Long-Term Safety of Ketogenic Diets - with Dr. Bret Scher

[@dacisky]

Almost 21 years of mostly being in ketosis...I'm still here!

[@wordswords2094]

How did you hear of it 21 years ago? What was the path?

[@przemkowaliszewski3290]

Congratulations!😂

[@md82892]

@@wordswords2094 It exists for almost a hundred years as a treatment for epilepsy. It’s not something new

[@firelight-vitality]

What made you start it and who/what guided you? How strict have you been throughout these 21 years?

[@Cya-bebetter]

Thank you!

[@joannehopkins5228]

I'm a metastatic cancer patient and have been on Ketogenic diet since October 2019 1 yr after my cancer diagnosis. I also do Intermittant fasting though it's difficult to do while on treatments that force you to eat something to take the meds with. However I try to fast during my recovery periods in between the cycles. Keto has reversed my type 2 diabetes, I'm no longer on high blood pressure meds and no longer on statins either. I've also brought my weight down from 252lbs down to 180lbs and still need 20-40 more lbs to go to get to my ideal weight for my age and proper body mass. My cancer has been stable for the past year and I believe it's due to my body in more of a healthy metabolic state. My goal is to starve the cancer as it can't use ketones to feed from. The best I can hope for is to put the cancer into some form of remission. I also have totally abstained from all fructose nor do I ingest any form of extra glucose except what my own body produces. Even that is kept to a strict minimum. So I've reached and past my 5 yr cancer survival period and still going strong!

[@tadeassocha6771]

Check to that also Press pulse protocol, might help you with a keto combination.

[@joannehopkins5228]

​@@tadeassocha6771yes we saw the video with Dr. Thomas Seyfried. Unfortunately there is nobody in our country, province that knows anything or follows that protocol. Everyone here is still in the middle ages. 🤨

[@davewolken1439]

I've been in ketosis for 7 years. Never felt better. A few mild colds, nothing else. Never had covid. Haven't been to a doctor in 16 years. Highly physically active, almost daily. No meds or drugs. Real food is medicine.

[@ProdicleSon.]

Preach brother

[@zamfirtoth6441]

Eating a ketogenic diet for 7 years isnt the same as being in nutritional ketosis for 7 years. To know that, you would have had to monitor your ketones 24/7 for 7 years. I don't mean to be a dic#, but the terminology confusion is what opens a window for criticism from the high carb mainstream "gurus". I congratulate you on 7 years of the keto diet, you must feel incredible.

[@davewolken1439]

True, the skeptics are always looking for ways to confirm their biases and unexamined assumptions, often through contrived means such as relying on strawman arguments or other logical fallacies such as moving the goalposts. I'm not really interested in engaging those folks. What I know is I've consumed fewer than 30 grams of carbs (typically less than 20) every day for 7 years. If someone wants to dismiss that as insignificant for whatever reason, fine; they can do that. Whatever the details of my metabolic state and physiology, I'm content with the practical reality of being able to be as active as I want, engaging many physically intense activities while also working manual labor jobs, including a job that had me working 12 hour shifts 7 days a week. I also happened to earn a PhD while eating high fat low carb. So it works, whatever precisely is happening.

[@anankedos]

Same here, 6 years on keto, pain went away, got off most meds. Never going back.

[@BB-yw1ez]

⁠​⁠@@davewolken1439Thanks for sharing your knowledge and experience. Question: what is your PhD in?

[@wordswords2094]

Yeah, I just LOVE the way antipsychotic premature death from meds that don't even give remission is OK but the CHANCE that a diet that MIGHT cause SOME issues later on after having a clear mind for the first time....oh, that's something that has to be explored and looked at before we can prescribe it. The hypocrisy is boundless.

