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<blockquote data-quote="Oldvatr" data-source="post: 2465351" data-attributes="member: 196898"><p>If you are prediabetic then you do not need to go keto for diabetic reasons. A more general low carb diet (<120g . day carbs ) may do just as well but be less stressful. Do you have much weight to lose? That may initially raise LDL levels while the lipids are being burnt away, so a small increase in exercise (like walking or stair climbing) might be a benefit . The LDL will settle down in a while, and many here note that cholesterol improves on a low carb diet. HDL rises (good) and LDL and trigs fall (also good) so longer term the prognosis is win win.</p><p></p><p>If LDL is a problem for your GP, then there is a pill called Ezetimibe which reduces LDL but is not a statin. I use it and it seems inocuous and I get no side effects from it. I am seriously allergic to statins. So it keeps my GP happy, and it is up to me to take it or leave it in the packet.</p><p></p><p>I use a moderate LC diet myself and I got my BMI to 21 and do not need or want to go any lower. I used to be 18 stone with a waist band 8" larger than now.</p><p></p><p>Edit: sorry, just read your post here again, and you say you are skinny, so keto may be unecessary. I too am TOFI, and I made a decision to avoid keto for myself. Makes life simpler, and you do not need to be too strict on LCHF. Do not worry too much about the Fructose. It is one possible source of NAFLD, but we are generally talking long term abuse which an LC diet will probably take care of. If it does not work out, then the Newcastle diet sems to shift liver fat, and they got the MRI scans to prove it. But that diet is a crash diet, and not necessarily a long term solution. Crash diets are noted as to making NAFLD worse.</p><p></p><p>As a matter of interest, how will you find out if you have shifted NAFLD since there are no symptoms?</p></blockquote><p></p>
[QUOTE="Oldvatr, post: 2465351, member: 196898"] If you are prediabetic then you do not need to go keto for diabetic reasons. A more general low carb diet (<120g . day carbs ) may do just as well but be less stressful. Do you have much weight to lose? That may initially raise LDL levels while the lipids are being burnt away, so a small increase in exercise (like walking or stair climbing) might be a benefit . The LDL will settle down in a while, and many here note that cholesterol improves on a low carb diet. HDL rises (good) and LDL and trigs fall (also good) so longer term the prognosis is win win. If LDL is a problem for your GP, then there is a pill called Ezetimibe which reduces LDL but is not a statin. I use it and it seems inocuous and I get no side effects from it. I am seriously allergic to statins. So it keeps my GP happy, and it is up to me to take it or leave it in the packet. I use a moderate LC diet myself and I got my BMI to 21 and do not need or want to go any lower. I used to be 18 stone with a waist band 8" larger than now. Edit: sorry, just read your post here again, and you say you are skinny, so keto may be unecessary. I too am TOFI, and I made a decision to avoid keto for myself. Makes life simpler, and you do not need to be too strict on LCHF. Do not worry too much about the Fructose. It is one possible source of NAFLD, but we are generally talking long term abuse which an LC diet will probably take care of. If it does not work out, then the Newcastle diet sems to shift liver fat, and they got the MRI scans to prove it. But that diet is a crash diet, and not necessarily a long term solution. Crash diets are noted as to making NAFLD worse. As a matter of interest, how will you find out if you have shifted NAFLD since there are no symptoms? [/QUOTE]
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