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Are ketogenic diets dangerous? What about nutrient deficiencies, gout, gut health, keto rash, bone density loss, or kidney stones? In this video, registered dietitian and ketogenic therapy expert Beth Zupec-Kania, RDN, CD, shares insights from over 30 years of clinical experience to address the most common concerns and misconceptions about ketogenic therapies. From vitamin and mineral intake to gallbladder issues, sleep disruptions, leg cramps, keto flu, and more, this interview covers it all. Beth also explains how ketogenic therapy can be adapted for various lifestyles, preferences, and health conditions, and offers practical tips for managing social situations, emotional transitions, and athletic performance while following a well-formulated ketogenic diet. In this interview, you’ll learn: Why many concerns stem from outdated pediatric protocols How to safely supplement and avoid nutrient deficiencies What to know about the microbiome, bowel habits, and fiber intake How to prevent keto flu, leg cramps, and other common keto side effects When to be cautious with medications that impact bone or kidney health How keto may support those with eating disorders—not cause them Whether you're just starting out or considering ketogenic therapy for epilepsy, type 2 diabetes, mental health, weight loss, or another condition, this video will help ease your mind of many of the concerns around ketogenic dieting. Whether you're new to metabolic therapies or exploring ketogenic strategies for conditions like epilepsy, type 2 diabetes, serious mental illness, weight loss, or another condition, this video addresses common concerns and offers clarity on how a well-formulated ketogenic diet can be a powerful, science-backed option worth considering. Expert Featured: Beth Zupec-Kania, RDN, CD https://www.bethzupeckania.com/ / beth-zupec-kania-58201421 Resources Mentioned: Managing Major Mental Illness with Dietary Change: The New Science of Hope https://www.mycme.com/courses/managin... Brain Energy: The Metabolic Theory of Mental Illness https://www.mycme.com/courses/brain-e... 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. Timestamps: 0:00 - Introduction to Beth Zupec-Kania and concerns about ketogenic diets 3:08 - Do ketogenic diets lead to nutrient deficiencies? 8:46 - Do ketogenic diets negatively impact the gut microbiome? 14:18 - Can people with their gallbladder removed go on ketogenic diets? 15:52 - How do ketogenic diets affect sleep? 19:30 - Do ketogenic diets cause rashes? 21:12 - Is there a bone density risk on ketogenic diets? 23:33 - Is acidosis/ketoacidosis a concern on ketogenic diets? 26:38 - Ketogenic diets and cramping. What supplements help with cramping? 29:43 - What is keto flu and what can be done to get through it? 35:14 - How does ketosis affect athletic and exercise performance? 39:05 - Is there an increased risk of kidney stones or gout on ketogenic diets? 41:58 - Is there any association between ketogenic diets and eating disorders or social isolation? 46:04 - Different types of ketogenic diets. 48:37 - Where can people hear more from Beth Zupec-Kania?