Is A Keto Diet Safe For High Cholesterol

How Genetics Plays A Part

High Cholesterol on a Ketogenic diet? Dr.Berg on Keto and Cholesterol

While the ketogenic diet may be safe for most people, it might not be healthy for others to follow. A ketogenic diet could increase LDL cholesterol levels in some people at high risk for heart attack and stroke.

In particular, people with an inherited condition called familial hypercholesterolemia should always consult with their healthcare provider before trying a ketogenic diet. Familial hypercholesterolemia is marked by very high LDL cholesterol levels and an increased risk of premature heart disease. The American Heart Association has state that only 10% of people with familial hypercholesterolemia are aware they have it.

Additionally, some people have a rare genetic condition that affects how LDL particles are regulated, causing high LDL cholesterol levels. The genetics causing this response isnt completely understood, but the APOE gene, which provides instructions for making a protein called apolipoprotein e, may be one of several factors involved. People who have this inherited genetic condition should avoid the keto diet.

Ketogenic Diet In Diabetes

One small study had 11 women with type 2 diabetes follow a ketogenic diet for 90 days. After the 90 days, results revealed an increase in HDL cholesterol, a decrease in triglycerides, and no significant changes in LDL cholesterol among participants. Additionally, the study showed decreased body weight and blood pressure.

Why Is My Bad Cholesterol High On Keto

Even though keto is typically good for lowering your bad cholesterol levels, there are still some things you can do to counter this effect. A ketogenic diet works differently for everyone. What one person can get away with can knock another out of ketosis and wreak havoc on cholesterol levels.

If a visit to your doctor has shown your LDL cholesterol levels have increased, try these four tips before giving up on keto completely.

Tip 1: Stop Drinking Coffee

Okay, I just heard you gasp as you read that. Before you freak out, let me explain. Im not telling you to stop drinking all coffee. The coffee Im referring to specifically is high-fat coffee, most often referred to in keto as bulletproof coffee.

Personally, I love bulletproof coffee. It keeps me feeling full and has so many benefits that people on keto can appreciate. With that said, everyones body reacts differently, so if you see a cholesterol spike, this should be the first place you look.

Since youre adding things like butter, MCT oil, or coconut oil into your coffee, youre getting a large amount of fat. This isnt usually a problem, but if youre drinking the bulletproof coffee because youre not hungry but think you need to consume something, it could be messing with your LDL.

Switch over to regular coffee for a while and see if your cholesterol levels even out a bit.

Tip 2: Eat More Low-Carb Plant-Based Foods

Some of the best options to reduce your bad cholesterol are:

Tip 3: Dont Eat If Youre Not Hungry

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Is The Keto Diet Safe For High Cholesterol

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If You Have High Cholesterol Should You Avoid Keto

Pin on KETO

Having high cholesterol doesnt automatically disqualify you from keto. Were seeing really good cardiovascular results from a keto diet, says Susan Ryskamp, RDN, clinical dietitian at Michigan Medicines Frankel Cardiovascular Center in Ann Arbor.

Doctors will want to look at the overall picture with the goal of improving biomarkers like triglycerides, A1C, blood pressure, and body mass index . On keto, if patients lose weight, get their BMI closer to, if not under 30 , and these biomarkers improve, we feel theyre at less of a cardiovascular risk, says Ryskamp.

If a patient has severely elevated triglyceride levels upwards of 1,000 mg/dL then Ryskamp would likely suggest another diet first. But a triglyceride level of 300 may still be a go, with close monitoring and frequent lipid checks. Most of the patients I see can safely go on keto, she says.

The fact is, says Ryskamp, people start down the road to heart disease in different ways , and cardiovascular patients respond uniquely to treatment. Not everyone will want to go on keto, but it may be recommended for some, she says. As a Clinical and Scientific Debates on Atherosclerosis points out, keto is not the only option. Other diets are as effective, more sustainable and safer, the authors write. The AHA still recommends a plant-based diet high in fruits, vegetables, legumes, whole grains, and lean vegetable or animal protein.

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Does The Keto Diet Have Benefits For Cardiac Patients

I do not know of any high-quality dietary studies that consistently show ketosis is helpful in human hearts, says Dr. Tang. However, there have been some exciting new data that may point to potential benefits in subsets of heart failure patients. So, our group and others are actively studying this to see if there is any new dietary intervention opportunity for some patients.

