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Carbohydrates are the backbone of many diets, serving as a primary source of energy for our bodies. Whether it’s powering through a workout or fueling brain function, carbs play a crucial role in our daily lives. However, what happens when we decide to cut back on carbs? This guide dives deep into the world of carb withdrawal symptoms, exploring what they are, why they occur, and how to manage them effectively.
What is Carb Withdrawal?

Carb withdrawal, often referred to as the “keto flu” or “low carb flu,” is the body’s response to a sudden reduction in carbohydrate intake. For many individuals, this occurs when transitioning to a low carbohydrate diet, low carb, or ketogenic diet, where carbs are restricted to induce a state of ketosis. Common triggers for carb withdrawal include starting a ketogenic diet, transitioning to a low carb diet, or significantly reducing carb intake. (1)
Common Keto Flu and Carb Withdrawal Symptoms:

1. Energy Plummets and Fatigue:
– When carbohydrates are limited, the body must find alternative fuel sources, such as fat, to sustain energy levels. However, during the transition phase, energy levels may plummet, leading to increased fatigue and lethargy, which are common keto flu symptoms. (2)
2. Mood Swings and Irritability:
– Fluctuations in blood sugar levels, a common occurrence during carb withdrawal, can wreak havoc on mood stability. Many individuals report experiencing mood swings, irritability, and difficulty concentrating during this time. (3)
3. Headaches and Migraines:
– Changes in electrolyte balance and dehydration, often associated with carb withdrawal, can trigger headaches and migraines in some individuals. These symptoms typically subside as the body adjusts to its new metabolic state. (4)
Keto Flu: A Specific Type of Carb Withdrawal:
The keto flu is a distinct form of carb withdrawal experienced by those embarking on a keto diet. Characterized by its flu-like symptoms, the keto flu often occurs within the first few days of carb restriction as the body adapts to using ketones for fuel instead of glucose. Symptoms of the keto flu may include fatigue, headache, nausea, dizziness, and muscle cramps.
The Science Behind Carb Withdrawal and Low Carbohydrate Diet:

To understand carb withdrawal, it’s essential to grasp the role of carbohydrates in our bodies. Carbohydrates serve as the primary fuel source, providing glucose for energy production. When carbohydrate intake is restricted, the body transitions to nutritional ketosis, where it starts burning fat for fuel through a process called ketosis. This metabolic shift can lead to carb withdrawal symptoms as the body adapts to its new energy source.
Physical Symptoms: Muscle Cramps

1. Brain Fog and Cognitive Impairment:
– Some individuals may experience cognitive impairment and difficulty concentrating during the initial stages of carb withdrawal. This phenomenon, often referred to as “brain fog,” is attributed to changes in brain fuel utilization as the body switches from glucose to ketones.
2. Smelly Breath (Keto Breath):
– The production of ketones during ketosis can result in a distinctive odor on the breath, commonly referred to as “keto breath.” This occurs because the body releases ketones through breath as acetone when running on fatty acids instead of carbs. While unpleasant, keto breath is a temporary side effect of the ketogenic diet and typically resolves as the body adapts to ketosis.
3. Digestive Issues like Constipation:
– Changes in diet, particularly a reduction in fiber intake from carbohydrate sources, can lead to digestive issues such as constipation. Ensuring an adequate intake of fiber-rich foods and staying hydrated can help alleviate these symptoms during the transition to a low carb or ketogenic diet.
Psychological Effects:

1. Mood Swings and Irritability:
– Fluctuations in blood sugar levels can impact mood regulation, leading to mood swings and irritability during carb withdrawal. It’s essential to practice self-care strategies, such as stress management and adequate sleep, to support emotional well-being during this time.
2. Anxiety and Depression Links:
– While research on the link between carb intake and mental health is ongoing, some studies suggest that reductions in carbohydrate consumption, including moderate carbohydrate restriction, may influence anxiety and depression symptoms. However, more research is needed to fully understand the relationship between diet and mental health.
Nutritional Deficiencies:
Reducing refined carbs can increase the risk of nutrient deficiencies if not balanced with adequate intake of other essential nutrients. Key nutrients to pay attention to include vitamins B and C, magnesium, and potassium. Incorporating a variety of nutrient-dense foods into your diet can help mitigate the risk of nutrient deficiencies during carb withdrawal.
Long-Term Health Implications:

