The 5 Reasons for Stomach Pain on the Ketogenic Diet

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In this podcast, I want to talk to you about 5 reasons you may have stomach pain while on the ketogenic diet. Many people have asked me why they get stomach pain when they first start keto. These are the most common reasons:

1. Sugar alcohols

Most people who first start keto consume a lot of “keto bombs” and other sweet keto treats. The problem is, your stomach may not be used to the sugar alcohols in some of these treats. This includes erythritol, xylitol, mannitol, and maltitol. A sensitivity to these will give you a lot of bloating and stomach pain. Try cutting back and see if it helps you.

2. Fiber

Too much fiber can cause some stomach pain on keto. Why? Because your gut may not have enough of the friendly bacteria that deal with the fiber in 7-10 cups of vegetables. If you’re not used to eating all those vegetables, start small, and gradually increase your intake. This will give your body time to build up more of those microbes.

3. Not enough fluid

When you first switch from carbs to fats on keto, you are going to get rid of a lot of excess fluid. You have to replace that fluid to keep your body hydrated. The fiber that you consume with vegetables requires more fluid to get through your system. Otherwise, it can suck moisture from your large intestine and leave you dehydrated.

4. Dietary fat

Many start consuming too much fat too quickly. You don’t have the gallbladder capacity to break down a large number of fats until your body adapts. Start slow and work your way up. Also, keep in mind that low-quality fats can also cause stomach pain.

5. High protein and low stomach acid

Too much protein can also cause stomach pain on keto. This is especially true if your stomach’s acidity isn’t at a pH between 1 and 3. You need a highly acidic stomach to break down proteins. Betaine hydrochloride and apple cider vinegar can help with this.

Dr. Eric Berg DC Bio:

Dr. Berg, 51 years of age is a chiropractor who specializes in weight loss through nutritional & natural methods. His private practice is located in Alexandria, Virginia. His clients include senior officials in the U.S. government & the Justice Department, ambassadors, medical doctors, high-level executives of prominent corporations, scientists, engineers, professors, and other clients from all walks of life. He is the author of The 7 Principles of Fat Burning.

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