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. 2021 Sep 13;15(6):1079–1092. doi: 10.1093/ckj/sfab162

Table 2.

Safety concerns

Safety concerns Responses, n Comments
Increased cholesterol levels 10
Increased heart rate 3 2 of 3 responses reported a normalization over time
Strong side effects 2 Brain fog, ‘keto flu’
Increase in creatinine 2 2 of 2 responses reported a return back to levels before starting the diet
New incidence of kidney stones 1 Incidental finding
Increase in serum uric acid 1
Increased serum bilirubin levels 1 Normalized over time
Decreased international normalized ratio levels 1 Participant on warfarin therapy prior to the start of the diet. Warfarin dose was adjusted accordingly
Decreased vitamin B levels 1
Decline in BP 1 Consecutive dizziness. Normalized after adjusting BP medication

Full list of changes on KDIs that have raised safety concerns for the participants or their doctors.