Insomnia disorder, as defined in the DSM-5, involves the following:

  • Difficulty falling asleep, difficulty staying asleep, and/or waking too early without being able to fall back to sleep
  • Symptoms occur at least three nights per week for at least three months
  • Sleep problems are not explained by other illness, medication, and so on
  • Distress and/or impaired ability to function in daily life

Acute insomnia is similar, but it’s short-term and might be attributable to a specific trigger, such as a stressful event, major life change, or travel.

People who complain about “keto insomnia” seem to mean one of two things:

  • Sleep disruptions that occur during the transition phase—the days or weeks immediately after starting keto (acute)
  • Sleep issues that start after being keto for a few months or longer (might be acute or chronic)

It can be hard to know whether the latter are actually related to keto at all. However, if diet is the only obvious change these folks have made, keto seemingly takes the rap.

Despite the dearth of research, it’s possible to make some reasonable guesses about what might be causing your sleep issues. Of course, before trying any of the supplement suggestions, consult your doctor. Likewise, get help if your sleep is so poor that you are having trouble functioning. Read more...

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