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Why Do You Feel Cold in Ketosis? Understanding the Metabolic Shift

5 min read

Approximately 25% of people starting a ketogenic diet experience 'keto flu' symptoms, including feeling cold. So, why do you feel cold in ketosis? The sensation is a common side effect of your body adjusting from burning glucose to fat for fuel.

Quick Summary

Entering ketosis triggers a metabolic shift from glucose to fat burning, which can temporarily reduce body temperature. Other contributing factors include decreased thermogenesis, potential electrolyte imbalances, reduced calorie intake, and less insulation from fat loss.

Key Points

  • Metabolic Transition: The initial shift from burning glucose to fat can temporarily decrease internal heat production during adaptation.

  • Electrolyte Imbalance: Lower insulin levels cause kidneys to excrete more water and critical electrolytes like sodium, potassium, and magnesium, contributing to cold sensitivity.

  • Lower Body Fat: As you lose weight on keto, a reduction in body fat means less natural insulation, increasing cold sensitivity.

  • Calorie Restriction: A significant calorie deficit can slow your metabolism, a survival mechanism that conserves energy and reduces heat.

  • Keto Flu Symptoms: The 'keto flu' adaptation phase can include chills, which are often linked to dehydration and electrolyte issues.

  • Thyroid Hormone Fluctuation: Temporary drops in the thyroid hormone T3 during the early phase of ketosis can affect body temperature regulation.

  • Fat Intake: Ensuring adequate intake of healthy fats provides a steady energy source, which helps normalize your body's temperature control.

In This Article

The Metabolic Shift from Glucose to Fat

When you first begin a ketogenic diet, your body undergoes a profound metabolic transformation. This process, known as nutritional ketosis, involves shifting your body's primary fuel source from glucose (derived from carbohydrates) to ketones (derived from fat). This change can be a bit of a shock to your system, and it is the main reason many people experience the 'keto flu,' which includes chills and a persistent feeling of being cold.

Your body's thermogenesis, or internal heat production, is closely tied to its fuel source. When burning glucose, the body can generate heat with a relatively high metabolic rate. However, during the initial adaptation to ketosis, energy production becomes more efficient, and cells may temporarily generate less heat as they adjust to utilizing ketones. This metabolic re-calibration is the key scientific reason behind the initial chill some experience. For most individuals, this cold sensation is temporary and resolves as metabolic flexibility improves and the body becomes more efficient at utilizing ketones.

Key Reasons You Feel Cold in Ketosis

Reduced Insulin and Electrolyte Changes

One of the most significant effects of carbohydrate restriction is a decrease in insulin levels. Lower insulin signals the kidneys to excrete more water and critical electrolytes, primarily sodium, potassium, and magnesium. These electrolytes are vital for nerve function, muscle contractions, and maintaining fluid balance. This increased excretion can lead to dehydration and an imbalance of these minerals, which can manifest as fatigue, muscle cramps, and cold sensitivity. Adding a sugar-free electrolyte supplement or consuming electrolyte-rich foods can help mitigate these symptoms.

Lowered Body Fat Percentage

For those who have lost a significant amount of weight on the keto diet, a reduction in body fat can lead to increased cold sensitivity. Body fat is a natural insulator that helps maintain your core temperature. As your body fat percentage decreases, you lose this insulating layer, making you more susceptible to feeling cold, especially in cooler environments. The effects of fat loss on body temperature are particularly noticeable for individuals who achieve a very lean physique.

Calorie Deficit and Metabolism Slowdown

A calorie deficit, necessary for weight loss, can also cause a drop in body temperature. When you consume fewer calories than your body burns, your metabolism may slow down to conserve energy. This is a survival mechanism that can lead to lower internal heat generation. If you combine a large calorie deficit with a rapid shift into ketosis, the effect on your body temperature can be quite pronounced. Ensuring you are eating enough calories from healthy fats and protein is crucial to maintaining a healthy metabolic rate.

The 'Keto Flu' and Systemic Stress

During the first few days or weeks of a ketogenic diet, many people experience a collection of flu-like symptoms known as the 'keto flu.' Chills, fatigue, brain fog, and headaches are common during this period. This is not an infection but rather your body's physiological response to carbohydrate withdrawal and the significant shift in fuel sources. The associated feelings of systemic stress and fatigue can make you more aware of and sensitive to cold.

Thyroid Function and Hormonal Adjustments

Switching to a very low-carb diet can temporarily affect thyroid hormone levels, particularly triiodothyronine (T3). Since thyroid hormones are responsible for regulating metabolism and body temperature, a temporary drop in T3 can contribute to the feeling of being cold. This is a normal part of the adaptation phase and generally resolves once your body becomes fully keto-adapted.

