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Long-term use of the ketogenic diet in children increases the risk of slowed or stunted growth, bone fractures and kidney stones. The diet reduces levels of insulin-like growth factor 1, which is important for childhood growth. Like many anticonvulsant drugs, the ketogenic diet has an adverse effect on bone health.
Could some of the adverse metabolic effects reported in this study support the long-expressed concerns about the high-fat Atkins diet? Specifically, should the conclusion of Johnston et al have been that a ketogenic diet that is high in saturated fat and cholesterol is not warranted for weight loss? It can be shown that a blanket rejection of ketogenic diets for weight loss is not warranted.