Heart of the Matter: Higher LDL on Keto Does NOT Mean More Plaque

Cited Study: Carbohydrate Restriction-Induced Elevations in LDL-Cholesterol and Atherosclerosis: The KETO Trial

Coronary plaque in metabolically healthy individuals with carbohydrate restriction-induced LDL-C ≥190 mg/dL on KETO for a mean of 4.7 years is not greater than a matched cohort with 149 mg/dL lower average LDL-C. There is no association between LDL-C and plaque burden in either cohort. 

https://www.jacc.org/doi/10.1016/j.jacadv.2024.101109