{"id":681,"date":"2024-08-27T15:18:24","date_gmt":"2024-08-27T15:18:24","guid":{"rendered":"https:\/\/www.reflexmd.com\/?p=681"},"modified":"2025-04-21T22:46:43","modified_gmt":"2025-04-22T02:46:43","slug":"the-keto-diet-and-glp-1s-is-it-okay-to-do-both","status":"publish","type":"post","link":"https:\/\/www.reflexmd.com\/blog\/healthy-eating\/the-keto-diet-and-glp-1s-is-it-okay-to-do-both\/","title":{"rendered":"The Keto Diet and GLP-1s: Is it Okay to Do Both?"},"content":{"rendered":"\n<p>Even though it may seem as if the ketogenic diet has entered our collective consciousness only recently, it\u2019s actually more than 100 years old, says the <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499830\/\">National Library of Medicine<\/a>. But it\u2019s certainly experienced a resurgence in the past decade. And if you\u2019re taking GLP-1, you may have wondered whether you can combine that with a keto diet.<\/p>\n\n\n\n<p>First thing to keep in mind: When on this medication, it\u2019s important to consult with your healthcare provider before making <em>any<\/em> big change to your diet, to make sure you\u2019re getting all the nutrients you need while your eating patterns change.&nbsp;<\/p>\n\n\n\n<p>And since the keto diet flips a typical carb-heavy diet into a fat-heavy one, there are specific factors to keep in mind. Read on for guidance.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is the keto diet?<\/h2>\n\n\n\n<p>Modern-day keto tends to focus on weight loss, through limiting carbohydrates. But interestingly, <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19049574\/\">research<\/a> has shown it may help with other issues, including epilepsy (it was originally developed to help that condition). And one <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9247494\/\">study<\/a> found that a keto diet may improve cognitive function in people with neurological diseases, including Parkinson\u2019s and Alzheimer\u2019s.&nbsp;<\/p>\n\n\n\n<p>Because of the low-carb diet\u2019s effect on blood sugar, it may also have some benefit for people with type 2 diabetes. The research isn\u2019t definitive, but some studies have shown promise. One<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8153354\/\"> review <\/a>found people with type 2 diabetes who followed a keto diet lowered their A1C levels\u2014a measure of blood sugar over several months.<\/p>\n\n\n\n<p>People following a keto diet commonly tweak and tailor it a bit, but the \u201ctrue\u201d ketogenic diet is the following, says <a href=\"https:\/\/osteopathic.nova.edu\/ms-nutrition\/faculty-and-staff.html\">Su-Nui Escobar, DCN, RDN<\/a>, a Miami-based doctor of clinical nutrition and registered dietitian:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>70% to 80% of your daily calories come from fat<\/li>\n\n\n\n<li>10% to 20% from protein<\/li>\n\n\n\n<li>5% to 10% from carbohydrates&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>A common misconception about keto is that it\u2019s a high-protein diet, like Atkins. Both are low-carb diets, but keto prioritizes fat more than protein. That\u2019s something to keep in mind when taking GLP-1, since the medication can cause muscle loss. If you decide to try a keto diet, your healthcare provider will likely advise you to eat on the high end of the protein range.<\/p>\n\n\n\n<p>A big downside of keto for many people is that the diet is very hard to sustain long-term&nbsp; because it\u2019s so restrictive. 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End custom CSS *\/<\/style>\t\t<div data-elementor-type=\"loop-item\" data-elementor-id=\"13\" class=\"elementor elementor-13 e-loop-item e-loop-item-939 post-939 cta type-cta status-publish hentry category-glp-1 category-healthy-eating category-weight-loss\" data-elementor-post-type=\"elementor_library\" data-custom-edit-handle=\"1\">\n\t\t\t<div class=\"elementor-element elementor-element-a7d1126 e-con-full e-flex e-con e-parent\" data-id=\"a7d1126\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-c04910d e-con-full e-flex e-con e-child\" data-id=\"c04910d\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9fb1137 elementor-widget elementor-widget-text-editor\" data-id=\"9fb1137\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tYour Spring Reset Is Here!\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46d501d elementor-widget-mobile__width-inherit elementor-widget elementor-widget-heading\" data-id=\"46d501d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Combining a healthy diet with a prescription GLP-1 creates a powerful approach to effective weight loss.