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The diets they investigated (25% of energy from carbohydrates) were not ketogenic. By definition, a ketogenic diet must have a very low carbohydrate content and must induce ketogenesis. High fat Western diets are frequently used in animal experimentation, where they wreak havoc on the metabolism of rodents , but these diets invariably also have a high carbohydrate content that prevents the state of ketosis. Some investigators think that ‘high fat Western’ diets are the same as ketogenic diets. MNT monitored nutritional ketosis, induced by fasting or ketogenic diets, does not lead to ketoacidosis. Nephrology professionals also tend to approach ketogenic diets with caution due to the perception of them either being high in protein and driving kidney decline or exacerbating cardiovascular risk due to high red meat and animal fat intake. 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