A guide to high cholesterol on a keto diet


For most, a keto diet results in improved cholesterol values. But you might be one of the people whose LDL cholesterol has increased. Is that a problem? And if so – what can you do about it?

Here’s a guide to this topic by dietician Franziska Spritzler:

KetoDiet Blog: High cholesterol on a keto diet – Should you be concerned?

If you want to learn more about elevated cholesterol on a keto diet, go to the links below.


Keto side effects: Elevated cholesterol



Should you worry about your cholesterol on a keto diet?

Did a citizen-scientist crack the cholesterol code?


  1. Justin Taurua-Whiting
    Hi. I have been struggling with high LDL Cholestrol levels for some time now & have started on a Keto diet but is this okay? I'm not so sure
  2. 1 comment removed
  3. Stephanie
    I have familial hypercholesterolemia (genetically related LDL and Lp(a) mutations, tested and diagnosed). My LDL was always okay until after my second pregnancy (mutation ignited) and they have been slowly elevating ever since (20 years). I have tried KETO and the weight loss was unbearably slow and my LDL and overall increased significantly in a month. I was told the only way to remove the LDL is with lipoprotein apheresis (and drugs). I have developed a fatty liver as well as other medical issues due to high inflammation (chicken or egg scenario). What can I do to lose weight? Will the KETO WOE eventually clean up this gene and allow my body to process the fat?
    Reply: #4
  4. Kristin Parker Team Diet Doctor
    Fat is not the driving factor of bad cholesterol or fatty liver, carbs are. It can take 6 months at least for cholesterol levels to normalize. It's normal for cholesterol to go up at first because that is how the body gets rid of the fat cells that have been burned.

    We have several articles on our website about treating fatty liver with LCHF. Here is a link to one of them.

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