Q&A: Keto Safety After a Stent, During Pregnancy, and in Serious Mental Illness

Can ketogenic therapy be safe for someone with heart disease, atherosclerosis, or a stent? Can you follow a ketogenic diet without losing weight? In this Metabolic Mailbag episode, Dr. Bret Scher answers viewer questions about ketogenic therapy, cardiovascular risk, anorexia recovery, pregnancy and nursing, schizophrenia remission, keto on a budget, and whether doctors learn about ketogenic therapy in medical school.

He covers:

Ketogenic therapy and cardiovascular disease after a stent or atherosclerosisHow to follow a ketogenic diet without unwanted weight lossWhat early research suggests about ketogenic therapy for weight-restored anorexiaKetogenic therapy during pregnancy or nursing, and why clinical supervision is essentialLab markers that may change during sustained nutritional ketosisWhy schizophrenia symptom remission is different from a cureHow genetics and metabolism may both contribute to serious mental illnessBudget-friendly ways to approach a well-formulated ketogenic dietWhy keto is rarely taught in medical school

The big takeaway is that ketogenic therapy is best understood as a clinical tool, not a one-size-fits-all template. Heart history, weight goals, symptoms, labs, pregnancy, medications, budget, and support all shape what the right approach looks like.

🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.

#KetogenicTherapy #MetabolicMind #FoodAsMedicine

Expert Featured:

Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcast

https://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermd

Resources Mentioned:

https://www.youtube.com/watch?v=oq8LHYuczUQhttps://www.youtube.com/watch?v=YrBxuQ6kcME

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