Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders

The Very Low-Energy Ketogenic Therapy (VLEKT) is a structured, multi-phase dietary regimen characterized by a carbohydrate intake of less than 50 g/day and a daily caloric intake of fewer than 800 kcal, which induces ketosis and facilitates significant weight loss. Evidence suggests that this nutrit...

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Main Authors: Daniel Simancas-Racines, Claudia Reytor-González, Ana Karina Zambrano, Giuseppe Annunziata, Angelo Michele Carella, Ludovica Verde, Evelyn Frias-Toral, Claudia V. Guerra, Ricardo Hidalgo
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Food and Agricultural Immunology
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Online Access:https://www.tandfonline.com/doi/10.1080/09540105.2024.2442368
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author Daniel Simancas-Racines
Claudia Reytor-González
Ana Karina Zambrano
Giuseppe Annunziata
Angelo Michele Carella
Ludovica Verde
Evelyn Frias-Toral
Claudia V. Guerra
Ricardo Hidalgo
author_facet Daniel Simancas-Racines
Claudia Reytor-González
Ana Karina Zambrano
Giuseppe Annunziata
Angelo Michele Carella
Ludovica Verde
Evelyn Frias-Toral
Claudia V. Guerra
Ricardo Hidalgo
author_sort Daniel Simancas-Racines
collection DOAJ
description The Very Low-Energy Ketogenic Therapy (VLEKT) is a structured, multi-phase dietary regimen characterized by a carbohydrate intake of less than 50 g/day and a daily caloric intake of fewer than 800 kcal, which induces ketosis and facilitates significant weight loss. Evidence suggests that this nutritional therapy can improve glycemic control, lipid profiles, and blood pressure, making it a promising option for managing type 2 diabetes (T2D) and reducing cardiovascular risk. These benefits are achieved through reductions in triglycerides and low-density lipoprotein cholesterol (LDL-c), alongside increases in high-density lipoprotein cholesterol (HDL-c). However, the effects of the VLEKT on lipid metabolism remain controversial. The review emphasizes the urgent need for further research to validate the long-term safety and efficacy of the VLEKT. It also highlights the critical role of personalized dietary plans, supervised by healthcare professionals, to optimize health outcomes and address individual patient needs.
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institution Kabale University
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language English
publishDate 2025-12-01
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record_format Article
series Food and Agricultural Immunology
spelling doaj-art-ede740c5c5954965990a5a0ff21e1fef2025-01-16T14:51:44ZengTaylor & Francis GroupFood and Agricultural Immunology0954-01051465-34432025-12-0136110.1080/09540105.2024.2442368Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disordersDaniel Simancas-Racines0Claudia Reytor-González1Ana Karina Zambrano2Giuseppe Annunziata3Angelo Michele Carella4Ludovica Verde5Evelyn Frias-Toral6Claudia V. Guerra7Ricardo Hidalgo8Universidad UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Quito, EcuadorUniversidad UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Quito, EcuadorUniversidad UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación Genética y Genómica, Quito, EcuadorFacoltà di Scienze Umane, della Formazione e dello Sport, Università Telematica Pegaso, Naples, ItalyInternal Medicine Department, “T. Masselli-Mascia” Hospital – San Severo, Foggia, ItalyDepartment of Public Health, University of Naples Federico II, Naples, ItalyUniversidad Espíritu Santo, Samborondón, EcuadorUniversidad UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Quito, EcuadorUniversidad UTE, Facultad de Ciencias de la Salud Eugenio Espejo, Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Quito, EcuadorThe Very Low-Energy Ketogenic Therapy (VLEKT) is a structured, multi-phase dietary regimen characterized by a carbohydrate intake of less than 50 g/day and a daily caloric intake of fewer than 800 kcal, which induces ketosis and facilitates significant weight loss. Evidence suggests that this nutritional therapy can improve glycemic control, lipid profiles, and blood pressure, making it a promising option for managing type 2 diabetes (T2D) and reducing cardiovascular risk. These benefits are achieved through reductions in triglycerides and low-density lipoprotein cholesterol (LDL-c), alongside increases in high-density lipoprotein cholesterol (HDL-c). However, the effects of the VLEKT on lipid metabolism remain controversial. The review emphasizes the urgent need for further research to validate the long-term safety and efficacy of the VLEKT. It also highlights the critical role of personalized dietary plans, supervised by healthcare professionals, to optimize health outcomes and address individual patient needs.https://www.tandfonline.com/doi/10.1080/09540105.2024.2442368Very-Low-Energy Ketogenic TherapyVLEKTobesity-related disorderscardiovascular diseaseschronic diseasesgood health and well-being
spellingShingle Daniel Simancas-Racines
Claudia Reytor-González
Ana Karina Zambrano
Giuseppe Annunziata
Angelo Michele Carella
Ludovica Verde
Evelyn Frias-Toral
Claudia V. Guerra
Ricardo Hidalgo
Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
Food and Agricultural Immunology
Very-Low-Energy Ketogenic Therapy
VLEKT
obesity-related disorders
cardiovascular diseases
chronic diseases
good health and well-being
title Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
title_full Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
title_fullStr Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
title_full_unstemmed Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
title_short Unlocking the potential: very-low-energy ketogenic therapy in obesity-related disorders
title_sort unlocking the potential very low energy ketogenic therapy in obesity related disorders
topic Very-Low-Energy Ketogenic Therapy
VLEKT
obesity-related disorders
cardiovascular diseases
chronic diseases
good health and well-being
url https://www.tandfonline.com/doi/10.1080/09540105.2024.2442368
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