Is The Keto Diet Safe
The keto diet could cause low blood pressure, kidney stones, constipation, nutrient deficiencies and an increased risk of heart disease. Strict diets like keto could also cause social isolation or disordered eating. Keto is not safe for those with any conditions involving their pancreas, liver, thyroid or gallbladder.
Kleinman said someone new to the keto diet can also experience whats called the keto flu with symptoms like upset stomach, dizziness, decreased energy, and mood swings caused by your body adapting to ketosis.
How Do You Know Your Carbs Limit On Keto Diet
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Ketoacidosis Vs Nutritional Ketosis
Ketoacidosis is an abnormal abundance of fat metabolism that results in an acidic level of ketone creation. This is triggered when insulin is not present or naturally produced, even at low levels, to regulate the production of ketones and high blood sugars.
Ketoacidosis will NOT occur with nutritional ketosis, unless an underlying absence of insulin stemming from condition such as type 1 diabetes or pancreatic issues.
Nutritional ketosis is naturally regulated and keep your blood ketone levels within a healthy and beneficial range without ever achieving an acidic level.
Even if you were to complete a full fasting period of 30 days, levels would likely not exceed 8-10mmol/L of blood ketones .
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How A Keto Diet May Influence Cholesterol
There has been some research done on low-carbohydrate diets and their effects on cardiovascular health. It can be hard to draw specific conclusions on the topic, though, because many of the studies are short term , are of a small sample size, and examine different variations of very-low-carb diets.
Nevertheless, we are starting to understand a little bit more about how very-low-carbohydrate, or ketogenic, diets may affect cholesterol levels. Below is a summary of some of the research studies.
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Is The Keto Diet Good For Your Blood Pressure
Research shows that blood pressure is a crucial indicator of your risk of developing cardiovascular diseases. If left untreated, high blood pressure can really take a toll on your heart and vascular health and make serious complications more prevalent.
Fortunately, diet can be used as an effective tool for reducing blood pressure. Evidence shows that keto may be one of the best approaches for managing high blood pressure. More specifically:
- Studies indicate that low-carb diets are more effective than both higher-carbohydrate diets and a low-fat diet coupled with weight loss medication that also lowers blood pressure.
- One study found that a ketogenic Mediterranean diet high in healthy fats, fish, and vegetables may have an even more substantial impact of blood pressure levels. The blood pressure reduction achieved with this dietary approach was similar to the results achieved in trials on the DASH diet .
If youd like to learn more about blood pressure and the keto diet, check out our article titled Can a Low Carb Diet Lower Blood Pressure?
Ketos Impact On Your Health
Lets get back to the butter and red meat and not eating carbohydrates, which would have anyone with a baseline knowledge of cardiovascular disease and heart attack asking, Is the keto diet bad for your heart? It seems like a low-carb, high-fat diet would be bad news for your ticker , but that may not be the case.
In fact, one 2017 review of studies published in the journal Nutrition found that a keto diet could improve HDL cholesterol levels, as well as reverse the course of Type 2 Diabetes by controlling blood glucose levels. In addition, the ketogenic diet has been proven as an effective dietary treatment plan for some patients with epilepsy, and some studies suggest it could help treat symptoms of Alzheimers disease and Parkinsons disease. That said, most experts agree that more research is needed, and that the improvements in cardio risk factors may be limited.
The Key-to Keto:Best MCT Oils, According to Keto Pros!Certain research also suggests that the ketogenic diet may have some adverse side effects, including potential kidney and heart complications . In addition, there have not been enough studies conducted over more than 2 years to determine the long-term effects of the ketogenic diet, which means we cant be certain how producing more ketones may affect the body or the heart over a period of multiple years.
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How Does Keto Affect Your Arteries
How the keto diet affects your arteries depends on your individual health and the types of fats consumed while on the diet. Saturated fats have been shown to negatively affect your cholesterol levels mainly by increasing your LDL cholesterol levels. This can contribute to plaque buildup in your arteries.
