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In research, it’s extremely difficult to do any long term, diet-controlled studies due to lack of compliance. Irrespective of the diet, you can imagine controlling subjects for several years is a difficult task for any researcher to do. That being said, there are several long-term studies showing a positive benefit for the ketogenic diet. One study found that 66 obese individuals with high cholesterol were able to lower their weight and cholesterol levels with a ketogenic diet over 56 weeks.  A meta analysis (which is an analysis of several published papers) found that “Individuals assigned to a ketogenic diet achieve a greater weight loss than those assigned to a low fat diet in the long term; hence, a ketogenic diet may be an alternative tool against obesity. ”  All of the studies analyzed were greater than 12 months in duration. Lastly, even reducing your carbohydrate intake to less than 20% has shown to have sustainable weight loss even 44 months later! For individuals starting a keto diet in the 1990’s, adherence to the diet was likely a lot harder as options were a bit more limited. Today, you can “ketofy” nearly anything from pizza to desserts so it’s much more sustainable and the research shows the weight loss is maintained. Nutritional Completeness: 1. 6/5 Stars Rated as “extremely incomplete” in the nutrition category, panelists had concerns about the saturated fat content. One expert explained that ‘any diet that recommends snacking on bacon can’t be taken seriously as a health-promoting way to eat’ and another added that the keto diet is ‘nutritionally unbalanced and likely difficult for most people to stick with long-term, which means that any weight loss will likely be regained.
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Osteoporosis is a condition involving weakened bones that are more susceptible to fracture. Eating sufficient protein and staying active helps prevent osteoporosis and bone deterioration. People who consume more protein have a lower risk of fractures and osteoporosis and seem to maintain bone mass better with aging.   Eating High Protein Foods for Injury RepairMost of the cells in your body regenerate, and with the right nutrition, you can regenerate rather than degenerate. Protein is the main building block of organs and tissues, and it helps your body repair following an injury. Studies highlight that consuming more protein after an injury accelerates recovery time. Taking blood pressure measurementLowers Blood PressureHigh blood pressure is a risk factor for heart disease, stroke, chronic kidney disease, and more. Higher protein intake has been associated with lower blood pressure. For example, a review of 40 controlled trials concluded increased protein lowered systolic blood pressure by 1. 76 mm Hg on average and diastolic blood pressure by 1. 15 mm Hg.
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Since fiber doesn’t affect your blood sugar levels, you want
to go for grains
that have some fiber and are lower in carbs. For example:BulgurBulgur is a cereal grain typically derived from cracked wheat berries and used in dishes like tabbouleh and porridge. 1 cup (182 grams) of cooked bulgur has 25. 5 grams of net carbs, making it one of the lowest carb whole grains around. MilletMillet is an ancient grain, and 1 cup (174 grams) of cooked millet provides 39 grams of net carbs and over 2 grams of fiber. QuinoaQuinoa is a pseudo-grain often prepared and served as a grain. 1 cup (185 grams) of cooked quinoa
provides 34 grams of net carbs, so it may not be suitable for many keto dieters.  CouscousCouscous is a processed grain product and a Moroccan staple dish. 1 cup (157 grams) of cooked couscous provides around 34. 5 grams of net carbs. PopcornYou might be surprised to think of popcorn as a grain, never mind a lower-carb grain, but a 1 cup (14 grams) serving of popped popcorn actually only has 6.