What the Science Really Says About Ketogenic Diets and Heart Health

What the Science Really Says About Ketogenic Diets and Heart Health

February is Heart Health Month, making it the perfect time to challenge common misconceptions about diet and cardiovascular health.

One claim that always resurfaces? That ketogenic diets are bad for your heart. But when you take a closer look at the science, that assumption simply doesn’t hold up.

In this video, Dr. Bret Scher breaks down the real evidence behind ketogenic diets and cardiovascular risk, addressing:

✅ How many “keto” studies don’t actually study true ketogenic diets

✅ The truth about LDL cholesterol on keto (it doesn’t go up for everyone!)

✅ Why triglycerides, HDL, insulin, and inflammation may matter more than LDL

✅ How keto compares to DASH for blood pressure and metabolic health

✅ Why saturated fat from real food behaves differently in the body

✅ The critical difference between ultra-processed high-fat/high-carb diets and low-carb, whole-food ketogenic diets

💡 Using the most up-to-date clinical evidence, Dr. Scher explains why ketosis can be a heart-supportive strategy, especially for those with type 2 diabetes, hypertension, insulin resistance, or poor metabolic health.

If you’re interested in learning more about the safety of ketogenic therapy, check out our “Is Keto Safe” topic page: https://www.metabolicmind.org/resources/topics/is-keto-safe/

🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.

#MetabolicMind #KetogenicTherapy #FoodAsMedicine #HeartHealth

Expert Featured:

Dr. Bret Scher

  1. Baszucki Group Medical Director
  2. https://x.com/bschermd


Free CME Clinician Trainings:

Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.

Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-yt


Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.

Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/


About us:

Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.

Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

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Episoder(245)

BITESIZE: Cholesterol Results Explained: Beyond the LDL Number

BITESIZE: Cholesterol Results Explained: Beyond the LDL Number

A red flag next to your LDL number can feel alarming, but LDL is only one part of a much larger cardiovascular risk picture. In this episode of Metabolic Mind, cardiologist and lipidologist Dr. Bret S...

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Carnivore vs. Vegan Keto: Can Both Work?

Carnivore vs. Vegan Keto: Can Both Work?

Can carnivore and vegan diets both be used as ketogenic therapies?In this episode of Metabolic Mind, Dr. Bret Scher speaks with registered dietitian Denise Potter about two widely debated approaches t...

8 Sep 1h

Dr. Peter Ballerstedt on Animal Foods & Malnutrition

Dr. Peter Ballerstedt on Animal Foods & Malnutrition

Animal-sourced foods are often framed as a problem for human health and environmental sustainability. In this episode of Metabolic Mind, Dr. Bret Scher speaks with forage agronomist and ruminant nutri...

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BITESIZE: Low-Carb vs. Keto: Why the Difference Matters

BITESIZE: Low-Carb vs. Keto: Why the Difference Matters

The terms “low-carb” and “ketogenic” are often used interchangeably, but are they the same thing?Not quite.A low-carb diet can be a powerful tool for improving blood sugar, triglycerides, insulin leve...

3 Sep 6min

Making Keto Work on a College Campus

Making Keto Work on a College Campus

Starting college can change almost everything about your routine, including how, when, and what you eat. For students using ketogenic therapy as part of their mental health treatment, that transition ...

1 Sep 28min

BITESIZE: Dr. Explains: It’s Not the Fat, It’s Not the Processing, It’s THIS

BITESIZE: Dr. Explains: It’s Not the Fat, It’s Not the Processing, It’s THIS

Every day, we make choices about what to eat. But how often do we realize how deeply these choices affect both our physical and mental health?Today, an estimated 93% of adults in America are showing s...

30 Aug 7min

Do We Really Eat Too Much Protein?

Do We Really Eat Too Much Protein?

Do most people really need to eat less protein to live longer? In this episode of Metabolic Mind, Dr. Bret Scher responds to a new review getting attention for the claim that protein restriction may e...

27 Aug 9min

Q&A: Keto Safety After a Stent, During Pregnancy, and in Serious Mental Illness

Q&A: Keto Safety After a Stent, During Pregnancy, and in Serious Mental Illness

Can ketogenic therapy be safe for someone with heart disease, atherosclerosis, or a stent? Can you follow a ketogenic diet without losing weight? In this Metabolic Mailbag episode, Dr. Bret Scher answ...

25 Aug 27min

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