The ketogenic (keto) diet has exploded in popularity as a weight-loss strategy. By focusing on very low carbs, moderate protein, and high fat, it shifts the body into ketosis—a state where you burn fat instead of glucose for energy. For many people, this leads to steady fat loss, reduced cravings, and more stable energy. But if you have hypothyroidism , the situation is more complex. Since this condition slows down your metabolism and affects how your body uses energy, following a strict keto diet can feel like a double-edged sword. Some people thrive on keto, while others notice worsening fatigue, brain fog, or stalled weight loss. The key is not whether you “can” do keto with hypothyroidism, but how you adjust it to support thyroid health. The Thyroid–Metabolism Connection Your thyroid gland produces hormones (T3 and T4) that regulate metabolism, energy production, and body temperature. Hypothyroidism means your thyroid isn’t making enough of these hormones, which can cause: ...
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