Bret Scher, MD

Why do so many people believe a keto diet causes heart disease when there’s actually no evidence for that? I explore that in my latest Metabolic Mind video!

Keto 101: How do you actually start a ketogenic diet? From carbs and protein to fat, electrolytes, and keto flu, Dr. Bret Scher breaks down the essentials so you can transition into ketosis smoothly and avoid common pitfalls. 🧠

We owe it to patients to be upfront: we’re operating on “informed opinion,” not settled science. We need outcome-based research to see if the ApoB risk applies equally to this population. Let’s get moving! 🔗 Read the full paper: ahajournals.org/doi/10.1161/JA…

Do the authors already have their minds made up that high LDL is high risk, regardless of context? I hoped they would encourage more research into the "true" risk for these specific patients, especially those who don’t have existing plaque.

A new JAHA paper on high LDL in lean keto patients (LMHR phenotype) makes a curious omission: it never calls for studying hard outcomes like plaque progression. As a cardiologist, I have to ask, have they already made up their minds? 🧵

Your keto questions, answered.🔍 From thyroid markers and bone health to cannabis use and ketone supplements, @GeorgiaEdeMD breaks down what actually matters when applying ketogenic therapy in real life. Context, nuance, and personalization matter. 🧠

The “problem” is that this approach requires effort: → More testing → Better education → Personalized clinical support I’m optimistic that we will get there through education, tech initiatives, and better public policy. What do you think it will take to move past the one-size-fits-all model? Let me know in the comments. 👇

The goal shouldn't be finding "one best diet" for everyone. It should be helping each individual find the pattern that works for their specific metabolism, culture, and goals. Sustainability is the combination of clinical health improvements and personal preference.

Perhaps the biggest misconception in modern medicine is the assumption that we already know how everyone should eat. For decades, the message has been: low-fat, high-carb, Mediterranean. But this "one-size-fits-all" approach is failing our collective metabolic health. 🧵

Could coconut oil support brain function in Alzheimer’s? Many people with cognitive decline experience issues with glucose uptake in the brain. As a source of ketones, coconut oil may provide an alternative fuel for the brain. Research is early, but compelling. 🥥🧠

@Tellit007 Unfortunately that study was based on faulty data from a 3rd party contractor, so was retracted. Here is Dave explaining more about the retraction and the unreliability of the data. youtube.com/watch?v=vKVf0T…

@bschermd You ran a study on exactly this population. The lipid numbers produced median plaque progression at one year. The documentary does not mention that part.

1/ The discussion around the Cholesterol Code documentary has mostly been centered on LDL. But as a cardiologist, I believe that’s almost a distraction from the film's most important point. 🧵