[@przemkowaliszewski3290]

The same seems to be true in the case of keto diet and cancer treatment: toxic immunochemotherapy - yes, keto diet - be careful or simply no, forget it!🎉

[@raqueldubya2981]

Absolutely right! I will add from my own experiences... Here's a prescription for antidepressants for your anxiety and depression - start taking these immediately following my very brief conversation with you. We have no idea how they truly work, I haven't examined or questioned you for more than 5 or 10 minutes, but do go off and start taking these really potent potentially damaging and sometimes impossible to get off pills which come with a huge array of side effects for many people, and which won't actually help your problem in many cases. Jeez. But switching up your diet to eat, really, how humans are supposed to eat, and there's need for extreme caution, monitoring, supervision etc etc. Make it make sense!

[@mcdade7489]

So well said!!💚

[@Waves353]

Exactly. It’s not Only being on them that’s damaging I was prescribed “low dose” for insomnia I’m brain damaged from it with akathisia I was functional Now I’m “crazy” and fighting for my life There’s no help, there was no informed consent and definitely no acknowledgment of the harms that these drugs are doing even off them I was not mentally ill before medication I was a productive, loving and giving member of society

[@highchief7724]

Why not ask if it is safe to stay non-ketotic long-term? Keto heals.

[@سراجمنير-ظ1غ]

I am Running 5 years in keto diet all is good.

[@ProdicleSon.]

Bravo to this man for bringing this information to the world. You and Metabolic Mind are truly saving lives.

[@alanplatt888]

I wish my Clinic had a 1/4 of your insight on insulin resistance and Ketosis

[@przemkowaliszewski3290]

It is hard to believe how low is the level of medical culture among physicians! The last plandemia has revealed that fact beyond any doubts. It was a festival of incompetence, ignorance and arrogance

[@ColineRusselle]

People wanting to be doctors study "medicine" not holistic health treatment... Information given by my doctors was so obviously nonsensical so I did my own search and found Keto. I used to rattle with all the pills they prescribed and di noting to solve any of my conditions yet a keto diet and complete ban of sugar or carbs has seen so many conditions clear up and cannot remember a time when I felt so well. I am reduced to one blood pressure pill and may well be pill free at my next doctor visit. my personal experiment concludes that we have been lied to for decades to our health detriment and keto is great.

[@cassieoz1702]

The other side of this coin is the 'holistic' 'functional medicine physician ' I went to who wanted to feed me hundreds of dollars of supplements forever; far more pills than my doc ever suggested. I gave it a 6-month good try with no discernible benefit.

[@manojm9176]

6 years and going good so far

[@MsLeenite]

Thank you, Dr Scher.

[@200Nora]

I have been on a keto and mostly carnivore lately since 2001.So far, I have no problems, and I have reverse pre diabetes. I do not know about others, but for me it has worked beautifully. Thanks!

[@JohnPhilpott-q5k]

I’m with you pretty much. I did keto but it wasn’t nearly enough for me. But being mostly carnivore has changed my life. Mental health is one of the greatest side effects. It’s so wonderful. Blood pressure is now normal. 😊

[@user-xr9db2zw7y]

@@JohnPhilpott-q5kyou mean carnivore has healed your mental illness?

[@CallejonParaGuitarra]

Thank you once again for your thorough and well founded help, I love the natural and organic aspect of keto diet and living, I switched to keto carnivore a couple of months ago and love the minimalist aspect of it also

[@anewlifestirring]

I adopted a low carbohydrate / ketogenic diet 7 years ago for insulin resistance and T2D resistant to metformin. I reversed my T2D in a few weeks and went on to lose 30 kg with no efforts at all, adopting a 16/8 or omad life style. My fatty liver has regressed and triglycerides are very low matched with a small rise in cholesterol bound fats. During the weight loss phase I would check my ketone levels (0.2 - 2.5) together with my blood sugar but I rarely do so now. With the approbation of my oncologists I continued my diet through an 8 month chemotherapy for a generalised lymphoma and the exceptional tolerance and response to this treatment was attributed by them to the low carbohydrate diet. I occasionally introduce carbs and as a result experience hunger pangs and low energy that indicates that I am still insulin resistant. Insulin resistance and carbohydrate intake is a slippery slope on which I no longer venture. A retired physician, at 79 I am back to university to study languages and I definitely believe that for me this diet improves cognition. I have recently had a lithotricy for kidney stones that were present before my diet but have increased in size and the question is whether calcium oxalate stones develop under this diet. The challenge is isolation and incredulity with my peers, many of whom have adopted this diet.

