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High fat Ketogenic Diet and Clogged Arteries

author avatar Dr. Eric Berg 07/31/2024

Many people worry that following a high-fat, ketogenic diet will clog their arteries. It's a common concern, given how we've been told for decades to avoid fat for heart health. But does science actually back up this fear?

The idea that eating more fat leads to clogged arteries seems logical. After all, arteries can become clogged with fatty deposits. Wouldn’t consuming more fat make this worse?

As it turns out, the relationship between diet and artery health is more complex than a simple "fat in, fat out" equation. Our bodies don't just passively absorb dietary fat and dump it into our bloodstream. Intricate hormonal and metabolic processes influence this process.

Let's take a closer look at how high-fat, ketogenic diets actually impact our arteries and cardiovascular health. We'll explore the science behind fat metabolism, cholesterol, and the true culprits behind clogged arteries.

The Role of Insulin in Artery Health

When discussing clogged arteries, we need to shift our focus from dietary fat to insulin. This hormone acts as a metabolic switch, telling our bodies what to do with the calories we consume.

Insulin levels rise sharply when we eat carbohydrates, especially refined ones like sugar and white flour. These constantly high insulin levels then promote inflammation throughout the body, including in our arteries.

This inflammation can damage the delicate lining of our blood vessels. The body tries to heal these injuries using a combination of cholesterol, calcium, and fibrin (a clotting protein). Over time, these repair attempts can build up, narrowing the arteries.

So while we've been blaming fat all this time, it's actually excess carbohydrates and the resulting insulin spikes that set the stage for artery problems. A ketogenic diet may be a sustainable way to regulate your insulin levels.

Cholesterol: Not the Villain We Thought

For years, we've been told that high cholesterol causes heart disease. However, this oversimplified view doesn't tell the whole story.

Our bodies produce cholesterol for a reason - it's essential for many vital functions. Nearly every cell in your body makes cholesterol.

On average, your body produces about 3,000 milligrams of cholesterol daily. To put that in perspective, 3,000 mg of cholesterol is equivalent to 300 strips of bacon, one pound of butter, or 14 eggs.

Clearly, our bodies are churning out far more cholesterol than most of us consume through diet. When we eat more cholesterol, our bodies simply produce less to compensate.

This self-regulating system helps explain why dietary cholesterol often has little impact on blood cholesterol levels for most people. Focus on the factors that disrupt your body's natural cholesterol balance, not the cholesterol in your food.

Healthy fat sources

How a High-fat, Ketogenic Diet Actually Affects Your Lipid Profile

So what happens to cholesterol levels when people switch to a high-fat, ketogenic diet? The results might surprise you.

Many people see their overall cholesterol decrease, not increase. More importantly, we often see favorable changes in cholesterol composition:

  • Triglycerides (a type of blood fat linked to heart disease) tend to drop significantly.

  • HDL (the "good" cholesterol) often increases.

  • LDL particle size often shifts from small, dense (more harmful) to large, fluffy (less harmful) particles.

These changes add up to a healthier lipid profile for many people. Of course, individual responses can vary, which is why working with a healthcare provider and monitoring your bloodwork is always a good idea when making major dietary changes.

The True Culprits Behind Clogged Arteries

If eating fat doesn't clog our arteries, what does? The primary drivers of arterial plaque formation are chronic inflammation, oxidative stress, high blood sugar and insulin levels, and hypertension.

A diet high in refined carbohydrates and industrial seed oils contributes to all of these factors. A well-formulated ketogenic diet can help address each of these issues.

By drastically reducing carbohydrates, especially refined ones, you naturally lower blood sugar and insulin levels. This alone can have a powerful anti-inflammatory effect throughout your body, mitigating some risk factors for arterial plaque.

Ketogenic diets are also typically rich in antioxidants from vegetables, herbs, and spices. These compounds help combat oxidative stress, further protecting your arteries.

Maintaining a healthy diet alongside other healthy habits such as regular exercise may aid in preventing clogged arteries.

