Dr. Paul Mason – ‘High cholesterol on a ketogenic diet (plus do statins work?) – 2019 update’

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Cholesterol is an essential substance required for various bodily functions. However, when the levels of cholesterol rise beyond the recommended levels, it can lead to heart disease or stroke. The ketogenic diet is a popular low-carb, high-fat diet that has been shown to improve cholesterol profiles by increasing the levels of high-density lipoprotein (HDL) or “good” cholesterol and decreasing the levels of low-density lipoprotein (LDL) or “bad” cholesterol. However, some people experience high cholesterol when following a ketogenic diet.

High cholesterol on a ketogenic diet can be due to numerous factors. One factor is genetics, as some people are predisposed to have high cholesterol levels. Another factor could be consuming too much saturated or trans fat, which can increase LDL levels. Additionally, a lack of physical activity can contribute to high cholesterol levels.

To manage high cholesterol levels on a ketogenic diet, it is essential to make some lifestyle changes. One effective way is to increase physical activity. Exercise helps to increase HDL levels while reducing LDL levels. Engage in cardiovascular exercises such as running or cycling, and strength training exercises such as weightlifting.

Another way to manage high cholesterol levels on a ketogenic diet is to increase fiber intake. Soluble fiber from sources such as nuts, seeds, and vegetables can help reduce LDL levels.

Moderating saturated fat intake can also help manage high cholesterol levels. Replace saturated fat with monounsaturated or polyunsaturated fats such as avocado, olive oil, and nuts.

It is important to note that cholesterol on a ketogenic diet may not always be a cause for concern. An increase in LDL levels is often due to the increase in LDL particle size, which is beneficial for overall heart health. Additionally, some studies have shown that a high-fat diet may not increase the risk of heart disease in those without pre-existing conditions.

In conclusion, high cholesterol on a ketogenic diet should not be a cause for panic. It is essential to manage it through a combination of lifestyle changes such as adequate physical activity, increased fiber intake, and moderation of saturated fat intake. Always consult with a medical professional before making any significant changes to your diet or lifestyle.