Dehydrated on keto

Cocosilk

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Gestational
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...while breastfeeding.

I know both breastfeeding and eating keto can dehydrate you, and doing both together is proving to be a challenge.

I wake most mornings very dry in the mouth despite drinking enough water that my urine is almost clear.

I worked out that it must be an electrolyte imbalance but have not confirmed it with blood tests. I just took some hydralyte for a day or so and tested my urine on multistix and watched the specific gravity move back from the higher end, and also saw my urine ph go closer to neutral for the first time in ages after seeing it mostly on the acidic end.

I was told to try potassium citrate supplements at a ratio of 4g to 1g sodium. Just can't seem to get potassium citrate at the pharmacies here, and hydralyte, while it helps, also contains glucose, which I'd rather have in a different form so I don't have to skip some carb in a meal.

Today I ate salmon and drank lemon juice in water, which I think gives me potassium citrate as a food source.

Just wondering what other people do to keep the electrolytes balanced on keto?
 

Brunneria

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I buy potassium citrate online. Usually (but not always) Amazon.

Have you used one of the nutrition trackers to identify how much potassium, sodium, etc. you are actually eating?
I use the free version of cronometer, but there are several other trackers out there.
 
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Cocosilk

Well-Known Member
Messages
818
Type of diabetes
Gestational
Treatment type
Insulin
I buy potassium citrate online. Usually (but not always) Amazon.

Have you used one of the nutrition trackers to identify how much potassium, sodium, etc. you are actually eating?
I use the free version of cronometer, but there are several other trackers out there.

I was just looking at potassium citrate online. Any brand you would recommend? How much would you need to take in a day?
I've not been counting anything that I'm eating and only yesterday saw a cronometer for the first time. I could probably do with one...

I take Magnesium (citrate I think). The optimal keto living facebook page recommend Magnesium malate. Not sure what the difference is. Likewise with the different potassiums.

Supplementing potassium by taking a tablet is probably simpler than trying to drink gallons of lemon juice, but is it better in pill form?
 

Cocosilk

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818
Type of diabetes
Gestational
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Insulin
Might be worthwhile checking out the keto electrolyte supplement developed by Robb Wolf and the Keto Gains guys:

https://drinklmnt.com/
Interesting. Aren't there a few other electrolytes? Maybe you get the rest from your keto foods.
For breastfeeding mums the optimal keto living folk recommend 4g of potassium, which seems like s lot! But maybe breastfeeding really does take it out of you..
 

ringi

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3,365
Type of diabetes
Type 2
An electrolytes blood test may not tell you much, as our body will dehydrate so as to maintain the correct sodium balance in our blood. Hence don't overlook simple table salt, ideally added to home made bone broth. The kidneys try to save sodium if it is low, this includes allowing more potassium to excape.

In the UK it is easy to get electrolytes tablets or powered, some don't have suger/carbs. Unless you go mad, provided your kidneys are healthy, they will remove from your body any excess electrolytes (including sodium) you take.

Remember that more sodium is needed on a low carb diet then a normal diet.
 

Sapien

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Interesting. Aren't there a few other electrolytes? Maybe you get the rest from your keto foods.
For breastfeeding mums the optimal keto living folk recommend 4g of potassium, which seems like s lot! But maybe breastfeeding really does take it out of you..

3.6 to 4.7 grams of potassium is the recommended daily intake for adults.

Many people get more sodium than potassium. Balance is important, but this article suggests a quite low sodium intake.

https://www.health.harvard.edu/staying-healthy/potassium_and_sodium_out_of_balance

If you find you can’t get enough potassium from the food you eat, you can also use NoSalt or LoSalt to add some potassium to the food.

High doses of potassium in supplements are usually restricted due to the danger they can pose for people with impaired kidney function.
 

Cocosilk

Well-Known Member
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818
Type of diabetes
Gestational
Treatment type
Insulin
3.6 to 4.7 grams of potassium is the recommended daily intake for adults.

Many people get more sodium than potassium. Balance is important, but this article suggests a quite low sodium intake.

https://www.health.harvard.edu/staying-healthy/potassium_and_sodium_out_of_balance

If you find you can’t get enough potassium from the food you eat, you can also use NoSalt or LoSalt to add some potassium to the food.

High doses of potassium in supplements are usually restricted due to the danger they can pose for people with impaired kidney function.

I was reading about that yesterday! Someone posted in another thread about Lo-Salt having potassium. Perfect! Just have to watch the anti-caling agent in the brand available here in Australia called Diet rite lite salt. But still worth a try to get the potassium up a bit.
I had no idea you could overdose on the stuff till I read that yesterday too.
 

Cocosilk

Well-Known Member
Messages
818
Type of diabetes
Gestational
Treatment type
Insulin
An electrolytes blood test may not tell you much, as our body will dehydrate so as to maintain the correct sodium balance in our blood. Hence don't overlook simple table salt, ideally added to home made bone broth. The kidneys try to save sodium if it is low, this includes allowing more potassium to excape.

In the UK it is easy to get electrolytes tablets or powered, some don't have suger/carbs. Unless you go mad, provided your kidneys are healthy, they will remove from your body any excess electrolytes (including sodium) you take.

Remember that more sodium is needed on a low carb diet then a normal diet.
I feel like I put salt in and on everything but I'm not measuring so maybe I do need more. On the nights I'm drinking miso soup I put a little extra salt in the mug so I know that's giving me a big part of what I need, but still maybe only half of what I need.
Off to eat something salty for lunch :)
 

Winnie53

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Hey Cocosilk, wondering why you'd use potassium supplements instead of potassium rich foods such as avocados while breast feeding? I'm thinking you need extra calories. I haven't read your other posts, so I don't know why you're doing keto while breastfeeding.

When I was breastfeeding, I couldn't keep the weight on despite eating extra calories. Had to stop when my son was 9 months old because I lost all the weight I'd gained during pregnancy and was no longer producing enough milk, if I'm remembering right. This was decades ago!
 

Mbaker

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Further to the Lo Salt reference, I was going to post the below yesterday, but sent an email to the makers of Lo Salt to ensure no contraindications for breast feeding and ladies health in general. So the below is under caution, as I have not had a response yet:

Lo Salt has reduced sodium chloride, which is the harmful part of salt if one is hyper-tensive, but it has a great ratio of sodium and potassium, it is my go to as it comes up a lot on Keto sporting blogs and similar to prevent cramps as an off the shelf, costr effective rememdy, I get mine in Tesco. To complete the set, as dark a chocolate as you tolerate provides the magnesium (I use 100% Montezuma everyday).
 

ringi

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Messages
3,365
Type of diabetes
Type 2
Even with hypertensive (high blood pressure) only one type is due to a persons body retraining too much sodium. The most common reasons for retention of sodium is high inslin, and clearly inslin levels greatly reduce on a low carb diet.

There have even been reported cased of BP reducing with increased sodium. As it is easy to measure BP at home, anyone who has an issue with BG can see how it responce to changes they make.
 

Brunneria

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Retired Moderator
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Type of diabetes
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My problem with Lo-Salt is that it tastes vile.
Tried it, and ended up giving it away.