Comparison: Carb-Adapted vs. Keto-Adapted Bodies

Feature Carb-Adapted Body Keto-Adapted Body
Primary Fuel Source Glucose from carbohydrates Ketones from fat
Insulin Levels Fluctuates based on carb intake Consistently low
Electrolyte Management Kidneys retain more electrolytes with higher insulin Increased excretion of sodium, potassium, and magnesium initially
Thermogenesis (Initial) Higher, as glucose burning can generate more heat Lower during the adaptation phase as the body becomes more efficient
Body Fat Insulation Depends on overall body composition Reduced insulation as body fat decreases, increasing cold sensitivity
Energy Source Flexibility Primarily relies on glucose, limited fat-burning ability 'Fat-adapted,' can efficiently switch between fat and ketones for fuel

How to Mitigate the Cold Sensation

  • Prioritize Electrolyte Replenishment: Increase your intake of sodium, potassium, and magnesium. You can do this with foods like avocado, leafy greens, nuts, and seeds. Adding salt to your food and using a bone broth can also help.
  • Stay Well-Hydrated: Drink plenty of water throughout the day. The keto diet's diuretic effect means you'll lose more water, so replenishing fluids is key to maintaining proper electrolyte balance.
  • Increase Healthy Fats: Ensure you are eating enough healthy fats to provide sustained energy. Fats are the primary fuel source on keto, and consuming adequate amounts can help smooth the metabolic transition and reduce symptoms. MCT oil is particularly useful as it is rapidly converted into ketones.
  • Adjust Your Calorie Intake: While on a deficit, ensure it is not too drastic. Eating enough calories will prevent your metabolism from slowing down excessively to conserve energy.
  • Wear Layers: Use common-sense approaches like wearing extra layers of clothing. Keeping yourself warm externally can help manage the internal cold sensation during the adaptation period.
  • Include Light Exercise: Mild physical activity, such as a brisk walk or gentle yoga, can help raise your body temperature and improve circulation.
  • Ensure Proper Thyroid Function: While temporary changes are normal, persistent or severe cold intolerance may warrant a conversation with your doctor to rule out other underlying conditions, such as hypothyroidism.

Conclusion

The feeling of coldness in ketosis is a common, though usually temporary, side effect of the body's metabolic adjustment from burning carbohydrates to fat. This occurs due to a combination of factors, including reduced thermogenesis, electrolyte imbalances from increased excretion, and a lower body fat percentage. Fortunately, by prioritizing proper nutrition, staying hydrated, and managing electrolyte levels, you can effectively mitigate this discomfort. As your body becomes fully fat-adapted, this cold sensation typically subsides, allowing you to enjoy the benefits of a ketogenic lifestyle. If the feeling persists beyond the initial adaptation period, or if you have other concerning symptoms, consulting a healthcare professional is always recommended. For more insights into optimizing your ketogenic nutrition, consult a resource like Everyday Health.

Frequently Asked Questions

Yes, feeling cold can be a normal and temporary side effect of entering ketosis. It often indicates that your body is adjusting its metabolism from using glucose to burning fat for fuel.

The duration varies among individuals. For many, the sensation of coldness lasts for a few days to a week during the initial adaptation period. In some cases, it can last longer, but it should eventually subside as your body becomes fat-adapted.

The main causes include a decrease in thermogenesis during the metabolic shift, electrolyte imbalances (especially sodium, potassium, and magnesium), significant body fat loss, and a large calorie deficit.

Yes, a loss of electrolytes like sodium, potassium, and magnesium is a key factor. The keto diet can cause increased water and mineral excretion, and this imbalance can lead to symptoms like chills, fatigue, and muscle cramps.

The 'keto flu' is a term for the flu-like symptoms experienced during the initial adaptation phase of ketosis. Chills are a common symptom of the keto flu, along with fatigue, headaches, and brain fog.

To combat coldness, focus on electrolyte-rich foods such as avocado, spinach, nuts, seeds, and bone broth. Ensuring adequate healthy fat intake is also crucial, with options like olive oil, coconut oil, and fatty fish.

While it may not be entirely avoidable for some, you can minimize the effect by starting with a less drastic carb reduction, staying well-hydrated, actively replenishing electrolytes, and consuming adequate calories and fats.

Yes, if you lose a substantial amount of body fat, your natural insulation decreases, which can make you more sensitive to cold temperatures.

References

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Medical Disclaimer

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