Keto Means
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Does ketosis affect pH?

But when you stay in ketosis for a long time, the ketones you're generating and the foods you're eating (particularly if you're loading up on acidic foods like meats, poultry, dairy, animal fats like butter, and caffeine) could be altering the pH of your vagina, possibly causing it to become more alkaline and allowing ...

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A healthy vaginal pH is 3.5 to 4.5 pH, on the acidic end of the spectrum, which helps prevent the growth of certain microorganisms. But when you stay in ketosis for a long time, the ketones you're generating and the foods you're eating (particularly if you're loading up on acidic foods like meats, poultry, dairy, animal fats like butter, and caffeine) could be altering the pH of your vagina, possibly causing it to become more alkaline and allowing an overgrowth of bacteria—although we're not totally sure how. This overgrowth in microorganisms can cause an infection known as bacterial vaginosis (BV), characterized by a strong fishy vaginal odor and discharge—which may be what some people are calling "keto crotch." So, what can you do about it? It may sound counterintuitive, but consuming more alkaline foods in your keto diet may help bring your vagina back down to its ideal acidic pH while simultaneously bringing your overall bodily pH back to its ideal slightly alkaline pH of 7.3 to 7.45 (which can be determined by testing your urine). While we don't know this for sure, I have a pretty strong suspicion based on my own trial and error. Years ago, I'd put women on pure ketogenic diets. They loved the fast weight loss but hated certain side effects such as keto flu (which produces headaches, nausea, and general discomfort). Something had to change because these side effects made the diet hard to stick to. So I dug into some research and used myself as a guinea pig. I discovered that adding more alkaline foods to a keto diet made all the difference because it countered the acid-producing side effects of ketogenic dieting, which is how I came up with my alkaline-keto-style diet, which I call the Keto-Green Diet. As I explain in my book The Hormone Fix, these alkaline foods include leafy greens and most other nonstarchy vegetables such as broccoli, cabbage, and Brussels sprouts; plant-based fats such as avocados, coconut oil, and olive oil; herbs like maca; and some fruits. An alkaline keto diet also places less emphasis on more acidic, animal-based fats—which have been found to1 increase bacterial vaginosis. When I polled my own community of women enrolled in my online programs, only about 1 percent reported experiencing "keto crotch." I attribute this to the fact that they're following a keto-alkaline lifestyle, which helps keep infection-causing, odor-generating microorganisms in check by creating an ideal acid-alkaline balance throughout the body, including the vagina.

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How do I get rid of my keto crotch?

What's the deal with keto crotch? Up your intake of alkaline foods, like most veggies and nuts. Include lots of dark leafy greens and cruciferous veggies, like broccoli and cauliflower. Add prebiotic-rich foods, like garlic, dandelion greens, asparagus, and onions. Reduce caffeine and alcohol intake.

If you’re committed to trying out keto, there are several ways you can counteract the negative effects.

Here are a some suggested tweaks for women:

Up your intake of alkaline foods, like most veggies and nuts.

Include lots of dark leafy greens and cruciferous veggies, like broccoli and cauliflower. Add prebiotic-rich foods, like garlic, dandelion greens, asparagus, and onions. Reduce caffeine and alcohol intake. Aside from that, supplementing with good bacteria can help balance out the vaginal microbiome and prevent keto crotch and related issues. Taking a daily probiotic is a must. While digestive probiotics are highly recommended for pretty much everyone, if you struggle with vaginal infections or odor, adding a probiotic specifically formulated for vaginal health will help too.

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