However, unsaturated fats have the opposite effect on heart health by decreasing LDL cholesterol and increasing HDL cholesterol levels. This can improve your heart health, decreasing your risk of heart attack and stroke.
Consult Your Doctor Before Starting A Keto Diet
Regardless of their health status, all patients should consult their doctor before going on the keto diet.
The reason: to rule out any existing concerns or ailments that could make the approach harmful to their heart or the rest of their body.
A small subset of people appears to experience increased cholesterol levels on a low-carb diet, so a family history of heart disease should be discussed.
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Keto Diet And Cholesterol: Does It Help Or Hurt
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.
The Ketogenic Diet Can Help Prevent Cardiovascular Disease In People With Chronic Kidney Disease
Chronic kidney disease directly increases the risk of cardiovascular disease , and cardiovascular disease increases the risk of CKD.
Research has found that:
There is mounting evidence that chronic kidney disease itself is a major contributor to severe cardiac damage and, conversely, that congestive heart failure is a major cause of progressive chronic kidney disease.
Thats why a diet that can help improve both conditions is beneficial.
You just learned how keto can improve kidney disease, so now lets look at how it reduces the risk of heart disease:
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What Is Coronary Heart Disease
Our blood does not just irregularly move around our bodies. It is carried by tubes of arteries and veins that are attached to the heart. Our body needs a steady supply of blood to keep it working. The blood delivers oxygen to all the bodys cells. In order for us to stay alive, we need healthy cells. If our oxygen-rich blood doesnt circulate in our body as it should, a person may experience chest pain or discomfort. This is usually one of the common symptoms of coronary heart disease.
Coronary artery disease or sometimes called coronary heart disease is the narrowing of the blood vessels that supply blood and oxygen to the heart. It is caused by the buildup of plaque in the wall of the arteries which reduces the blood flow and in some instances, block it altogether. This condition is called atherosclerosis. Plaque is made from various substances that include calcium, fat, cholesterol, and many more. When the buildup is too much, a person may then experience chest pain and shortness of breath, which might eventually lead to a heart attack.
It’s Advertised As A Weight
In the world of weight-loss diets, low-carbohydrate, high-protein eating plans often grab attention. The Paleo, South Beach, and Atkins diets all fit into that category. They are sometimes referred to as ketogenic or “keto” diets.
But a true ketogenic diet is different. Unlike other low-carb diets, which focus on protein, a keto plan centers on fat, which supplies as much as 90% of daily calories. And it’s not the type of diet to try as an experiment.
“The keto diet is primarily used to help reduce the frequency of epileptic seizures in children. While it also has been tried for weight loss, only short-term results have been studied, and the results have been mixed. We don’t know if it works in the long term, nor whether it’s safe,” warns registered dietitian Kathy McManus, director of the Department of Nutrition at Harvard-affiliated Brigham and Women’s Hospital.
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New Research Suggests Ketones May Benefit People With Heart Disease But That Doesnt Mean The Same Goes For The Keto Diet
Chances are you have a friend or family member who swears by the benefits of the on trend keto diet.
The diet involves eating as few carbs as possible, so your body is forced to enter a metabolic state known as ketosis where its burning fat stores rather than the blood sugar that comes from carbohydrates.
Can Ketones Help Your Heart
The study, published in the Journal of the American College of Cardiology, found ketones might benefit patients with heart disease, still the leading killer worldwide.
In severe heart disease, the failing heart seems to reprogram its metabolism to rely on ketones as a source of energy, Dr Chong says.
She added that the review also found ketones might have positive effects on other common cardiovascular risk factors like body weight, cholesterol and inflammation.
- Good for the ticker:The best veggies to help keep your heart strong
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Ketogenic Mediterranean Diet With Phytoextracts
An Italian study in 2019 looked at 106 overweight or obese people who ate a diet known as the ketogenic Mediterranean diet with phytoextracts and took a daily multivitamin supplement over six weeks. Subjects were allowed to consume unlimited calories in a diet made up of green vegetables, olive oil, fish, meat, and other high-quality proteins, along with specific food supplements and herbal extracts.
