentially lead to an increased risk for cardiovascular diseases if most of the fats in the diet are from foods with high HDL cholesterol levels [1,4].
  3. Constipation: Reducing your consumption of foods with carbohydrates, particularly healthy high-fiber foods, can increase your experience of constipation [1,5]. Occasional constipation can cause abdominal pain and discomfort.
  4. Keto flu: In some people, starting the keto diet may lead to lightheadedness, fatigue, headaches, and nausea in the first few weeks of the diet. These effects can make it challenging to adhere to and maintain the diet [1,6]. Other common side effects of the ketogenic diet include vomiting, dizziness, insomnia, and difficulty in exercise tolerance [1].

Other adverse effects of any diet can include severely low blood sugars, kidney stones, vitamin and mineral deficiencies, and low protein levels in the blood [1]. Before starting or stopping a diet, you should consult your healthcare provider to determine the best way to achieve your health goals.

Other reasons to consider stopping your keto diet

Maintaining a diet for long periods can have positive health benefits as well as challenges [2]. If you feel that you have achieved your overall goal with your diet, ditching the diet (keto or not) may be a good idea. Here are a few reasons why you should [1,7-9].

  1. You have achieved your desired weight goal and now are focused on maintaining your weight. Talk with your healthcare provider about how you can transition off and maintain your desired weight without resorting to a keto diet [7,8,9].
  2. If you don’t see progress, it may be time to reevaluate the diet plan and consider strategizing other ways to achieve your weight goals with your healthcare provider [1,8,9].
  3. If you feel you are having difficulty following the diet, it may be too strict for your liking. Being unable to stick to the diet will likely make it unsustainable. Consider an alternative option that better matches your goals and personality [8,9].
  4. You no longer enjoy the diet. If you find that the foods or expectations of the diet plan are not what you want, you may lose motivation and progress in achieving your goals. You should consult with your healthcare provider to identify other strategies that better fit you [8,9].
  5. If you feel overwhelmed or stressed, it may be time to reconsider other ways to achieve your weight goals Feeling confident and less stressed will help you sustain your dieting goals over the long haul [8,9].

Final thoughts on stopping your keto diet

The ketogenic diet, also known as the keto diet, is a high-fat and low-carbohydrate diet that induces your body to undergo ketosis. The goal of this diet is to lose weight by shifting your body’s energy source from glucose to stored fat. In some people, the keto diet can cause health concerns, such as liver problems, heart health issues, constipation, and keto flu. Before starting any diet or stopping a keto diet, it’s critical to consult with a healthcare provider.

Everlywell offers access to telehealth for weight loss where you can schedule an online consultation with a certified healthcare provider to discuss your weight loss concerns and goals.

Book online weight loss visit

Weight loss: keto vs. intermittent fasting

What to know about medical weight loss

Does intermittent fasting work?


References

  1. Masood W, Annamaraju P, Uppaluri KR. Ketogenic diet. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. URL.
  2. Dowis K, Banga S. the potential health benefits of the ketogenic diet: a narrative review. Nutrients. 2021;13(5):1654. doi:10.3390/nu13051654. URL.
  3. Anekwe CV, Chandrasekaran P, Stanford FC. Ketogenic diet-induced elevated cholesterol, elevated liver enzymes and potential non-alcoholic fatty liver disease. Cureus. 2020;12(1):e6605. doi:10.7759/cureus.6605. URL.
  4. Kosinski C, Jornayvaz FR. Effects of ketogenic diets on cardiovascular risk factors: evidence from animal and human studies. Nutrients. 2017;9(5):517. doi:10.3390/nu9050517. URL.
  5. Wibisono C, Rowe N, Beavis E, et al. Ten-year single-center experience of the ketogenic diet: factors influencing efficacy, tolerability, and compliance. J Pediatr. 2015;166(4):1030-1036.e1. doi:10.1016/j.jpeds.2014.12.018. URL.
  6. Bostock ECS, Kirkby KC, Taylor BV, Hawrelak JA. Consumer reports of “keto flu” associated with the ketogenic diet. Front Nutr. 2020;7:20. doi:10.3389/fnut.2020.00020. URL.
  7. How to smoothly transition off the keto diet. Cleveland Clinic. URL. Published October 16, 2020. Accessed February 1, 2023.
  8. Memon AN, Gowda AS, Rallabhandi B, et al. Have our attempts to curb obesity done more harm than good? Cureus. 2020;12(9):e10275. doi: 10.7759/cureus.10275. URL.
  9. Batch JT, Lamsal SP, Adkins M, Sultan S, Ramirez MN. Advantages and disadvantages of the ketogenic diet: a review article. Cureus. 2020;12(8):e9639. doi: 10.7759/cureus.9639. URL.

