Does Low Carb or Ketosis Cause VERY Excessive Urination?
Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-24-2014 10:51 AM


Newbie Low-Carber


Hi, Jimmy!

I've been eating low carb for 4 months now, have dropped 56 lbs and brought my A1C down from 9.8 to 6.4 (though I think it will be even less when I get tested next week). However, I've been having very frequent urination since eating this way (every 2 hrs at night and many times during the day also - sometimes 7 times in 2 hours). I wondered if eating this way could be causing kidney problems? I noticed when I had my mini binge two weeks ago, the urination slowed wayyyy down... It started back up around day 3 of low carb (about when I went back into ketosis) and hasn't slowed down at all. I do hope this latest weight loss is really fat and not just water!!

I'm just still really exhausted all the time from the lack of sleep - can't even rest during the day really... Any insight? I'm just concerned that the urination hasn't slowed down any and I've been back in ketosis for almost 2 weeks now...

Thanks so much...
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-24-2014 11:14 PM


Expert Low-Carber


That doesn't sound normal to me. I do urinate more when I'm in ketosis, but nowhere near that much - maybe wake once during the night to go and every 2-3 hours during the day. I assume you are not drinking excessive amounts of water. You might want to ease off a bit and add some non-starchy carbs; I'd be nervous going to the bathroom that much unless I was drinking a LOT of water. Just my non-medical opinion.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-25-2014 02:42 AM


Expert Low-Carber


You will pee a lot during the first stages of Induction (Atkins phase 1, aka ketosis) and especially if you drinking a lot of water or tea. I will sometimes drink so much during the day that I am getting up to go the bathroom several times an hour during the evening, but you seem to be beyond that. If this goes on for any length of time, you should get it checked out. It might be something completely unrelated to your diet, and could be a symptom of some kind of health issue. Good luck.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-26-2014 01:53 AM


Senior Low-Carber


I've noticed this too with myself, but nowhere close to that extent. The most I wake is 1 time during the night to pee. I have pee a few times while I'm trying to fall asleep but hardly ever when I'm sleeping.

"Eat less carbs, save your heart."
"A stick of butter a day keeps the doctor away."
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-26-2014 02:57 PM


Advanced Low-Carber


I'm reading "Your Personal Paleo Code", by Chris Kresser and was on his forum for the book and another posted similar to your post and one of his expert admins replied...

Quote:LauraSchoenfeld said:
Did you drop the number of carbohydrates you're eating? If you've gone into ketosis when you weren't before, that can significantly increase your thirst, as ketones are flushed from the body in a similar way to glucose.

I do think adding salt might be helpful to you as well.

here is the link, but not sure if it requires an account to see, which may require you to buy the book.
Dehydration on the Reset Phase

I was aware VLC diet can require you to add more salt back into your diet as your system works differently on LC, but was not aware ketones process smiliar as too much glucose and flush from the system.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-26-2014 07:17 PM


Expert Low-Carber


When you switch from being a sugar burner to a fat burner there is a lot of urination. That's because every gram of glycogen you store in your system stores with it 4 grams of water. So as you deplete your glycogen stores, you lose the water along with it.

But this usually takes place in the first two weeks or so, and I've never heard of such frequent urination at night. This seems way above and beyond and warrants a trip to the doctor.

Be prepared for your doctor to tell you that ketosis is dangerous and bad for your kidneys. If you don't have underlying kidney disease, and you're not overdoing protein, it's not true. In fact, there is a study showing that ketosis may be MORE EFFECTIVE than kidney dialysis for type two diabetics who have kidney disease.

On the other hand, you do need to find out if something is going on with your kidneys that needs medical attention. And no matter what a doctor tells you, eating more sugar is not beneficial for your kidneys!
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-26-2014 10:07 PM


Administrator


As others have noted, this is a typical response:
http://forum.lowcarber.org/archive/index...54507.html

Jimmy Moore, "Livin' La Vida Low-Carb Discussion" forum owner
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RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-27-2014 03:20 PM


Newbie Low-Carber


Thanks for the replies, everyone! For an update... I did go to my primary doctor on Friday, and he checked for a UTI and also the basic urine testing for ketones (which of course was positive!), protein, etc. Everything looked fine as far as that goes. He had me draw labs to do a full renal panel and suggested over the weekend I add back "a few carbs" to see if that changed anything. He isn't really "for" or "against" low carb - he only gave me a short speech about how this will have to be forever and not just a short term way to lose weight (which I knew!!). Today I went back to have all my regular labs done for my endocrinologist whom I see next week. So hopefully something will help solve this mystery!

However… I’ve been doing my own research, reading, etc., and I feel I may have figured things out. First, my “carb experiment” over the weekend definitely slowed down the urination - I did take myself all the way out of ketosis and am assuming that my glycogen stores have filled back up which required the water from my system, right? And now that today I’m back on the low carb by Wed it will probably start up again (the urination issue). Based on your responses and everything I've read, the glycogen stores are usually gone by 1-2 weeks, right? Is it ever possible that it would take longer (like 3-4 weeks) and that this is the "whole problem" for me and I just need to wait it out?