[@philais]

Im two years and going strong...

[@Flyfisher-x3t]

It's amazing that so much effort goes into trying to disprove low-carb diet benefits! Is not the opposite - a high-carb/sugar diet - the very pathway, over time, to Type 2 diabetes? Do some reading on mental decline, often termed Type 3 diabetes, as well as other metabolic ailments and then consider whether low-carb or high-carb is the better route for long-term health. A Keto Diet does not ban ANY foodsort. Choose to your heart's content, as long as daily carbs are kept within the accepted boundaries of moderation. Read the comments below for the benefits these folk have achieved, or better yet, try it yourself.

[@megan8832]

Please make a video on carnivore for mental health! The differences and similarities between how they treat mental illness

[@ThanksStJoseph]

2 yrs in keto. I did have an adjustment period where I had to increase some micronutrients. But the longer I do KETO, the better I feel.

[@sethburkhart1021]

What micronutrients?

[@ThanksStJoseph]

@@sethburkhart1021 potassium n zinc

[@user-xr9db2zw7y]

@@ThanksStJoseph did you have to add those to the diet? Did you get spasms in the limbs?

[@ThanksStJoseph]

@@user-xr9db2zw7y Yes and yes. More cramping than spasms but some spasms

[@user-xr9db2zw7y]

@ and these micronutrients solved the cramps? How much and how often you took them? Do you still need them for keto diet?

[@PiedmontFoodForest-kz9fi]

I first adopted a ketogenic diet about 15 years ago, dropping net carbs to under 30 and losing nearly 50 lbs, which brought me from Class 1 obese to normal for my height. I know now that 30-50 grams of carbs will hold my weight steady. Over that range for more than a few days and I'll begin weight gain. Under it and I'll lose. No metabolic issues and great panels. In contrast, the Dietary Guidelines for Americans recommend between 225 and 325 grams of carbs a day....TEN TIMES what I consume. No wonder nearly 40% of American adults aged 20 and over are obese. 71.6% of adults aged 20 and over are overweight, including obesity. Healthy carbs, my ass! Way to sell us out to Big Ag and Big Fast Food, Mayo Clinic and FDA!

[@K_F_fox]

Maybe I can't... but I can try. And I will try until I succeed.

[@reimaravalk7679]

this is a great point, Dr. scher, that any diet can induce disordered eating. this is not keto diet specific. in fact, what is disordered eating? any healthy dietary pattern deviating from an ultraprocessed food diet?? I have done the fodmap diet various times which is also accused of being dangerous long term and induce disordered eating. I opinion that both keto diet and fodmap diet can rectify disordered eating as both diets provide a clear eating plan for health minded individuals, containing nutritious foods that contribute to keeping people healthy.

[@saraha6237]

Thank you! Just 14 months into (therapeutic) ketosis, and wish it wasn’t 14 months but 14 years ;)

[@Popsimath]

Thanks for the info. Just bought a KT mojo meter and did a 1 day fast to get into Ketosis for weight loss. I felt great at work without eating, better than normal actually and I'm only at .6 today but my Glucose looks great at 100 and weight is down about 1 lb. I only drink water now (and black coffee) no artificial anything (or "natural flavors"...)

[@AzaleaBee]

Whole foods combined with daily fasts of 14+ hours is key. "Natural flavors" always makes me laugh.. but n9t in a happy way. Be kind to yourself and eat well (healthy and enough) when you do eat.

[@Waves353]

Can you please share if this therapy, in your experience, can help with the effects ( brain damage eg cognitive dysfunction, anhedonia, fatigue,memory issues)that medication caused and persist whilst no longer on them. Iatrogenic harm None of these issues were present prior to medication (which was prescribed for anxiety/stress) Would really appreciate some feedback/hope

[@2makeshiftwings]

Dr Matthew Phillips out of New Zealand might be helpful with these questions. (?) I hope you can get the answers you're looking for.

