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However, exercise intensity may need to be adjusted during the first two to four weeks of keto adaptation, as energy levels can fluctuate before the body becomes efficient at using ketones for fuel

Increased nausea and digestive discomfort Greater risk of dehydration Dizziness or fatigue Blood sugar fluctuations Increased likelihood of unpleasant post-drinking symptoms Possible next-day anxiety or hangxiety Heavy drinking can also undermine many of the health and wellness goals that lead people to start GLP-1 medications in the first place

We hike once or twice a week and staying hydrated and fortified is important

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Rehman K, Akash MSH