Keto Means
Photo: Monstera
But while Keto does increase hydration needs, drinking more water isn't necessarily the answer. In fact, drinking too much sodium-free water on Keto can exacerbate Keto flu. Why? Because over-hydrating dilutes blood sodium levels, bringing with it—yes—the dreaded symptoms of Keto flu.
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Read More »Dehydration is a potential cause of Keto flu. Because of this, many sources recommend aggressively swilling water on Keto to prevent the headaches, cramps, fatigue, and malaise linked to low-carb dieting. But while Keto does increase hydration needs, drinking more water isn’t necessarily the answer. In fact, drinking too much sodium-free water on Keto can exacerbate Keto flu. Why? Because over-hydrating dilutes blood sodium levels, bringing with it—yes—the dreaded symptoms of Keto flu. Don’t worry, you’ll learn a simple, practical Keto hydration strategy in a minute. First, though, let’s lay some groundwork. What Is Hydration? Hydration is defined as the “process of providing adequate liquid to bodily tissues”.[*] Adequate is the operative term. Not too much liquid. Not too little liquid. We’ll return to this point later. We provide liquid to our bodily tissues because water is essential for life. Everything from blood flow to skin health to toxin disposal depends on H2O.[*] Our bodies, you might be aware, are about 60% water weight. The equilibrium of water in your body is called fluid balance, and the fluids you drink are just one input into that system. The other main inputs are sodium, chloride, and potassium—electrolytes that regulate fluid levels inside and outside of cells.[*] Even if you don’t get the inputs 100% correct, your body is an excellent fluid balancing machine. Along with your kidneys, a slew of hormones like insulin, aldosterone, renin, angiotensin, and antidiuretic hormone (ADH) make sure fluid levels stay just right. An example will help illustrate. Let’s say you’re low on fluids after a long hike. Below the threshold of conscious awareness, osmoreceptors in your brain sense a decrease in blood volume and tell a brain structure called the hypothalamus to secrete ADH. ADH then tells your kidneys to stop losing liquids through urine.[*] At the same time, the hypothalamus triggers your thirst mechanism. Then you get thirsty, drink something, and fluid balance is restored. This is how hydration works on Keto (or any diet), but let’s explore what’s different on Keto. How Keto Increases Hydration Needs Eating a Keto diet means keeping carbohydrate intake very low. And when you keep carb intake very low, the hormone insulin—your blood sugar boss—also stays low. With insulin low, your liver is encouraged to start burning fat and making ketones. That’s how you enter the unique fat-burning state called ketosis. Low insulin has other effects though. Along with increasing fat-burning, low insulin also increases water, sodium, and potassium loss through urine.[*] In other words, a Keto diet raises both fluid and electrolytes needs. What about the water weight you lose in the early stages of Keto dieting? Doesn’t that dehydrate you? This is a common point of confusion. Let’s clear it up. Early water losses on Keto are largely driven by the depletion of glycogen—or stored glucose—from muscle and liver cells. This glucose is needed for energy as the body transitions to using fat for fuel.[*] Since glycogen is mostly water weight, using it up releases a deluge of H2O. But here’s the thing. On Keto, you adapt to lower glycogen levels, so this water doesn’t need to be replaced. The release of glycogen has an over-hydrating effect—it causes too much water to be released into circulation.[*] That’s why your body pees it out. It’s smart like that.
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