The Keto Study That Wasn't About Keto | Dr Nicola Guess

Dr Nicola Guess returns to The Proof to unpack a recent controlled feeding trial that reported a 67% reduction in liver fat on a diet labelled ketogenic. She argues that the headline masks a more important story: ketone levels in that arm were lower than expected on a true keto diet, and the higher protein intake—rather than carbohydrate restriction—may be the real driver of liver fat loss. The conversation also touches on why ApoB fell on a 23% saturated fat diet during weight loss, whether liver fat causes insulin resistance or merely marks it, and practical protein targets for building a supportive plate.