When to Stop Keto: Learn When to Stop the Keto Diet

Written on February 3, 2023 by Sendra Yang, PharmD, MBA. To give you technically accurate, evidence-based information, content published on the Everlywell blog is reviewed by credentialed professionals with expertise in medical and bioscience fields.


Table of contents

  • What is a keto diet?
  • Who should not start a keto diet?
  • When is it time to stop your keto diet?
  • Final thoughts on stopping your keto diet
  • Related content

What is a keto diet?

A ketogenic diet, commonly referred to as a keto diet, is a high-fat and low-carbohydrate diet that induces your body to undergo ketosis [1]. Normally, your body converts carbohydrates into glucose as its primary energy source. When glucose is unavailable as an energy source, your body will utilize stored fats to produce energy. The process of generating energy from stored fat is called ketosis. The keto diet taps into this alternative energy route, resulting in weight loss. Most typical keto plans consist of a daily diet of 55%-60% fat, 30%-35% protein, and 5%-10% carbohydrates [1]. A keto diet includes beef, chicken, pork, fatty fish, leafy greens, almonds, walnuts, and olive oil. To follow the diet, you typically reduce your carbohydrate intake and increase your fat intake while eating adequate protein.

Schedule online weight loss visit

Who should not start a keto diet?

You should not start a ketogenic diet if you have: pancreatitis, liver failure, fat metabolism disorders, types of carnitine deficiencies (carnitine is a compound that has a role in energy production), porphyrias (conditions that lead to excess porphyrins in your body; porphyrins are part of red blood cells and play a role in carrying oxygen), or pyruvate kinase deficiency (an inherited red blood cell enzyme disorder causing chronic hemolysis) [1]. Before starting any diet, be sure to consult with your healthcare provider.

When is it time to stop your keto diet?

Health concerns are a reason to stop your keto diet

The ketogenic diet is often used for weight loss. It can also help manage health conditions such as diabetes and improve cardiovascular health and gut microbiome diversity when good fats are included [2]. However, it’s essential to understand that not all diets are suitable for everyone, and sometimes health concerns can arise. You should consider stopping the keto diet if you are experiencing any health concerns related to the diet.

The keto diet can present some of the following health concerns [1,3-6]:

  1. Liver problems: The diet has the potential to increase blood cholesterol levels and elevate liver enzymes leading to non-alcoholic fatty liver disease or hepatic steatosis [1,3].
  2. Heart health: A high-fat diet can potentially lead to an increased risk for cardiovascular diseases if most of the fats in the diet are from foods with high HDL cholesterol levels [1,4].
  3. Constipation: Reducing your consumption of foods with carbohydrates, particularly healthy high-fiber foods, can increase your experience of constipation [1,5]. Occasional constipation can cause abdominal pain and discomfort.
  4. Keto flu: In some people, starting the keto diet may lead to lightheadedness, fatigue, headaches, and nausea in the first few weeks of the diet. These effects can make it challenging to adhere to and maintain the diet [1,6]. Other common side effects of the ketogenic diet include vomiting, dizziness, insomnia, and difficulty in exercise tolerance [1].

