01
Sodium: the most important and most undersupplied
Most adults on keto need 4,000–7,000 mg of sodium per day — roughly two to three times the standard public-health recommendation. The extra need isn't unhealthy; it reflects the natriuretic effect of low insulin. Easy sources: pickle juice (about 700 mg per 4 oz), bone broth (500–800 mg per cup), salted nuts, cured meats, anchovies, sea salt added to food and water. Don't fear the salt shaker — sodium restriction designed for a high-carb high-insulin state is counterproductive on keto, and major hypertension trials show salt restriction has minimal benefit in non-salt-sensitive adults.
02
Potassium: harder to hit
Target 3,000–4,700 mg of potassium daily. Best whole-food sources: avocado (975 mg per medium), spinach (840 mg per cup cooked), salmon (530 mg per 4 oz), pork loin (770 mg per 6 oz), mushrooms (430 mg per cup), and pumpkin seeds (260 mg per ounce). Most adults fall short on potassium even on a standard diet — keto makes it worse because grains and bananas (typical sources) are off the menu. Potassium chloride supplements are available but cap at 99 mg per pill in the US, so food is the more practical route.
03
Magnesium: take it before bed
Aim for 300–500 mg of supplemental magnesium daily on top of dietary intake. The most absorbable forms are magnesium glycinate (best for sleep and cramps), magnesium citrate (also helps constipation), and magnesium malate. Avoid magnesium oxide — it's the cheapest form but only about 4% bioavailable. Whole-food sources include pumpkin seeds (150 mg per ounce), almonds (75 mg), spinach (75 mg per cup cooked), and dark chocolate (60 mg per ounce of 85%+ cocoa). Magnesium deficiency causes muscle cramps, restless sleep, anxiety, and constipation.
04
When to supplement
Start electrolyte support on day one of keto — don't wait for symptoms. If you're getting muscle cramps, fatigue, headaches, or trouble sleeping, you're likely under-replacing one or more electrolytes. Pre-formulated keto electrolyte mixes (LMNT, Redmond Re-Lyte, Keto Vitals) are useful. Plain salt water with a squeeze of lemon also works: a teaspoon of fine sea salt dissolved in 16 oz of water provides ~2,300 mg sodium. Avoid sports drinks like Gatorade — sugar content is too high for keto.
05
Signs of electrolyte imbalance
Sodium deficiency: lightheadedness on standing, fatigue, headaches, low energy. Potassium deficiency: muscle weakness, irregular heartbeat sensations, persistent fatigue, constipation. Magnesium deficiency: muscle cramps (especially calves and feet), restless legs, anxiety, poor sleep, frequent eyelid twitches. Water without electrolytes can paradoxically worsen these symptoms by diluting blood sodium further. If you've been drinking 'enough' water and still feel worse, the issue is electrolytes, not hydration.
06
Hot weather, exercise, and illness
Sweating, fasting, illness, and hot climates all increase electrolyte needs. Endurance athletes on keto often need 6,000–10,000 mg sodium on training days. During illness with vomiting or diarrhea, electrolyte replacement becomes critical — under-supplementing during a stomach virus on keto can land people in the ER with dehydration. Plan ahead: keep an electrolyte mix in your gym bag, your travel kit, and your medicine cabinet alongside any other essentials.