Keto Q&A: Amenorrhea and Keto, Weight Gain, and Eating Disorders

Amenorrhea and Keto, Weight Gain, and Eating Disorders #keto #lowcarb #fatfueled #theketodiet

Watch past keto question and answer sessions.

This week we’re covering amenorrhea on keto, weight gain on keto, how to raise ketones, my opinion on Carb Nite, my history of an eating disorder, and more.


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Find an answer to your keto, low-carb, high-fat questions in past keto question and answer sessions.

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  1. Hey Leanne! I’ve been watching a ton of your videos and just bought your book! I started Keto about a week and a half ago and a few days in I was supposed to get my period but it never came. Its been about a week now and still no period. Before Keto, i followed a pretty strict paleo/high fat diet but my macro split was not as crazy at 20 net carbs a day. Before starting Keto, my period was getting lighter/not as painful on paleo but now i’m worried i’ve done something wrong. I’m a 20 year old weightlifter. Any suggestions on what I should do? Is keto right for me?

    • Hey, Heather! Eating keto can help balance your hormones, and as they’re balancing out, you may notice some wonky stuff (such as skipping a period). However, if your hormones were pretty balanced out to begin with, you may need to up your carbs, eat more overall, and/or start incorporating carb ups. You can find more information in Fat Fueled all about balancing hormones. Hope this helps!

  2. What causes adrenal fatigue in the first place? I had a miscarriage a year and a half ago and I have had every symptom you talked about since that day. Doctors tell me nothing. Could the miscarriage have caused a hormonal imbalance that lead to this?

    • I’m so deeply sorry to hear that. Considering that a miscarriage is usually a very stressful event, I wouldn’t be surprised if this taxed your adrenals and brought on adrenal fatigue.

  3. I am just shy of 39 and have always had a 28 day cycle. I’ve been eating keto for the last 3-4 weeks now and I’m 10 days late for my period. Experienced the breast tenderness and all those “wonderful” symptoms like always but still no period. It is impossible for me to be pregnant, I have no fallopian tubes. Is this normal when eating this way?

  4. Thank you so much for sharing your story, Leanne. I have never felt so much or cried so much while watching a video in my kitchen while eating my bacon. It felt so wonderful to hear someone articulate so many of the feelings I have felt almost all my life and know that someone who struggled with similar challenges has healed and learned so much.

    Every day I realize I have more healing to do and I want to thank you for all the resources, thoughts, and energy you put into the world because it is so incredibly helpful and I so grateful.

    When my brain is crazy (probably not enough fat!) and I’m tempted by all of the triggering and restrictive information out there, I know I can return to your site/podcast for healthful, loving, grounding content.

  5. Hey Leanne, thank you so much for sharing your story and creating this kind of incredibly welcoming space that can be so hard to find in the health/fitness community. Keto helped me trust food again after I struggled with anorexia from 2012-2014-ish and it’s become a real passion for me. I consider myself basically recovered but I’m dealing with some hormone imbalances now that have caused weight gain, sleep disruptions, digestive issues, and I never got my period back (going on 4 years). My doctor is and was clueless so I’ve gpne to a naturopath and have an appointment with an endocrinologist in May. Mentally, I’m really struggling though, and was wondering if you have any advice on how to balance hormones because we seem to share a very similar journey. Thanks again for all that you do.

    • That’s so amazing you’ve come this far, Heather! I balanced my hormones with the help of my naturopath, eating high-fat, and eating a LOT of food. I had to put on weight in order to be healthy again. Do you have my program Fat Fueled? The daily fat burner profile is essentially what I followed to get my period back, so perhaps it will help you too! Best of luck <3

      • Thank you! Weight gain is already a thing, but it happened very suddenly, and while sticking to high-fat keto…as I’m sure you can appreciate, that doesn’t feel very awesome.

  6. U are such a great person leanne ! From my own story of many years of bulimia ( nowbody didnt know ) and amenorrhoea i found ur site! U are helping more than u now! Im still struggling 2 love myself, beeing ok with food , stop fearing the fat! Its not easy 2 understand that kind of life , depression is allways near no matter how happy u wanna be its just not working!so again thank u leanne and i hope i will overcome this ?

    • Thank you so much for your support and kind words! I’m so happy for you that you’re on the path to loving yourself and being ok with food. Good for you, Ana <3

  7. Leanne, thank you. Thank you so much for sharing your story. Your life so closely mirrors the struggles I fought through … from anorexia kind of mutating into bulimia to the feelings of guilt to the way that you were able to put into words some of the things I feel guilty about today but can’t articulate. You are so genuine and down to earth. I love your approach and your honesty. If you do ever decide to write a book about the not-so-smooth path that you followed to get here, I will read it again and again.
    It’s so painful to talk about those deep feelings. Thank you, with all my heart, for sharing. I watched this at work and now I’m sitting here crying at my desk! Haha. Oh geez, but really. I get you … because I feel like you get me.

    • I’m so glad that sharing my story was helpful for you, Ashley! Sharing our stories is so key to healing. Thank you so much for your support– a book like that would be so awesome! Sending you lots of positivity and hugs! <3

  8. Thank you so much for sharing your story. I battled severe bulemia for nearly twenty years and your bravery was really moving. It’s so important for us to share our stories, that’s the most effective way to fight the stigma around eating disorders. They are so common yet many sufferers feel isolated in their experience. Inhabiting our bodies in this culture is a constant battle when it should be a celebration. Keep doing the great work you are doing, it’s reaching people.

  9. <3 I love you Leanne. You're an incredibly genuine and lovely person. Thank you for being so vulnerable and sharing your story. You made me cry for so many reasons but mostly out of joy that you are coming out of your pain and helping others embrace their truth and their bodies. Keep up the great work. We need you. <3

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