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Among the key takeaways included in the statement:
Low- and very-low-carbohydrate diets, including ketogenic diets, are not superior to other weight loss diets and may severely restrict nutrient-dense foods that offer cardiovascular benefits.
While they may have advantages on appetite and reducing triglyceride levels and diabetes medication use, current evidence showed mixed effects on low-density lipoprotein cholesterol levels.
There is no clear evidence for advantages related to other cardiometabolic risk markers.
While some patients prefer a low-carbohydrate eating pattern, which may be reasonable for short periods of time (<6 months), long-term compliance is challenging, and long-term benefits and risks are not fully understood.
Regardless of the weight loss strategy chosen, a patient-clinician discussion about the risks and benefits and patient preference is of vital importance, since many patients follow the diets without medical supervision, which can increase the risk of adverse effects.
The full scientific statement manuscript will be released in the Volume 13, Issue 4 Journal of Clinical Lipidology and will be accessible online at: www.lipidjournal.com. For the uncorrected proof, visit: : https://www.lipid.org/nla/review-cur...e-and-very-low
Additional authors of the document include: Julie B. Bolick, MS, RDN, CD, CLS, FNLA; Penny Kris-Etherton, PhD, RD, CS, FNLA; Geeta Sikand, RD, MA, CLS, FNLA; Karen E. Aspry, MD, MS, FACC, FNLA; Daniel E. Soffer, MD, FNLA, FACP; Kaye-Eileen Willard, MD, FNLA; and Kevin C. Maki, PhD, CLS, FNLA, FTOS, FACN.
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