I see this over and over in clinical practice....MCT and insulin resistance, in addition to a degradation of LDL particle size over time.
In the first few weeks, all looks good. In the long run 6 months or more...not so much. My patients that have decided to adhere to a keto diet fare the worst as far as lipid quality. When they include small amounts of whole grain fibers and focus on Omega 3, omitting MCT, cholesterol markers improve.
So if your blood glucose levels are greater than 5.0mmol/L (or 90 mg/dL), then those expensive exogenous ketones will be working just like a quick burning insulinogenic fuel, just like a dose of carbs.
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