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Why do I feel shaky on a low-carb diet?

3 min read

Over 27 million Americans followed a low-carbohydrate diet in 2021, and for many, the initial transition comes with a suite of side effects, including the question, "Why do I feel shaky on a low-carb diet?".

Quick Summary

Explores the primary physiological reasons for feeling shaky during a low-carb dietary transition, detailing the effects of electrolyte depletion, blood sugar fluctuations, and hormonal shifts, with actionable advice.

Key Points

  • Electrolyte Imbalance: Your body flushes water and key electrolytes like sodium and potassium during the initial low-carb phase, causing shakiness.

  • Blood Sugar Fluctuations: As your body adapts to using fat for fuel, blood sugar levels drop, leading to common symptoms of hypoglycemia, including feeling shaky.

  • Dehydration Risk: The rapid fluid loss during ketosis initiation can cause dehydration, which exacerbates dizziness and shakiness.

  • Address Electrolyte Needs: The best remedy is to increase your intake of sodium and other electrolytes through foods like bone broth, spinach, and avocados.

  • Ease into the Diet: Transitioning gradually to a low-carb diet can minimize the shock to your system and reduce the severity of symptoms.

  • Listen to Your Body: If symptoms are severe or persistent, especially if you have pre-existing health issues like diabetes, consult a medical professional.

In This Article

Understanding Your Body's Transition

When you dramatically cut carbohydrate intake, your body must shift its primary energy source. It moves away from burning glucose, which is readily available from carbohydrates, and begins to burn fat for fuel through a metabolic process known as ketosis. This metabolic switch doesn't happen instantly and can cause a temporary shock to your system, often referred to as the “keto flu.” The shaky sensation is one of the most common symptoms experienced during this adjustment phase, alongside headaches, fatigue, and irritability.

Primary Reasons for Feeling Shaky on a Low-Carb Diet

Electrolyte Imbalance

One of the most significant reasons for feeling shaky is the loss of electrolytes. When you cut carbs, your body depletes its glycogen stores. Glycogen is stored in your muscles and liver with large amounts of water. As these stores are used up, your body flushes out the associated water and electrolytes, including sodium, potassium, and magnesium. This rapid fluid and electrolyte loss can cause dehydration, lowered blood pressure, and, consequently, a shaky, dizzy feeling. The vital role of electrolytes in nerve and muscle function means their depletion directly impacts your physical stability.

Low Blood Sugar (Hypoglycemia)

Another key factor is the reduction in your blood sugar levels. Your body is accustomed to a steady supply of glucose from carbohydrates. When this supply is cut, your blood sugar levels will naturally drop. While your body is adapting to use ketones for fuel, it may temporarily experience low blood sugar, which triggers symptoms like shakiness, sweating, and an increased heart rate. This is particularly important for individuals with diabetes, who should consult a doctor before starting a low-carb regimen.

Adrenal and Stress Hormone Response

The dietary shift can also affect your adrenal glands, which produce hormones like cortisol and adrenaline. The stress of changing your fuel source can cause a temporary increase in these hormones. An adrenaline spike, in particular, can mimic the physical symptoms of anxiety or nervousness, including a shaky feeling. As your body adapts to ketosis and stabilizes, this response typically calms down.

How to Address and Prevent Shakiness

To combat the shaky feeling and other keto flu symptoms, consider these steps:

  • Increase Electrolyte Intake: This is arguably the most critical step. Add more salt to your meals, drink bone broth, or use an electrolyte supplement. Foods rich in potassium and magnesium, like avocados, spinach, and nuts, can also help.
  • Stay Adequately Hydrated: Drink plenty of water throughout the day. Dehydration exacerbates electrolyte loss and contributes significantly to the problem.
  • Gradual Transition: Instead of a sudden, drastic cut, slowly reduce your carbohydrate intake over a week or two. This allows your body more time to adapt and can minimize the severity of side effects.
  • Increase Healthy Fats and Proteins: Ensuring you have adequate intake of fat and protein will help promote satiety and provide consistent energy while your body shifts its fuel source.

Comparison: Low-Carb vs. Standard Diet Effects on Energy

Feature Low-Carb Diet (Transition Phase) Standard Diet
Primary Fuel Source Transitioning from Glucose to Ketones Consistent reliance on Glucose
Initial Energy Level Can be low or unstable (keto flu) Generally stable, can have post-carb 'crashes'
Energy Stability Becomes very stable and consistent after adaptation Can be prone to spikes and drops
Electrolyte Balance Temporary imbalance due to fluid loss Generally stable with varied diet
Potential for Shakiness Common in the first few weeks Less common, may occur with low blood sugar
Hydration Needs Increased due to fluid depletion Standard intake is sufficient

When to See a Doctor

While shakiness on a low-carb diet is often a temporary and normal part of adaptation, you should see a doctor if symptoms are severe or persistent. People with pre-existing conditions, especially diabetes, should always consult their healthcare provider before beginning a new diet, particularly one that drastically affects blood sugar levels.

Conclusion

The feeling of being shaky on a low-carb diet is a well-documented and temporary side effect of your body's metabolic adjustment. The primary culprits are electrolyte imbalance, stemming from fluid loss, and fluctuating blood sugar levels as your body shifts to using fat for fuel. By proactively addressing these issues through proper hydration and increased electrolyte intake, you can effectively manage and mitigate the symptoms. The initial discomfort is typically short-lived, paving the way for the stable energy many people experience once fully adapted to their new eating pattern. For more on dietary approaches, the National Institutes of Health offers extensive resources on the topic.

Frequently Asked Questions

The primary cause is often a combination of electrolyte imbalance due to fluid loss and temporary low blood sugar as your body transitions to burning fat for energy.

The fastest way to relieve shakiness is to consume electrolytes. Drinking a cup of salty bone broth, an electrolyte-infused drink, or even adding a pinch of salt to water can help.

No, feeling shaky is a common side effect of the 'keto flu' and is a sign your body is adapting to a new fuel source. It is typically a temporary issue.

Yes. When you start a low-carb diet, your body releases a lot of water. If you don't increase your fluid intake, you can become dehydrated, which contributes to shakiness and dizziness.

The shaky feeling typically subsides within the first week or two as your body becomes fat-adapted and stabilizes. Staying hydrated and mindful of electrolytes can shorten this period.

For most healthy people, the body adapts and stabilizes blood sugar. However, if symptoms are severe or concerning, it's wise to consult a doctor to rule out other issues.

Electrolyte-rich foods and fluids are best. Examples include bone broth, avocados, spinach, nuts, and mineral water. Adding extra salt to meals is also effective.

While shakiness during the keto flu is generally harmless, persistent or severe muscle tremors could indicate a more significant electrolyte deficiency or underlying condition. It's best to consult a doctor if you are concerned.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.