when the diet is initiated, a surge that may level out after weeks and months. One of Chokshi’s patients who was doing keto rigorously saw his LDL cholesterol shoot up for a few months. The broken down fats in the liver generate Ketones, pushing your body into the state of Ketosis, fueling your body with fat. There was a small decrease in one study with substantial weight loss and a slight increase in one study with slight weight loss. No notable difference between groups when calories are matched, and a reduction in two uncontrolled trials with weight loss, as could be expected.