The results showed a significant decrease in body mass index , total cholesterol, LDL cholesterol, triglycerides, and blood glucose levels. There was also a significant increase in HDL cholesterol levels.
Final Thoughts On The Keto Diet And Cholesterol
So does the keto diet raise cholesterol? It can due to the high-fat content of the diet, however, the keto diet overall has positive effects on cardiovascular health markers.
The bottom in is that instead of focusing so much on cholesterol levels, its a better idea to tackle chronic inflammation. Inflammation is the primary cause of atherosclerosis, or hardening and stiffening of arteries that accompanies plaque deposits and increases risk for heart attacks.
If youre following the ketogenic diet, what are some ways you can take care of your heart and keep chronic inflammation at bay?
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What Kind Of Relationship Should You Have With Food
An individuals goal should instead be embracing a lifestyle change instead of a diet, which is more sustainable over a long period of time, expresses Dr. Dougherty. A well-balanced diet, which is high in vegetables and lean meats and low in processed foods, in addition to portion control and daily physical activity has more evidence for success, she adds.
Dr. Dougherty is located at a primary care practice in Tinton Falls and Dr. Hollywood is located at a cardiology practice in Fort Lee and is a cardiologist from the Heart and Vascular Hospital at Hackensack University Medical Center. To find a provider near you, visit HackensackMeridianHealth.org. To learn more about cardiovascular services at Hackensack Meridian Health, visit HackensackMeridianHealth.org/Cardiovascular.
The material provided through HealthU is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.
Is The Keto Diet Bad For Your Heart Here’s What Cardiologists Say On The Matter
The keto diet has exploded in popularity over the last few years as a means to slim down quickly without giving up bacon, cheese, or red meat. But the diet, which is high-fat, moderate-protein, and low-carb, is controversial, especially among the medical and dietitian community.
With so much fat OK on the diet, including saturated and unsaturated fats, it sounds like a cardiologist’s nightmare. After all, aren’t we supposed to avoid saturated fats to prevent heart disease? We spoke with a few doctors themselves to find out whether the keto diet is actually unhealthy for your heart.
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The Ketogenic Diet & Heart Disease: How Does Keto Impact These Risk Factors
Because of its focus on fat consumption, the keto diet is concerning to many doctors, dieticians, and health advocates. However, the truth as to what happens when we eat more fat and cut the carbs is much more complex.
Put simply, several studies indicate that the keto diet can help most people reduce their heart disease risk while small subsets of the population may significantly increase their risk by following a standard keto diet.
To help us decipher between the two and develop a deeper understanding of what keto can do for heart disease, lets take a look at how keto affects the six risk factors that can be addressed with diet.
Heres a clickable table of contents for what we will cover:
Is A Ketogenic Diet Safe For Your Heart
âIn the context of a well-formulated ketogenic diet , the intake of fat is not only safe, but imperative for long-term success. There have been multiple studies of low carbohydrate and ketogenic diets lasting up to three years, with no increase in cardiac events or mortality . Furthermore, cardiac risk factors improve, with lowering of triglycerides, improved blood pressure, improved glycemic control, and increased HDL . Interestingly, the largest trial ever done on low fat diets, the Womenâs Health Initiative, showed no decrease in heart disease events or mortality . Controlled studies have consistently failed to show a clinical association between high saturated fat intake and adverse cardiovascular outcomes .
The science on cholesterol and saturated fat has evolved greatly in the past few decades. It is now accepted that dietary cholesterol does not raise blood cholesterol, and this has even been recognized in the new dietary guidelines. Multiple large meta-analyses have shown no association between saturated fat intake and cardiovascular events or increased mortality. Both prior studies and our research have shown that paradoxically, in the setting of a ketogenic diet, higher dietary intake of saturated fat actually decreases serum saturated fat . This is hypothesized to be due to preferential use of dietary saturated fat as fuel in the keto-adapted state.
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