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7047b33 elementor-widget elementor-widget-text-editor\" data-id=\"7047b33\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tTake 25% Off Any 3-month Plan using Code: SPRING25 at Checkout\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-59b9a6c e-con-full e-flex e-con e-child\" data-id=\"59b9a6c\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3165b55 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"3165b55\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.reflexmd.com\/?question=gender\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-far-check-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.033 8 8 119.033 8 256s111.033 248 248 248 248-111.033 248-248S392.967 8 256 8zm0 48c110.532 0 200 89.451 200 200 0 110.532-89.451 200-200 200-110.532 0-200-89.451-200-200 0-110.532 89.451-200 200-200m140.204 130.267l-22.536-22.718c-4.667-4.705-12.265-4.736-16.97-.068L215.346 303.697l-59.792-60.277c-4.667-4.705-12.265-4.736-16.97-.069l-22.719 22.536c-4.705 4.667-4.736 12.265-.068 16.971l90.781 91.516c4.667 4.705 12.265 4.736 16.97.068l172.589-171.204c4.704-4.668 4.734-12.266.067-16.971z\"><\/path><\/svg>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Take the Quiz<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<\/div>\n\n\n<h2 class=\"wp-block-heading\">How does keto work?<\/h2>\n\n\n\n<p>The body has two main sources of fuel that it burns for energy and proper cell function, explains <a href=\"https:\/\/kimberlygomer.com\/\">Kimberly Gomer, RD, LDN<\/a>, a dietitian based in Florida. One is glucose, which comes from carbohydrates and fuels our brains, nervous system, muscles, and other cells. Some of what\u2019s left is converted to glycogen, which gets stored in the liver and muscles, says <a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/23509-glycogen\">Cleveland Clinic.<\/a> Other leftover glucose gets stored as the body\u2019s other fuel source: fat.&nbsp;<\/p>\n\n\n\n<p>When we\u2019re not eating, it\u2019s glycogen that keeps us going. But when we eat, the hormone insulin gets to work, says <a href=\"https:\/\/my.clevelandclinic.org\/health\/body\/22601-insulin\">Cleveland Clinic<\/a>. Blood sugars go up from the food we consume, and the pancreas secretes insulin to help the body figure out what to do with that glucose.&nbsp;<\/p>\n\n\n\n<p>\u201cInsulin is like the conductor,\u201d Gomer says. \u201cIt tells the glucose to either go to your liver, your cells, or your muscles to be used as short-term energy. And then when you\u2019re filled up, it stores it for later use.\u201d<\/p>\n\n\n\n<p>When the body doesn\u2019t produce enough insulin or use insulin efficiently, we can gain weight, according to <a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/22206-insulin-resistance\">Cleveland Clinic<\/a>. Here\u2019s where keto comes in. By increasing fat intake and severely reducing carb intake, the keto diet attempts to switch the body\u2019s main energy source from glucose to fat.&nbsp;<\/p>\n\n\n\n<p>Instead of squirreling away excess glucose as accumulating fat, the body skips that step and starts burning fat right away (known as ketosis).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Should people taking GLP-1 for diabetes try keto?<\/h2>\n\n\n\n<p>Keto might sound like a no-brainer for people with diabetes. They\u2019re often already limiting their carb intake to manage blood-sugar levels. But make no mistake: <a href=\"https:\/\/www.reflexmd.com\/blog\/healthy-eating\/yes-you-can-eat-carbs\/\">Yes, you can eat carbs<\/a> when taking GLP-1. Restricting carbs too much could result in blood sugar levels dipping dangerously low if you\u2019re also taking medication to decrease blood sugar, Escobar says.\u00a0<\/p>\n\n\n\n<p>Proper nutrition is another concern for those on GLP-1, as the drug suppresses appetite and makes them feel full longer.\u00a0<\/p>\n\n\n\n<p>\u201cOverall, they\u2019re going to be eating less,\u201d Escobar says. \u201cAnd imagine they\u2019re eating less and most of their calories come from fat. Where are all the other nutrients they need to get? It&#8217;s going to be more difficult for them to get the nutrition that they need.\u201d&nbsp;<\/p>\n\n\n\n<p>Both Gomer and Escobar recommend consulting with your doctor or a registered dietitian before starting keto to map out a healthy eating plan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What are the side effects and risks of keto?