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: On a standard diet, the human body relies on glucose derived from carbohydrates as its primary source of energy. When carb intake is restricted to under 20 to 50 grams per day, the liver begins converting stored and dietary fats into organic molecules called ketones , which replace glucose as the main fuel source.

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In high-stress work and lifestyle conditions, chronic cortisol spikes suppress the body's natural reproductive drives. Ketosis helps stabilize blood glucose fluctuations, eliminating the physical stress response caused by frequent sugar crashes. Lower perceived biological stress correlates directly with an improved autonomic nervous system balance, pivoting the body away from "fight-or-flight" and back toward reproductive homeostasis. : On a standard diet, the human body

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Conversely, a very strict or poorly planned keto diet can be counterproductive for fertility. The protocol can lead to nutrient gaps, including a deficiency in folate, which is critical for early fetal development. Moreover, the physical stress of a strict diet and the potential for calorie deprivation can add another layer of hormonal disruption, which is the last thing a woman trying to conceive needs. For this reason, a stepwise approach of gentle carb reduction is often recommended over a strict keto diet for fertility purposes.