Hey there - I’d consider myself ultra educated on the ketogenic diet/lifestyle.
A little about me:
- I am a clean keto eater and have been strictly following for 2.25 yrs now. I’m 5’6” and have gone from 203 lbs to 139 lbs and hover at about 17-18% body fat.
- I consume roughly 6-10 servings of veggies (with a vry small amount of fruit mixed in) daily.
- I’m a data junkie - I’ve moved off of tracking ketones in the last quarter (although I do still check sometimes based on some athletics and/or net carb allowances for the day. I rely on keto mojo blood prick for that but frankly at this stage I sit ant 0.3 ketones on the regular and only after lengthy zone 2 training will I reach 0.8-1 for a short time). I sometimes use the breath sensors but at this stage, I can taste when I’m burning lots of fat quite easily.
- I am very attached to my CGM and make most of my judgements via glucose now. I am a very active athlete (I exercise 3x a day in zone 3-5 coupled with a few hours of walking in zone 1-2. TMI… I am an entrepreneur and have been fortunate enough to have been forced to build a remote private equity firm because of my chronic pain and disease mentioned below. As a result, I have the ability to take my calls/meetings either during workouts or around them.).
- Quite sadly, I’m a chronic pain patient (i have a very severe case of endometriosis - which I believe the keto diet has actually completely put into remission for me, however I’ve endured 30+ surgeries in my 40 yrs on Earth, so the vast majority of my chronic and constant pain is likely from adhesions and scar tissue from so many surgeries)
- i am a chronic exerciser; the keto way of life plus the chronic exercise helps maintain low inflammation and relatively high endorphins that my pain is controlled between this and pain medication.
- I am likely underfed for my activity level - although i feel better this way most of the time. I consume roughly 1900 - 2400 calories a day, very much depending on my hunger levels.
- After losing substantial weight I’ve moved to a higher protein, slightly lower fat keto diet. I’m generally about 55-60% fat, 30-35% protein, 5-10% carbs at this stage.
- I am very cognizant of my electrolyte intake… I consume roughly 6,000-8,500mg of sodium daily, 2,500-3,500mg of potassium (most of that is from food, I only supplement with roughly 800mg so I’m likely higher on the potassium then that but obviously not entirely sure as it’s coming from whole foods) and then roughly 700-900mg of magnesium using a taurate in the morning and a glycinate in the evenings. Obviously I lose a lot of fluid with working out. However between my electrolyte drinks (LMNT) and herbal teas and waters, I’d venture to say I consume about 200oz-225oz a day of liquids.
- My latest insulin level is about 2.7, so quite low, and avg 90 day glucose is 84 per Levels/Dexcom.
My concern and ask for help from those who have been in the community a long, long time. I am head scratching despite considering myself a true expert on the biomechanics of keto (and especially keto in women) these days…
I mention all of this to say… recently I’ve been getting horrible muscle spasms in my legs when I am using the muscles for anything other than sitting or standing. Nothing during exercise - I have zero problems there. But for example, if I go to turn around in my bed in the middle of the night, the hamstring will cramp; if I squat down a certain way to get low to the floor, the hamstring goes, then the calf and into the foot; if I get out of the car too quickly, the hamstrings spasm. Most of the time I can get them released in 10-30 secs but oh my gosh are they painful. This is every day at the moment - to the point that I’m afraid to move in bed at night! I get two deep tissue massages weekly with a lot of focus here.
THIS IS A NEW PROBLEM - within the last 4-6 weeks.
I’ve not changed my workout routine significantly - I rotate between short and long runs, sprinting, Peleton, rucking, full incline treadmill walk with a 30 lb weighted vest, Arc Trainer, weight training and regular walking. Again, I usually do 3 rounds in a day with regular walking throughout.
My eating has also not changed significantly except I’ve added just a small amount of carbs in some days. We’re talking 5-10g from fresh fruit.
I don’t “cheat”. Meaning my focus is very much around inflammation and I’ve found that strict adherence is the most helpful in pain control. Frankly it’s easier for me to stay fully committed than it is to allow myself a cheat here and there.
My most recent blood work (last week) showed normal levels of sodium, potassium and magnesium. I understand the body keeps them fairly dialed in but it’s abundantly clear one of them is off.
I am dialed in on the sodium, I’m sure as my tell tale signs of low sodium are light headedness upon standing and brain fog in the mornings.
I believe I heard Thomas DeLauer mention in a video (although of course cannot find which now) that specifies muscle cramps during exercise (while on keto) is likely low magnesium and muscle cramps middle of the night or at random is low potassium. However this is from memory and I’ve not really been able to find this stat elsewhere to confirm.
I’m a bit lost here because I certainly need to correct it. I fundamentally know that I’m stressing my body with the amount of exercise I’m doing - HOWEVER, it’s an unfortunate trade off. When I reduce my exercise load my every day pain may be a 5-7 out of 10. When I exercise to this degree, I can hover around a 3-4 out of 10. That’s the difference between a functioning life and an unfunctioning one, so I feel a bit backed into a corner.
Nonetheless - can someone please give me guidance on what to do, perhaps how much of each electrolyte to increase - any knowledge on which electrolyte appears to be too low, with the above information; if it’s magnesium, what carrier should it be attached to (I’m only leveraging taurate for cardiovascular support because of activity and then glycinate at night for sleep).
This is a very long and detailed plea for help - any advice y’all have, please throw it at me.
Grateful to have such an educated community. Thank you in advance!