Carbs are important to regulate stress hormones and you need to keep range between 15% to 30% from your daily calorie intake from Good Carbs, Since the Ketogenic is hormonal diet so if you are not in ketosis state you defiantly will use another hormone- cortisol - to generate energy , and by time this will lead to fatigue and stress hormone disorder.
So it is important if you are following low card to maintain the mentioned percentage to balance your stress hormone and your diet beside the daily recommended fat and protein intake.
Any Comments to discuss this article ?
As an endocrinologist, I assure you that “adrenal fatigue” does NOT exist. Adrenal insufficiency is a different condition that MUST be taken care of an urgently managed, but the “fatigue” is not medically validated. FYI 😊