[@metabolicmind]

We are not aware of any studies that have specifically looked into this. But since ketosis tends to help the brain function "better" in many ways, its plausible that it could help.

[@Waves353]

@@metabolicmind thank you

[@LowCarbLowDrama]

Can I eat real human specific food? Is it safe to naturally burn the fat on my organs that drives all-cause mortality? Is it more advisable to consume the foods that caused your illness in the first place rather than those that are reversing the harm caused by your previous dietary choices? Beyond 😮

[@powerguiller]

AI from chat gpt is more artificial than Beyond Meat😂

[@LowCarbLowDrama]

@@powerguiller yep, just as ludicrous

[@taavetmalkov3295]

well adressed details!

[@mattm1686]

Is it safe to eat real food all the time that doesn’t come out of a package or box?

[@pisquiatria.metabolica]

Excellent compilation! It´s gonna be a great "handout" to patients!

[@Ground-l2l]

I was keto for about one year but was always dehydrated and I did everything I could. After all I decided to add carbs back in form of fruits, honey, some vegetables, raw milk and sweet potatoes. Now its a bit better but still I'm dehydrated. Really, don't know what to do now.. My hormones are imbalanced for sure but I really don't know how to fix this issue..

[@Prince_Charming_1]

Add electrolytes like Potassium, magnesium and sodium will hydrate your body.

[@bother222]

I'm temporairly geting out of ketosis to get my bloodwork because I'm hyperresponder so I have to lower my LDL. Than I'm back again!

[@joannehopkins5228]

My husband is also a hyperresponder! He's got the same problem with LDL. Only doing the carb up to appease the GP and bloodwork to look good so GP doesn't freak out. Wants him to go on high dose statins. No way José!!.

[@leam1425]

Ouch I had a cheat day yesterday, im so unwell. I don't think I can stop Keto.

[@DrTonyHampton]

After following Dr. Eric Westman's research and clinical experience since 2002. It appears, ketogenic diets are safe

[@awaken69]

i was keto for over 15 years. recently added some carbs back (ca. 75-100g) to recover the tanked libido and to restore carb tolerance. previously on keto, when i added some fruit or rice, my physical performance immediately crashed for a few hours (-> a consequence of insulin suppression on keto). also SHBG is higher in keto, which means lower free Testosterone. since adding some cabs back, my strength in the gym increased between 30-50% depending on the exercise!

[@user-xr9db2zw7y]

Is keto helping you?

[@kathynewkirk683]

Actually, keto manages my eating disorders….

[@barbaramartinetti]

Dr. Scher....Will Metabolic Mind be presenting info at the John Hopkins Schizophrenic Conference on June 25, 2024? Hope so.

[@metabolicmind]

Sorry, we won't be at that one. But we can put it on our list for the future. Thanks!

[@Cuckoograham]

There are no essential carbohydrates, so if you want to optimize your nutrition, then ketosis is the ideal metabolic state for humans

[@blackswanrising2024]

Body has to raise cortisol to make carbs, not good

[@awaken69]

but there is a physiologic need for periodic insulin spikes.. look it up. best to stay in keto most of the time, but add back some carbs every few days to keep insulin signaling going long term.

[@JohnPhilpott-q5k]

Carnivore has no bad side effects long term but there’s still some people who refuse to accept that

[@blackswanrising2024]

@@JohnPhilpott-q5k high nadh, reductive stress, high cortisol, slow metabolism

[@JMFHOriginal]

In the past on keto my ldl went up. Not sure hoe much. I’m back on it and wonder what your recommendations are for top end ldl if triglycerides are low?

