Episode Details

Can a ketogenic diet affect cardiovascular risk? Do nuts belong in a low-carb diet? What about ice cream, supplements, and electrolytes?

In this episode of Metabolic Mailbag, Dr. Bret Scher tackles some of the most common and misunderstood questions about ketogenic therapy for metabolic and mental health. From concerns about LDL cholesterol to fears of liver and kidney damage, this conversation cuts through the noise with nuance, evidence, and practical guidance.

This episode covers:

1. LDL cholesterol spikes on a ketogenic diet: what’s normal, what’s not, and how to think beyond one lab number
2. Statins vs. individualized risk assessment (imaging, metabolic markers, trends over time)
3. How nuts fit into a ketogenic diet and when they become a problem
4. Ketogenic diets and liver/kidney health: what human data actually shows
5. “Good keto” vs. “bad keto” and the role of whole foods
6. Supplements, electrolytes, and when they’re truly needed
7. Snacking, sweeteners, keto desserts, and staying in ketosis

Whether you’re just starting a ketogenic diet or fine-tuning it for long-term metabolic or mental health, this episode offers clarity where confusion is common. By unpacking real-world questions with a clinical lens, Dr. Scher empowers you to think critically, personalize your approach, and make decisions rooted in human evidence—not fear or headlines.

Do you have more questions? Check out our other Mailbag Q&A episodes with Dr. Bret Scher and Dr. Georgia Ede:

1. Episode 1: https://youtu.be/PDgM-SD3Fx4
2. Episode 2: https://youtu.be/3m6Fm0nXaMQ
3. Episode 3: https://youtu.be/UgaaYl6RPbs
4. Episode 4: https://youtu.be/roMq4YU58rc
5. Episode 5: https://youtu.be/_eSVU5_P7Ys
6. Episode 6: https://youtu.be/TcfGZ3m-lzE

🔎 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 #MetabolicPsychiatry #QA

Expert Featured:

1. Dr. Bret Scher
2. https://x.com/bschermd

3. Listen Now