So why does this happen? Lead study author Emmanuelle Bostock, Ph.D., a researcher at the Menzies Institute for Medical Research in Australia, told“However, this may possibly be associated with changes in theflora, as well an immune response triggered by the diet, and also by the caloric deficit—which is often present at the start of a diet,” she said.
Although further research is necessary to clarify the potential reasons behind the keto flu, it may be helpful in the meantime simply to be aware that this might happen in the first few days or weeks of starting the diet—or, as Bostock noted, any new diet since a change in caloric intake could cause your immune to react as a counterbalance.
But even if you are just starting on the keto path, symptoms like fever, cough, and shortness of breath are not related to dietary changes and may be the actual flu or potentially
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