[@metabolicmind]

Thanks for your question. The answer is going to be very individualized. But here's an interview we did with lipid expert Dr. William Cromwell. It may help with a broader perspective. kzbin.info/www/bejne/oKrFgZhqbcd6qrs

[@kimnewton8694]

it just getting attacked because its so amazing medical intervention, and will put the drug companies out of business. It has cleared my mind of depression I dont find it restrictive. Once in a while have some organic roasted potatoes with the skin on cooked in olive oil and boy do i enjoy this!! i find been sick more restrictive I feel great and its only been 1 and half years for me

[@MichaelBLive]

Great topic and points here. In regards to managing bipolar symptoms, cycling when going into ketosis can be challenging so being in or out long term or not is an important discussion. I would also like to add that a nutritionist on your care team is highly recommended. Cheers, Michael

[@danizobin6717]

Can you review a recent article suggesting problems with long term use of the ketogenic diet ? it is titled " A long-term ketogenic diet accumulates aged cells in normal tissues, study finds " (not putting the link here as i am not sure it will pass through

[@metabolicmind]

Here are a review that may help x.com/nicknorwitz/status/1796530261078778310

[@danizobin6717]

@@metabolicmind thank you

[@ArchieArpeggio]

You forgot the best source of vitamins and nutriens in ketogenic diet and that´s eggs. Ketosis doesn´t stop after 6 months unless you start to eat carbs again. I´ve been on keto for 15 months now and only times i have dropped off ketosis were at the begining when i ate too much carbs couple times. Even that i had fat adabtation, i couldn´t eat much of carbs without falling off ketosis. Now after several months of keto i can eat more carbs but i just don´t. I still try to limit my carbs for 20 grams per day. But if i eat more that means that i´ve eaten alot of vegetables and some of those carbs are fiber that does not absorb in the body.

[@andrewrivera4029]

Burning fat for fuel is the best way to ensure metabolic health.

[@fractal4619]

But what about potassium and other micronutrients not mentioned here? I am a huge proponent of Ketogenic but it must be accompanied by supplementation. My brain feels great but I lose my hair en masse and am deficienct in several vitamins and minerals when on it

[@metabolicmind]

Thank you for your comment. Most people eating an omnivore keto diet get all the nutrients they need. For example, meat and avocados are both very good sources of potassium. And since leafy greens, above ground veggies, and nuts are compatible with a keto diet, many can achieve all the nutrients they need. Of course, there is some individual variation, which it sounds like you experienced. Sometimes working with an experienced dietician can be helpful to see if there are any changes someone can make or help tailor supplementation as needed.

[@eugeniebreida1583]

If you’re quite skinny (no body fat) take er easy… keep some gut biome helpful carbs in there, to level out high cortisol = sleep better. (I eat on keto side, but can’t sleep on very high fat/carni/very low to no carbs) Besides Vit D & Mag etc, NATTO is my idea of ‘must-do’ supplements. No grains, processed, nightshades etc. I sneak in 1 tbsp org cream w/morning coffee, but would be Much better off if I could wean from both . . . (yes, coffee raises cortisol)

[@Man-u-flex]

You can supplement with l-tryptophan for sleep when on keto if you have sleep problems.

[@CraigMoxey-b1g]

Don’t forget K2-7 with the Vit D

[@eugeniebreida1583]

@@Man-u-flex It works for some, for me trypto only works for sleep when tucked into a large Turkey meal, w/plenty of dark meat, unfortunately. Any more tips on dosage etc very welcome. But pretty sure tryptophan does not work directly on high cortisol, simply raises melatonin release. A start, but cortisol is not easily subdued.

[@rawmilkmike]

Hey, doc. You do not mention any carnivore sources of vitamin E. The fat in meat, poultry, fish, and dairy are all good sources of vitamin E.

[@WinterGK]

It was a bit shocking to hear you quote from WHO that the evidence on the long-term health impacts of vegetarian and vegan diets remains incomplete. I was shocked because we have so much data on the Adventist Chistians who have death records back to the early 1900s and are currently the longest living culture on Earth. I found the quote on the WHO site and it is over a document attempting to answer this question, and it does by recommending plant based diets. All health organisations I can find have no doubt that plant based diets have no rivals regarding health statistics and research.

[@robynf.617]

“Yeah, if you’re not eating low carb, it’s not going to work.” 😂😂😂 duh

[@Coral_dude]

conclusion should be titled outro

[@aliciaschultz2874]

Can a person with hypothyroidism safely do medical keto?

