Critics say the keto-type diets usually work only in the short term and can be unhealthy. For starters, most of the lost weight is water weight, according to Lisa Cimperman, R.D.N., a clinical dietitian at University Hospitals Case Medical Center in Cleveland, Ohio, and a spokesperson for the Academy of Nutrition and Dietetics.
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In the general population, Blinten said a keto diet should only be considered in extreme cases. “It can do more harm than good. It can damage the heart, which is also a muscle,” she explained. Anyone with type 2 diabetes can benefit from weight loss and a reduced-carb diet because it will improve insulin sensitivity, Cimperman explained.
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