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From personal experience I can tell you this: I did loose about 20 lbs in 2 months but I started having episodes similar to sugar crashes. My overall cholesterol stayed the same from the previous year, however my bad cholesterol went up from 35 to 50. My liver started showing signs of fatty liver disease my doctor attributed to my body digesting the amount of fat in my diet. I wasn't doing the full keto diet, I did what is dubbed “dirty keto” because I like fresh fruit and certain veggies considered “no-no” on this diet.
My husband's experience was a bit different- he did a strict Keto diet for 3 months. At the end, his overall cholesterol level doubled from the previous year (152 to 314) and his bad LDL level more than quadrupled (from 35 to 145). He tried to argue with his doctor that according to Ken Berry, the recent Keto guru, those numbers were not important. She looked him in the eye and said “Fine, don't listen to me, but I can guarantee you if you do not get off this diet like you are currently on you will be dead in under 3 years.”
If you want to participate in this diet, just do your own research and talk to your doctor first.