[@tomasamsalu5368]

Have u had a keto flu affecting ur hypothyroidism?I started keto and I guess an having hypothyroidism symptoms got checked and tsh was normal that's why I asked

[@susiewensley4881]

Look up Dr Ken Berry and Dr Eric Berg on keto and thyroid. Lots of people have success with keto for thyroid, but read up first so you know how to do it healthily. Also, make sure you getting your thyroid numbers tested regularly so that any adjustments to your medication can be made. I have hashimotos and have only been keto for a month or so and my antibodies are coming down for the first time ever (I’ve had hashis for decades).

[@metabolicmind]

Hypothyroidism is not a strict contraindication to being in ketosis. Although, as with any medical condition, closely working with one's provider is important. Any Berger did a detailed dive into keto and thyroid health. Here's a link, We hope it helps! www.tuitnutrition.com/2017/10/thyroid-intro.html

[@matslindfors2969]

Bret, you always say that "You always have to ask your medic.." but i am sorry to say that almost the entire doctors are old-school and can not not give the right advice that i need. They always want to set you on prescription, so why dont you stop saying so? Im on my third clinic in a short time and they are all the same, both doctors and the dietists. Now i am not allowed to change clinic in 12 month (un Sweden) but its no better to change to another clinic..... Stop saying this all the time Bret!

[@RC-qf3mp]

Dr. Scher is a physician and has to abide by professional ethics of the medical profession. He is compelled to abide by those rules, which no doubt include something to the effect that he can’t just give medical advice to people wily-nily if they aren’t his patients and if he hasn’t gone through the long list of medical issues a particular person has and knows what drugs and supplements they are taking and what interactions there could be. There are plenty of people who also need to be on other kinds of diets for their health issues - like an anti-histamine diet, or a diet rich in some nutrient that they lack, or a diet that avoids all kinds of allergens, or a diet that doesn’t interact with some life-saving medication.

[@zamfirtoth6441]

Doctor, is there ANY solid evidence that plant phytonutrients benefit humans in any way, or is it just for the plants benefit....maybe I'm confusing it with plant antioxidants.

[@zamfirtoth6441]

Utube shows that I'm not subscribed, I'm sure I was. I guess I'll do it again....geez with these times of censorship we live in

[@metabolicmind]

This is one of the most comprehensive reviews of phytonutrients I've seen. And still, a lot of the data is inferred rather than direct. www.ncbi.nlm.nih.gov/pmc/articles/PMC9102588/

[@JohnPhilpott-q5k]

Well the question is just stupid. There is no reason why not. What you should be asking is is it safe to eat the government recommended food pyramid long term.

[@blackswanrising2024]

Reductive stress is main reason to avoid, high cortisol, high nadh

[@smacker360]

Why worry about LDL.

[@jamescalifornia2964]

NO🚫STARCH

[@emosag]

I feel like I eat more nutrients on keto than I ever did before.

[@metabolicmind]

That's such a great point. Some diets focus on calories and less on nutrients, whereas keto, almost by default, tends to be a higher nutrient diet.

[@jamescokl3]

If it helps imflammation, why is the high omega 6 levels not causing it?

[@metabolicmind]

Sorry, I'm not sure I understand your question.

[@jamescokl3]

@metabolicmind keto helps inflammation, and omega 6 causes it, and yet people write online the endless benefits. Many complains are inflammatory conditions that they don"t have anymore after following the diet. Yet it's high in omega 6, which is inflammatory. It's confusing.

[@metabolicmind]

Are you saying a keto diet is high in Omega 6? I just want to make sure I understand, But if that is what you are saying, I would have to disagree. Most Omega 6s in the industrialized world come from seed oils and processed/packaged foods, both of which most people in ketosis avoid. So it tends to be a low Omega 6 diet.

[@michaelvrbanac6923]

Ketosis is the natural state of metabolism. Read people!

[@LittleRadicalThinker]

0:22 Everyone should be in ketosis long term, it's just our natural homeostasis state.

[@Nicole-xd1uj]

Eating meat and vegetables long term is unhealthy...what????

