Women can be more sensitive to dietary changes because of the way these adjustments affect hormones related to reproduction. The effects on women's hormones though are more likely related to calorie restriction than to keto itself. Living in a chronic calorie deficit, paired with increased exercise and weight loss, can shift hormones so dramatically that it can affect menstruation. It is especially important for women to maintain proper calorie consumption and to discontinue the diet if menstruation stops.
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