While carb withdrawal symptoms are typically temporary, the long-term health implications of a very low carb diet and ketogenic diets are still under debate. Some research suggests potential benefits for weight loss and blood sugar control, while others raise concerns about cholesterol levels and kidney health. It’s essential to approach very low carb and ketogenic diets with caution and consider individual health factors when making dietary changes.
Managing and Preventing Carb Withdrawal:
Managing carb withdrawal symptoms involves strategies such as gradually reducing carb intake, staying hydrated, and ensuring adequate intake of healthy fats and nutrients. Utilizing body fat for energy during the transition is crucial, as it helps the body adapt to the new energy source. Experimenting with different dietary approaches, such as cyclical ketosis or targeted ketogenic diets, may also help minimize symptoms and optimize health outcomes. Additionally, seeking guidance from a healthcare professional or registered dietitian can provide personalized support during the transition to a low carb or ketogenic diet.
Conclusion:
Carb withdrawal symptoms, including the keto flu, are a common but temporary experience for individuals transitioning to low carb or ketogenic diets. By understanding the science behind carb withdrawal and implementing strategies to manage symptoms, you can navigate this transition period more smoothly and reap the potential benefits of a reduced carbohydrate diet. Remember, everyone’s journey is unique, so listen to your body and seek support as needed along the way.
FAQs
How long does carb withdrawal last?
Carb withdrawal typically lasts around one to two weeks. During this time, you may experience symptoms like fatigue, headaches, and mood swings.
Can cutting down on carbs make you feel sick?
Cutting down on carbs can lead to symptoms like fatigue, headaches, and nausea, commonly known as the keto flu or carb withdrawal symptoms.
What happens after 3 days of no carbs?
After three days of no carbs, your body starts to enter ketosis, a metabolic state where it burns fat for fuel instead of carbs.
What happens when you don’t eat carbs for a month?
If you don’t eat carbs for a month, your body may adapt to using fat for fuel, leading to weight loss and improved energy levels.
What happened when I gave up carbs?
Giving up carbs can lead to initial symptoms like fatigue and headaches as your body adjusts to using fat for fuel.
Why do I feel sick if I don’t eat carbs?
Not eating carbs can cause symptoms like fatigue and nausea as your body adjusts to using fat for fuel instead.
How long does carb flu last?
Carb flu, or keto flu, typically lasts around one to two weeks as your body adapts to using fat for fuel instead of carbs.
What happens to your body when you stop eating carbohydrates?
When you stop eating carbohydrates, your body transitions to using fat for fuel, leading to weight loss and improved energy levels.
What happens if you go carb free?
Going carb-free may lead to weight loss and improved blood sugar levels, but it’s essential to ensure you’re still getting adequate nutrients from other food sources.
How long do carb withdrawals last?
Carb withdrawals can last around one to two weeks, with symptoms gradually improving as your body adjusts to using fat for fuel.
What happens if you don’t eat carbs for a month?
Not eating carbs for a month can lead to weight loss and improved energy levels as your body adapts to using fat for fuel.
How do you fight carb withdrawals?
To fight carb withdrawals, stay hydrated, eat plenty of healthy fats and protein, and consider gradually reducing your carb intake instead of cutting them out entirely.
How long can carb withdrawal last?
Carb withdrawal symptoms can last around one to two weeks, but they may vary depending on individual factors such as diet and lifestyle.
What happens to your body after 3 days of no carbs?
After three days of no carbs, your body begins to enter ketosis, a metabolic state where it burns fat for fuel instead of carbs.
Why do I feel sick when I don’t eat carbs?
Feeling sick when you don’t eat carbs is common due to symptoms like fatigue, headaches, and nausea associated with carb withdrawal.
Ali Webster is a seasoned researcher, communicator, and Registered Dietitian with a diverse background encompassing government, nonprofits, academia, and health care. The core belief is that science should be made accessible, understandable, and relevant to all individuals, driving the motivation behind their work. Proficient in conducting and interpreting research to shape nutrition policy decisions, the individual also excels in nutrition and health communication, consumer research survey development and implementation, and clinical nutrition. Holding a Doctorate of Philosophy with a focus on Nutrition and Epidemiology from the University of Minnesota, their dietetic internship emphasized medical nutrition therapy.