Can the Keto Diet Reduce Alcohol Cravings?

Can the Keto Diet Reduce Alcohol Cravings?

Smirnova Anna
October 14, 2026

A ketogenic diet that is high in fat and low in carbohydrates affects metabolism and probably alcohol consumption. Scientists have come to curious conclusions from experiments on rats. 
For several weeks, one group of rodents was fed the usual diet, while the other was kept on a ketodial diet. After drinking alcohol, the blood alcohol concentration of rats on keto was significantly higher. 

Researchers have linked this to a decrease in levels of the liver enzyme ADH1, which is involved in the conversion of ethanol to acetaldehyde. The keto diet has also changed the energy exchange. The test subjects had reduced glucose levels, increased ketone concentrations, and used less glucose for energy.

With regular drinking, males drank less on a low-carbohydrate diet than animals on a typical diet. At the same time, females did not notice a decrease in alcohol consumption, although they also broke down more slowly.

A slower breakdown of alcohol may have a downside. For example, after the same alcohol dose, the blood alcohol concentration may be higher in the ketodian and the intoxication may be stronger. At the same time, the experiment has been carried out only on rodents, and how the human body will react is not yet fully understood.

What mechanisms can work?

Ketone bodies are becoming an alternative source of energy for the brain, which can offset some of the shifts caused by chronic alcohol consumption.
Diet affects the gut microbiome, and these changes also potentially help reduce cravings.
There is evidence that a keto diet may reduce levels of neuroinflammation.

Conclusion:

A keto diet is not a universal drug for alcohol dependence, but in some cases it can be an adjunct to help reduce cravings and relieve withdrawal symptoms. If you or someone close to you is experiencing an addiction problem, I strongly advise you not to try to change your diet dramatically on your own. It is better to discuss it with a doctor, a narcologist or a nutritionist - the specialist will help to weigh all the pros and cons taking into account your health

1. Effects of ketogenic diet and ketone monoester supplement on acute alcohol withdrawal symptoms in male mice

2.  A ketogenic diet reduces hepatic alcohol metabolism and alcohol consumption in rats

3. Determinants of Adherence to a Ketogenic Diet in Patients with Heart Failure with Reduced Ejection Fraction

4. Ketone Supplements and Alcohol‐Related Responses in Rodents

Smirnova Anna
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