Can the keto diet cause heart issues? Dr. Tang fears some people who have heart failure doing a ketogenic diet might have increased risks of:

  • A spike in LDL cholesterol.
  • Dehydration.
  • Kidney failure.

In general, if you have heart failure, youre more likely to develop a blood sugar abnormality. And with keto dieters consuming high levels of fat and protein, its hard to determine when it turns from healthy to harmful.

Recommendations for heart patients on the keto diet

Its possible some patients might benefit from the keto diet, but some might get worse, says Dr. Tang.

Because of the potentially harmful effects of the keto diet on heart patients, Dr. Tang and other heart failure specialists advise taking a less-strict approach.

For heart patients, Dr. Tang recommend:

  • Eating a balanced diet that contains complex carbohydrates, unsaturated fats and lean proteins.
  • Controlling portions.

Keto May Harm People With A Genetic Mutation That Affects Ldl Regulation

Where things get possibly dangerous is if youre one of the people who has an inherited genetic mutation that affects the way LDL particles are regulated. If these individuals follow a keto diet, their LDL levels can skyrocket, says Soffer. This result doesnt happen often enough to skew overall results in population studies, but what matters most is the effect the diet has on your individual health. Its a long-recognized phenomenon that hasnt been published well, he says, adding that the genetics that drive this response arent completely understood.

You may not be aware that you have a preexisting genetic mutation, also called familial hypercholesterolemia . In fact, as the AHA notes, for people with FH, only 10 percent know they have it. Being aware of your family history, including members who have had a heart attack at a young age, is important and can help point your provider in the right direction. In some instances, research shows that a low-carb diet may actually be beneficial for those with FH who also have insulin resistance, suggests an analysis published in BMJ Evidence-Based Medicine in July 2015. This is not something to tease out on your own. Instead, its just another reason why you should talk to your doctor about a dietary change, particularly if you have other health conditions, like high cholesterol.

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Keto Diet And Cholesterol: Does It Help Or Hurt

By Jillian Levy, CHHC

Given the fact that the ketogenic diet is a high-fat, low-carb diet one which emphasizes foods like coconut oil, butter and meat this leaves many people wondering: Is the keto diet bad for your heart? Despite what you might think, the keto diet has actually been associated with improvements in cardiovascular health.

Is the keto diet safe for someone with high cholesterol? Because keto is rich in fats, including saturated fat and cholesterol found naturally in animal-derived foods like eggs and meat, many people will experience an increase in cholesterol after beginning the keto diet. However, studies suggest the connection between the keto diet and cholesterol is actually positive.

Recently, weve come to understand that higher cholesterol isnt always a bad thing, and rather that experiencing chronic inflammation as well as elevated triglycerides, due to causes like an overall poor diet, insulin resistance and unhealthy lifestyle, is likely a much bigger threat.

What Is The Least Amount Of Fat I Can Eat While On Keto

Correcting High Cholesterol and LDL Cholesterol on Keto Diet Dr.Berg

My blood sugars are not going down, although my oral monitor often has me at 0.1 . Typically 20-25 carbs, 120 g fat and 80 g protein. I am 71 years, old take no medications, moderately active, tried IF but dont think you can get all the macros I need in one meal. I would like to know the LEAST amount of fat I can consume and be healthy. I am a retired RN and all that fat makes me nervous. The only processed food I eat is keto bars. No sugar, flour or grains since October 4th. I want my blood sugars below 95 .


Hi Richelle!

If you have excess body fat stores, you dont necessarily need fat energy from food, as long as you can live off your fat stores.

However, you do need some essential fatty acids, omega 3 and omega 6. Its also wise to eat some fat every day to avoid getting gall stones.

Finally, eating too little fat might result in hunger and fatigue. But again, you dont necessarily NEED much.


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The Bottom Line On Trying The Keto Diet To Lower Cholesterol

If you have high cholesterol or triglycerides, speak with your medical team first before embarking on a keto diet. If you get the green light, continue to seek their help. There are a lot of popular books out on how to follow a keto diet, but I think patients need additional support and guidance and ongoing conversations about if its working for you, says Ryskamp. Its a tool that someone can use to improve their health, but it may not be the right tool for them, or the right tool the way theyre doing it, she says.

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How Much Sodium And Cholesterol Do You Consume On Keto

There are no specific guidelines for how much sodium and cholesterol should be consumed while following a ketogenic diet.

