What happens to triglyceride levels on a ketogenic diet?

Virta Health

By Dr. Stephen Phinney and the Virta Team

Triglycerides are among one of the most predictable changes when one adapts to and maintains a well-formulated ketogenic diet. For people starting out with elevated triglycerides, they almost always show a sharp and sustained reduction. On average, people with metabolic syndrome will see their serum triglycerides reduced by half when on a ketogenic diet (Volek, 2009).

Yes, there are people who may not respond this way, but the exceptions tend to be people whose serum triglycerides were already within the abnormal range. Increases in triglycerides during a well formulated ketogenic diet may occur, but this is rare. In those cases, it may be due to carbohydrate consumption that is greater than one’s tolerance or due to alcohol consumption in the day or two prior to the blood test.


Volek JS, Phinney SD, Forsythe CE, Quann EE, Wood RJ, Puglisi MJ, Kraemer WJ, Bibus DM, Fernandez ML, Feinman RD. Carbohydrate restriction has a more favorable impact on the metabolic syndrome than a low fat diet. Lipids. 2009; 44:297-309. doi: 10.1007/s11745-008-3274-2.

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