Well, I don’t have anxiety. I did an EKG on myself and it was fine. I probably will need a holter monitor to capture these episodes.
Super High Heart Rate
Hmm, this is interesting. These values are before starting and then 2 months after keto. My sodium is 142/140, potassium 4.2/3.6, chloride 111/107, and CO2 is 21/25, and mag is 2(2016)/1.7. Of course my doctor said nothing at all. But I will ask the cardiologist about it. I realize that these are closer to the low end of normal.
Thanks, I work in the medical field so I am well aware of everything you wrote. Unfortunately, ER visits would not work because it stops and starts too quickly. A holter monitor would be best to capture episodes.
OK, but my post was intended as a response to an above post by sugar-addict.
I would however be interested in your final diagnosis of your situation if you wouldn’t mind sharing.
Good Luck.
Sorry, thanks. I will let everyone know. I was thinking it was my post! oops:
I saw where you said you worked in the medical field so I didn’t think you probably needed that kind of response. I should have directed the post specifically so it was my fault.
It is interesting to see that decrease across the range of serum electrolytes. Thanks for posting the comparison. It sort of fits with ketogenic diuresis depleting electrolytes as one possible explanation.
You have mentioned that you’ve been in ketosis for 3 months and that the symptoms are only recent. It may indicate you are not replenishing initial electrolyte losses and ongoing daily losses over a longer period.
Going back to closely look at the formulation of the ketogenic diet you’re eating, in particular, the micro nutrients by using a tracker like chronometer may reveal some things to adjust.
Being in the medical industry, do you self medicate with caffeinated beverages (like so many of us do)? That can certainly add to a daily diuresis. Especially combining fasting and beverages like bullet proof coffees (it’s an exploratory phase many ketonians go through to see how it effects their blood ketone readings). The mental clarity is awesome for the thousand mile an hour thinking and decision making but it can have its hidden electrolyte tax.
1.7 mg/dl is at the bottom end of the standard normal magnesium range. That certainly is low enough to indicate a deficiency in a ketogenic eater. It’s low enough to create heart muscle electrical irregularities. Getting a RBC intracellular magnesium test done may be more accurate?
You are going to have a fun consult with the cardiologist, with all the questions being raised here.
Warm wishes for a good result.
Oh yes, I’m sure this consult will be interesting. I am willing to modify my diet, but not stop keto. I used to drink a diet dew on the way to work every night, but I stopped that, but I have had 2 in the past couple of weeks. I do use my fitness pal to track everyday. I watch my macros, but seems when I eat real close to them I just stay the same weight or go up a pound or two. Not sure. I am up two pounds now, unfortunately, and I am annoyed. Since 4/25 I have gained these 2 pounds back. It is not coming off as easy as it was. Not sure what to do. Probably another fast, which is fine, but I’d rather not just to break through the plateau. I hope this cardiologist isn’t a big butt about keto.
You’re welcome!
Look forward to seeing you find a solution that works for you.
I do regular blood tests to see where I’m at in relation to the various things I do.
I’ve checked my magnesium status and see that supplementing a bit above recommendation works well for me. Everyone’s different though.
When I’m do a lot of training (which I don’t usually do), I need some more electrolytes, naturally.
I also to bone broth from time to time.
But cold showers and cold baths coupled with meditation keeps me really calm and steady.
As people have said it’s probably electrolytes…but…no chance you are pregnant is there?
Hi,
Just wanted to see if there are any updates? I had high heart rate as well and went off Keto. Would love to know what the cluprit and the resolution was.
Thanks,
Sonny
Hi! It had calmed downed thankfully. While I’m working out and doing general daily tasks it has fell. My resting heart rate is still pretty high (74ish) but my doctor doesn’t seemed to be concerned.
Thanks for checking!
How are things going with you?
Mine is high in the morning and then calms down towards the evening.
Standing:
Morning - 105
Afternoon - mid 80s
evening - mid 70s
Did you do anything different to bring it down?
Thanks,
Sonny
Not sure if someone mentioned this, what you measure when you test your magnesium is important.
Make sure they test you for magnesium RBC, not magnesium.
I read this book and learned a lot about magnesium and the heart. The Magnesium Miracle by Dr Carolyn Dean.
After full cardio weekend ( 2 days 25km walk/run lost 800gr weight) , last night I even couldn’t walk 10 meters, my heart was crazy , 144 per minute, then I went to ER, they gave me serum, oxygen etc… Its still now 70-100, If I walk its 120 per minute. EKG was fine.
Sorry guys I betrayed you I ate bananas with peanut butter today, I am really sick of that electrolites and magnesium issue.
I’ve been having heart palpitation issues. It turns out a large part of the problem was not drinking enough fluids. A doctor who intermittently follows this WOE said that on keto we need at least 2-3 liters of water a day. Once I upped my water, my days of major heart palpitations went away.
Looking back, I think my worst episodes were on days following my long runs.
I am totally sure that I am drinking at least 3 litres a day, but I will calculate water loss next time so cardio day maybe I should drink 6 litres.