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A strict keto diet is very high in fats, and if it’s done in an unbalanced way (lots of saturated and trans fats, very little fiber, not enough micronutrients), it can lead to fat buildup around the heart (cardiac steatosis) and increase cardiovascular risks over time. Some research shows that keto can improve metabolic health in the short term (like blood sugar control), but in the long term, especially if you rely heavily on processed meats, butter, cheese, and oils instead of healthier fats (
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