Low-carb and ketogenic diets are incredibly healthy. They have clear, potentially
life-saving benefits for some of the world’s most serious diseases. This includes
obesity, type 2 diabetes, metabolic syndrome, epilepsy and numerous others. The
most common heart disease risk factors tend to improve greatly, for most people.

Cholesterol levels can rise but only for a very few people who try keto. However,
the cholesterol profile usually improves for most people, e.g. the good cholesterol
(HDL) usually goes up the most, which is connected to a lowered risk by itself. 

A low-carb high-fat diet like keto usually results in an improved cholesterol
profile, indicating a lower risk of heart disease. The classic effect of a low-carb
diet on cholesterol is a slight elevation, partly due to an elevation of the good
(HDL) cholesterol, indicating a lower risk of heart disease. It has also been shown
following a low-carb, high-fat diet like keto often results in reduced signs of

However, there are also potential problems, even if they are rare. On average, the
elevation of total and LDL cholesterol is almost negligible. But for a smaller
number of people – possibly around 1-2 percent of the population – there can be
worrying elevations of LDL and total cholesterol, beyond what can be considered
normal. This potential risk is worth taking seriously.

If you get a non-healthy lipid profile on a keto diet there are a few things to
consider, in this order:

  •  Stop drinking Bulletproof coffee – (black coffee infused with butter,
    coconut fat or MCT oil ). Don’t consume significant amounts of fat at all
    when you’re not hungry. This alone can often normalize cholesterol levels.


  •  Only eat when hungry and consider adding intermittent fasting which is
    often successful in consistently reducing cholesterol levels. Intermittent
    fasting is an eating pattern that fluctuates between periods of fasting and



  •  Consider using more unsaturated fats like olive oil, fatty fish and avocados.
    Whether it will improve your health is unknown, but it will lower your
    cholesterol. And as it’s abnormally high that may be enough of a reason.

By Saloni Sethi