I was in [EDIT: a major keto group on FB] for quite a while. Great to see people’s before and after shots, which is mostly what the group is.
Yesterday, I got banned.
Someone had posted their husband’s cholesterol results. Trigs and HDL were fine, but LDL was through the roof – well over 300. Now, this topic has been done to death here in the forum – I’m a hyper-responder myself, but I’m nowhere near these figures.
Everyone, including admins, were saying, “forget about it. You’re fine.”
I said something like, “don’t listen to the keto dogmatists. The science isn’t settled. Plenty of low carb doctors would argue that it might be effective to switch a lot of your saturated fats to monounsaturates like wild fish instead of red meat. There’s no downside to upping your fish and reducing your red meat intake.”
I was banned. They claimed I was “name-calling” and breaking their rule of “don’t be a jerk.”
Now I had my NMR done after my LDL got up above 200, and there was no clear result of “oh well yes it’s the large fluffy LDL particles.” Not everyone responds the same, and as Peter Attia has said, not every diet is for everyone. It just isn’t.
Those who are absolutely certain that sky-high LDL is nothing at all to worry about are being hypocritical. We got into this because the science points to LCHF being a healthy WOE. We didn’t get into it to bury our heads in the sand when the blood tests throw up results that aren’t great and explaining them away as, “well LDL doesn’t matter, they’re likely to be large fluffy particles anyway.” Bullshit.
It’s really annoying and disturbing to watch these keto zealots take over the “mainstream” of things. Intelligent skeptical people, like the people on this forum, are on the fringes. Now it’s just a fad diet being driven by religious nuts, it seems.