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The Hidden Dangers of Keto & Intermittent Fasting for Women Over 40

Writer: Jill Sakolove OrtizJill Sakolove Ortiz

As women navigate menopause, many look for ways to boost metabolism, lose stubborn fat, and feel more energized. The internet is filled with trendy diet advice, but not all of it is right for women in this stage of life. Two popular approaches—the keto diet and intermittent fasting—may seem promising at first, but they can actually work against your metabolism and overall well-being. Let’s break down why these methods aren’t ideal and what works instead.


The Problem with Keto for Women in Menopause

The ketogenic diet is a high-fat, very low-carb approach that forces the body into ketosis, a state where fat is burned for fuel instead of carbohydrates. While some people experience short-term fat loss, keto has some serious drawbacks for women in midlife.


1. Hormonal Disruptions

When carbs are severely restricted, cortisol (your stress hormone) can increase, leading to:

  • More belly fat storage (ironic, right?).

  • Disruptions in thyroid function, which slows metabolism.

  • Worsened hot flashes, mood swings, and sleep disturbances.


2. Muscle Loss & Slower Metabolism

Menopause already leads to muscle loss, and keto can make it worse. Without enough carbs and adequate protein, your body may break down muscle for energy. Less muscle means a slower metabolism, making long-term fat loss even harder.


3. Gut Health Issues

Your gut microbiome thrives on fiber-rich foods (think fruits, veggies, and whole grains). Keto eliminates or severely restricts many of these, leading to:

  • Constipation and bloating.

  • A less diverse gut microbiome, affecting digestion, mood, and immune function.


4. Energy & Performance Decline

  • Many women feel brain fog and sluggishness on keto.

  • Strength training and endurance workouts require carbs for fuel—without them, performance suffers.


5. It’s Not Sustainable

  • Most people regain weight after reintroducing carbs.

  • It can lead to disordered eating patterns (fear of carbs, obsession with macros).

  • It’s socially restrictive and hard to maintain long-term.





The Downside of Intermittent Fasting (IF) for Menopause

Intermittent fasting (IF), which involves restricting food to certain time windows (e.g., eating only between 12-8 PM), is another trend that can backfire for menopausal women. Here’s why:


1. Increased Cortisol & Fat Storage

Fasting for long periods stresses the body, raising cortisol levels. This can lead to:

  • More belly fat storage (not less!).

  • Increased hunger and cravings, making it harder to stick to healthy eating.


2. Hormonal Imbalance & Blood Sugar Swings

Women’s bodies are highly sensitive to food timing. Long fasting periods can cause:

  • Blood sugar crashes, leading to energy dips and irritability.

  • Disruptions in estrogen and progesterone, affecting mood, sleep, and weight.


3. Muscle Breakdown & Slower Metabolism

If you fast too long, your body may start breaking down muscle for energy. Since muscle is crucial for a healthy metabolism, this can make fat loss harder over time.


4. Poor Energy for Workouts

Exercising in a fasted state can cause:

  • Fatigue and weakness.

  • Less strength and endurance.

  • Higher risk of injury.


What Works Instead? A Balanced, Sustainable Approach

Instead of extreme diets or restrictive eating windows, menopausal women need a metabolism-friendly approach that:


Prioritizes protein to maintain muscle and boost metabolism.

Includes healthy fats (avocados, nuts, olive oil) for hormone balance.

Supports gut health with fiber-rich carbs (quinoa, sweet potatoes, berries).

Focuses on whole, unprocessed foods without extreme restrictions.

Uses smart meal timing to support energy and hormonal balance.


Want a Proven, Sustainable Nutrition Plan?

If you’re tired of fad diets that don’t work and want a sustainable way to eat for fat loss, energy, and hormone balance, I’ve got you covered. My Nutrition Coaching Program teaches simple, science-backed frameworks designed specifically for women at this stage in life. You’ll learn how to fuel your body properly—without deprivation or extreme rules.


👉 Join me today at www.jillortizfitness.com/nutrition and start eating in a way that works with your body, not against it. 💪💖




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