Dr. Karen Zoufal warns that long-term ketogenic diets may strain liver function and blood sugar regulation based on a recent study.
How the ketogenic diet affects metabolism according to recent research
The study found that while ketogenic diets led to less weight gain in mice compared to a typical Western high-fat diet, the weight gained consisted of a higher proportion of fat mass and less muscle mass.
This means that although the scale showed lower numbers, the body composition became less favorable with increased fat relative to muscle.
What experts recommend to avoid metabolic harm
Two experts interviewed by WELT advise focusing on nutrient quality and monitoring individual responses to prevent the diet from causing metabolic strain.

They emphasize that the ketogenic diet should not be so protein-rich that it risks inducing a fat metabolism disorder, highlighting the importance of balanced macronutrient intake.
Can a ketogenic diet cause liver problems?
According to the study referenced, long-term adherence to a ketogenic diet may strain liver function, particularly in how the body regulates blood sugar.
Should everyone avoid the ketogenic diet?
The experts do not recommend universal avoidance but stress the need for individual assessment and attention to dietary quality to mitigate potential risks.