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Are you struggling while starting out on a low-carb or keto diet? Do you get headaches, leg cramps, constipation or any of the other more common side effects? Use the information on this page to avoid them — and feel great while losing weight. The main way to relieve these symptoms may be to increase your intake of water and salt to replace what your body is losing. It commonly occurs during the first week or two, often starting on days 2 through 4. Symptoms include headaches, feeling tired, lack of motivation, nausea and lethargy.