“Why am I not losing weight on the keto diet?”

askdrandreaseenfeld

Can I do the keto diet without having a gallbladder? Why am I so tired following the keto diet? And, why has my resting heart rate increased since starting keto?

Get the answers to these and other questions in this week’s Q&A with me:

Weight loss and why the keto diet is not working yet

I have been on the keto diet for 2½ weeks. I lost 6 pounds the first week and nothing since. I did the 14-day challenge and then used the meal planner for this week. I have not gone off plan and enjoying the food. Last week I tried skipping breakfast to see if that would do anything. I also can’t get any ketones to register not even a slight amount. I am obese, so lots of weight to lose. What am I doing wrong?

Dianne

 
Hi Dianne,

Losing 6 pounds is a decent start! It’s common that people lose quite a bit of weight in the first week, and after that it usually slows down to 1-2 pounds per week, sometimes less. This can still lead to massive weight loss in the long run.

Maybe you’re doing nothing wrong, and persistance is all you need. It can take time for people who are very insulin resistant to get into ketosis. However, it may also be that you eat more carbs than you know, and it can be helpful to share a day of foods with someone knowledgeable to see if there are some improvements to do. More intermittent fasting can also be helpful.

Here are all our best tips:
How to lose weight

Best,
Andreas Eenfeldt

Can I follow a keto diet without a gallbladder?

I have recently had my gallbladder removed. I have been advised to limit fat in my diet. Is there a supplement I can take to aid the digestion of fat on the keto way of eating.

Thank you,
Sally

 
Sally,

Anecdotally, many people do well even without a gall bladder, at least after having some time to adapt. Worst case it can result in diarrhea. Eating smaller servings of fat at the same time may be helpful.

Best,
Andreas Eenfeldt

Why am I so tired?


I have been eating low carb for six months. Weight loss stalled, and I began to measure veggies. I was eating too many, but since I lowered my veggie carbs to less than 20 grams, I have been so tired. Help, I have yet to feel the increased energy. Just recently started to get pink on my urine stick (2 days). I am taking salt and drinking lots of water. How long will it take?

Gwen

 
Hi Gwen!

It’s normal to feel tired at least for a few days or a week, as the body adapts to burning fat. Getting enough fluid and salt, for example a cup of bouillon daily or twice daily can help a lot.

Also, if you’re on medication for diabetes or high blood pressure, contact your doctor for testing. It may be that you need to reduce the doses.

If nothing helps and you keep feeling poorly, it can be beneficial to eat a bit more carbs (perhaps 50 grams per day) for a while, and let the body have more time to adapt.

If things don’t improve despite that, you may want to consult with a doctor to make sure it’s not something unrelated.

Best,
Andreas Eenfeldt

Resting heart rate increase

I am slightly alarmed as my resting heart rate has gone from 58 to 67 since starting keto four weeks ago. I have lost a few pounds which I wanted to. I’m a ‘fit’ 53-year-old woman. I do twice weekly weight training and play cardio games like tennis and badminton 4 times a week too. What has caused such a leap in my heart rate and what should I do? Is it a good or bad thing?! Very grateful for some advice as I cannot go to my doctor as I’m pretty sure they will know nothing of keto.

Thanks,
Heather

 
Hi Heather,

This is quite common and most likely not something to worry about. Learn more here.

Best,
Andreas Eenfeldt

More

Keto for beginners

Intermittent fasting for beginners

How to lose weight

More questions and answers

Many more questions and answers:

Low-carb Q&A

Read all earlier questions and answers – and ask your own! – here:

Ask Dr. Andreas Eenfeldt about LCHF, diabetes and weight loss – for members (free trial available).

Q&A

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60 comments

  1. Vanessa
    I have a question for which I haven't found an answer yet. Why am not loosing fat on keto? I have lost 8 pounds for lost muscle mass instead of fat. Why?
    Reply: #52
  2. Kristin Parker Team Diet Doctor

    I have a question for which I haven't found an answer yet. Why am not loosing fat on keto? I have lost 8 pounds for lost muscle mass instead of fat. Why?

    It can be tough to say. If you are eating adequate protein, you should not be losing muscle. Here's a good article that may be helpful.
    https://www.dietdoctor.com/how-to-lose-weight

  3. 3 comments removed
  4. Nikki
    Hello I have a question
    I have been doing keto and intermittent fasting for 5 weeks and just recently lost 5 pounds last week. Why am I not loosing more weight?
    This is very frustrating. And also I tried using those keto sticks to let you know if you are in ketosis and it reads that I’m totally out of ketosis. What am I doing wrong?
    Reply: #57
  5. Kerry Merritt Team Diet Doctor

    Hello I have a question
    I have been doing keto and intermittent fasting for 5 weeks and just recently lost 5 pounds last week. Why am I not loosing more weight?
    This is very frustrating. And also I tried using those keto sticks to let you know if you are in ketosis and it reads that I’m totally out of ketosis. What am I doing wrong?

