If you’ve ever dealt with a keto headache or relentless migraine, you know the misery—and that’s exactly what many experience in the early days of switching to a ketogenic diet. Those of us who’ve dabbled in keto, or fully committed, have likely encountered the dreaded “keto flu,” that nagging ache from shifting off carbs and into low-carb mode. It usually strikes early on, and it can be so frustrating that you start questioning your decision to try keto in the first place. Personally, every time I’ve attempted keto or low-carb, headaches felt inevitable. But here’s what I learned: we don’t have to suffer with the proper preparation! Let’s explore why these headaches happen, how we can prevent them, and the best ways to fix keto flu and find relief if you’re experiencing it.
Why Do Headaches Occur on Keto?
Headaches and the keto diet often go hand in hand, particularly in the first few weeks. This is because the body undergoes significant changes as it transitions from burning carbohydrates for energy to burning fat (a state known as ketosis). During this adjustment period, there are a few key factors that contribute to headaches:
See Related: Low Carb Diets and Extra Salt: Insights from Dr. James DiNicolantonio’s ‘The Salt Fix’
- Electrolyte Imbalance: As you reduce carb intake, the body stores less glycogen. This, in turn, causes water loss, leading to the depletion of essential electrolytes like sodium, potassium, and magnesium.
- Dehydration: The diuretic effect of ketosis means your body excretes more water, which can result in dehydration, a major culprit behind keto flu symptoms like headaches.
Electrolyte Imbalance and Keto Headaches
Electrolytes are essential for maintaining fluid balance, as well as muscle and nerve function. When starting a keto diet, the body loses stored carbohydrates, leading to rapid water and electrolyte loss, often resulting in headaches. To prevent this, make sure to:
- Increase Sodium Intake
- Add salt to your meals.
- Drink broth regularly.

- Incorporate Potassium-Rich Foods
- Include avocados, meats, and other keto-friendly sources of potassium.

See Related: Top 8 Meat Sources of Potassium on a Carnivore Diet
- Supplement with Magnesium
- Take magnesium supplements or consume magnesium-rich foods like dark leafy greens.

Dehydration: A Common Keto Challenge
Dehydration is another leading cause of headaches when starting a keto diet. As your body enters ketosis, it releases stored water, which can lead to dehydration if you don’t increase your fluid intake. Drinking more water is essential, but it’s also important to pair it with electrolytes to ensure proper hydration.
To prevent dehydration-related headaches:
- Aim to drink at least 8-10 glasses of water per day, or more if you’re active.
- Consider adding a pinch of salt or using electrolyte supplements in your water.
How to Relieve Headaches While on Keto
If you’re struggling with headaches and the keto diet, there are several steps you can take to relieve discomfort:
- Hydrate properly: Drink enough water and pair it with electrolytes to maintain balance.
- Balance electrolytes: Ensure you’re getting enough sodium, potassium, and magnesium. Supplements can help if you’re unable to meet these needs through diet alone.
- Increase fat intake: Eating more healthy fats can help your body adjust to using fat for energy, which may ease the transition into ketosis.
- Eat enough food: Sometimes headaches occur because of undereating. Ensure you’re consuming enough calories to fuel your body.
- Get adequate rest: The adjustment to ketosis can be stressful for your body. Rest and recovery are essential.
See Also: Getting Your Essential Minerals on a Carnivore Diet
If headaches persist beyond the initial phase of keto or worsen, consider consulting a nutrition/health expert to rule out other causes.
Frequently Asked Questions (FAQs)
1. How long do keto headaches last?
Keto headaches typically last anywhere from a few days to a week. They often occur during the initial phase of the diet when your body is adjusting to using fat for fuel instead of carbohydrates. By staying hydrated, replenishing electrolytes, and eating enough fat and calories, you can minimize the duration and severity of keto headaches.
2. What is the best way to get rid of a keto headache?
To relieve keto headaches, focus on hydration and replenishing electrolytes like sodium, potassium, and magnesium. Drink plenty of water, consume broth or saltwater, and eat potassium-rich foods like avocados and leafy greens. Adding a magnesium supplement can also help ease headaches.
3. Can dehydration cause headaches on the keto diet?
Yes, dehydration is a common cause of headaches on the keto diet. When you enter ketosis, your body excretes more water, which can lead to dehydration if you’re not drinking enough fluids. Pair your water intake with electrolytes like sodium and potassium to avoid dehydration-related headaches.
4. Why does electrolyte imbalance cause keto headaches?
Electrolytes like sodium, potassium, and magnesium are essential for muscle and nerve function, as well as maintaining fluid balance. When you reduce carbs on keto, your body loses stored water, which depletes electrolytes. This imbalance can trigger headaches. To prevent this, increase your intake of electrolyte-rich foods or supplements.
5. What are the first signs of keto flu?
The first signs of keto flu usually include headaches, fatigue, dizziness, nausea, irritability, and muscle cramps. These symptoms are temporary and can often be managed by increasing electrolyte intake and staying hydrated.
6. How can I prevent headaches when starting the keto diet?
To prevent headaches on keto, make sure you’re drinking enough water and replenishing electrolytes. Add extra salt to your food, drink broth, and consume potassium- and magnesium-rich foods like avocados and leafy greens. Eating enough fat and calories can also help your body adjust to ketosis more smoothly.
7. Should I exercise if I have a keto headache?
It’s best to listen to your body. If you’re experiencing a keto headache, focus on hydration and rest rather than strenuous exercise. Light activities like walking or stretching are fine, but make sure you’re replenishing electrolytes before and after any physical activity.
Final Take-away
While keto flu headaches are frustrating, they are usually temporary and often subside as your body adapts. Maintaining hydration, balancing electrolytes, and ensuring you’re eating enough, you can ease or even prevent headaches. The key is to give your body the support it needs during this transition. With time, the benefits of keto will outweigh these initial discomforts.


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