Is the Keto Diet Really the Best Choice for Menopause?

The keto diet is everywhere—promising weight loss, stable energy and even hormonal balance. But what if it’s doing more harm than good for menopausal women?

The Keto-Hormone Controversy

While keto may help with short-term weight loss, research shows it can actually worsen some menopause symptoms:

  • Hormone Imbalance: Severely low carbs can disrupt estrogen and progesterone levels, leading to more intense hot flashes and mood swings.
  • Increased Cortisol: Keto can put stress on your body, raising cortisol levels, which contributes to belly fat and inflammation.
  • Thyroid Issues: Your thyroid needs some carbs to function properly. Too few can lead to sluggish metabolism, fatigue and hair thinning.
  • Gut Health Problems: Fiber from whole grains, beans and fruits is crucial for digestion and estrogen metabolism—most of which are eliminated on keto.

A Plant-Based Approach to Balanced Hormones

Instead of extreme dieting, focus on whole, plant-based foods that support your hormones naturally:

  • Complex Carbs: Sweet potatoes, quinoa and oats provide steady energy and hormone support.
  • Healthy Fats (as a condiment): Avocados, nuts and flaxseeds nourish your cells without the risks of excessive saturated fats.
  • Plant Proteins: Lentils, tofu and chickpeas fuel your body without disrupting estrogen balance.
  • Phytoestrogen-Rich Foods: Flaxseeds, soy and sesame seeds naturally support hormonal health.

You don’t need to sacrifice your hormones for weight loss—balance is the key!

Resource: Dr. Neal Barnard’s research found a plant-based diet reduced hot flashes by 88% and supported weight loss—without the hormonal risks of keto