[@vickimartin7601]

😃

[@luckyhanger1326]

I suppose it depends on the type of ketogenic diet, Lots of saturated fat probably not great. Mother nature spoke about ketosis in the Inuit, who have a gene that keeps them from going into ketosis. They also have pretty short-lived lives.

[@RC-qf3mp]

Inuit have zero heart disease which is the #1 killer for Americans for the past several decades. Traditional Inuit do not have ‘short lived lives’, and when they do die, there’s no evidence that ketosis has anything to do with it. Yet, your comment contradicts itself - if Inuit have a special gene so that they can eat low carb without getting into ketosis, then they are not on a ketogenic diet (according to your speculation), and if they are not on a ketogenic diet, then how is it “Mother Nature” has ‘spoken’ about them with respect to ketosis? If what you say is true, then Inuit diet has no relevance to the topic of the video - ketogenic diet’s long-term safety - b/c the Inuit, according to you, don’t eat a ketogenic diet. A keto diet is a diet that induces ketosis; if Inuit can’t get into ketosis, then they aren’t on a keto diet. Inuit also don’t have heart disease, which is the #1 killer of Americans for decades. Congratulations on managing to pack in so much nonsense with so few words. Well done! 👏

[@urielwong]

👍👍🙏

[@charliepan4055]

What would convince me even more, the research of children taking ketogenic for long times. Isnt there a lot of evidence now?

[@metabolicmind]

Many of the kids who are on keto for epilepsy only need to take it for a few years, and they can get sustained seizure suppression. That is not always the case for metabolic or mental health. But we are curious where the evidence is stating long term keto is harmful. We haven't seen it.

[@kingakalinowska7854]

I'm afraid of losing water and glycogen stores 🥺

[@cassieoz1702]

Your body establishes a different (but not problematic) balance point for body fluids. Why are you worried about glycogen? Liver glycogen or muscle glycogen

[@kingakalinowska7854]

@@cassieoz1702 especially liver. I have a child with type I diabetes, so I know what hypoglycemia looks like and it is terrifying for me. My endocrinologist told me that low carb is ok, but keto is not necessarily for me 'because I will faint'

[@cassieoz1702]

@kingakalinowska7854 Utterly different from anything to do with Type 1. The whole point of becoming fat adapted is that, having low carbohydrate stores DOESNT cause symptoms because your brain/body are still fully fuelled with fat and ketones. I can understand caution if you take some meds but if you are otherwise well, I can't see why you'd faint. I'm an MD and have treated hundreds with low carb and keto diets, many because their endocrinologists don't understand the metabolism of ketones at all.

[@chriss4949]

@@kingakalinowska7854 change your doctor and drink broth every couple of days

[@danielduan2134]

You don’t want losing weight all the way! In long term, you want to stabilize your weight!

[@Carnivore1959]

The body is amazing....it will stabilize on its own even if maintaining a keto way of eating.

[@ausmiku]

Please stop focusing on sick people and give us normal folk some useful information. Most of us do to have mental illnesses or metabolic disorders. You are losing lots of viewers.

[@keremmorgul367]

I’d guess the long term effects of Keto diet depend largely on what types of food an individual replaces their carb calories with. If you eat a ton of red meat everyday, that could really be bad for your health.

[@billyhw5492]

"Red meat" is not a scientific category.

[@johnmartinsen963]

Tell that to Anthony Chaffee MD...

[@LowCarbLowDrama]

Could you please provide any published interventional studies, not epidemiological "turds," that demonstrate a direct causal relationship between meat consumption and negative health outcomes? I have conducted an extensive literature review and have not yet identified any such studies. If you are aware of any, I would greatly appreciate your sharing them here. Cheers

[@cassieoz1702]

Why?

[@keremmorgul367]

@@LowCarbLowDrama Calm down champ! Studying the long-term health effects of any factor using randomized and controlled experiments is extremely difficult for obvious reasons. Given the scarcity of such data, we should not dismiss the findings from meta-analyses of observational studies. That's why I said, "it could", not "it definitely would."

[@altosack]

So, I’m a bit curious of what they consider long term… is two million years long term?!?