Q&A: Keto Safety After a Stent, During Pregnancy, and in Serious Mental Illness

Can ketogenic therapy be safe for someone with heart disease, atherosclerosis, or a stent? Can you follow a ketogenic diet without losing weight? In this Metabolic Mailbag episode, Dr. Bret Scher answers viewer questions about ketogenic therapy, cardiovascular risk, anorexia recovery, pregnancy and nursing, schizophrenia remission, keto on a budget, and whether doctors learn about ketogenic therapy in medical school.

He covers:

• Ketogenic therapy and cardiovascular disease after a stent or atherosclerosis
• How to follow a ketogenic diet without unwanted weight loss
• What early research suggests about ketogenic therapy for weight-restored anorexia
• Ketogenic therapy during pregnancy or nursing, and why clinical supervision is essential
• Lab markers that may change during sustained nutritional ketosis
• Why schizophrenia symptom remission is different from a cure
• How genetics and metabolism may both contribute to serious mental illness
• Budget-friendly ways to approach a well-formulated ketogenic diet
• Why keto is rarely taught in medical school

The big takeaway is that ketogenic therapy is best understood as a clinical tool, not a one-size-fits-all template. Heart history, weight goals, symptoms, labs, pregnancy, medications, budget, and support all shape what the right approach looks like.

🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.

#KetogenicTherapy #MetabolicMind #FoodAsMedicine

Expert Featured:

Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcast

• https://www.linkedin.com/in/bret-scher-08baaa102/
• https://www.instagram.com/drscher858/?hl=en
• https://x.com/bschermd

Resources Mentioned:

• https://www.youtube.com/watch?v=oq8LHYuczUQ
• https://www.youtube.com/watch?v=YrBxuQ6kcME

Free CME Clinician Trainings:

Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.

Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:

https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-yt

Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.

Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/

About us:

Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.

Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.