Low carb diets are all the rage right now in the nutrition and health world. And it’s true, cutting carbs can help with weight loss and health improvements for some people, mostly because of the caloric restriction.But for many people – women especially – keeping carbs too low for too long can have pretty unhealthy consequences, especially if you work out with any level of intensity. And even more so if you have hormone-related health issues like HPA axis dysregulation or hypothalamic amenorrhea, PCOS, hypothyroidism, adrenal fatigue and Hashimoto’s.

If you’re sedentary, your carb needs are generally lower than someone who is active. Those who don’t train regularly might be able to get away with less carbohydrates overall. And even if you do work out regularly, you probably won’t immediately feel the consequences when you first cut most carbs from your diet. It may take a few months to see the long-term impact, but at some point, you might start to feel spaced-out, sluggish, cranky and sick.

Low Carb Diet & Your Hormones

Eventually, restricting your carb intake too much can lead to many hormone-related issues such as:

• decreased thyroid output (hypothyroidism)
• increased cortisol output (abdominal fat)
• decreased or increased testosterone (low libido and osteopenia)
• impaired mood and cognitive function (brain fog)

If you already had a pre-existing hormone related condition before cutting carbs, such as hypothyroidism, PCOS, missed or irregular periods, or adrenal fatigue; eating too few carbs will only exacerbate your condition.  And if you’re under a lot of stress already, going too low carb can cause further HPA dysregulation and increase its symptoms.

Your carbohydrate intake is a critical part of the equation when it comes to balancing your sex hormones, losing weight, recovering from exercise, supporting your thyroid, boosting your energy, and so much more. You may be wondering how carbohydrates affect your adrenal health. Reducing carbohydrates excessively can affect stress hormone production in many people, usually causing a significant increase in cortisol. This will directly impact your energy levels causing them to plummet and eventually worsen pre-existing adrenal fatigue.

The Basic Chemistry of Blood Sugar

Any time we eat, our food is broken down into macronutrients, micronutrients, and water. This complex process allows us to derive energy from our food, obtain essential vitamins, minerals, and phytonutrients, and collect the building blocks needed to make our immune cells, hormones, and neurotransmitters.

Carbohydrates are found in many different foods, and in different forms. After we eat, blood sugar rises as carbohydrates are digested and absorbed. This triggers the release of insulin, which helps shuttle glucose out of the bloodstream and into our cells. Insulin is considered an “anabolic hormone,” meaning it promotes the storage of glucose and the conversion of any excess into its long-term storage form: fat. We also have hormones that help us tap into stored glucose or generate more. This occurs when our blood sugar is low or when we have increased energy demands.

So, what does this mini biochemistry lesson have to do with adrenal fatigue?

As the name implies, adrenal fatigue involves a dysregulation in our body’s stress response. Initially this leads to elevated cortisol, a stress hormone produced by the adrenal glands. As adrenal fatigue progresses, the dysregulation often leads to low cortisol. Now here’s the catch: Low carbohydrate diets have also been shown to be a stressor on our adrenals.

Common Symptoms of Adrenal Fatigue

-Tend to be a “night person”
-Difficulty falling asleep
-Slow starter in the morning
-Tend to be keyed up, trouble calming down
-Calm on the outside, troubled on the inside
-Tendency to need sunglasses
–Chronic fatigue or get drowsy often
-Crave salty foods

Any time that you are not meeting your body’s needs for energy with adequate fuel, you put stress on your adrenals, since they act as your body’s shock absorbers (allowing your body to adapt to stress). This means that any caloric abuse or nutrition neglect is something that your adrenals have to make up for– by producing stress hormones (cortisol and adrenaline) to get you through the day. Usually, the more severe the adrenal dysfunction, the longer the adrenal stress has been going on.

Additionally, when you inadequately fuel your body, it stimulates the use of glycogen (stored sugar in the liver) for energy. Once your glycogen stores are depleted, tissue breakdown begins (the breakdown of proteins and fat to make glucose [sugar] for energy). This process of muscle catabolism releases amino acids such as cysteine, methionine, and tryptophan, which are all anti-metabolic to your thyroid. This happens because it’s the body’s way of being very intelligent,  by communicating with your thyroid, and telling it to turn down the conversion of active thyroid hormone in order to save your body from running itself into the ground.

How Many Carbs to Eat?

Here are my general starting points of the percentage of carbohydrates for hormone related health issues. But please keep in mind that your activity, stress, genetics and hormone imbalance will influence these recommendations:

• For most women, I recommend a minimum of 25% of calories from carbs, particularly if you’re active.
• For patients already dealing with an HPA Axis issue (“adrenal fatigue”), I start them at 30-40% calories from carbohydrates.
• For women who are dealing with health issues surrounding fertility and hypothalamic amenorrhea, I recommend 40-50% of calories from carbs.

How do I  Know What MY Carb Needs May be?

In general, everybody has different dietary carbohydrate needs primarily depending on their activity levels and genetics, but also dependent on their age, gender, stage of life, and goals.

As I mentioned earlier, if you are sedentary you can likely eat fewer carbs and feel fine. However, if you regularly participate in intense, glucose-demanding activities like Crossfit, heavy powerlifting, and/or high-intensity interval training (HIIT), your body will begin to rely on stress hormones like cortisol to produce the glucose the brain and muscles need. When this happens, you may eventually develop symptoms associated with hormone related health conditions such as amenorrhea, hypothyroidism or adrenal fatigue.

Which Carbs are Best for YOU?

A hormone-supportive diet isn’t just about the quantity of carbohydrates. It’s also important to consider the quality of carbohydrates and the timing of when you’re eating them throughout the day. Choosing high fiber carbohydrates, such as those found in whole grains, legumes, and vegetables provide the essential nutrients needed to support proper hormone function. Also, the fiber in carbohydrates also helps slow the release of carbohydrates into the bloodstream, thus keeping blood sugar more stable. Whole grains are an incredible source of prebiotic fiber and have earned their rightful place in a diverse, healthy hormone based diet. They do this but maintaining your gut integrity, feeding your healthy probiotics foods they need to replicate and in turn create healthier hormones.

Another way to balance blood sugar is to make sure carbohydrates are paired with protein and/or fat at every meal and snack. Spacing carbohydrates out throughout the day is also important for adrenal function. This prevents blood sugar from dipping too low, which will also increase demand on the adrenals to release cortisol.

But to truly know which carbs are best for you, I’d recommend the Nirvana Diet™. I created this Diet to know exactly which foods, and in this case carbohydrates, you should be eating based upon your genetics. It takes the guess work out of knowing which foods are best for balancing your hormones!

The takeaway? Carbs are not the enemy. Eating quality carbs in balance with a whole food diet, can be supportive of all of your hormones in helping to regulate your body’s ability to stay balanced, happy, and regenerating stronger cells.