TLDR: Keto is good for you, and not bad for you. Despite what some agenda based people say the evidence is in favor of keto as good for you, yes even you.
As the prevalence of chronic diseases persists at epidemic proportions, health practitioners face ongoing challenges in providing effective lifestyle treatments for their patients. Even for those patients on GLP-1 agonists, nutrition counseling remains a crucial strategy for managing these conditions over the long term. This paper aims to address the concerns of patients and practitioners who are interested in a low-carbohydrate or ketogenic diet, but who have concerns about its efficacy, safety, and long-term viability. The authors of this paper are practitioners who have used this approach and researchers engaged in its study. The paper reflects our opinion and is not meant to review low-carbohydrate diets systematically. In addressing common concerns, we hope to show that this approach has been well researched and can no longer be seen as a “fad diet” with adverse health effects such as impaired renal function or increased risk of heart disease. We also address persistent questions about patient adherence, affordability, and environmental sustainability. This paper reflects our perspective as clinicians and researchers engaged in the study and application of low-carbohydrate dietary interventions. While the paper is not a systematic review, all factual claims are substantiated with citations from the peer-reviewed literature and the most rigorous and recent science. To our knowledge, this paper is the first to address potential misconceptions about low-carbohydrate and ketogenic diets comprehensively.
Full Paper: https://doi.org/10.3390/nu17061047
It’s a great paper, well worth the full read, it’s short, and written in accessible language. However, I know people on lemmy like to bullet point highlights:
3.2 The Human Need for Carbohydrates (myth)
3.3 (Keto Causes) Heart Disease (myth)
3.4 (Keto Causes) Type 2 Diabetes (myth)
3.7 Sustainability, Cost and Nutritional Adequacy
2017 survey of 1580 people found that a majority had sustained a low-carb diet, defined as <100 g of carbohydrates per day, for more than a year, and 34% reported sustaining the diet for more than two years [ 71 ]. Furthermore, those on low-carbohydrate diets for two years or more said that they had largely maintained their weight loss. The diet is sustainable because protein and fat are highly satiating, allowing for patients to be hunger-free between meals.