Beyond Diet: Other Factors That Impact Artery Health

While diet plays a crucial role in cardiovascular health, it's not the only factor to consider. Other lifestyle choices can significantly impact your artery health, such as:

  • Regular exercise

  • Stress management

  • Adequate sleep

  • Avoiding smoking and excessive alcohol consumption

These factors work together with a healthy diet to promote overall cardiovascular wellness. A ketogenic diet combined with these lifestyle practices can be a powerful approach to protecting your heart and arteries.

Managing stress, in particular, may contribute significantly to a healthy heart.

Common Misconceptions About High-Fat Keto Diet

Despite growing evidence supporting the safety and potential benefits of ketogenic diets, misconceptions persist. Let's address a few common ones:

Myth: Keto Means Eating Unlimited Amounts of Saturated Fat

While ketogenic diets are high in fat, quality matters. A well-formulated keto diet includes a variety of healthy fats from sources like olive oil, avocados, nuts, and fatty fish. Don't just drown everything in butter and bacon grease. It's about balance.

Myth: Ketosis is Dangerous for Your Heart

Ketosis is often confused with ketoacidosis, a dangerous condition that can occur in uncontrolled diabetes. Nutritional ketosis, achieved through diet, is a normal and safe metabolic state for most healthy individuals.

Myth: You Need Carbs for Energy

While glucose is the body's preferred fuel source, it's not the only one. Once adapted, your body can efficiently use ketones for energy. Many people report improved energy levels and mental clarity on a ketogenic diet. Your body can adapt to utilize different fuel sources.

Is a Ketogenic Diet Right for Everyone?

While many people thrive on a ketogenic diet, it's not a one-size-fits-all solution. Some individuals may need to modify the approach or choose a different dietary strategy altogether. Factors to consider include:

  • Individual health conditions

  • Genetic factors

  • Personal preferences and lifestyle

  • Athletic performance goals

It's always wise to consult with a healthcare provider familiar with ketogenic diets before making significant dietary changes, especially if you have pre-existing health conditions. There are resources to help you determine the right choice for you.

How to Implement a Heart-Healthy Ketogenic Diet

If you're interested in trying a ketogenic diet to support your cardiovascular health, here are some tips to get started:

  1. Focus on whole, nutrient-dense foods.

  2. Include plenty of non-starchy vegetables.

  3. Choose high-quality protein sources.

  4. Incorporate a variety of healthy fats.

  5. Stay hydrated and maintain electrolyte balance.

  6. Monitor your progress with regular check-ups and bloodwork.

Remember, transitioning to a ketogenic diet can take some adjustment. Give your body time to adapt, and don't hesitate to seek support from a qualified healthcare provider or nutritionist.

Cardiovascular system

Heart Health on Keto

Addresses the common concern about whether a high-fat ketogenic diet can clog your arteries.

Contrary to the myth that high-fat diets inevitably lead to heart disease, recent studies have shown that a well-formulated ketogenic diet can actually improve cardiovascular health by reducing inflammation,

increasing good cholesterol (HDL), and lowering bad cholesterol (LDL) particles.

The key is focusing on the right types of fats—emphasizing unsaturated fats from sources like avocados, nuts, seeds, and olive oil, while limiting saturated and trans fats.

For those new to keto, a frequently asked question is, "how much fat should I eat on keto?" Generally, it's recommended that 70-80% of your daily calories come from fat.

This not only helps maintain ketosis, the state where your body burns fat for fuel instead of carbohydrates, but also ensures you get enough energy for your daily activities.

By debunking the myths and understanding the importance of quality fat intake, individuals can follow a ketogenic diet that supports heart health and overall well-being.

Conclusion

Contrary to popular belief, High-Fat Keto Diet does not automatically lead to clogged arteries. For many people, a well-formulated ketogenic diet can improve several markers of cardiovascular health.

The key lies in understanding the true drivers of arterial plaque formation - chronic inflammation, oxidative stress, and metabolic dysfunction - rather than simply vilifying dietary fat. A ketogenic diet can be part of a holistic approach to heart health.

By focusing on whole, nutrient-dense foods, reducing refined carbohydrates, and addressing lifestyle factors like exercise and stress management, you can support your heart health whether you choose a ketogenic approach or not.

As with any significant dietary change, listen to your body and work with healthcare professionals to ensure you're making choices that support your individual health needs and goals.


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