The Dietary Guidelines for Americans recommends that healthy adults consume less than 2,300 milligrams of sodiumequal to about 1 teaspoon of table saltper day. The dietary guidelines do not list specific limits on dietary cholesterol, as recent research has shown that dietary cholesterol doesnt have as much of an effect on blood cholesterol as once thought.

However, it is important to note that many foods high in cholesterol are also high in saturated fat and, in effect, may increase the risk of heart disease due to the saturated fat content. Two exceptions to this are eggs and shrimp. Because of this correlation, it might be wise to limit the amount of foods you take in that are high in both dietary cholesterol and saturated fat while following keto.

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How To Do A Low

This diet is advised for those with high cholesterol as it is a practical and healthy approach. It has been one of the trending diets in recent years. You will need to limit your carbohydrate intake to reduce your blood sugar levels. It has been one of the trending diets in recent years. To reduce your blood sugar levels, limit the number of carbs in your diet no more pizza or beer for breakfast! If you do eat some carbohydrates, go with something low-carb like a salad rather than potatoes. Additionally, it is important not to drink alcohol while on this type of diet because doing so will cause weight gain due to all those extra calories. By making these adjustments to your diet and sticking with it for a month, you can have a lipid profile test done. This will tell you if there was any significant change in cholesterol levels from the changes made or not which is very crucial information when working on lowering blood pressure numbers that are too high.

Effect Of Saturated Fat

A review of low-fat diets versus low-carb, high-fat diets greater than 12 months long looked at the effects on cholesterol levels in overweight or obese people.

Researchers found that decreases in total cholesterol and LDL cholesterol levels were significantly more noticeable in those following low-fat diets. In contrast, an increase in HDL cholesterol and a reduction in triglyceride levels were more apparent in high-fat-diet participants.

Whether cholesterol increases or decreases largely depends on how the very-low-carbohydrate ketogenic diet is followedparticularly with the types of fats consumed.

The study authors further found that in high-fat diets, decreased total cholesterol levels were associated with lower intake of saturated fat and higher polyunsaturated fat intake. In comparison, increased HDL cholesterol was related to a higher intake of monounsaturated fat.

Lower saturated fat intake was marginally related to lower LDL cholesterol levels. Additionally, increased triglyceride levels were associated with higher intakes of carbohydrates.

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Pattern A Vs Pattern B Ldl

A relatively newer concept when it comes to looking at cholesterol is actually the difference between LDL particle sizes. The type of LDL you have in your body actually makes a huge difference in the amount of risk for heart disease that it presents .

Pattern A LDL actually has a larger particle size. So, one LDL particle that is pattern A is larger than a single particle of LDL that is pattern B. Pattern A LDL also tends to carry more fat-soluble nutrients and antioxidants. These antioxidants protect it from oxidative stress, making them cardioprotective.

Pattern B LDL, on the other hand, has a much smaller particle size and is much more prone to oxidation. Another thing about pattern B LDL is that it is small enough to enter into the endothelial lining of the artery where it can become oxidized and more likely to form plaque. There is a high association between these small dense particles and cardiovascular disease.

This means that two individuals with the same LDL, HDL, and Triglyceride levels could have vastly different heart disease risk depending on what type of LDL they are predominantly carrying in their blood. A ketogenic diet has been shown to reduce the number of pattern B LDL particles .

Different Types Of Ketogenic Diets

Why High LDL Cholesterol on the Ketogenic Diet? Dr. Berg

The word “ketogenic” originates from the words “ketos”, meaning a substance that could be reduced to fat, and “gene”, meaning “creation”. In this context, it refers to the process of hydrolysis of fats, which converts fatty acids to ketones, using the enzyme ketone body dehydrogenase. In the presence of glucose, ketone bodies in the blood are rapidly oxidized to form carbon dioxide and water.

  • Standard ketogenic diet

    This is a very low carb, moderate protein and high fat diet. It typically contains 70% fat, 20% protein, and only 10% carbs

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What Is A Ketogenic Diet

A ketogenic diet primarily consists of 80-90% fat, 10-20% carbohydrate, and 2-5% protein, and is practiced by many for weight loss, type 2 diabetes, epilepsy, and seizures.Weight loss can be a goal of people on a ketogenic diet, but the diet’s popularity has led to an ethical debate over who should be encouraged to eat the diet.Some say that, while a diet should help the overweight and obese lose weight, a ketogenic diet may be dangerous to the health of those without serious medical conditions, since it contains such low levels of carbohydrates.

  • Acid Reflux

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