<\/h2>\n\n\n\n<p>The keto diet shares some similar side effects to GLP-1, Gomer says. Nausea after starting keto is common\u2014typically from switching from eating lots of carbs to eating large quantities of fat. People on keto often don\u2019t get enough fiber, which can lead to constipation.\u00a0<\/p>\n\n\n\n<p>Constipation and GI upset are frequent side effects of GLP-1, which is why Gomer doesn\u2019t recommend going keto at the same time or very soon after starting on GLP-1. Allow for an adjustment period to the medication first.\u00a0<\/p>\n\n\n\n<p>Keto can also cause brain fog, fatigue, and irritability as the body adjusts to consuming fewer carbs, says <a href=\"https:\/\/my.clevelandclinic.org\/health\/articles\/24003-ketosis\">Cleveland Clinic<\/a>.&nbsp;<\/p>\n\n\n\n<p>While it\u2019s rare and more common in people with type 1 diabetes, following a keto diet can lead to a potentially life-threatening condition called ketoacidosis, according to the <a href=\"https:\/\/diabetes.org\/about-diabetes\/complications\/ketoacidosis-dka\/dka-ketoacidosis-ketones\">American Diabetes Association<\/a>.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What to eat on keto<\/h2>\n\n\n\n<p>Fat is the star of the show on keto, so people trying this diet need to keep a careful eye on their saturated-fat intake. Too much increases the risk of heart disease, stroke, and certain cancers. Only 5% to 6% of your daily calorie intake should come from saturated fat, the <a href=\"https:\/\/www.heart.org\/en\/healthy-living\/healthy-eating\/eat-smart\/fats\/saturated-fats\">American Heart Association<\/a> recommends.<\/p>\n\n\n\n<p>Animal products, like beef, pork, poultry, eggs and full-fat dairy, are high in saturated fat. So are fried foods, processed meats, and foods made with palm and coconut oils.<\/p>\n\n\n\n<p>Those foods might be officially okay on keto, but it\u2019s smarter to focus on eating healthier unsaturated fats, like these:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Extra-virgin olive oil<\/li>\n\n\n\n<li>Avocado and avocado oil<\/li>\n\n\n\n<li>Nuts and seeds<\/li>\n\n\n\n<li>Olives<\/li>\n\n\n\n<li>Oily or fatty fish, like sardines and salmon<\/li>\n\n\n\n<li>Tofu<\/li>\n\n\n\n<li>Plant-based foods made from nuts, like cashew cheese or butter<\/li>\n\n\n\n<li>Plant-based burgers made with avocado oil<\/li>\n<\/ul>\n\n\n\n<p>Make sure you\u2019re eating enough protein, Gomer says. (Check out our <a href=\"https:\/\/www.reflexmd.com\/blog\/healthy-eating\/taking-semaglutide-the-best-snacks-and-mini-meals-when-youre-on-the-go\/\">list of on-the-go snacks and mini meals<\/a>.) The goal is to lose fat, not muscle. Foods that contain both protein and fat pull double duty on the keto diet.<\/p>\n\n\n\n<p>And don\u2019t forget fiber, which can be tough to get enough of when cutting carbs. Try these high-fiber, keto-friendly foods, which are also packed with important vitamins and minerals:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nuts<\/li>\n\n\n\n<li>Seeds<\/li>\n\n\n\n<li>Berries<\/li>\n\n\n\n<li>Avocado<\/li>\n\n\n\n<li>Cauliflower<\/li>\n\n\n\n<li>Asparagus<\/li>\n\n\n\n<li>Cabbage<\/li>\n\n\n\n<li>Mushrooms<\/li>\n\n\n\n<li>Leafy greens<\/li>\n\n\n\n<li>Brussels sprouts&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>If you think a weight loss medication like GLP-1 might be right for you, <a href=\"https:\/\/chat2.reflexmd.com\/dchat\/\">chat<\/a> with a ReflexMD Wellness Advisor now or <a href=\"https:\/\/www.reflexmd.com\/?question=gender\">take our short quiz<\/a> to see if you qualify.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>When you\u2019re already limiting carbs and sugar, it\u2019s tempting to adopt a keto diet as well. Slow your roll\u2014and read this first.<\/p>\n","protected":false},"author":19,"featured_media":945,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[10],"tags":[54,58,57],"class_list":["post-681","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-eating","tag-healthy-foods","tag-keto","tag-snacks"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Keto Diet with GLP-1s: Is it Safe? | ReflexMD<\/title>\n<meta name=\"description\" content=\"When you\u2019re already limiting carbs and sugar to help manage diabetes or lose weight, it\u2019s tempting to do keto as well. 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