The 5 Reasons for Stomach Pain on the Ketogenic Diet

Why do you have stomach pain while on keto? Watch this video to find out.

Timestamps:
0:06 Reason #1: Sugar alcohols
1:20 Reason #2:Fiber
2:49 Reason #3: Not enough fluid
3:43 Reason #4: Dietary fat
4:45 Reason #5: High protein

In this video, 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.

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Dr. Eric Berg DC Bio:
Dr. Berg, 56 years of age is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of The New Body Type Guide and other books published by KB Publishing. He has taught students nutrition as an adjunct professor at Howard University. He no longer practices, but focuses on health education through social media.

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Disclaimer:
Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

Thanks for watching; I hope this video helps you understand why you may be getting stomach pain on keto, and how to fix the problem.