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Phytomedicine International Journal Phytotherapy Phytopharmacology 78, 153300

Watch for these signs that keto may be worsening your thyroid function: Increased fatigue or sluggishness Worsening brain fog Unexplained hair loss Weight gain despite dietary changes Increased cold intolerance That said, a modified keto approach, maintaining at least 50 grams of carbohydrates per day rather than the strict 20-30 gram threshold, has shown no adverse effects on thyroid hormone production