When to slow down and ask a doctor
Keto flu is usually mild and fixes itself with salt, water and greens. But your body is not a competition, so listen to it. Some warning signs mean you should stop pushing and get checked: a racing or pounding heartbeat, strong muscle cramps that will not ease, fainting, confusion, or feeling breathless. These are not normal "just push through" symptoms. Also, if you live with diabetes, high blood pressure, kidney or heart problems, or you are pregnant or breastfeeding, please talk to a doctor before starting keto and before adding extra salt, because your needs are special and general advice may not fit you. Some medications, especially for blood pressure and sugar, may need adjusting on keto, and only your doctor can guide that safely. There is no shame in going slow or asking for help. Keto should leave you feeling stronger over time, and a quick check-up keeps you safe while you find your rhythm.
Takeaway. Mild keto flu is normal, but racing heart, fainting or any health condition means see a doctor first.
Sources
General information, not medical advice. Always consult a qualified health professional before changing how you eat, especially if you are pregnant, breastfeeding, diabetic or taking medication.