Other adverse effects of any diet can include severely low blood sugars, kidney stones, vitamin and mineral deficiencies, and low protein levels in the blood [1]. Before starting or stopping a diet, you should consult your healthcare provider to determine the best way to achieve your health goals.

Other reasons to consider stopping your keto diet

Maintaining a diet for long periods can have positive health benefits as well as challenges [2]. If you feel that you have achieved your overall goal with your diet, ditching the diet (keto or not) may be a good idea. Here are a few reasons why you should [1,7-9].

  1. You have achieved your desired weight goal and now are focused on maintaining your weight. Talk with your healthcare provider about how you can transition off and maintain your desired weight without resorting to a keto diet [7,8,9].
  2. If you don’t see progress, it may be time to reevaluate the diet plan and consider strategizing other ways to achieve your weight goals with your healthcare provider [1,8,9].
  3. If you feel you are having difficulty following the diet, it may be too strict for your liking. Being unable to stick to the diet will likely make it unsustainable. Consider an alternative option that better matches your goals and personality [8,9].
  4. You no longer enjoy the diet. If you find that the foods or expectations of the diet plan are not what you want, you may lose motivation and progress in achieving your goals. You should consult with your healthcare provider to identify other strategies that better fit you [8,9].
  5. If you feel overwhelmed or stressed, it may be time to reconsider other ways to achieve your weight goals Feeling confident and less stressed will help you sustain your dieting goals over the long haul [8,9].

Final thoughts on stopping your keto diet

The ketogenic diet, also known as the keto diet, is a high-fat and low-carbohydrate diet that induces your body to undergo ketosis. The goal of this diet is to lose weight by shifting your body’s energy source from glucose to stored fat. In some people, the keto diet can cause health concerns, such as liver problems, heart health issues, constipation, and keto flu. Before starting any diet or stopping a keto diet, it’s critical to consult with a healthcare provider.

Everlywell offers access to telehealth for weight loss where you can schedule an online consultation with a certified healthcare provider to discuss your weight loss concerns and goals.

Book online weight loss visit

Weight loss: keto vs. intermittent fasting

What to know about medical weight loss

Does intermittent fasting work?


References

  1. Masood W, Annamaraju P, Uppaluri KR. Ketogenic diet. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. URL.
  2. Dowis K, Banga S. the potential health benefits of the ketogenic diet: a narrative review. Nutrients. 2021;13(5):1654. doi:10.3390/nu13051654. URL.
  3. Anekwe CV, Chandrasekaran P, Stanford FC. Ketogenic diet-induced elevated cholesterol, elevated liver enzymes and potential non-alcoholic fatty liver disease. Cureus. 2020;12(1):e6605. doi:10.7759/cureus.6605. URL.
  4. Kosinski C, Jornayvaz FR. Effects of ketogenic diets on cardiovascular risk factors: evidence from animal and human studies. Nutrients. 2017;9(5):517. doi:10.3390/nu9050517. URL.
  5. Wibisono C, Rowe N, Beavis E, et al. Ten-year single-center experience of the ketogenic diet: factors influencing efficacy, tolerability, and compliance. J Pediatr. 2015;166(4):1030-1036.e1. doi:10.1016/j.jpeds.2014.12.018. URL.
  6. Bostock ECS, Kirkby KC, Taylor BV, Hawrelak JA. Consumer reports of “keto flu” associated with the ketogenic diet. Front Nutr. 2020;7:20. doi:10.3389/fnut.2020.00020. URL.
  7. How to smoothly transition off the keto diet. Cleveland Clinic. URL. Published October 16, 2020. Accessed February 1, 2023.
  8. Memon AN, Gowda AS, Rallabhandi B, et al. Have our attempts to curb obesity done more harm than good? Cureus. 2020;12(9):e10275. doi: 10.7759/cureus.10275. URL.
  9. Batch JT, Lamsal SP, Adkins M, Sultan S, Ramirez MN. Advantages and disadvantages of the ketogenic diet: a review article. Cureus. 2020;12(8):e9639. doi: 10.7759/cureus.9639. URL.

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