    You may not be doing anything wrong! Sometimes it takes time for our bodies to heal before weight loss can take full effect. You may find this article helpful! https://www.dietdoctor.com/how-to-lose-weight I also wouldn't worry about the urine testing strips. That are known to be inaccurate. Check out this article about testing for more info! https://www.dietdoctor.com/low-carb/keto/ketone-testing-three-ways

  6. Rose Ash
    Hi;
    I have started the keto date since 3weeks but Unfortunately I’m not losing weight. I test the keto level everyday and I’m in ketosis (level 8) !
    Why I can’t lose weight?!
    Reply: #59
  7. Kerry Merritt Team Diet Doctor

    Hi;
    I have started the keto date since 3weeks but Unfortunately I’m not losing weight. I test the keto level everyday and I’m in ketosis (level 8) !
    Why I can’t lose weight?!

    These articles may be helpful for you! Keep it up!
    https://www.dietdoctor.com/how-to-lose-weight/realistic-expectations
    https://www.dietdoctor.com/how-to-lose-weight

  8. 1 comment removed
  9. Patty
    I did speed keto for 30 days, followed it perfectly , portions, etc.....
    Two pounds , zero measurement change? Very disappointed considering the fasting days almost killed me.
    I feel the pain of a let down
    Reply: #62
  10. Kerry Merritt Team Diet Doctor

    I did speed keto for 30 days, followed it perfectly , portions, etc.....
    Two pounds , zero measurement change? Very disappointed considering the fasting days almost killed me.
    I feel the pain of a let down

    Hi, Patty! We would not recommend programs like speed keto because fasting should come naturally.
    Forcing a fast can be counterproductive. Here are our top tips for weight loss!
    https://www.dietdoctor.com/how-to-lose-weight
    You may also be interested in signing up for one of our challenges! These provide you with guidance, meal plans, shopping lists, and support! https://www.dietdoctor.com/which-diet-doctor-program-is-right-for-you

  11. SF
    I have been IF and Keto, with optimal glucose levels (84) and a great GKI ranging between 2-3 for over 4 weeks now, and I have not lost 1 pound nor any inches, pants fit exactly the same. NOT 1 pound. I am eating CLEAN keto, whole 30 with keto macros. I'm doing 3-5 HIIT workouts per week and then lots of movement, 5 mile hikes, long dog walks and yoga. I get 7-9 hours sleep each night. I mean, really... How is this even possible?
    Reply: #64
  12. Kristin Parker Team Diet Doctor

    I have been IF and Keto, with optimal glucose levels (84) and a great GKI ranging between 2-3 for over 4 weeks now, and I have not lost 1 pound nor any inches, pants fit exactly the same. NOT 1 pound. I am eating CLEAN keto, whole 30 with keto macros. I'm doing 3-5 HIIT workouts per week and then lots of movement, 5 mile hikes, long dog walks and yoga. I get 7-9 hours sleep each night. I mean, really... How is this even possible?

    I am sorry that you are not seeing the success you had anticipated. You may find some troubleshooting tips at this link.
    https://www.dietdoctor.com/how-to-lose-weight

  13. rupav2
    Hi
    I am moving from 1st week to 2nd week , within 5 days I lost 4lbs . But last day I have checked I gained Weight again .why is this Weight fluctuations . Am I doing wrong ?
    Reply: #66
  14. Crystal Pullen Team Diet Doctor

    Hi
    I am moving from 1st week to 2nd week , within 5 days I lost 4lbs . But last day I have checked I gained Weight again .why is this Weight fluctuations . Am I doing wrong ?

    You may be doing nothing wrong as weight loss is not linear. Your weight will fluctuate throughout the day and from day to day. It is the overall downward trend you should look for.

  15. Janet
    Hi, I've been on Keto for 3 weeks. It took 4 days to get into ketosis and I have remained in ketosis. My first week I lost 5.5 pounds, and second week I lost 4 pounds...but now I am gaining weight. I am still in ketosis and I haven't changed the way I eat. I have a lot of weight to loose (65 pounds) and I am a 58 year old woman. Please help.
    Reply: #68
  16. Kristin Parker Team Diet Doctor

    Hi, I've been on Keto for 3 weeks. It took 4 days to get into ketosis and I have remained in ketosis. My first week I lost 5.5 pounds, and second week I lost 4 pounds...but now I am gaining weight. I am still in ketosis and I haven't changed the way I eat. I have a lot of weight to loose (65 pounds) and I am a 58 year old woman. Please help.

    You can find our top weight loss tips on this article.
    https://www.dietdoctor.com/how-to-lose-weight

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