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

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

August 25, 2026 · 28 min

About this episode

Dr. Bret Scher addresses viewer questions about the safety and application of ketogenic therapy in various health contexts.

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…

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