Is The Keto Diet Actually Safe? A Doctor Weighs In

As the keto diet continues to trend, you might find yourself wondering if it's safe for everyone. The answer is—it's complicated. Before you dive into this trendy diet, give this a read.

Ketosis is a metabolic state3 where the body is primarily using fat for energy instead of carbohydrates. Burning carbohydrates or glucose for energy is the default function of the body, so if glucose is available, the body will use that first. Once the body enters a state of ketosis, the body is using ketones instead of glucose by burning fats. This is an inborn survival mechanism of the body for periods of famine. Being in a state of ketosis is safe and can provide much benefit to the neurological system and metabolic pathways of the body. People will often report sharper mental function, increased energy, better sleep, weight loss, and fewer food cravings.

Symptoms of diabetic ketoacidosis include:

In establishing the safety of the ketogenic diet, insulin-dependent individuals have to be the most cautious. 

There are certain other groups that need to pay special attention to their ketogenic diet approach and may need a modified version of the keto diet. A few examples include:

This group needs to be cautious with their fat intake since the gallbladder plays a significant role in the breakdown of fats. It is best to consume more lean proteins such as poultry and fish. It is also best to limit fats from dairy, oils, and butters. A Mediterranean version of the keto diet is a great guideline.

It is always best to eat organic, pasture-raised poultry, wild fish, and grass-fed red meat while on a ketogenic diet. It is especially important to eat clean sources of protein when you are struggling with hormonal imbalances since most animal protein is treated with growth hormone. The food sources of growth hormone can alter hormonal pathways in the human body.

If you have a sluggish bowel [gastroparesis] or constipation, you may need to eat more easily digestible plants and protein. Consider consuming more fish protein and cooked veggies until you improve your gut function.

In conclusion, the keto diet is very safe for most people. It can also be extremely beneficial in many conditions such as obesity, type 2 diabetes, cognitive issues, seizures, and much more. Those who are insulin dependent need to take the most care and precautions when embarking on a ketogenic diet. They must manage their insulin and monitor their ketone levels to prevent the dangerous condition called ketoacidosis. As a practicing clinician, I do see minor complications with the keto diet in select groups such as people with gallbladder disease, hormonal issues, severe gut issues, and toxicity. You can still embark on a ketogenic diet with the above conditions but will want to modify your keto diet to prevent side effects.