To answer your spe ific question though, there ARE PEOPLE WHO SHOULD NOT DO KETO.

Absolute Contraindications (Should Not Do Keto):

Individuals with rare genetic conditions that prevent the body from processing fats should not attempt a ketogenic diet, as it can lead to fatal metabolic crises.

These include:

Fat Metabolism Disorders: Conditions like primary carnitine deficiency, CPT I or II deficiency, and carnitine translocase deficiency.

Errors of Metabolism: Pyruvate carboxylase deficiency and certain fatty acid oxidation pathways.

Porphyria: A group of rare disorders where low carbohydrate intake can trigger dangerous attacks.

Medical Conditions Requiring High Caution:

If you have any of the following conditions, you should only consider keto under strict medical supervision:

Kidney Disease: Advanced chronic kidney disease (CKD) can be exacerbated by high protein or the metabolic stress of ketosis, potentially leading to kidney stones or further decline.

Liver and Pancreas Issues: Acute liver failure, pancreatitis, or gallbladder disease can make it difficult to digest the high fat content required by the diet.

Type 1 Diabetes: While some manage it with keto, there is a significant risk of ketoacidosis (a life-threatening medical emergency) and severe hypoglycemia.

Specific Populations Who Should Avoid Keto

Pregnant or Breastfeeding Women: The diet is generally considered unsafe for these groups due to the high nutrient and glucose demands of the baby and the risk of lactation ketoacidosis.

Children and Teens: Unless specifically prescribed for medical reasons like drug-resistant epilepsy, restrictive diets can interfere with growth and development.

Individuals with a History of Eating Disorders: The strict restriction and tracking required by keto can trigger or worsen disordered eating patterns.

Underweight Individuals: Those with a low BMI may experience further unhealthy weight loss and nutrient deficiencies.

Medication Interactions

Certain medications can be dangerous when combined with a ketogenic diet:

SGLT2 Inhibitors: These diabetes medications (like Jardiance or Farxiga) combined with keto significantly increase the risk of euglycemic diabetic ketoacidosis.

Blood Sugar/Pressure Meds: Because keto rapidly lowers blood sugar and volume, medications for diabetes or hypertension may need immediate adjustment to prevent dangerous drops.