What does fact checked mean?
At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Our team periodically reviews articles in order to ensure content quality. The sources cited below consist of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and government data.
The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Please check with the appropriate physician regarding health questions and concerns. Although we strive to deliver accurate and up-to-date information, no guarantee to that effect is made.
Diarrhea With Atkins Diet
The Atkins diet is a popular diet that promises weight loss through carbohydrate restriction. According to a CBS News report from Sept. 2, 2004, dieters may lose similar amounts of weight through the Atkins diet low-carb approach as they do on low-fat regimens 1. However, low-carb diets pose numerous side effects, some of which are serious 1. Diarrhea associated with the Atkins diet may occur in response to carbohydrate deficiency or laxative use, and may pose additional complications.
Prevalence
Though additional research is needed, diarrhea is considered a common side effect of the Atkins diet. In an interview with CBS News, Dr. Arne Astrup, a director of research at the Royal Veterinary and Agricultural University in Denmark, named constipation and headaches as the most common side effects of the Atkins diet 1. He also explained that foul-smelling breath, muscle cramps, lethargy, skin rashes and diarrhea are reported more frequently by low-carb dieters than by people who follow low-fat diets.
Causes
Causes of Hot Flashes and Diarrhea
Learn More
People following the Atkins diet may develop diarrhea for numerous reasons. According to Dr. Astrup, reported side effects of low-carb diets, including diarrhea, are consistent with symptoms of carbohydrate deficiency 1. When the brain and muscles fail to reap appropriate amounts of glucose, or sugar, from carbohydrates, Astrup explained, the body may begin to malfunction. Excessive laxative use may also cause digestive dysfunction and diarrhea. Since the Atkins diet lacks fiber-rich carbohydrates, and constipation is frequently reported, people may depend on regular use of laxatives in order to attain bowel movements.
- People following the Atkins diet may develop diarrhea for numerous reasons.
- Since the Atkins diet lacks fiber-rich carbohydrates, and constipation is frequently reported, people may depend on regular use of laxatives in order to attain bowel movements.
Complications
Diarrhea associated with the Atkins diet may lead to further complications. Dieters who fail to replenish lost fluids are at risk for dehydration. According to the National Digestive Diseases Information Clearinghouse, severe dehydration can cause electrolyte imbalances. Electrolyte imbalances can pose harmful effects on the kidneys and heart; in serious cases, they result in death. Diarrhea may also cause loss of important nutrients. If left untreated, nutrient deficiencies may increase risk for iron-deficient anemia and osteoporosis.
- Diarrhea associated with the Atkins diet may lead to further complications.
- If left untreated, nutrient deficiencies may increase risk for iron-deficient anemia and osteoporosis.
Solution
Should Alcohol and Caffeine Be Avoided After Gallbladder Removal?
Learn More
Diarrhea may occur for a brief period and resolve itself, or become chronic. According to Dr. Astrup, side effects of the Atkins diet are generally remedied once fruits, vegetables and whole grains are reintroduced to the diet. Dehydration caused by diarrhea may resolve when fluids are replenished. People with weakened immune systems and elderly individuals who become dehydrated may require medical care.
- Diarrhea may occur for a brief period and resolve itself, or become chronic.
- Dehydration caused by diarrhea may resolve when fluids are replenished.
Suggestions
The numerous risks involved with the Atkins diet and other low-carbohydrate diets may outweigh the potential benefits. Though weight loss may occur, it is often temporary and due to water weight loss and reduced calorie intake. Dr. Astrup considers the negative side effects of low-carbohydrate diets signs that should point dieters in the opposite direction 1. A healthy diet that includes a variety of healthy foods and nutrients is a proven method of enhancing wellness and weight management.
- The numerous risks involved with the Atkins diet and other low-carbohydrate diets may outweigh the potential benefits.
- Dr. Astrup considers the negative side effects of low-carbohydrate diets signs that should point dieters in the opposite direction 1.
Related Articles
References
- CBS News: Low-Carb Side Effects Cited
- Kosinski C, Jornayvaz FR. Effects of Ketogenic Diets on Cardiovascular Risk Factors: Evidence from Animal and Human Studies. Nutrients. 2017;9(5):517. doi:10.3390/nu9050517
- Foster GD, Wyatt HR, Hill JO, et al. Weight and metabolic outcomes after 2 years on a low-carbohydrate versus low-fat diet: a randomized trial. Ann Intern Med. 2010;153(3):147-157. doi:10.7326/0003-4819-153-3-201008030-00005
- Paoli A. Ketogenic Diet for Obesity: Friend or Foe? Int J Environ Res Public Health. 2014;11(2):2092-2107. doi:10.3390/ijerph110202092
- Mahdi GS. The Atkin's diet controversy. Ann Saudi Med. 2006;26(3):244-245. doi:10.5144/0256-4947.2006.244
- EurekAlert. When it comes to food, one size doesn't fit all: world's largest scientific nutrition research project reveals even identical twins have different responses to food. American Association for the Advancement of Science (AAAS). 2019.
- Gibson AA, Sainsbury A. Strategies to Improve Adherence to Dietary Weight Loss Interventions in Research and Real-World Settings. Behav Sci (Basel). 2017;7(3):44. doi:10.3390/bs7030044
- USDA Dietary Guidelines 2015-2020. Appendix 7. Nutritional goals for age-sex groups based on dietary reference intakes and Dietary Guidelines recommendations.
- Harvard School of Public Health. Nutrition source - Diet review: ketogenic diet for weight loss. Updated 2019.
- Dansinger ML, Gleason JA, Griffith JL, Selker HP, Schaefer EJ. Comparison of the Atkins, Ornish, Weight Watchers, and Zone Diets for Weight Loss and Heart Disease Risk Reduction: A Randomized Trial. JAMA. 2005;293(1):43-53. doi:10.1001/jama.293.1.43
- Hall KD, Bemis T, Brychta R, et al. Calorie for Calorie, Dietary Fat Restriction Results in More Body Fat Loss than Carbohydrate Restriction in People with Obesity. Cell Metab. 2015;22(3):427-436. doi:10.1016/j.cmet.2015.07.021
Writer Bio
August McLaughlin is a certified nutritionist and health writer with more than nine years of professional experience. Her work has been featured in various magazines such as "Healthy Aging," "CitySmart," "IAmThatGirl" and "ULM." She holds specializations in eating disorders, healthy weight management and sports nutrition. She is currently completing her second cookbook and Weight Limit—a series of body image/nutrition-related PSAs.