But what I’m wondering now is if this is because of Vitamin D toxicity…?? I’ve always been LOW in Vit. D but for a couple of years had been taking 20,000 - 30,000 IU daily because I’m so large and read that the larger you are the more you require. My SEVERE tension headaches totally went away on this regimen, and my levels were always between 50-80. Back in December I had tests run and it showed a level of 98! Also showed a slightly elevated calcium level of 10.5. I only found out about these results a few weeks ago when I saw my Lyme doctor. I’m thinking now that the low carb diet brought my Vit. D levels up naturally and I really didn’t need the supplementation any more - or not as much anyway. I stopped the Vit. D completely for a few days and my headaches came back so I started back up but only at the 20,000 level thinking that would be ok. Well, now I think it was actually my pillow causing the return of the headaches, though I’m not positive. Got a new support pillow and they’re better, so we’ll see…

But upon reading about all this, it seems that too much Vit. D can cause too much calcium which causes polyuria! OR… in the past I had a temporary bout of hyperparathyroidism which caused too much calcium which at that time did NOT cause the polyuria, but I wasn’t doing low carb at that time either and my blood sugar was terribly out of control. So now my theory is that this excess Vit. D > excess calcium + the low carb diet is causing the major polyuria and that when I eat more carbs it slows it down because of the glycogen thing. Would this make scientific sense?! Anyway, in the meantime while I’m waiting on these lab results, I’m going to say off the Vit. D (and hope the headaches don’t come back) and maybe things will start leveling out for me soon. I’m actually HOPING this is the problem so I won’t have to stop eating low carb! And I hope we caught it before any permanent kidney damage was done - but I’m feeling we did since there was no protein in my urine or anything like that.

Thanks again for your help!
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-27-2014 04:44 PM


Administrator


My wife Christine had a reading of 99 on her Vitamin D and just backed off from supplementing so high. It's an easy fix. Toxicity with Vitamin D isn't even close to where you are. Relax.

Jimmy Moore, "Livin' La Vida Low-Carb Discussion" forum owner
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RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-27-2014 05:17 PM


Newbie Low-Carber


Thanks, Jimmy! I guess my concern is that was a month ago so it might be much higher now - plus it was already showing hypercalcemia - and I read that can cause the urinary frequency so I'm definitely backing off till I get these test results! But at least I don't have to back off low carb which has been a Godsend for me!
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-27-2014 10:46 PM


Administrator


Well, definitely stop taking 20,000-30,000IU daily...10,000IU is the highest I'd ever take. You can probably go down to a few thousand every few days. It'll come down.

Jimmy Moore, "Livin' La Vida Low-Carb Discussion" forum owner
CHOLESTEROL CLARITY BOOK: http://www.amazon.com/gp/product/1936608...vidalow-20
2009 BOOK: http://tinyurl.com/yh6smyy
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RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-27-2014 11:00 PM


Expert Low-Carber


Were you balancing the D with Vitamins A and K2?
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-28-2014 10:12 AM


Newbie Low-Carber


Thanks, Jimmy! That's good to hear...

No, was just taking the D and magnesium because without the mag it caused terrible restless legs.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-29-2014 12:23 AM


Expert Low-Carber


Jack, Vitamin D needs to be balanced with A and K2 or hyperkalemia is a distinct possibility, especially with a fairly high dose. There's a lot we lay people DON'T know about things like that (and neither do most physicians!) that we have to be extremely careful taking much higher than recommended doses. Because they are vitamin supplements, we tend to think of them as benign, but they may not be in higher doses.

Vitamins A and K2 can help prevent Vitamin D toxicity, but I'm not sure we know what the truly optimal doses are. And there's a question about whether Vitamin D supplementation has the same effects as adequate sunlight and dietary Vitamin D, even if the levels are good. Chris Kresser addresses these questions here: http://chriskresser.com/surprising-new-v...ur-brains.

I think you're lucky that this frequent urination made you question things and perhaps prevent some very significant issues with the high doses of Vitamin D. Just because some is good doesn't mean a lot more is necessarily better. Our bodies are very complex systems and fat soluble vitamins like A and D are really hormones for which the body has an intricate balancing act that we can't always understand and appreciate.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-29-2014 02:31 PM


Newbie Low-Carber


Thanks for that info, Jan, I really appreciate it! So now I'm wondering if taking Vitamin K2 temporarily would help rid my body of this excess D and calcium? Or is there anything else I need to be doing? I'm anxiously awaiting the results of my lab work...
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 01-31-2014 12:10 AM


Expert Low-Carber


Dunno, I'm one of those lay people. ;o)

I think taking K2 is OK, but DON'T megadose. 100 mg. day is fine. I take Nutrigold MK 7, I get it on Amazon. Be aware, it comes from natto which is fermented soy.

I think you'd be wise to find a good low carb/paleo friendly practitioner in your area--an MD/naturopath, integrative medicine doctor, or functional medicine doctor who knows his/her stuff.
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 03-10-2014 03:10 PM


Senior Low-Carber


WARNING, this is not for the weak.

Getting back to the original post up-top, I did the Fat Fast over the weekend and had to wear Depends, as I could never get to the bathroom quickly enough. My experience with the Fat Fast was OK on Day 1, more bathroom visits than usual, Day 2, spent walking around with my knees together til about 2p, then Depends. Day 2-3 overnight Depends, Day 3, all day Depends. Today I am fine, but spent last night in diapers. I see no weight loss. Still considering whether or not it was worth doing.

=^..^=

[url=http://www.TickerFactory.com/weight-loss/w9qwWxo/]
RE: Does Low Carb or Ketosis Cause VERY Excessive Urination? , 03-10-2014 06:32 PM


Expert Low-Carber


Kitty, I can't imagine you could have that much urination and not at least lose some water weight. Water weight loss is expected. As you deplete glycogen stores, each gram of glycogen brings 4 grams of water with it. So that's why some increased urination is expected.

As you know, we women face additional challenges holding the excess pressure in our bladder as we age (sorry to assume anything about your age, but you look around my age in your picture). But that sounds excessive, particularly since you're not losing weight with it.

I would suggest a doctor's visit, just to make sure you don't have something else going on.