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According to Cleveland Clinic, side effects of a very low-carb diet like the keto diet may include: Fatigue Headache Nausea Vomiting Dizziness Insomnia Reduced exercise intolerance Constipation or diarrhea Skin rash Bad breath Weakness Muscle cramps and soreness (which can occur in the legs) These symptoms are often referred to as the keto flu. They aren't a virus like the flu, but they can cause you to feel tired and achy as if you have the dreaded bug

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GLP-1 stands for glucagon-like peptide-1, which is a hormone that the body naturally produces in the intestines