Who Should NOT Try the Ketogenic Diet? (Important Safety Guide)
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Who Should NOT Try the Ketogenic Diet? (Important Safety Guide)

7:40 Mar 4, 2026
About this episode
Are there real contraindications to a ketogenic diet? Yes, but they’re far rarer than many people think. So who shouldn’t do keto?In this video, Dr. Bret Scher breaks down the difference between absolute and relative contraindications to ketogenic therapy. While rare inborn metabolic disorders and certain acute illnesses are true absolute contraindications, most commonly cited concerns, including type 1 or type 2 diabetes, heart disease, serious mental illness, high cholesterol, and even pregnancy are listed as relative contraindications, which really means, “use caution and work with an experienced clinician.”Watch to learn who should avoid ketogenic therapy, who may benefit, and why clinical guidance makes all the difference.👉To learn more about the safety and efficacy of ketogenic therapy, check out our “Is Keto Safe?” topic page: https://www.metabolicmind.org/resources/topics/is-keto-safe/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #FoodAsMedicineExpert Featured:Dr. Bret ScherBaszucki Group Medical Directorhttps://x.com/bschermdResources Mentioned:Clinician Directorieshttps://www.metabolicmind.org/peers-families/get-help/Can a Keto Diet Cause Hypomania, and How Can It Be Avoided?https://www.youtube.com/watch?v=F11ZBvCjVNkFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:
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